SW8110716_CURRENT PERMIT_20220607 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 07 16
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 06 p 7
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
June 27'", 2022
Taylor & Sullivan, LLC
Attn: Robert Taylor, Manager
7290-3 Beach Drive, SW
Ocean Isle Beach, NC 28469
NORTH CAROLINA
Envlronmenral Quality
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 110716
Family Dollar Holden Beach
Brunswick County
Dear Mr. Taylor:
Effective August 1, 2013 the Post -Construction Stormwater Management Program has been transferred from the
Division of Water Quality ("DWQ") to the Division of Energy, Mineral and Land Resources ("DEMLR" ). All
previous references to DWQ will remain in older permits issued Prior to August 1, 2013 until they are modified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on June 24'", 2022. The Division is hereby notifying you that permit SW8 110716 has been
renewed, updated, and re -issued on June 27'", 2022, as attached. Please be aware that the renewal and re -issuance
of this stormwater permit does not imply that the site is currently in compliance.
This permit shall be effective until August 29", 2029 and does not supersede any other agency permit that may be
required. The project shall be subject to the conditions and limitations as specified therein. This permit does not
impose new or increased stormwater control requirements; it clarifies the rules and requirements of this program
to provide you with a better understanding of your obligations under this permit. Failure to comply with these
requirements will result in future compliance problems. Please note that this permit is not transferable except
after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
This project will be kept on file at the Wilmington Regional Office. If you have any questions concerning this
permit, please contact Dylan McPeake in the Wilmington Regional Office at [phone] or
[e-mail].
Sincerely,
.9PBrian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C— Permitting History
Renewal Application Documents
DES/DM: \\\Stormwater\Permits & Projects\201 1\1 10716 I ID\2022 06 permit 110716
cc: Wilmington Regional Office Storrnwater File
D_EQ,� North Carolina Department of EnvironmentalQpallry I Division of Energy, Mineral and land Resources
./ Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 2E405
910.796,7215

Post -Construction Stormwater Management
Permit No. SW8 110716
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Taylor & Sullivan, LLC
Family Dollar Holden Beach
1123 Sabbath Home Rd SW, Supply, Brunswick County
FOR THE
construction, operation and maintenance of one infiltration basin in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter collectively and
separately referred to as the "stormwater rules') and as outlined in the application, approved
stormwater management plans, supplement, calculations, operation and maintenance
agreement, recorded documents, specifications, and other supporting data (the "approved plans
and specifications") as attached and/or on file with and approved by the Division of Energy,
Mineral and Land Resources (the "Division" or "DEMLR"). The project shall be constructed,
operated and maintained in accordance with these approved plans and specifications. The
approved plans and specifications are incorporated by reference and are enforceable part of
this permit.
This permit shall be effective from the date of issuance until August 181, 2029 shall be subject
to the following specified conditions and limitations. The permit issued shall continue in force
and effect until the permittee files a request with the Division for a permit modification, transfer,
renewal, or rescission; however, these actions do not stay any condition. The issuance of this
permit does not prohibit the Director from reopening and modifying the permit, revoking and
reissuing the permit, or terminating the permit for cause as allowed by the laws, rules, and
regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.8 on page 2 of this permit. The stormwater control has been
designed to handle the runoff from 30,027 square feet of impervious area.
Page 1 of 6

Post -Construction Stormwater Management
Permit No. SW8 110716
3. This project has been designed to infiltrate the 10-year 24-hour storm even without
discharge at half of the infiltration rate reported by the soils report. Therefore, no
bypass, vegetated filter strip or additional storage volume is required.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.8 on page
2 of this permit, and as shown on the approved plans. The built -upon area for the future
development is limited to 0 square feet.
5. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
6. The runoff from all built -upon area within the permitted drainage area of this project must
be directed into the permitted stormwater control system.
7. The project shall provide a 50' wide vegetated buffer adjacent surface waters, measured
horizontally from and perpendicular to the normal pool of impounded structures, the top
of bank of both sides of streams and rivers, and the mean high-water line of tidal waters.
8. The following design criteria have been permitted for the infiltration basin and must be
provided and maintained at design condition:
a.
Drainage Area, acres:
0.915
Onsite, ftz:
39,870
Offsite, ftz:
0
b.
Total Impervious Surfaces, ftz:
30,027
Onsite, ftz:
30,027
Offsite, ftz:
0
C.
Design Storm, inches:
7.08 (10yr storm)
d.
Basin Depth, feet:
3.5
e.
Bottom Elevation, FMSL:
35.5
f.
Bottom Surface Area, ft2:
4.033
h.
Permitted Storage Volume (10yr), ft3:
19,410
i.
Predevelopment 1 yr 24 hr peak flow, cfs:
0.27
j.
Post -development 1 yr 24 hr peak flow, cfs:
0.00
k.
Type of Soil:
Sand
1.
Expected Infiltration Rate, in/hr:
13.5 (per soils report)
M.
Seasonal High -Water Table, FMSL:
33.5
n.
Time to Draw Down, hours:
7.6
o.
Receiving Stream/River Basin:
ICWW / Lumber
P.
Stream Index Number:
15-25
q.
Classification of Water Body*:
"SA; HQW'
*This site drains to SA waters, but is over a half mile from the receiving stream.
It. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
Page 2 of 6

Post -Construction Stormwater Management
Permit No. SW8 110716
3. The permittee shall at all times provide the operation and maintenance necessary to
assure the permitted stormwater system functions at the design condition. The approved
Operation and Maintenance Plan must be followed in its entirety and maintenance must
occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of bypass structure, infiltration media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
4. The facilities shall be constructed, operated and maintained in accordance with the
provisions of this permit, the approved plans and specifications, and the supporting
documents attached to this permit and on file with the Division.
5. If the stormwater system was used as an Erosion Control device, it must be restored to
design condition prior to operation as a stormwater treatment device, and prior to
occupancy of the facility.
Records of maintenance activities must be kept for each permitted BMP. The reports will
indicate the date, activity, name of person performing the work and what actions were
taken.
Upon completion of construction, prior to issuance of a Certificate of Occupancy, and
prior to operation of this permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that the permitted facility has
been installed in accordance with this permit, the approved plans and specifications, and
other supporting documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be required for
those deviations.
8. Access to the stormwater facilities shall be maintained via appropriate easements at all
times.
9. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in the
notice, the permittee shall submit a written time schedule to the Director for modifying
the site to meet minimum requirements. The permittee shall provide copies of revised
plans and certification in writing to the Director that the changes have been made.
10. No person or entity, including the permittee, shall alter any component shown in the
approved plans and specifications. Prior to the construction of any modification to the
approved plans, the permittee shall submit to the Director, and shall have received
approval for modified plans, specifications, and calculations including, but not limited to,
those listed below. For changes to the project or SCM that impact the certifications, a
new or updated certification(s), as applicable, will be required and a copy must be
submitted to the appropriate DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size
including the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of
Page 3 of 6

Post -Construction Stormwater Management
Permit No. SW8 110716
the project and/or property area as reported in the approved plans and
specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not
included in the approved plans and specifications.
g. Other modifications as determined by the Director.
III. GENERAL CONDITIONS
1. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement
on -site stormwater systems. These additional or replacement measures shall receive a
permit from the Division prior to construction.
2. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days
prior to the expiration date of this permit. The renewal request must include the
appropriate application, documentation and the processing fee as outlined in Title 15A
NCAC 02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT
INFORMATION. The permittee shall submit a completed Permit Information Update
Application Form to the Division within 30 days to making any one of these changes.
4. TRANSFER. This permit is not transferable to any person or entity except after notice to
and approval by the Director. Neither the sale of the project and/or property, in whole or
in part, nor the conveyance of common area to a third party constitutes an approved
transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate
application, documentation and the processing fee as outlined in 15A NCAC
02H.1045(2). This request must be submitted within 90 days of the permit holder
meeting one or more of the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur;
V. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
Page 4 of 6

Post -Construction Stormwater Management
Permit No. SW8 110716
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions
have been met and that the project and the on -site stormwater system complies with
the permit conditions. Records of maintenance activities performed to date may be
requested. Projects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and
conditions of this permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved
plans, application, supplement, operation and maintenance agreement, all
applicable recorded documents, and specifications shall be maintained on file by
the permittee at all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the
stormwater rules is subject to enforcement procedures as set forth in NCGS 143
Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the
Division an annual certification completed by either the permittee or their
designee confirming the projects conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the
permitted site does not meet one or more of the minimum requirements of the
permit. Within the time frame specified in the notice, the permittee shall submit a
written time schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of modified plans and
certification in writing to the Director that the changes have been made.
OTHER PERMITS. The issuance of this permit does not preclude the permittee
from complying with and obtaining any other permits or approvals that are
required for this development to take place, as required by any statutes, rules,
regulations, or ordinances, which may be imposed by any other Local, State or
Federal government agency having jurisdiction. Any activities undertaken at this
site that cause a water quality violation or undertaken prior to receipt of the
necessary permits or approvals to do so are considered violations of NCGS 143-
215.1, and subject to enforcement procedures pursuant to NCGS 143-215.6.
Page 5 of 6

Post -Construction Stormwater Management
Permit No. SW8 110716
Permit renewed and reissued this the 27t' day of June, 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�1 Nct r
};-fB�- "ia -�I fn— renn— Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 6 of 6

Attachment C - Permitting History
Permit No. SW8 110716
Approval
Date
Permit
Action
BIM
Version
Description of the Changes
8/29/201 1
Original
Approval
1.0
6/27/2022
Renewal
2.0
Expires on 8/29/2029

Permit Number:
(to be provided by DWQ�
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
infiltration basin
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future roblems-wither Sion.
JUL 0 5 2011
Form SW401-Infiltration Basin O&M-Rev.3
Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
g2�C�IVEY�
JUL 0 5 2011
LY:--
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

JUL 19,2011 11:50A 000-000-00000 page 3
Permit Number:
(to be provided by UWQ)
I acknowledge and agree by my signature below that 1 am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Projeci nume:F'antily Dollar Holden Beach
BMP drainage area number:
Print name:Robert A, Ta• for
Title:Mcmber Mana lc•r _
Address:7057 41 Beach Drive, Occan Isle Beach, NC: 28469
Phone:[phone] '
Signature:_ .
Date:_. '% /9—z a//
Note: The legally responsible petty should not be a homeowners asSooialion unless more then 50%of
the lots have been sold and a resident ol'the subdivision has been named the president.
1, s 1^U\ 11.E N .� T `�t C C A�, a Notary Public for the State of
County 01'_ ('11 C-) _ do hereby certify that
_1S&qA.b personally appeared before me this
day of__�Ul q — b _,and acknowledge the due execution of tile
forgoing infiltration basin maintenance
��.• ��
Jt/ •rr�
SEAL
r uirements. Witness my hand and official
)An
My commission expires.ao I C'
Fonn SW401-Inflltmtion fiaSln O&M -Rev.,
RECEIVED
JUL 21 2011
BY:
Page 3 of 3

,.�.
�� �_
..
i, i — J
=l�
i a �
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r� �, �
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�i
'�
1 `� � I
` I

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Famil
BMP drainage area
Print
Phone:
Signature:
Date: -7- / - //
Note: The legally responsible party should not be a homeownersi
the lots have been sold and a resident of the subdivision has
tion unless more than 50% of
named the president.
the State of
�ltSY� i nmIA'na , County of - ender , do hi reb
A I MMMI i I O,IkTr personally appeared bf
day of G i_,2oll and acknowledge the due execut
forgoing infiltration basin maintenance requirements. Witness my hand
``1p1\ 11111111 � MOO
a. 40TAR) - =
o. 9 COU�\
��lllllll nwO'
SEAL
My commission expires In 15- I I
certify that
•e me this 1
n\ f the
nd\official seal,
JUL 0 5 2011
Form SW401-Infiltration Basin O&M-Rev.3
Page 3 of 3

NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60. (c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 110716
2. Project name: FAMILY DOLLAR HOLDEN BEACH
3. Project street address: 1123 SABBATH HOME ROADSW
City: SUPPLY County: BRUNSWICK
ZIP: 28462
4. What, if any, changes have been made to the project as permitted?
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https //deo nc gov/about/divisions/energv-
mineral-la nd-resources/energy-mineral-land-rules/stormwate r-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https //deo nc gov/aboutidivisions/energv-mineral-land
resources/energy-mineral-land-rules/stormwater-grogram/postconstruction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: TAYLOR & SULLIVAN LLC
2. Signing Official's Name: ROBERT TAYLOR
3. Signing Official's Title: MANAGER
4. Mailing Address: 7290-3 BEACH DRIVE, SW
City: OCEAN ISLE BEACH State: N. C.
ZIP: 28469
5. Street Address: 7290-3 BEACH DRIVE, SW
City: OCEAN ISLE BEACH State: N. C.
ZIP: 28469
6. Phone: [phone] Email: wftproperties0atmc.net
rJ
CEIVE
UN 2 4 2022
BY:
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

W,
r

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph',2, USMP, Non -Coastal HQW/0RW9. Only applications packages that
include all required items listed'below will be accepted and reviewed.
In f 'al each item below to indicate that the required information Is provided in the application package:
1. A Hermit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy, and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the,
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. 0M Agreements, Please select one:
I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the. project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/bv title/ Business Registration
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JUN 2 4 2022
Stormwater Permit Renewal Application Form Page 2 of 3 May I i, 2018

D. PERM!IITTE,(E'S/ CERTIFICATION
I; �7P1 / f( �i L , the person legally responsible for the permit, certify that I have
a copy of the Permit alhd O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SC.Mms. or ownership. AlljyDqation provided on this permit renewal application is, to the best of my
knowledge, correc co pi
Signature: Date:
NOTARIZATION
I; /1 Q tl r 5 e. Ye & '04 /i , a Notary Public for the State of
AlAr-fX( (Aa rO�ln , County of �Pru n/S' uQ i C�, do hereby certify
that /T Q.le r 7Z- I i—a bzler personally appeared before me
this the ".'V '/X'— day of _-// Ne— , 202,? , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
EGEIVE
JUN 2 4 2022
BY:
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

i,
�.l
q1t

~ Permit No.
(to be provided by DWQ)
_o?oF warE,yo`
A
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
Contact Person
Phone Number
Date
Drainage Area Number
II. DESIGN INFORMATION .
Site Characteristics
Drainage area
39,870.00
ry�
Impervious area
30,027.00
rye
Percent impervious
0.75
%
Design rainfall depth
2.18
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
3.88 in
4.87 inlhr
0.27 ft'/sec
0.00 ft'/sec
-0.27 ft'/sec
5,298.00 ft'
19,410.00 ft'
ft'
ft'
ft'
it,
ft'
Sand
13.50 inmr
33.50 fmsl
0.10 days
;1.uu
:1
35.50
fmsl
392
fmsl
7,170.00
ftz
39.00
fmsl
75.00 ft
50.00 ft
4,033.00 ft'
OK for non -SA waters
OK
OK
OK
gECFIVED
AUG 2 2 2011
BY:_-------
Form SW401-Ingnreriun Basin-Rev.4 Parts I. & 11. Design Summery, Page 1 of 2

Permit No.
(to be Provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
2.00
ac-in
OK
Length of vegetative filter for overflow
na
ft
OK
Distance to structure
na
fit
OK
Distance from surface waters
3000+
ff
OK
Distance from water supply well(s)
100+
It
OK
Separation from impervious soil layer
2.0+
It
OK
Naturally occuring soil above shwt
2.00
it
OK
Bottom covered with 4-in of clean sand?
y
(Y or N)
OK
Proposed drainage easement provided?
y
(Y or N)
OK
Capures all runoff at ultimate build -out?
y (Y or N)
OK
Bypass provided for larger storms?
na
(Y or N)
OK
Pretreatment device provided
Conveyance swat and drop inlets
AUG 2 2 2011
BY:
Form SW401-Inftlretion Basin-Rev.4 Parts I. ti 11. Design Summary. Page 2 of 2

Permit No.
(to be provided by DINO)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
Initials Sheet No.
1. Plans (1" - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
Basin dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW),
Overflow device, and
Boundaries of drainage easement.
C (
2. Partial plan (1" = 30' or larger) and details for the infiltration basin showing:
Bypass structure,
- Maintenance access,
- Basin bottom dimensions,
- Basin cross-section with benchmark for sediment cleanout,
- Flow distribution detail for inflow,
- Vegetated filter, and
- Pretreatment device.
6X r
0 2
3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
S
4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
errs 5. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
6. A construction sequence that shows how the infiltration basin will be protected from sediment unfit the
entire drainage area is stabilized.
' rs
lK /0
_
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
REC�IVED
JUL 0 5 2011
BY:_-----
Farm SW401-Infiltration Basin-Rev.4 Page 1 of 1 Parr III. Required Items Checklist, Page 1 of 1

TE 10045
State Stormwater Management Systems
Permit No. SW8 110716
Family Dollar Holden Beach RECEIVED V�2
Stormwater Project No. SW8 110716
Brunswick County MAR 1 5 2012
Engineer's Certification
I, Phillip G. Tripp , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full
time) the construction of the project,
Family Dollar Holden Beach
(Project)
for Taylor & Sullivan, LLC (Project Owner) hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
Signature
Registratic
Date 3 - 1+• li2
```e��unrrr�7j
O CA
-� FESS Ro�i��;
� QUO 0�,, •. i
i SEAL
17374
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r�
State Stormwater Management Systems
Permit No. SW8 110716
Certification Requirements: Page 2 of 2
er�
1!7;0- 1. The drainage area to the system contains approximately the permitted
acreage.
� 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
�3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
� 4. All roof drains are located such that the runoff is directed into the system.
� 5. The bypass structure weir elevation is per the approved plan.
_.0_6. The bypass structure is located per the approved plans.
_QD__7. A trash rack is provided on the bypass structure.
,8. All slopes are grassed with permanent vegetation.
�9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
�11. The permitted amounts of surface area and/or volume have been
provided.
c�12. All required design depths are provided.
t^13. All required parts of the system are provided.
014. The required system dimensions are provided per the approved plan.