SW8100406_HISTORICAL FILE_20220906

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

ROY COOPER
Ga✓ernar
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
September 6, 2022
Marine Corps Base Camp Lejeune
Attn: Neal Paul, Deputy Public Works Officer
1005 Michael Road
Camp Lejeune, NC 28547
NORTH CAROLINA
Environmental Quality
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 100406
Marine Mart Convenience Store at Courthouse Bay
Ouslow County
Dear Mr. Paul:
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 August 18, 2022. The Division is hereby notifying you that permit SW8100406 has been
renewed, updated, and re -issued on September 6, 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 December 31, 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 abetter 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.
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at phone # [phone] or [e-mail].
Sincerely,
31 / nn
1Ja G. 1_ �76A)
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality I Division of Energy, Mineral and land Resources
Wdmington Regional Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
wmv rvnu...
910.796.7215

State Stormwater Permit No. SW8 100406
Page 2 of 2
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Renewal Application Documents
DES/ams: \\\Stormwater\Permits & Projects\2010\100406 HD\2022 09 permit t00406
cc: Wilmington Regional Office Stormwater File
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North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

Post -Construction Stormwater Management
Permit No. SW8 100406
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
US MCB Camp Lejeune
Marine Mart Convenience Store at Courthouse Bay
HWY 172 at Horn Road, Camp Lejeune, Onslow County
FOR THE
Construction, operation and maintenance of two (2) infiltration basins 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 December 31, 2029 and 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 controls labeled Basin A and
Basin B have been designed to handle the runoff from 19,347 square feet and 32,644 square
feet of impervious area, respectively.
3. Each basin must be operated with a 50 foot vegetated filter, designed to provide effective
infiltration of the design storm such that no discharge to surface waters occurs.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.8 of this permit,
and as shown on the approved plans and documentation. There is no built -upon area
allocated for future development. Additional BUA requires submittal and approval of a permit
modification.
Page 1 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
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.
The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
The project shall provide a 50 foot wide vegetated buffer adjacent surface waters, measured
from the normal pool of impounded structures, the top of bank of streams and rivers, and the
mean high water line of tidal waters.
The following design criteria have been permitted for the infiltration basins and must be
provided and maintained at design condition:
a. Drainage Area, acres:
Onsite, ftz:
Offsite, ftz:
b. Total Impervious Surfaces, ftz:
Onsite, ftz:
Offsite, ftz:
C. Design Storm, inches:
d. Bottom Elevation, FMSL:
e. Storage elevation, FMSL:
f. Permitted Storage Volume, ft3:
g. Predevelopment 1 yr 24 hr peak flow, cfs:
h. Post -development 1 yr 24 hr peak flow, cfs:
i. Type of Soil:
J. Expected Infiltration Rate, in/hr:
k. Design depth, ft:
I. Surface area at storage elevation, ftz:
M. Seasonal High Water Table, FMSL:
n. Time to Draw Down, hours:
o. Receiving Stream/River Basin:
P. Stream Index Number:
q. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
"A„
" B'
0.75
1.19
32,863
51,774
none
none
19,347
32,644
19,347
32,644
none
none
3.7 (pre/post 1
yr 24 hr) for both
35.8
35.8
36.8
36.8
5,779
9,129
0.02
0.03
0.08
0.12
SM silty sand
SP-SM silty sand
6.2
10
1
1
6,617
9,613
31.8
31.8
2
2
Courthouse Bay / White Oak
19-36
19-36
"SA;HQW'
"SA;HQW'
1. 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.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
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 re -vegetation 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.
Page 2 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
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.
6. 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 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.
Page 3 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
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);
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.
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.
f. 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 4 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
Permit renewed, updated and reissued this the 6th day of September 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
C r���� we
Brian vvrenn, irecto
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 100406
Page 5 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
Marine Mart at Courthouse Bay
Stormwater Permit No. SW8 100406
Onslow County
Attachment A
Designer's Certification
Page 1 of 2
I, , as a duly registered in the State of North
Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the
project,
(Project)
for (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 specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

Post -Construction Stormwater Management
Permit No. SW8 100406
Page 2 of 2
Certification Requirements:
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 basin elevations are provided per the approved plans and documentation.
6. Vegetation is planted according to planting plans and supplement as permitted.
7. The permitted amounts of surface area and volume have been provided.
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 vegetated filter strips are grassed with permanent vegetation.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
15. The level spreaders are installed in accordance with plans and documentation.
16. The vegetated filter strips are installed in accordance with plans and documentation,
including the length, width, slope, location, elevations, etc...
cc: NCDEQ-DEMLR Wilmington Regional Office
Page 7 of 7

Attachment C - Permitting History
Marine Mart Concenience Store at Courthouse Bay
Permit No. SW8 100406
Approval
Permit
BIMS
Description of the Changes
Date
Action
Version
Construction, operation and maintenance of two (2) infiltration
basins in compliance with the provisions of Session Law 2008-
Original
211 and 15A NCAC 2H .1000 ; The stormwater controls
6/28/2010
Approval
1.0
labeled Basin A and Basin B have been designed to handle the
runoff from 19,347 square feet and 32,644 square feet of
impervious area, respectively.
replacing an approximate 6' x 90' strip of sod with riprap
5/3/2012
Plan
1.1
between the parking lot and the forebay of Infiltration Basin B,
Revision
and installing #57 stone in the bottom of the Basin B forebay.
9/6/2022
Renewal
2.0
Expires December 31, 2029

Permit Number._!5�/fjr/e�'-) -1 6
(to be provided by DWQ)
Drainage Area Number: lk
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
Immediately after the filter strip is established, any newly planted vegetation
- - ---- --- ---- - will be watered twice weekly if needed until -the -plants become established -
(commonly six weeks).
Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
- Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
- Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
- Once a year, the soil will be aerated if necessary.
- Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 I will remediate theproblem:
The entire filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
MAY 1 7 2010
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3
1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
(if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3
MAY 1 7 2010
Y:-----
Page 2 of 3

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:Marine Mart Convenience Store
BMP drainage area number:
Print name
Title:Deputy Public Works Officer
Address:Bldg 1005 Michael Road Camp Lejeune, NC 28542
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1In, /tit. taJ //nn QQ, a Notary Public for the State of
tAt Ica.., County of Cyr do hereby certify that
BitJ personally appeared before me this c?C7'A
day of 0/0. and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal,
EONBLOWCOuNTY,
LVIA NORRIS
TARY PUBLIC
IOND(PIRESa
41
SEAL
. 3y�
My commission expires �4�it�; 0/�5
MAY 1 7 2010
Form SWU40I Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3
Page 3 of 3

J.,
Permit Number: �W o (c:cT`'(6
(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 I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
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 problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3
Page l of 3

BMP element:
The main treatment area
The embankment
The outlet device
The receiving water
Sediment has accumulated
and reduced the depth to 75%
of the original design depth.
Erosion has occurred or
riprap is displaced.
Weeds are present.
A visible layer of sediment
has accumulated.
Water is standing more thi
5 days after a storm event.
Weeds and noxious plants are
growing in the main
treatment area.
Shrubs or trees have started
to grow on the embankment.
An annual inspection by an
appropriate professional
shows that the embankment
needs reoair.
Clogging has occurred
The outlet device is damaged
Erosion or other signs of
damage have occurred at the
outlet.
How I will remediate the problem:
Search for the source of the
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.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
Search for the source of the
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
Replace the top few inches of filter
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.
Remove the plants by hand or by
wiping them with pesticide (do not
Remove'shrubs or trees
immediately.
Make all needed repairs.
Clean out the outlet device. Dispose
of the sediment off -site.
Repair or replace the outlet device.
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number. W LCD�"&
(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:Marine Mart Convenience Store
BMP drainage area number:
Print
Title:Deputy Public Works Director
Address:Bldg 1005 Michael Road Camp Lejeune, NC 28542
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
((t9 1TGt,L4nn/e&C� ,J, County of —1 J do hereby certify that
CXA-91 J✓ personally appeared before me this 30
day of 9010 , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
3o. aav
SYLVIA NORRIS
NOTARY PUBLIC
ONSLOW COUNTY, C
MY COMMISSION EXPIRES I
SEAL
My commission expires 3/ .2, 0 /
Form SW401-Bioretention I&M-Rev. 2
MAY 1 7 2010
Page 4 of 4

Permit Number: S/iJ�/OO '_7D G
(to be provided by DWQ)
Drainage Area Number:
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
- Immediately after the filter strip is established, any newly planted vegetation
— - will be watered twice weekly if needed until the plants become established
(commonly six weeks).
- Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
- Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
- Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC,1993). Forested filter strips do not require this type of maintenance.
- Once a year, the soil will be aerated if necessary.
- Once a year, soil pH will be tested and time will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 I will remediate theproblem:
The entire filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The Flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
re air.
Form SWU40I-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3
�M- CSrrj!,xtiEZ)OD
MAY 1 7 2010
BY:
Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
(if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application.
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
MAY 1 7 2010
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3

Permit Number:
(to be provided b}y 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:Marine Mart Convenience Store
BMP drainage area
Print name:Carl Baker
Title:Deouty Public Works Officer
Address:Bldg 1005 Michael Road Camp Lejeune, NC 28542
Date: Z/—,W-0 -/d
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
' Ld-VJL l.dJt,A��r v County ofy`�(f , do hereby certify that
l�� personally appeared before me this,Q_
day of 0 to , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal,
E
INORRISY PUBLICCOUNTYN EXPIRES I
SEAL
My commission expires 3 0/s
MAY 1 7 2010
Form SWU40I-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev3 Page 3 of 3

Permit Number: e"U) (�
(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 I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
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 problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3

x
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.
'Phe 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.
Form SW401-Infiltration Basin O&M-Rev.3
Page 2 of 3

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:Marine Mart Convenience Store
BMP drainage area number:
Print
Title:Deputy Public Works Director
Address:Blde 1005 Michael Road Camp Leieune, NC 28542
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I RS4d!A ,rq— Y?-4," t e J , a Notary Public for the State of
County of 6-2 �V do hereby certify that
lh� PJ�i personally appeared before me this Q
day of 0/0 , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SYLYIA NORRIS
GUMPUBLIC
NOLOW COUNTY,
YCOMM
COMMISSION
EXPIRES
SEAL
My commission expires
Form SW401-Bioretention I&M-Rev. 2
;ICV�Y�
Page 4 of 4

i
Permit Number: s/�iJ�/DODG
(to be provided by DWQ)
Drainage Area Number:�z
��
Filter Strip, Restored Riparian Buffer and Level Spreader
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:
Immediately after the filter strip is established, any newly planted vegetation
will be watered twice weekly if needed until the plants become established
(commonly six weeks).
— Once a year, the filter strip will be reseeded to maintain a dense growth of
vegetation
— Stable groundcover will be maintained in the drainage area to reduce the
sediment load to the vegetation.
— Two to three times a year, grass filter strips will be mowed and the clippings
harvested to promote the growth of thick vegetation with optimum pollutant
removal efficiency. Turf grass should not be cut shorter than 3 to 5 inches and
may be allowed to grow as tall as 12 inches depending on aesthetic requirements
(NIPC, 1993). Forested filter strips do not require this type of maintenance.
— Once a year, the soil will be aerated if necessary.
— Once a year, soil pH will be tested and lime will be added if necessary.
After the filter strip is established, it will be inspected quarterly and within 24 hours
after every storm event greater than 1.0 inch (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 I will remediate theproblem:
The entire filter strip
Trash/debris is present.
Remove the trash/debris.
system
The flow splitter device
The flow splitter device is
Unclog the conveyance and dispose
(if applicable)
clogged.
of any sediment off -site.
The flow splitter device is
Make any necessary repairs or
damaged.
replace if damage is too large for
repair.
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3
MAY 1 7 2010
Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The swale and the level
The swale is clogged with
Remove the sediment and dispose
lip
sediment.
of it off -site.
The level lip is cracked,
Repair or replace lip.
settled, undercut, eroded or
otherwise damaged.
There is erosion around the
Regrade the soil to create a berm
end of the level spreader that
that is higher than the level lip, and
shows stormwater has
then plant a ground cover and
bypassed it.
water until it is established. Provide
lime and a one-time fertilizer
application.
Trees or shrubs have begun
Remove them.
to grow on the swale or just
downslo e of the level lip.
The bypass channel
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then
reestablish proper erosion control.
Turf reinforcement is
Study the site to see if a larger
damaged or ripap is rolling,
bypass channel is needed (enlarge if
downhill.
necessary). After this, reestablish
the erosion control material.
The filter strip
Grass is too short or too long
Maintain grass at a height of
(if applicable).
approximately three to six inches.
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Sediment is building up on
Remove the sediment and
the filter strip.
restabilize the soil with vegetation if
necessary. Provide lime and a one-
time fertilizer application.
Plants are desiccated.
Provide additional irrigation and
fertilizer as needed.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application
Nuisance vegetation is
Remove vegetation by hand if
choking out desirable species.
possible. If pesticide is used, do not
allow it to get into the receiving
water.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality local Regional Office, or the
outlet.
401 Oversight Unit at 919-733-1786.
MAY 1 7 2010
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3

Permit Number:
(to be provided by DWQ)
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:Marine Mart Convenience Store
BMP drainage area number:B
Print name:Carl Baker
Title:Deputy Public Works Officer
Address:Bldg 1005 Michael Road Camp Leieune, NC 28542
Date: 7 ,-/(
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, —U / Lra� , a Notary Public for the State of
County of U ALB u , do hereby certify that
''A-) personally appeared before me this, 50
day of O /0 , and acknowledge the due execution of the
forgoing filter strip, riparian buffer, and/or level spreader maintenance requirements.
Witness my hand and official seal,
[SYLVUI NORRIS
NOTARY PUBLIC
ONSLOW COUNTY, plp _
MY COMMISSION EXPIRES [I
SEAL
My commission expires
;1✓.i C
MAY 1 7 2010
Form SWU401-Level Spreader, Filter Strip, Restored Riparian Buffer O&M-Rev.3 Page 3 of 3

UEMLH USt ONLY
Date Received Fee Paid Permit Number
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 100406
2. Project name: Marine Mart Convenience Store at Courthouse Bay
3. Project street address: XXX
City: MCB Camp Leieune County: Onslow
ZIP : 28542
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 fora Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/about/divisions/energy-
m i neral-land-resou rces/e ne rgy-mineral-land-ru les/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://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: MCB Camp Leieune
2. Signing Official's Name: Neal Paul
3. Signing Official's Title: Deputy Public Works Division
4. Mailing Address: MCB Camp LejeLme 1005 Michael Rd.
City: MCB Camp Leieune State: NC
ZIP: 28547-2521
5. Street Address:
City: State: ZIP
6. Phone: [phone] Email: neal.paulQusmc.mil
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

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 HOW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
MCT 1. A permit application processing fee of $505.00 payable to NCDEO.
MCT 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.
MCT 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.
MCT 4. O&M 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.
MCT 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.
MCT 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/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S�C-EIRTIFICATION
E'
I, lr0(X�fY A ZO.JO(44- , the person legally responsible for the permit, certify that I have
a copy of the Permit and 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, SCMs or ow ership. in ation provided on this permit renewal application is, to the best of my
knowledge, orr t d comp) te.
Signature: ( Date: 1 ZZ
NOTARIZATION:
I, Y lrl I J 9�fsD� a Notary Public for the State of
j�G(31r� ek kL (\CC County of ► f)lU ✓ , do hereby certify
that J;Z' p"o ,rt- A "VJ a-Lr personally appeared before me
this the r r r+lr� day of ,k� 20 22 , and acknowledge the due
ex*L,t�LoriYgi %ing instrument. Witness my hand and official seal,
w1i 1r
rNofary S�31L =
%; PUBOG r 2:
Oti
May commission expires
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

UEML11 USE ONLY
Date Re eive
Fee Paid
Permit Number
(oil
t,JFw 505
Su)&? b O(p
NC DEO 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 penod 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 100406
2. Project name: Marine Man Convenience Store at Courthouse Bay
3. Project street address: XXX
City: MCB Camp Leieune County: Onslow
ZIP: 28542
4. What, if any, changes have been made to the project as permitted? N/A
If the project has changed from the original approved plans, please complete
Modification or Minor Modification Application form available at., https://deg.n(
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: htti)s://deg.nc.gov/about/divisions/energy-mineral-land=
resources/energy-mineral-land-rules/stormwater-orograndoost-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: MCB Camp Leieune
2: Signing Official's Name: Neal Paul
3.. Signing Official's Title: Deputy Public Works Division
4. Mailing Address: MCB Camp Lejeune 1005 Michael Rd.
City: MCB Camp Leieune State: NC
ZIP: 28547-2521
5. Street Address:
City: State: -ZIP:
6. Phone: [phone] Email: [e-mail]
AUG 18 2022
BY:_
Stormwater Permit Renewal Form Page i of 3 May 11, 2018
^gc h . vim-'. >

:.^tx.`.+ d z.'""' Y �,3'', .5 T.F. ay. .`c. 'ux ,.•,. •. w;.
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/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
MCT 1. A permit application processing fee of $505.00 payable to NCDEQ.
MCT 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
I. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
MCT 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.
MCT 4. O&M Agreements, Please select one:
® 1 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
❑ 1 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.
[QQ 5. Designer Certifications, Please select one:
® A copy of the certifications) 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.
MCT 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 bcensed 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/by title/ Business Registration
i� tin li l3 F?9 !1.:
AUG 18 20n
Y:`_
Slormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018
ii4e' r�...�.99..
.. � �aY' - r . S-�—_,,. ✓ 4f' >y ...rviF . .3e `Lv+

D. PERMITTEE'S CERTIFICATION
I, If & ( A ZoI"C(44- , the person legally responsible for the permit, certify that I have
a copy of the Permit and 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, SCMs, or ow ership. to ation provided on this permit renewal application is, to the best of my
knowledge, arr t d compi0ite.
Signature: ( Date: Z?/
NOTARIZATION:
I, " nrl, .. I� Q I(Sa� ,a Notary Public for the State of
O�(i CiY'D 4 RCC County of,. Dw/ _ , do hereby certify
that {pp tom: "W JLLV- . personally appeared before me
this the n n i day of - .11"dL 20 2.2- , and acknowledge the due
r
exgL{tipANJI5 f�Qging instrument. Witness my hand and official seal,
PusLAO'
-
My commission expires
AUG 18 2022 71
Stormwater Permit Renewal Form
Page 3 of 3
May 11, 2018
}Application

Permit No-�''� (cc>4c)(0
(to be Provided by DWQ)
Quo wareyoc
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
HCDENR 401 CERTIFICATION APPLICATION FORM n
Project Name
Contact Person
Phone Number
Dale
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.
Marine Man Convenience Store at
Mickie Redha,
636-391.4585
Bay
North
Drainage Area Number
A
; A
II-DESIGNINFORMATION r.
Site Characteristics
"r
Drainage area
32,863.00
ff?
Impervious area
19,347.00
ft2
Percent impervious
0.59
%
Design rainfall depth
3.70
in
Peak Flow Calculations
1-yr, 24-hr rainfall depth
3.68
in
1-yr, 24-hr intensity
0.15
in/hr
Pre -development 1-yr, 24-hr discharge
0.02
ft3/sec
Post -development 1-yr, 24-hr discharge
0.08
ft3/sec
PfelPost 1-yr, 24-hr peak flow control
0.06
ft3lsec
Storage Volume: Non -SA Waters
Minimum design volume required
ft3
Design volume provided
ft3
Storage Volume: $A Waters
1.5 runoff volume 2382,00 ft3
Pre -development 1-yr, 24-hr runoff volume 504.00 ft3
Post -development 1-yr, 24-hr runoff volume 5,844.00 ft3
Minimum required volume 5340.00 ft3
Volume provided 5,779.00 ft3 OK
Soils Report Summary
Soil type SM -Silty Sand
Infiltration rate 6.20 inlhr
SHWT elevation 31.80 fmsl
Basin Design Parameters
Drawdown time 0.07 days2 OK
Basin side slopes 3.00 :1 OK
Basin bottom elevation 35.80 fmsl OK ••••„nnu,,,rr
Storage elevation 36.80 fmsl `•.•P�H CARo,' .
Storage SudaceArea 6,617.00 ft �O.oVESS/6"./?.��,
Top elevation 36.80 fmsl •.QP
Basin Bottom Dimensions _ =
Basin length 213 (varies) j
Basin width 43 (varies) ft Ut7
III
Bottom Surface Area 5,272.00 ftz
'>!1GINEE•
JUN 2 2 2010
Form SW401-Infiltration Basin -Rev 4 Parts I. & I. Design Summary, Page 1 of
"Y:

I.,
Permit
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
1.47 ac-in
50.00 It
50.00 ft
5,500.00 if
1,200.00 ft
70.00 It
4.00 It
Y (Y or N)
N (Y or N)
Y (Y or N)
Y (Y or N)
Y Foreba�
OK
OK
OK
OK
OK
OK
OK
OK
Need a recorded drainage easement
OK
OK
JUN 2 2 2010
'"Y:
Form SW401-Infiltration Basin -Rev 4
Pans I. 8 11. Design Summary, Page 2 of 2

Permit No.
(to be provided by DWQ)
III. ,REQUIRED ITEMS'CHECKLIST, , ; '.'",. }axYj!$,, `e 0 ,'I r
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.
MKR C-102 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.
MKR C-103 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.
MKR C-503 3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
MKR CALCS. A-15 4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
MKR N/A 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 DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
MKR C-504 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
MKR Calculations 7. The supporting calculations.
MKR NIA 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
MKR NIA 9. A copy of the deed restrictions (if required).
JUN 2 2 2010
Y:_--
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

Permit No.5✓'w lacy �
(to be provided by DWQ)
PF W ATF,
02 O
�i STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NC®ENR 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.
Project Name
Contact Person
Phone Number
Dale
Drainage Area Number
Marine Mart Convenience Store at Courthouse Ba
Mickie Redha(
636-3914585
6/18/2010
B `,
ll:'DESIGNiINFORMATION ns .; „'':'1a 6.'m 1,'e n Fl"` 10 r ar q Ir
Site Characteristics
Drainage area 51,774.00 ft'
Impervious area 32,644.00 ft'
Percent impervious 0.63 %
Design rainfall depth 3.70 in
Peak Flow Calculations
1-yr, 24-hr rainfall depth 3.68 in
1-yr, 24-hr intensity 0.15 in/hr
Pre -development 1-yr, 24-hr discharge 0.03 ft'/sec
Post -development 1-yr, 24-hr discharge 0.12 ft'/sec
Pre/Post 1-yr, 24-hr peak flow control 0.09 ft3/sec
Storage Volume: Non -SA Waters
Minimum design volume required ft'
Design volume provided ft,
Storage Volume: SA Waters
1.5'runoff volume
3996.00
ft'
Pre -development 1-yr, 24-hr runoff volume
794.00
ft3
Post -development 1-yr, 24-hr runoff volume
9,804.00
It,
Minimum required volume
9010.00
ft3
Volume provided
9,129.00
ft' OK
Soils Report Summary
Soil type
SP-SM-Silty Sand
Infiltration rate
10.00
in/hr
SHWT elevation
31.80
fmsl
Basin Design Parameters
2�Q'
Drawdown time
0.05
days OK
Basin side slopes
3.00
:1 OK
Basin bottom elevation
35.80
fmsl OK
Storage elevation
36.80
fmsl
Storage Surface Area
9,613.00
f 2
Top elevation
36.80
fmsl
Basin Bottom Dimensions
Basin length
103.00
ft
Basin width
86.00
ft
Bottom Surface Area
6,779.00
ft'
121.-`C7I":I` 'Y )D
Fonn SW401-InfAration Basin-Rev.4 JUN 2 2 2010
BY:
;P�H CAROB
% O . FESSl0*'- 'y
Ic-ZEAL '
0
Parts I. E II. Design Summary, Page 1 or 2

Permit No.
(to be provided by DIO)
Additional Information
Maximum runoff to each inlet to the basin?
Length of vegetative filter for overflow
Distance to structure
Distance from surface waters
Distance from water supply well(s)
Separation from impervious soil layer
Naturally occuring soil above shwt
Bottom covered with 4-in of clean sand?
Proposed drainage easement provided?
Capures all runoff at ultimate build -out?
Bypass provided for larger storms?
Pretreatment device provided
Form SW401-Infiltration Basin-Rev.4
2.48 ac-in
50.00 ft
105.00 It
5,500.00 ft
1,000.00 ft
25.00 It
4.00 It
Y (Y or N)
NIA (Y or N)
Y (Y or N)
Y (Y or N)
Y Forebal
Maximum of 2 acre -inches allowed
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
:-ter C�I'CTJ�Y)
JUN 2 2 2010
BY:
Parts I. & 11. Design Summary, Page 2 of 2

Permit No.
(to be provided by DWQ)
III"7:REQUIREDiITEMS'CHECKLIST y, ......
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.
MKR
C-102
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.
MKR
C-103
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.
MKR
C-503
3. Section view of the infiltration basin (1" = 20' or larger) showing:
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
MKR
CALCS. A-15
4. A table of elevations, areas, incremental volumes & accumulated volumes to verify the volume provided.
MKR NIA 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 DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
MKR C-504 6. A construction sequence that shows how the infitlration basin will be protected from sediment until the
entire drainage area is stabilized.
MKR Calculations 7. The supporting calculations.
MKR NIA 8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
MKR NIA 9. A copy of the deed restrictions (if required).
JUN 2 2 2010
Form SW401-Infiltration Basin-Rev.4 Page 1 of 1 Part III. Required Items Checklist, Page 1 of 1

G,(A) toogtlo
�� 04 1R1F1�o
O G
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)!
-PROJECT+,INFORMATION c N"N .g, 4;,€:
Project name Marine Mart Convenience Store at Courthouse Bay Camp Lejeune, North Carolina
Contact name Mickie Redhage
Phone number 636-391-4585
Date June 8, 2010
Drainage area number
9-2 Gas Canopy Drain
IIIreDESIGNiINFORMATION,r " '� "' hI I P N For Level Spreaders Receiving Flow From a BMP
Type of BMP
Drawdown flow from the BMP cfs
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
3,456.00
ftz
Impervious surface area
3,456.00
ftz
Percent impervious
100.00
%
Rational C coefficient
0.90
Peak flow from the 1 inmr storm
0.07
cfs
Time of concentration
5.00
min
Rainfall intensity, 10-yrstorm
9.18 inlhr
Peak flow from the 10-yr storm
0.66
cfs
Where Does the Level Spreader Discharge?
To a grassed bioretention cell?
Y (Y or N) Do not complete filter strip characterization below.
To a mulched bioretention cell?
N (Y or N)
To a wetland?
N (Y or N)
To a filter strip or riparian buffer?
N (Y or N)
Other (specify)
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevation at top of bank of the receiving water
Slope (from level lip to to top of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cfs
Answer "Y" to one of the following:
Length based on the 1 iift storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
It
It
ft
n
fmsl
fmsl
(Y or N)
32.00 sq it OK
13 f tcfs
N
(Y or N)
Y
(Y or N)
N
(Y or N)
7.04
cfs
N
(Y or N)
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5
.•`oQ,� A CAgo�
3EAL `1<
17/95
A bypass deviee is not needed. }1 �6 s/Z 016
Parts I. and II. Design Summary, page 1 of 2

f Length of the level lip
Are level spreaders in series?
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
13.00 It
Level spreader length OK,
N (Y or N)
(Y or N)
Do not complete this section of the worksheet.
(Y or N)
Do not complete this section of the worksheet
Do not complete this section of the worksheet
It
Do not complete this section of the worksheet.
It
Do not complete this section of the worksheet
It
Do not complete this section of the worksheet.
It
Do not complete this section of the worksheet.
cfs
Do not complete this section of the Avilksheet.
Do not complete this section of the worksheet
Ur +
� I I
M
Form SW401-Level Spreader, Filter Stop, Restored Riparian Buffer-Rev.5
JUN G 9 2010
:;Y:
Parts I, and It Design Summary, page 2 of 2

t . . '0
IlliiIREQUIRED!ITEMSCHECKLIST,.+,',,,. "+pl .r. rr>:Pi, ! „� .4,. �t bh
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.
Ni Io 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),
- Forebay (if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
M C-Io3 2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
3. Section view of the level spreader (1" = 20' or larger) showing:
Underdrain system (if applicable),
Level lip,
Upslope channel, and
Downslope filter fabric.
Ate NISI
4. A date -stamped photograph of the filter strip that clearly shows the type of vegetation that is present.
5. A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized.
Alck A-z
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance (0&M) agreement.
A4(4� � 8. A copy of the deed restrictions (if required).
JUN C 9 2010
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5
Part III, page 1 of 1

_ SG��/Do fD6
NA WAlpqC
NCEdR ��
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
I: ;P.ROJECT, INFORMATION. t 1. ° —4 "`. 04v . t!
Project name Marine Mart Convenience Store at Courthouse Bay Camp Lejeune, North Carolina
Contact name Mickie Redhage
Phone number 636-391A585
Date May 11, 2010
Drainage area number B
For Level Spreaders Receiving Flow From a BMP
Type of BMP
Drawdown flow from the BMP
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge?
To a grassed biorelention cell?
To a mulched bioretention cell?
To a wetland?
To a filter strip or riparian buffer?
Other (specify)
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevation at top of bank of the receiving water
Slope (from level lip to to lop of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cfs
Answer "Y' to one of the following:
Length based on the 1 inlhr storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
Bieretepti— Area
GIs
51,774.00 e
32,644.00
(t
63.05
%
0.65
0.77
cis
5.00
min
9,18 in/hr
7.04
CIS
N (Y or N)
N (Y or N)
N (Y or N)
Y (Y or N)
50.00
It
0.00
ft
0.00
ft
50.00
ft
36.80
fmsl
36.00
foist
1.60
%
N
(Y or N)
0.00 sq ft
13 ft/cfs
N (Y or N)
Y (Y or N)
N (Y or N)
7.04 cis
N (YorN)
Please complete filter strip characterization below.
nyt CrfYVED
IMAY 1 7 2010
BY: —
's`��yptueq��,
OK AN'� ski CAf�O °*'
OK
SEAL
Forebay is undersized.
W.
A bypass device is not needed. //) 10'm S ^
Form SW401-Level Spreader, Fitter Strip, Restored Riparian Buffer-Rev.5 Parts I. and II. Design Summary, page 1 of 2

r
Length of the level lip
Are level spreaders in series?
93.00 ft Level spreader length OK.
N (Y or N)
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Dimensions of the channel (see diagram below):
M
B
W
y
Peak velocity in the channel during the 10-yr storm
Channel lining material
I
M
1 13 1
(Y or N)
(Y or N)
ft
It
ft
ft
cis
Do not complete this section of the worksheet.
Do not complete this section of the worksheet.
Do not complete this section of the worksheet.
Do not complete this section of the worksheet
Do not complete this section of the worksheet.
Do not complete this section of the worlsheel.
Do not complete this section of the worksheet.
Do not complete this section of the worksheet
Do not complete this section of the worksheet
t
M
MAY 1 7 2010
Form SW401-Level Spreader, Filter Strip, Restored Riparian BuRer-Rev.e Pans I. and II. Design Summary, page 2 of 2

IIIaREQUIREDIITEMS CHECKLIST it _ V'r -' �.
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.
MY 1e 10 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),
- Forebay (if applicable),
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
GID 2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
A So 3. Section view of the level spreader (1" = 20' or larger) showing:
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
4. A date -stamped photograph of the filter strip that clearly shows the type of vegetation that is present.
AU 5. A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized.
AUt �4. RoFo� 6. The supporting calculations.
Afll�fl_ 7. A copy of the signed and notarized operation and maintenance (0&M) agreement.
"N ` 8. A copy of the deed restrictions (if required).
MAY 1 7 2010
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5 Part III, page 1 of 1

•
i pF WA TFq
RA b �G
NCDENR �C
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER, FILTER STRIP AND RESTORED RIPARIAN BUFFER SUPPLEMENT
This form must be completely filled out, printed and submitted.
DO NOT FORGET TO ATTACH THE REQUIRED ITEMS CHECKLIST AND ALL REQUIRED ITEMS (NEXT WORKSHEET)I
L'1PROJECTdINFORMATION . Jf �
Project name Marine Mad Convenience Store at Courthouse.. Bay Camp Lejeune, North Carolina
Contact name Mickie Redhage
Phone number 636-391-0585
Date May 11, 2010
Drainage area number
From a BMP
Type of BMP
Drawdown flow from the BMP
For Level Spreaders Receiving Flow from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in/hr storm
Time of concentration
Rainfall intensity, 10-yr storm
Peak flow from the 10-yr storm
Where Does the Level Spreader Discharge?
To a grassed bioretention cell?
To a mulched bioretenlion cell?
To a wetland?
To a filter strip or riparian buffer?
Other (specify)
Filter Strip or Riparian Buffer Characterization (if applicable)
Width of grass
Width of dense ground cover
Width of wooded vegetation
Total width
Elevation at downslope base of level lip
Elevation at lop of bank of the receiving water
Slope (from level lip to to top of bank)
Are any draws present?
Level Spreader Design
Forebay surface area
Feet of level lip needed per cfs
Answer "Y' to one of the following:
Length based on the 1 in/hr storm?
Length based on the 10-yr storm?
Length based on the BMP discharge rate?
Design flow
Is a bypass device provided?
IkNgL
'lilweteMierMrea
cfs
34,529.00
g2_
21,000.00
ffz.
60.82
%-
0.64
0.50
cfs
5.00
min
9.18 in/hr
4.63
cis
N
(Y or N)
N
(Y or N)
N
(Y or N)
Y
(Y or N)
Please complete filter strip characterization below.
j 1�L C7CT Ci�i
50.00 'ft
0.00 ft MAY 1 7 2010
0.00 ft
50.00 it BY;
36.80 fmsl
34.30 fmsl
5.00 % OK
N (Y or N) OK
0.00 ap ft Forebay is undersized.
13 ft/cfs
N
(Y or N)
Y
(Y or N)
N
(Y or N)
4.63
cfs
N
(Y or N)
Form SW401-1-evel Spreader, Filter Strip, Restored Riparian Buffer-Rev.5
••�trrwUry �r
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2S,2O:Q��7
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A bypass device is not needed. �
Parts I. and II. Design Summary, page 1 of 2

L'
Length of the level lip 60.00 ft Level spreader is not long enough.
Are level spreaders in series? N (Y or N)
Bypass Channel Design (if applicable)
Does the bypass discharge through a wetland? (Y or N) Do not complete this section of the worksheet.
Does the channel enter the stream at an angle? (Y or N) Do not complete this section of the worksheet,
Dimensions of the channel (see diagram below): Do not complete this section of the worksheet.
M It Do not complete this section of the worksheet.
B ft Do not complete this section of the worksheet.
W ft Do not complete this section of the worksheet
y ft Do not complete this section of the worksheet.
Peak velocity in the channel during the 10-yr storm cfs Do not complete this section of the wodesheet.
Channel lining material Do not complete this section of the worksheet.
1 ' y
M M
1 B 1
MAY 1 7 2010
DV.
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer -Revs
Parts I. and If Design Summary, page 2 of 2

III. REQUIREDITEMS CHECKILIST',
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.
./%i ro) 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),
- Forebay (if applicable),
- High Flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW), and
- Boundaries of drainage easement.
A" C1113 2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
- High flow bypass system,
- One foot topo lines between the level lip and top of stream bank,
- Proposed drainage easement, and
- Design at ultimate build -out.
A -50' 3. Section view of the level spreader (V = 20' or larger) showing:
- Underdrain system (if applicable),
- Level lip,
- Upslope channel, and
- Downslope filter fabric.
141M LL4 4. A date -stamped photograph of the filter strip that clearly shows the type of vegetation that is present.
. %f� 4_1,)4 5. A construction sequence that shows how the level spreader will be protected from sediment until the entire
drainage area is stabilized.
ALP C-I� a o4 6. The supporting calculations.
ik— 7. A copy of the signed and notarized operation and maintenance (0&M) agreement.
-Ak 8. A copy of the deed restrictions (if required).
r_�YVED
MAY 1 7 2010
F3Y:
Form SW401-Level Spreader, Filter Strip, Restored Riparian Buffer-Rev.5
Part III, page 1 of 1