SW8101106_CURRENT PERMIT_20220831

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 to ocop
DOC TYPE
© CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 0 2 2 0 t 31
YYYYMMDD

ROY COOPER
Governor
EUzABETH S. BISER
Secretary
BRIAN WRENN
Director
August 31, 2022
Marine Corps Base Camp Lejeune
Attn: Neal Paul, Deputy Public Works Officer
1005 Michael Road
Camp Lejeune, NC 28547
NORTH CAROLINA
Environmental Quakty
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SWS 101106
Physical Fitness Center MCAS New River P714
Onslow 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 10, 2022. The Division is hereby notifying you that permit SW8101106 has been
renewed, updated, and re -issued on August 31, 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 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 150E 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] or [e-mail].
Sincerely,
,Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
If ®. Rz 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

State Stormwater Permit No. SW8 101106
Page 2 of 2
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Renewal Application Documents
DES/ams: %Stormwater\Permits & Projects\20 I 0\ 10 1106 HD\2022 08 permit 101106
cc: Wilmington Regional Office Stormwater File
Aft,v North Carolina Department of Environmental Quality I Division of Energy, Mneral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington. North Carolina 2a405
910.796.7215

State Stormwater Management Systems
Permit No. SW8 101106
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY 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
USMCB Camp Lejeune
P-714 Physical Fitness Center
Douglas Road, Onslow County
FOR THE
construction, operation and maintenance of six (6) bioretention basins in compliance with the
provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter jointly and severally
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
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 1.5 of this permit. The stormwater controls labeled BR-1, BR- 2, BR-
3, BR-4, BR-5 and BR-6 have been designed to handle the runoff from 108,029 ft2;
34,412 ft2; 11,761 ft2; 2,178 ft2; 2,178 ft2; and 4,356 ft2ofimpervious area, respectively.
The tract and each drainage area will be limited to the amount of built -upon area as
indicated in Section 1.5 of this permit, and per the application documents and the
approved plans. This permit does not allow for any built -upon area within any portion of
the property, in excess of the amount requested in the application.
Page 1 of 7

State Stormwater Management Systems
Permit No. SW8 101106
4. The runoff from all built -upon area within each of the permitted drainage areas of this
project must be directed into the appropriate permitted stormwater control system.
5. The following design criteria have been met and provided in the six bioretention basins
and must be maintained at design condition at all times:
Units
BR-1
BR-2
BR-3
BR-4
BR-5
BR-6
a.Drainage Area
Acre
s
4.01
1.22
0.84
0.09
0.13
0.14
Onsite:
ft2
174,676
53,143
36,590
3,920
5,662
6,098
Offsite:
ft2
0
0
0
0
0
0
b.Total BUA
ft2
108,029
34,412
11,761
2,178
2,178
4,356
Onsite
ft2
108,029
34,412
11,761
2,178
2,178
4,356
Offsite
ft2
0
0
0
0
0
0
c.Design Storm
inche
s
1.5
1.5
1.5
1.5
1.5
1.5
d.Max. Forded Depth
feet
12
12
12
12
12
9
e.TSS removal efficiency
%
85%
85%
85%
85%
85%
85%
f. SHWi
fmsl
12
16
17.5
15
15
15
g.Basin Dimensions
feet
148x82
135x29
157x20
28x10
28x10
30x18
h.Bottom Elevation
fmsl
16
21
21.5
19
19
19
i. Bottom Surface Area
ft2
12,536
3,765
4,645
260
260
627
< Temporary Storage
Elevation
fmsl
17
22
22.5
20
20
19.8
I. Average Surface Area
ft2
13,266
4,238
5,202
376
376
740
m. Permitted Volume
ft3
13,259
4,229
5,192
370
370
552
n.Drawdown Time
hours
18
36
25
18
18
19
o. Type of cell
Grass
Trees
Grass
Grass
Grass
Grass
p.Media depth
Feet
2
3
2
2
2
2
q.Underdrainprovided?
No
No
No
No
No
No
r.Number of plants
provided
Each
n/a
248
n/a
n/a
n/a
n/a
s. Receiving Stream
Southwest Creek
t. River Basin
White Oak WOK02
u. Stream Index No.
19-17-(0.5)
v. Classification
C NSW
II. 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.
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 the BMP, outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 101106
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
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.
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.
If the stormwater system BMP is used as an Erosion Control device during construction,
more frequent maintenance will be required during construction to maintain functionality.
Once the drainage area is stabilized and prior to occupancy of the facility, the BMP must
be fully restored to design condition.
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.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. All stormwater collection and treatment systems must be located in public rights -of -way,
dedicated common areas or recorded easements. The final plats for the project will be
recorded showing all such required rights -of -way, common areas and easements, in
accordance with the approved plans.
11. 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.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 101106
III. GENERAL CONDITIONS
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);
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.
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.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW8 101106
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.
Permit renewed, updated and reissued this the 31 st day of August 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Brian Wrenn, Directbr
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 101106
Page 5 of 7

State Stormwater Management Systems
Permit No. SW8 101106
P-714 Physical Fitness Center
CC# N40085-09-D-5000
Stormwater Permit No. SW8 101106
Onslow County
Attachment A
Designer's Certification
I, , as a duly registered
North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
in the State of
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

State Stormwater Management Systems
Permit No. SW8 101106
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 outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
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 volume have been provided.
12. Required drawdown devices are correctly sized and located per the approved
plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as plantings, a forebay, filter
media and a vegetated filter.
15. The required system dimensions and elevations are provided per the approved
plans.
cc: NCDEQ-DEMLR Wilmington Regional Office
Page 7 of 7

Attachment C - Permitting History
Physical Fitness Center MCAS New River P714
Permit No. SW8 101106
Approval
Date
Permit
Action
BIMS
Version
Description of the Changes
12/9/2010
Original
Approval
1.0
construction, operation and maintenance of six (6) bioretention
basins in compliance with the provisions of Session Law 2008-
211 and 15A NCAC 2H .1000; The stormwater controls labeled
BR -I, BR- 2, BR-3, BR-4, BR-5 and BR-6 have been designed
to handle the runoff from 108,029 112; 34,412 ft2; 11,761 ft2;
2,178 ft2; 2,178 ft2; and 4,356 ft2 of impervious area,
respectively.
8/31/2022
Renewal
2.0
Expires December 31, 2029

Permit Number: SG�sf�o��oG
(to be provided by Dff'Q)
Drainage Area Number:
Bioretention 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
bioretention cell
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 time and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2Al0
Form SW401-Bioretention O&M-Rev.3 —^i�I Page 1 of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing,
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilim the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according, to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
EB
INEDV 2 3 2010Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
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.
NOV232010
Form SW401-Bioretention O&M-Rev.3
page 3 of 4

Y
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:P-714 Physical Fitness Center
BMP drainage area number:
Print
Title:Deouty Public Works Officer
Address:Blds 1005 Michael Rd Camp Lejeune NC 28547
Note: The legally responsible party should not be a homeowners association unless more than 50% or
the lots have been sold and a resident of the subdivision has been named the president.
1, �91 �I /✓' —3xy--1 , a Notary Public for the State of
Adi County of , do hereby certify that
/ zz k/- personally appeared before me this
day of, / /d and acknowledge the due execution of the
forgoing bioretention maintenance requirements.
AUCE A. BONNETTE
Notary Public
Onelow County
State of North CarggJJi�na �
N Commisaion Ex ires.,&S,"(_
SEAL
My commission expires'?
Form SW401-Bioretention I&M-Rev. 2
Witness my hand and official seal,
Page 4 of 4

r,
Permit Number:
(to be provided by DWQ)
Drainage Area Number: %/
Bioretention Operation and Maintenance Agreement
1 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will betaken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
bioretention cell
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,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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
e
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2pap
Form SW401-Bioretention O&M-Rev.3
Page I of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
gullies have formed.
Flow to the pretreatment area.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
inches.
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
future erosion problems.
Weeds are present.
_prevent
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 -tune
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic hme shall be applied as
PH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
I "1232010 1Pae2of4
Form SW40 1 -Bioretention O&M-Rev.3 B

BMP element
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
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.
1 733-1786.
MOP �q32p0
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number:
(to be provided by DiVQ)
1 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:P-714 Physical Fitness Center
BMP drainage area number:
Print name:Carl Baker
Title:Denuty Public Works Officer
Address:Blde 1005 Michael Rd Camp Lejeune NC 28547
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
County of (A/J'J , do hereby certify that
personally appeared before me this
day of %Zip 5;� , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
ETTElctyaro IneLMJ
a
SEAL ND 2 3 ?O10
My commission expires
Form SW401-Biorelention I&M-Rev. 2 Page 4 of 4

Permit Number. -!51
(to be provided by DWQ)
Drainage Area Number: j
Bioretention 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will betaken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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
Potentialproblems:
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
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide time and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2010
Form SW401-Bioretention O&M-Rev.3

BMP element
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
inches.
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new lantin
Form SW401-Bioretention O&M-Rev.3
:jj..
2 3 2010
Pagc-2-o —

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
damage have occurred at the
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
NOV 2 3 2010
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number:
(to be provided by DIVQ)
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:P-714 Physical Fitness Center
BMP drainage area
Print name:Carl Baker
Title:Deouty Public Works Officer
Address:Bldg 1005 Michael Rd Cate Lejeune NC 28547
Date: 11 -1 % -1
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
County of 611i'd do hereby certify that
AKIZi personally appeared before me this
day of , and acknowledge the due execution of the
forgoing bioretention maintenance requirements.
AUCE A. SONNETTE
Notary Public
Onslow County
State of North Carolina
M Commission Ex Tres
SEAL
My commission expires
Witness my hand and official seal,
NOV 2 3 2010
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

Permit Number: ep
(to be provided by DWQ)
Drainage Area Number:
Bioretention 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
bioretention cell
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 if is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2010
Form SW401-BioretentionO&M-Rev.3 �r 'v, Pa ejof4

BMP element
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3
Page NOV 2 3 20110 2 if 4

BMP element
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Re air or replace the drop inlet.
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.
troy 2g2010
Form SW401-Bioretention O&M-Rev.3
Page 3 of 4

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:P-714 Physical Fitness Center
BMP drainage area number:
Print name:Carl Baker
Title:Deputy Public Works Officer
Address:Bldg 1005 Michael Rd Camp Lejeune NC 28547
Date: /% - /7--/a
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
Adlylli Gz, X,s County of /J do hereby certify that
personally appeared before me this Lf
�/, , and acknowledge the due execution of the
day of �r
forgoing bioretention maintenance requirements. Witness my hand and official
ALJCE A. BONNETTE
Notary Publlc
Onslow County
State of North Carolina
M Commission Irea
seal,
SEAL 1. , lkL vl - —
{ to 2 3 2010
My commission expires ' J �
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

Permit Number:
(to be prov' ed by DWQ)
Drainage Area Number:
Bioretention Operation and Maintenance Agreement
v
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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will betaken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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
Potentialproblems:
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
bioretention cell
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,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or 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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2010
Form SW401-Bioretention O&M-Rev.3
I of 4

BMP element:
Potentialproblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area.
Wes have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
inches.
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 to establish the
ground cover if a soil lest indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
PH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of property and replaced
with new planting media.
Form SW401-Bioretentfon O&M-Rev.3
I RECEIVED I
NOV 2 3 2010
Page 2 0f}4
BY: _j

BMP element:
Potentialproblems:
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
damage have occurred at the
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
N0V 2 3 2010
Form SW401-Bioretention O&M-Rev.3
Page 3 of 4

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:P-714 Physical Fitness Center
BMP drainage area
Print name
Title:Deputy Public Works Officer
Address:Bldg 1005 Michael Rd Camp Lejeune NC 28547
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, ya- /� , a Notary Public for the State of
d County of ONZ, , do hereby certify that
personally appeared before me this %
day of /6' io and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
Ga!
LMJ
TTEctyrolina1LLt�J_<
SEAL
My commission expires "2-?
F-0 CEIVEI�
NOV 2 3 2010
BY:
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

Permit Number: //� G
(to be provided/ by DWQ)
Drainage Area Number: l(1
Bioretention Operation and Maintenance Agreement
1 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 operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month 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:
Potentialproblems:
How I will remediate the roblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
bioretention cell
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 time and a
one-time fertilizer application.
The inlet device: pipe,
stone verge or Swale
The pipe is clogged (if
applicable).
Unclog the pipe. Dispose of the
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.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
NOV 2 3 2010
Form SW401-Bioretention O&M-Rev.3
1 of 4

BMP element:
Potential problems.
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
pretreatment area and/or
gullies have formed.
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
inches.
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the l2retreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
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 to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
six months after planting.
Remove tree stake/wires (which
can kill the tree if not removed).
The bioretention cell:
soils and mulch
Mulch is breaking down or
has floated away.
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
metals have accumulated in
recommended per the soil test and
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
7NO
V
EIVEllll
23 2010
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element
Potentialproblems*
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
damage have occurred at the
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
N0 2 3 2010
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number:
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 narme:P-714 Physical Fitness Center
BMP drainage area
Print name:Carl Baker
Title:Depuuty Public Works Officer
Address:Bldg 1005 Michael Rd Camp Lejeune NC 28547
Date:
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
County of 411 ) , do hereby certify that
/l personally appeared before me this 1;7-A
day of ' J --Z/O , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
AUCE A. BONNETTE
Notary Public
Onelow County
State of North Carolina
M Commlealon Ire_ ,
SEAL
My commission expires
NOV 2 3 2010
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

NC DEC) 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 101106
2. Project name: P-714 Physical Fitness Center
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 for a Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/about/divisions/energy-
m ine ral-land-resou rces/ene rgy-m i neral-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 Leieune 1005 Michael Rd.
City: MCB Camp Leieune State: NC
ZIP: 28547-2521
5. Street Address:
City: State: ZIP
6. Phone: [phone] Email: [e-mail]
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/GRIN). 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).
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
I, "'�Y fi, 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 r wners All information provided on this permit renewal application is, to the best of my
o knowledge, rr and c mp te.
Signature: Date:
NOTARIZATION:
I
/n
a Notary Public for the State of
�Az-y--'V\ 12DXOIL"Q , County of do hereby certify
that 'i�a�c se.� (-\ . L-ZW' &.e-t- personally appeared before me
this the �_o day of c) u 1" 20 22 , and acknowledge the due
exe5,6jpb%A1I 106igoing instrument. Witness my hand and official seal,
p: PUBLIC
Nbf�' �Signatyr;��
COUN
My coriirhissimr>'pkpires
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

UEMLH USE ONLY
Date R ceiv d
Fes Paid
Permit Number
to a
sLDR o 0
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 expiratidn. 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 101106
2. Project name: P-714 Physical Fitness Center
3. Project street address: XXX _
Chy: MCB Camp Leieune County: OnSIOW
ZIP: 28542
4. What, it any, changes have been made to the project as permitted? N/A
If the project has changed from the original approved plans, please complete SWU-101 fora Major
Modification or Minor Modification Application form available at: Mips://deg.nc.mv/about/divisions/enerny-
mihe ra I -la nd- resou rces/e ne ray-mineral-land-rules/stormwater-pros ram/post-construct ion.
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 L.ejeune 1005 Michael Rd.
City: MCB Camp Leieune State: INC
ZIP: 28547.2521
5. Street Address:
City. State: -ZIP:
6. Phone: [phone] Email: neal.paul®usmc.mil
AUG 10 2022 !1
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018
F; .�
+�.. _t1 ,', .-fir / 4, •r"-._ y-,..,.�_>. .. f, t -:Vi' 1 ,� ..'"? �zs� ..f .. �.' .1`.y `: fj� :'�m•.-C.r�, ;�.

",' 2- .,. ,....mow-_., •�.
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) orOEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Nan -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. 571)°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. 08M 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 08M 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 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 cerldication(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).
httos://www.sosnc.gov/online services/search/by title/ Business Registration
AUG102022I
BY.•� , �
Slormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

r
D. PERMITTEE'S CEFT,IFIjIC(AATION
I, 1 ! �% �04' _ , the person legally responsible for the permit, certify that I have
a copy of the Permit and 0&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 r wnershipNAII information provided on this permit renewal application is, to the best of my
knowledge, orr an c0mPrItle.
Signature: Date: je LL
NOTARIZATION:
I,r�n 1 U Qxsan a Notary Public for the State of
1ADVr h 0wr0(n0- ,County of nryu0V\/ ,dohereby certify
that :�Reilloll..Y-1' a LzW 6-LC personally appeared before me
this the 9-O day of c Su.lw 20 22-; and acknowledge the due
exec,qu*lNGpoing instrument. Witness my hand and official seal,
=0yi PUBLIC .
4e Wtv nature` -�
--.
cou --� 2 2o25r
My cor4fitrispOn9kpves.
AUG 10 2022
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018
1<' d1_"�' V.w . ?�•`�Q'L. `r ,� 4' .� � �a: � j4w2"kZ:�'`��=.i.;,'"y.r'�-'� r , �y :�-r�]dL��+. ��?` '

r"
HCDEHR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
Permit Number--5-1JB/O//DG
(to be provided by DWQ)
OF WA7f;q
�4
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information
1I.11P,ROJECTONFORMATION
Project name
,Q-714 Physical Fitness Center, MICAS New River,,. , ,. "a`<'
• qr ,��' r " '
Contact name
,Crystal WII
Phone number
M4-822 308W,-'- •fl
Date
'Ndvember 17; 2010
Drainage area number
,1.;1 _, , ,
-':-lMi. - ' i'.
' • c :�=_
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Ponding depth of water
Ponding depth of water -
Surface area of the lop of the biorelenlion cell 0
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
% Fines (by volume)
% Organic (by volume)
Y'r' �174,6761ffZ
108,0291ff3
61.8% %
"'»'�• �„ Ulinch
ti <- 8.561in
=�0.151in/hr
i, `r2.4701ff'/sec
9.380 ff'/sec
. 13,259.01ff' OK
0 ff3
AW
x''fa121inches
1.00 If
3 2€9.01 ftt
tokn-;k� a7"F rxi 621 If
OK
OK .(2-Z-'I0 A'f&'
OK
OK
46;hr OK
12jhr OK
18 hr
(f t i;:,7:841in/hr
1 .:�_ww,7WYY01 In/hr
OK
OK
OK
Wh,li";410%i OK
r; rf.10 5%1 OK
Total: 100%
NOV 231pI0
Phosphorus Index (P-Index) of media ,�'-'�201(unilless) OK
Form SW401-Bioretention-Revs
June 25, 2010
Parts I and II. Design Summary, Page 1 of 2

Basin Elevations
Permit Number:
(to be provided by DWQ)
Temporary pool elevation
Type of bioretention cell (answer'Y' to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with treWshrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWT
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the lop of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distribute
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROM?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an'X' in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 ft of grass)
Grassed Swale
Forebay
Other
T .:1?.00,fmsl
f.,7.__.Y,"7w(Y or N) OK
N ;.1(YorN)
"161fmsl
=pinches
i 14ifmsl
2 ft
-N, c i(YorN)
f ,r
0 ft
14 fmsl
2 ft OK
zA(YorN)
• ;fmsl
16 ft
E
or N) OK
(Y or N) OK
or N) Show how flow is evenly distributed.
? '!(Y or N) OK
=i(YorN) OK
', `(Y or N) OK
"YY or N) OK
t;flsec OK
T�1
r;'ig(Y or N) OK
3,y ?
, ;,,(Y or N) OK
°i(YorN) OK
Form SW401-Bioretenton-Rev.9
June 25, 2010 Parts I and II. Design Summary, Page 2 of 2

Perma No:
(to be assigned by MI QJ
I10EQUIREWE- S,"CHECK11
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
19jtjAls heat No.
C-3D2
h
I
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),
- Cell dimensions,
- Pretreatment system,
- Hgh flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
2. Plan details (1' = 30' or larger) for the biorelention cell showing:
- Cell dimensions
- Pretreatment system,
- Hgh flow bypass system,
- Maintenance access,
- Recorded drainage easement and pudic right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (ff applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement
- Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (1' = 20' or larger) showing:
- Side slopes, 3:1 or lover
- Underdrain system (it applicable), and
- Bioretention cell layers (ground level and slope, pre-treatment ponding depth, mulch depth, fill media
depth, washed sand, fitter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure)
4. 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 held by DWO, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
- Soil composition (%sand, %fines, %organic), and
- P-index.
5. A detailed planting plan (1' = 20' or larger) prepared by a qualified individual showing:
- A variety of suitable species, !\
- Sizes, spacing and locations of plantings, C
- Total quantity of each type of plant specified,
-Aplantingdetail, Al (
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation. �Z' w91 r 4 0
10
6. A construction sequence that shows how the bioretention cell will be protected froediment unfit the
m s
entire drainage area is stabilized.
7. The supporting calculations (including underdrain calculations, if applicable).
8. A copy of the signed and notarized inspection and maintenance (I&M) agreement
9. A copy of the deed restriction.
Form SW401-BloMenbon-Rev.7
Pan III, Page 1 on 1

®�A
NC EHR
Permit Number: _2vO lQ
(to be provided by DWQ)
pWATATTT ffo9ff
a( 10 OG
O Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad 111) must be printed, filled out and submitted along with all of the required information.
Contact name _ Crystal Hill 7, y, „ ,�' t.
Phone number
Date NdSedlber17;2010,. ,
Drainage area number 2 ;im;=! .. ....
II ,k 31GN IN70 9' ION - w n 1 i.. am �
Site Characteristics
Drainage area t531d3;( 2
Impervious area ' 34.412!ry1
Percent impervious 64.8% %
Design rainfall depth ,r315iinch
Peak Flow Calculations
Is pre/post control of the 1-yr. 24-hr peak flow required? `` t . Ys, `�(Y or N)
1-yr, 24-hr runoff depth 3:56iin
1-yr, 24-hr Intensity f% - 015;inmr
Pre -development 1-yr, 24-hr peak flow .910iry3lsec
Post -development 1-yr, 24-hr peak flow 5150ry3lsec
Pre/Post 1-yr, 24-hr peak control 4.240 ft3lsee
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided 4'229.(hft3 OK '9 '��
t ? `•
Storage Volume: SA Waters r. OJO
1.5'Post-development
runoff volume \
Pre -development 1-yr, 24-hr runoffry1
Post -development 1-yr, 24-hr runoff
Minimum volume required 0 ry1
Volume provided -i , l �ftl
Cell Dimensions
Pending depth of water
Pending depth of water
Surface area of the top of the biorelention cell
Length:
Width:
-or- Radius
Media and Soils Summary
....._........Drawdown time, ponded volume. .....
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
• Fines (by volume)
%Organic (by volume) -
Phosphorus Index (P-Index) of media
Form SW401-Blaratention-Rev.8
.ume 95 emn
sx ';5'Zinches
OK
1.00 It
@i
!K401li.Olftl
OK 12-8—(0 �at2t.
., .. 1351ft
OK
'tit r �29: t
OK
..--- ... 2.hr_.___OK
...... .........-........... ... ._._
sit7f,;;�`29?hr
OK
36 fir
y.,x.,.w-.. ..-i
,��;`;;w�;,1.00;inRlr
OK
VO' inmr
OK
llax„33 M-1
OK
€12NA10 ri t10ek1
OK
UP-MI,M5w,
OK
Total: 100%
(unilless)
OK
Pens I and II. Design Summary, Page 1 of 2

Basin Elevations
Temporary pool elevation
Type of bloretentlon cell (answer'Y' to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safely is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWT
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bloretentlon cell?
Does volume in excess of the design volume flow evenly dishibulel
through a vegetated filter
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the 8MP localed at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Intel velocity (from treatment system)
Is the area surrounding the cell likely to undergo development In
the future?
Are the slopes draining to the bloretentlon cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an'X' In the shaded cell)
Gravel and grass
(81inches gravel followed by 35 it of grass)
Grassed Swale
Forebay
Other
Permit Number:
(to be provided by DWQJ
22.00;fmsl
Niz(YorN)
Y (Y or N)
OK media depth
;i21?fmsl
- &*4iinches
OK
;18''fmsl
3 It
`fl
N � ;(Y or N)
qy'
Oft
18 fmsl,
2 it
OK
N "b (YorN)1910
21 it
\\
OK
N) OK
N) OK
N) Show how flow is evenly distributed.
N) OK
N) OK
N) OK
N) OK
. OK
N) OK
N) OK
N) OK
OK
Form SW401-Bioretenaon-Rev.11
June 25. 2010
Parts I and II. Design Summery, Page 2 or 2

Peank No
(to be assigned by D
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An Incomplete subs tal 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. H a
requirement has not been met, attach justification.
Igjtj�ls
Page! Plan
heM No.
1. Plans (V - 5V or larger) M the entire site showing:
- Design at ultimate buildcut,
- Off -site drainage (it applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Cell dimensions,
- Pretreatment system,
- High flow bypass system, -
- Maintenance access,
- Recorded drainage easement and pudic right M way (ROW),
- Clean out pipe locations,
Jr -�ozV'
- Overflow device, and
- Boundaries of drainage easement
2. Plan details (I- = 3V or larger) for the bioretention cell showing:
- Cell dimensions
- Pretreatment system, .
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and pudic right of way (ROW),
- Design at ultimate build -cut,
- Off -site drainage (if applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement
Indicate the P-Index between 10 and 30
3. Section view of the Woretention cell (V = 20r or larger) showing:
Side slopes, 3:1 or low
- Underdrain system (d applicable), end
- Bioretention cell layere (ground level and slope, pre-treatment, pending depth, mulch depth, fill media
depth, unshed sand, fitter fabric (or choking stone If applicable), #57 stone, undordrains; (if applicable),
SHWI levet(s), and overflow stnrch re)
4. A soils report that's based upon an actual field investigation, sad borings, and infiltration tests. The
results M 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 sells information. All
elevations shall be in feel mean sea level (fmsq. Results M soils tests M both the planting soil and the in
situ soil must include:
- Soil permeability,
L _ 102
L� 0
- Sal composition (% sand, %fines, % organic), and
P-Index.
5. A detailed planting plan (1' = 2V or larger) prepared by a qualified individual showing:
- A variety M suitable species,
- Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
- A i la„fing detail,
- The source nursery for the plants, and
rA
- Fertilizer and waterlog requirements to establish vegetation.
6. A construction sequence that shows haw the bloretention cell will be protected from sediment until the
entire drainage area's stabilized.
7. The supporting calculations (including urderdrain calculations, H applicable).
��(.1{N',`►/��
{ 1
8. A copy M the signed and notarized inspection and maintenance (I&K agreement
u '
9. A copy of the deed restriction.
Form SW40143brateMfon4lev.7
PM III, Page 1 d 1

P-714 Physical Fitness Center, MCAS New River
Bioretention area #2 Plant Counts:
Trees:
'To (1)_Taxodium distichium- Bald Cypress
CSC (3) Cercis canadensis- Eastern Redbud (3-5 steams each, assume average 4 stems each = 12
steams total)
Shrubs:
(VW/(10) Ilex verticillata `Jim Dandy' and `Afterglow'- Winterberry Holly (3-4 steams each, assume
average 3 stems each =.30 steams total)
L& (15) Ilex glabra- Inkberry Holly
VPO (10) Leucothoe axillaries- Coastal Leucothoe (5) Viburnum dentatum- Arrowood Viburnum (5-
10 steams each, assume average 7 stems each = 35 total)
Herbaceous Perennials, Grasses, Groundcovers:
r10 C (9) Muhlenbergia capillaries- Muhly Grass
(V (56) Iris virginica- Iris
(40) Baptisia `Purple Smoke'- False Indigo
LG (16) Carex glauca- Carex Grass
pJIi (30) Panicum virgatum `Heavy Metal' — Heavy Metal Switchgrass
1�q�4 (53) Flemerocallis `Pardon Me' — Pardon Me Daylily
Totals:
Tree species: Required = 1, Provided = 2
Shrub species: Required = 3, Provided= 4
Herbaceous species: Required = 3, Provided = 6
Area of Bioretention Basin 4,229 sf = 0.10 acres
Stems: Required 400 stems/acre = 400 x 0.10 acres = 40, Provided = 307
R,ECEIYTPM vi-Q rY12f� e ,
e-/I
NOV, 2 4 2010
Papa 'Isw8 w� /v!/v Co

AMA.
HOENR,
Permit Number/0U /'�9//e96
(to be Provided by DWQ)
O2'F WATE, O
W
o �
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL 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 name
Phone number
Date
Drainage area number
Site Characteristics
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Cell Dimensions
Pending depth of water
Pending depth of water
Surface area of the top of the bioretention cell eJu
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In-sku soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
% Fines (by volume)
% Organic (by volume)
36,590ih2
111611 ftz
32.1% %
.41z',P.5linch
i7—, ' Y i 5(Y or N)
1..'`.,._, 3.561in
fOv.151in/hr
1'10.7,101ft3/sec
1.800 ft3/sec
1,5527113
J5192.O1ft3 OK
"It:'AIt3
0 ff3
1ft3
inches
1.00 It
15�;'OiftZ
1'�ie � }r'1; f>q.157ift
I8.31hr
16.61hr
24.9 hr
in/hr
'? in/hr
OK
OK
OK
OK
OK
OK
OK
OK
OK
1`-Tr?k'c'1410%? OK
Total: 100%
Phosphorus Index (P-Index) of media ,:r.' •"`t,`P•,kZjlunitless) OK
Form SW401-13ioretenlion-Rev.8
June 25, 2010
Parts I and II. Design Summary, Page 1 of 2

Permit
(to be provided by DWQ)
Baffin Elevations
•� r Temporary pool elevation
Type of bioretention cell (answer'Y' to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SH WT elevation
Distance from bottom to SHWT
Intemal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the lop of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundoover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distribuh
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP located at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an'X' in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 It of grass)
Grassed Swale
Forebay
Other
I .2s322.50rfmsl
F7TY- : I(Y or N) OK
i-7; !inches
;Ct:::c 4: ",:19.5!fmsl
2ft
)
" d
V
oft
19.5 fmsl
f: ,,,'=:_'�,17.5ifmsl
2ft OK
X•?; N „ (YorN)
fmsl
21.5 ft
#ry ro 7-C
:= k
R'
r) Ygi,p".,llYorN) OK
or N) Show how flow is evenly distributed.
or N) OK
or N) OK
or N) OK
or N) OK
ec OK
or N) OK
or N) OK
or N) OK
Form SW401-Bioretenlion-Rev.8
June 25, 2010 Parts I and 11. Design Summary, Page 2 of 2

Permit No:
(to be assigned by DWQ)
III. REQUIRED]ITEMS,CHECKLISTWMIMMOYAHATM
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
19jtjals
heel No.
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate build -out,
- Off -site drainage (it applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Cell dimensions,
- Pretreatment system,
.
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Clean out pipe locations,
C, 9wr
Ji 0 ZV'
- Overflow device, and
- Boundaries of drainage easement
2. Plan details (1' = 30' or larger) for the biaetention cell showing:
- Cell dimensions
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and pudic right of way (ROW),
- Design at ultimate build -out,
- Off-sfle drainage (if applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement
gIndicate
the P-Index between 10 and 30
3. Section view of the biorelention cell (1' = 29 or larger) showing:
- Side slopes, 3:1 or lower
- Underdrain system (d applicable), and
- Bioretention cell layers (ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWilevel(s),and overflow structure]
4. A soils report that's 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. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
14S
- Soil composition (% sand, %fines, % organic), and
'
M1
5. A detailed planting plan (1' = 29 or larger) prepared by a qualified individual sharing:
A variety of suitable species,
Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
A planting detail,
- The source nursery for the plants, and
C
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the biorelention cell will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations (including underdrain calculations, if applicable).
rill
_I •'
ll
8. A copy of the signed and notarized inspection and maintenance (ISM) agreement
9. A copy of the deed restriction.
Form SW401-B10 e n ion-Rev.7
Part III, Page 1 of 1

Permit Number_��/D//O�
t.A .
NCDENR
(to be provided by DWQ)
o2'p WATf;q
w r
� r
o
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part tit) must be printed, filled out and submitted along with all of the required information.
vrolem name
Contact name
Phone number
Date
Drainage area number
I - -c •,r=
Novemoent, zulu.+
Site Characteristics
Drainage area
i„ ° _, 3,9201hz
Impervious area
:`,2,178'ft2
Percent impervious
55.6% %
Design rainfall depth
AV51inch
Peak Flow Calculations
Is prelpost control of the 1-yr, 24-hr peak Flow required?
I ' .` Y ~ ?' (Y or N)
1-yr, 24-hr runoff depth
3.561 in
1-yr, 24-hr intensity
=0.151in/hr
Pre -development 1-yr, 24-hr peak flow
h: ;. ` •�.r `.' 0.1101ft'fsec
Post -development 1-yr, 24-hr peak flow
1 0.3501ff3/sec
Pre/Post 1-yr, 24-hr peak control
0.240 ft°/sec
Storage Volume: Non -SA Waters
Minimum volume required
+ + 'e270.0 ft3
Volume provided
i•;,-=r'°'`'r -`; 370.01ft°
Storage Volume: SA Waters
1.5' runoff volume •.,�ff3
Pre -development 1 -yr, 24-hr runoff -•`" -1ff'
Post -development 1-yr, 24-hr runoff f,'". • -:•»'"„ .;t," 1ft3
Minimum volume required 0 ff3
Volume providedift3
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the top of the bioretention cell
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In -situ soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
% Fines (by volume)
% Organic (by volume)
`;12i inches
1.00 ft
e2o0 ff'
F,' 6r hr
18 hr
OK
[s73
OK
OK
OK
OK
OK
F'iti �1 =16.72'',in/hr OK
in/hr
OK
850/01
OK
OK
Iw d-f�'n1=nc'1>i50/61
OK
Total: 100%
IZ-a-fo -4VA-
Phosphorus Index (P-Index) of media ("'`-'r;"„ w.a>i20(unilless) OK
Form SW401-Bioretention-Rev.8
June 25, 2010
Parts I and 11. Design Summary, Page 1 of 2

BaE:n Elevations
Temporary pool elevation
�z ?=20 00 fmsl
Type of biorelention cell (answer 'Y' to only one of the two
following questions):
Is this a grassed cell?
_ __
:'" :Y =<J"� 7(Y or N) OK
Is this a cell with trees/shrubs?
[: "; ,,,-;:N"'-.'9(Y or N)
Planting elevation (top of the mulch or grass sod layer)
IP "-V, 19ifmsl
Depth of mulch
-iz u ":f inches
Bottom of the planting media soil
I , J44 x ; ° 17ifmsl
Planting media depth
2 fit
Depth of washed sand below planting media soil
�1
Are underdrains being installed?
^.-; N ��J(Y or N)
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6) t•••:'• r e:.��
Additional distance between the bottom of the planting media and 0 tt
the bottom of the cell to account for underdrains
Bottom of the cell required _ 17 fmsl
SHWT elevation 15ifmsl
Distance from bottom to SHWT 2 fit OK
Internal Water Storage Zone (IWS)
Does the design include IWS
..— N" i T (Y or N)
Elevation of the top of the upturned elbow
X `.fmSI
Separation of IWS and Surface
19 ft
Planting Plan
Number of tree species"
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the r'3-
bloretention cell?
Does volume in excess of the design volume flow evenly distributed €€, 1''4,
through a vegetated filler?
What is the length of the vegetated filter? F 77
';,
Does the design use a level spreader to evenly distribute Bow? I'"I,,
Is the BMP located at least 30 feet from surface waters (50 feel if
SA waters)?
Is the BMP located at least 100 feel from water supply wells? X $
Are the vegetated side slopes equal to or less than 3:1? l ",aV'-i
Is the BMP located in a proposed drainage easement with access a eF
to a public Right of Way (ROW)?�.
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the biorelention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an'X' in the shaded cell)
Gravel and grass
(flinches gravel followed by 3-5 It of grass)
Grassed Swale
Forebay
Other
(Y or N) OK
(Y or N) OK
Permit Number:
(to be pmvided by DWQ)
or N) Show how flow is evenly distributed.
(YorN) OK
4i,I(YorN) OK
a'.'v(YorN) OK
uk (YorN) OK
J
FtA�ftlsec OK
(YorN) OK
jahYorN) OK
-I(Yor N) OK
OK
Form SW401-Bioretenbon-Rev.8
June 25, 2010 Parts I and It. Design Summary, Page 2 of 2

Permit No:
• (to be assigned by DWQ)
III. REQl11REOXEIIASMEU111IST
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. lt a
requirement has not been met, attach justification.
Pagel Plan
19]tj�jls heel No.
Coln
5D8
GA.
I
.
lans (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),
- Cell dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement
2. Plan details (1' = 30' or larger) for the bioretention cell showing:
- Cell dimensions
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement
- Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (1' = 20' or larger) showing:
- Side slopes, 3:1 or lower
- Underdrain system (if applicable), and
- Bioretention cell layers (ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone'If applicable), #57 stone, underdrains (if applicable),
SHWI- level(s), and overflow structure]
4. 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. Al
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
- Soil composition (% sand, % fines, % organic), and
- P4ndex.
P
5. A detailed planting plan (1' = 20' or larger) prepared by a qualified individual showing:
- A variety of suitable species,
- Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
- A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment unfit the
entire drainage area's stabilized.
7. The supporting calculations (including underdrain calculation, if applicable).
8. A copy of the signed and notarized inspection and maintenance (18M) agreement
9. A copy of the deed restriction.
Form SW401-abretentioMtev.7 Part III, Page 1 of 1

NCDENR•
Permit Numbs ... 1�
(to be provided by DWQ)
o� Q W A rf1s.
y g
O C
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, (fled out and submitted along with all of the required information.
Project name 'P-/14 Pnysical Fitness CentegMCAS New River
Contact name :Crystal Hill.
Phone number '804A22-3080 x•
Dale '.November•17,'2010'° '"` �'"z'~.�"�-�r•-r/'.* ' -r-"
Drainage area number
ILADESIGN iINFORMATION
Site Characteristics
Drainage area
11 " '­'S,662tft'
Impervious area
.4 2,178ift2
Percent impervious
38.5% %
Design rainfall depth
-7.'-1.5tinch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak Flow required?
'zY - -,'.��.,,: ,(Y or N)
1-yr, 24-hr runoff depth
t` rv' ""c^ '� i3.561in
1-yr, 24-hr intensity
0.15iin/hr
Pre -development 1-yr, 24-hr peak flow
C'i: '� >: • 0:150ift3/sec
Post -development 1-yr, 24-hr peak flow
1' � UV ,• :0.420!ft3/sec
Pre/Post 1-yr, 24-hr peak control
0.270 ft3/sec
Storage Volume: Non-SAWaters
Minimum volume required
t�<•- 280.Of fl3
Volume provided
tka;<.."'-'."+*370.0!ft' OK
Storage Volume: SAWaters
1.5' runoff volume
i :l, `" -' .1ft3
Pre -development 1 -yr, 24-hr runoff
F_,TNr, ' `,°.`•ft3
Post -development 1-yr, 24-hr runoff
Minimum volume required
0 ft3
Volume provided
I:;+, �•,..`.�:. I- . ;'-1ft3
Cell Dimensions
Pending depth of water
777 11:12'inchas
OK
Pending depth of water
1.00 ft
Surface area of the top of the bloretention cell
ry'
OKCO
Length:
281ft
OK
Width:
_:,`t0ft
OK
-or-Radius
Media and Soils Summary
Drawdown time, ponded volume
.:'�:`- 61hr
OK
Drawdown time, to 24 inches below surface<�t'c4�-,12thr
OK
Drawdown time, total:
18 fir
In -situ soil:
Soil permeability
_77, 777214 inlhr
OK
Planting media soil:
Soil permeability
=1` �= 2'00;in/hr
OK
Soil composition
% Sand (by volume)
%'"'' '85%!
OK
% Fines (by volume)
;+€,4; �;.. r=m10°/u1
OK
%Organic (by volume)
h`'C•»'»-, ;5°�1
OK
Total: 100%
Phosphorus Index (P-Index) of media
F' ,,t_x, l; :'Fafi20((unitless)
OK
Form SW401-Bioretention-Rev.e
June 25, 2010
Parts I and II. Design Summary, Page 1 of 2

Basin Elevations
• ;0 Temporary pool elevation
(� '`° y200'0�finsI
Type of bioretention cell (answer'Y' to only one of the two
following questions):
Is this a grassed cell?
'Y
r,;,(Y or N) OK
Is this a cell with trees/shrubs?
l -.• `,-N
I(Y or N)
Planting elevation (lop of the mulch or grass sod layer)
.19!fmsl
Depth of mulch
I '
;.flinches
Bottom of the planting media soil
't- d� :iolr� _.
'171fmsl
N
Planting media depth
2 ft
Depth of washed sand below planting media soil
Are underdrains being installed?'
4 N I
o- }A(Y or N)
f
How many clean out pipes are being installed?
t"♦
i rI
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
,='?'
. • f
Additional distance between the bottom of the planting media and
0 ft
the bottom of the cell to account for underdrains
Bottom of the cell required
17 fmsl
SHWT elevation
�" •'.15!fmsl
Distance from bottom to SHWT
2 ft OK
Internal Water Storage Zone (IWS)
Does the design include IWS
i+,�i - _, �N -l(Y or N)
Elevation of the top of the upturned elbow
i fir= , , ,
fmsl
Separation of IWS and Surface
19 It
Planting Plan
Number of tree species
Number of shrub species
(�;`')
•fi"�
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
V,
Does volume in excess of the design volume Flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if r `"
SA waters)?
Is the BMP located at lead 100 feet from water supply wells? i?>"tr: Y`'
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access r+
to a public Right ofWay (ROW)? i 1; Y•fxs
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%7
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an'X' in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 It of grass)
Grassed Swale
Forebay
Other
or N) OK
or N) OK
Permit Number.
(to be provided by DWQ)
or N) Show how flow is evenly distributed.
or N) OK
or N) OK
or N) OK
or N) OK
ec OK
or N) OK
or N) OK
or N) OK
3T.7
Form SW401-Bioretenbon-Rev.8
June 25, 2010 Parts I and 11. Design Summary, Page 2 of 2

s
.l
Permit No:
(to be assigned by DWq)
III951REQ(JIEtEO}IT0s,OHECsIUltST
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.
Paget Plan
Irg(tjals heel No.
N C-505
I
h
1. Plans (1' - 50' or larger) of the entire site showing:
- Design at ultimate build-ou4
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Cell dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
2. Plan details (1' = 30' or larger) for the bioretention cell showing:
- Cell dimensions
-Pretreatmentsystem,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and pudic right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
- Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (1' = 21y or larger) showing:
- Side slopes, 3:1 or lower
- Underdrain system (if applicable), and
- Bioretention cell layers (ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone it applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure)
4. 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 8 submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. Al
elevations shall be in feet mean sea level (frost). Results of soils tests of both the planting soil and the in
situ soil must include:
- Soil permeability,
- Sol composition (% sand, % fines, % organic), and
- P4ndex.
5. A detailed planting plan (1' = 2p or larger) prepared by a qualified individual showing:
- A variety of suitable spedes,
- Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
-A planting detail,
- The source nursery for the plants, and
- Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention call will be protected from sediment unfit the
entire drainage area's stabilized.
7. The supporting calculations (including underdrain calculations, if applicable).
8. A copy of the signed and notarized inspection and maintenance (18M) agreement
9. A copy of the deed restriction.
Forth SW40143ioMention-Rev.7
Part Ill, Page 1 of 1

Permit Number: -SLiJB��� 'o
(to be provided by DWQ)
`NCNW
o=Op WA7F, O
i
O Y
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL 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.
rroleci name
Contact name
Phone number
Date
Drainage area number
Crystal Hill
'604•B22 3080 7 xf� sm • ;'#, "' x„ � ;{
!Novembei.17,2010,..,. �,•- +`,,.{
I I 1 DESIGN;INFORMATION
Site Characteristics
Drainage area
6098 ftz
Impervious area
[`.'•:zrTS 4;3561ft2
Percent impervious
71.4% %
Design rainfall depth
;._-1.5`inch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required?
F-7 >Y'-d ". �:.- (Y or N)
1-yr, 24-hr runoff depth
Y ' .I s"" si'' ' 43.561 in
1-yr, 24-hr intensity
1' `- ._ F - : 0.15 in/hr
Pre -development 1-yr,24-hrpeak flow
+1d' rw0:1601ft'/sec
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak control
0.470 ft3/sec
Storage Volume: Non -SA Waters
Minimum volume required
-'' r- 528:0 ft3
Volume provided
-Wt:x'X552:0!ft3 OK
Storage Volume: SA Waters
1.5' runoff volume
?`„ , 7 ' _ AW
Pre -development l-yr,24-hrrunoffIft'
Post -development 1-yr, 24-hr runoff
a
l� a` M=»=>.� _��_.. Ift3
Minimum volume required
0 ft'
Volume provided
'� �' `• ' :' ; ft3
Cell Dimensions
Ponding depth of water
Ponding depth of water
Surface area of the lop of the bioretention cell
Length:
Width:
-or- Radius
Media and Soils Summary
Drawdown time, ponded volume
Drawdown time, to 24 inches below surface
Drawdown time, total:
In-s@u soil:
Soil permeability
Planting media soil:
Soil permeability
Soil composition
% Sand (by volume)
% Fines (by volume)
% Organic (by volume)
Phosphorus Index (P-Index) of media
Form SW401-Bioretention-Rev.8
June 25, 2010
'�,;.91inches
OK
0.75 ft
a'74",
OK
30'ft
OK
"E18;ft
OK
1; 6:4,hr OK
,.J2.81hr OK
19.2 hr
n/hr OK
;in/hr OK
OK
�'V10%' OK
ir14-'y5%' OK
Total: 100%
I'',. are A.',`» 201(unitless) OK
Paris I and 11. Design Summary, Page 1 of 2

Permit Number:
(to be provided by MW )
Brain Elevations
Temporary pool elevation
Type of biorelention cell (answer "Y' to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting elevation (top of the mulch or grass sod layer)
Depth of mulch
Bottom of the planting media soil
Planting media depth
Depth of washed sand below planting media soil
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safely is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
SHWT elevation
Distance from bottom to SHWi
Internal Water Storage Zone (IWS)
Does the design include IWS
Elevation of the top of the upturned elbow
Separation of IWS and Surface
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
biorelention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a proposed drainage easement with access
to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(8 inches gravel followed by 3-5 ft of grass)
Grassed Swale
Forebay
Other
F777T7Tgwfmsl
(YorN) OK
l.'.. �,$ -.N"' ;i--�,?(Y or N)
j �' 4 T-19jfmsl
(' r`.;.;inches
!-..]7lfmsl
2tt
{r :it F irL f'
11 µt
Oft
17 fmsl
fmsl
2 It OK
i ? {N a: x �y+} (Y or N)
� 1
19 ft
N) OK
N) OK
N) Show how flow is evenly distributed.
N) OK
N) OK
N) OK
N) OK
OK
N) OK
N) OK
N) OK
y
Form SW401-Bioretengon-Rev.8
June 25, 2010
Parts I and 11. Design Summary, Page 2 of 2

k, Permit No:
(no be assigned by M )
III.�REQUIREOJITf=h1SjCHEGNLIST
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
Ir�(tjals
heel 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),
- Cell dimensions,
- Pretreatment system,
.
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and public right of way (ROW),
- Clean out pipe locations,
- Overflow device, and
C. 90
J' ^'V'
- Boundaries of drainage easement
2. Plan details (1' = 30' or larger) for the bioretention cell showing:
-Cell dimensions
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Recorded drainage easement and pudic right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (it applicable),
- Clean out pipe locations,
- Overflow device, and
- Boundaries of drainage easement.
ICU
Indicate the P-Index between 10 and 30
3. Section view of the bioretention cell (1' = 20' or larger) showing:
- Side slopes, 3:1 or lower
- Underdrain system (if applicable), and
- Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone lt applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure]
4. 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. Al
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
-
- Soil permeability,
Q/($j
- Soil composition (% sand, % fines, % organic), and
- P-index.
�`/-�'
n
5. A detailed planting plan (1' = 2(Y or larger) prepared by a qualified individual showing:
A variety of suitable species,
- Sizes, spacing and locations of plantings,
- Total quantity of each type of plant specified,
-A planting detail,
- The source nursery for the plants, and
C
�
- Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
A,1t
I
entire drainage area's stabilized.
7. The supporting calculations (including underdrain calculations, dapplicable).
n
I A copy of the signed and notarized inspection and maintenance (18M) agreement
(�'
9. A copy of the dead restriction.
Form SW40143iomtenaon-Rev.7
Pan III, Page 1 of 1