SW8140108_CURRENT PERMIT_20230314

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8
DOC TYPE CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE 2o'2_3 03IL}
YYYYMMDD

PENDER EMS and FIRE, INC.
Woodrow W.Sullivan,III
FBurgaw,
Chief
obile: 910-470-4001
Mobile:[phone]
Fax: [phone]
d Avenue Email:wsullivanropenderems.com28425
THOMAS & HUTTON
T JOH- H RICHARDS PE
Principal/Project Manager
ric hards.j@t homasa nd hutto n.com
p.843.839.8424 c:843.458.0455
1350 Farrow Parkway
Myrtle Beach,SC 29577
Post Office Box 8000(29578-8000)
www.t homasandhutton.com

ROY COOPER
Governor
ELIZABETH S.,BISER .
Secretary
DOUGLAS R.ANSEL NORTH CAROLINA
interim Director Environmental Quality
March 14, 2023
Pender EMS and Fire,Inc.
Attn: James Everett Baysden, Jr., Chief
805 Ridge Wood Ave.
Burgaw,NC 28425
Subject: Permit Renewal
Post-Construction Stormwater Management Permit No. SW8140108
Station 18 Highway 17
Pender County
Dear Mr. Baysden:
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on February 27,2023. The Division is hereby notifying you that permit SW8140108 has been
renewed, updated, and re-issued on March 14, 2023,as attached. As requested, a copy of the current operation
and maintenance agreement is also enclosed. 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 January 16,2030 and does not supersede any other agency permit that may be
required. The project shall be subject to the conditions and limitations as specified therein. This permit does not
impose new or increased stormwater control requirements; it clarifies the rules and requirements of this program
to provide you with a better understanding of your obligations under this permit. Failure to comply with these
requirements will result in future compliance problems. Please note that this permit is not transferable except
after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable,you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be"filed with the
CAB 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 at919-431-3000, 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 Aisia Freeman in the Wilmington Regional
Office, at phone#[phone] or [e-mail].
Sincerely,
D
lj°rUdt,w--.�. �' d
.;Douglas R. Ansel, Interim Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A—Designer's Certification Form
Attachment C—Permitting History
Copy of the Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/af: \\\Stormwater\Permits&Projects\2014\140108 HD\2023 03 permit 140108
cc: Wilmington Regional Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
®. Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington,North Carolina 28405
o�r.m.wr n 'reewi� /`� 910.796.7215

Post Construction Stormwater Management
Permit No. SW8140108
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST-CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Pender EMS and Fire, Inc.
Station 18, Highway 17
Highway 17, Scotts Hill, Pender County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the provisions of 15A
NCAC 2H .1000 and Session Law 2008-211 (hereafter collectively referred to as the "stormwater rules') 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 January 16, 2030 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until the
permittee files a request with the Division for a permit modification, transfer, renewal, or rescission, however,
these actions do not stay any condition. The issuance of this permit does not prohibit the Director from
reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit for cause as
allowed by the laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in the
application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as described in
Section 1.7 of this permit. The stormwater control has been designed to handle the runoff from 22,253
square feet of impervious area.
3. A 50' wide vegetative buffer must be provided and maintained adjacent surface waters, measured
horizontally from and perpendicular to the normal pool of impounded structures, the top of bank of both
sides of streams and rivers and the mean high water line of tidal waters.
4. The tract will be limited to the amount of built-upon area indicated in this permit, and per approved
plans. The built-upon area for the future development is limited to 2,436 square feet.
Page 1 of 5

Post Construction Stormwater Management
Permit No. SW8140108
5. All stormwater collection and treatment systems must be located in either dedicated common areas or
recorded easements. The final plats for the project will be recorded showing all such required
easements, in accordance with the approved plans.
6. The runoff from all built-upon area within the permitted drainage area(s) of this project must be directed
into the permitted stormwater control system.
7. The following design criteria have been provided in the wet detention pond and must be maintained at
design condition:
a. Drainage Area, acres: 1.2
Onsite, ft2: 52,370
Offsite, ft2: N/A
b. Total Impervious Surfaces, ft2: 22,253
Onsite, ftZ: 22,253
Offsite, ft2: N/A
C. Design Storm, inches: 1.5
d. Average Pond Design Depth, feet: 3
e. TSS removal efficiency: 90%
f. Permanent Pool Elevation, FMSL: 40
g. Permanent Pool Surface Area, ft2: 2,951
h. Permitted Storage Volume, ft3: 3,736
i. Temporary Storage Elevation, FMSL: 41
j. Pre-dev. 1 yr-24 hr. discharge rate, cfs: 0.08
k. Controlling Orifice: VO pipe
I. Orifice flowrate, cfs: 0.01
M. Permitted Forebay Volume, ft3: 1,275
n. Fountain Horsepower N/A
o. Receiving Stream/River Basin: Futch Creek/ Cape Fear
p. Stream Index Number: 18-87-19
q. Classification of Water Body: "SA;HQW'
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety, vegetated and operational for
its intended use prior to the construction of any built-upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be
repaired immediately.
3. The permittee shall, at all times, provide the operation and maintenance necessary to assure the
permitted stormwater system functions at the design condition. The signed and approved Operation
and Maintenance Agreement must be followed in its entirety and maintenance must occur at the
scheduled intervals.
4. Records of maintenance activities must be kept and made available upon request to authorized
personnel of DENR. The records will indicate the date, activity, name of person performing the work
and what actions were taken.
6. The facilities shall be constructed in accordance with the conditions of this permit, the approved plans
and specifications, and other supporting data.
Page 2 of 5

Post Construction Stormwater Management
Permit No. SW8140108
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation
of this permitted facility, a certification must be received from an appropriate designer for the system
installed certifying that the permitted facility has been installed in accordance with this permit, the
approved plans and specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A modification may be required
for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility.
9. Access to the stormwater facilities for inspection and maintenance shall be maintained via appropriate
recorded easements at all times.
10. No person or entity, including the permittee, shall alter any component shown in the approved plans
and specifications. Prior to the construction of any modification to the approved plans, the permittee
shall submit to the Director, and shall have received approval for modified plans, specifications, and
calculations including, but not limited to, those listed below. For changes to the project or SCM that
impact the certifications, a new or updated certification(s), as applicable, will be required and a copy
must be submitted to the appropriate DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the project
and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any component of
the approved SCM(s), the stormwater collection system and/or vegetative conveyance shown on
the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or landscaping
material to be considered a permeable surface that were not included in the approved plans and
specifications.
g. Other modifications as determined by the Director.
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.
12. Approved plans and specifications for this project are incorporated by reference and are enforceable
parts of the permit. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
III. GENERAL CONDITIONS
1. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the permittee shall
take immediate corrective actions. This includes actions required by this Division and the stormwater
rules such as the construction of additional or replacement on-site stormwater systems. These
additional or replacement measures shall receive a permit from the Division prior to construction.
2. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in Title 15A NCAC 02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION. The
permittee shall submit a completed Permit Information Update Application Form to the Division within
30 days to making any one of these changes.
Page 3 of 5

Post Construction Stormwater Management
Permit No. SW8140108
4. TRANSFER. This permit is not transferable to any person or entity except after notice to and approval
by the Director. Neither the sale of the project and/or property, in whole or in part, nor the conveyance
of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This request must
be submitted within 90 days of the permit holder meeting one or more of the following:
i. A natural person who is deceased,
ii. A partnership, limited liability corporation, corporation, or any other business association that
has been dissolved,
iii. A person or entity who has been lawfully and finally divested of title to the property on which
the permitted activity is occurring or will occur through foreclosure, bankruptcy, or other legal
proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the permitted
activity is occurring or will occur,
v. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property Owner's
Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection will be
conducted by Division personnel to ensure the permit conditions have been met and that the project
and the on-site stormwater system complies with the permit conditions. Records of maintenance
activities performed to date may be requested. Projects not in compliance with the permit will not be
transferred until all permit and/or general statute conditions are met.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of this
permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property during
normal business hours to inspect all components of the permitted project.
c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the requirements of the stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an annual
certification completed by either the permittee or their designee confirming the projects
conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted site
does not meet one or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide copies of
modified plans and certification in writing to the Director that the changes have been made.
f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from complying
with and obtaining any other permits or approvals that are required for this development to take
place, as required by any statutes, rules, regulations, or ordinances, which may be imposed by
any other Local, State or Federal government agency having jurisdiction. Any activities
undertaken at this site that cause a water quality violation or undertaken prior to receipt of the
necessary permits or approvals to do so are considered violations of NCGS 143-215.1, and
subject to enforcement procedures pursuant to NCGS 143-215.6.
Page 4 of 5

Post Construction Stormwater Management
Permit No. SW8140108
Permit renewed, updated and reissued this the 14t" day of March 2023.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
CRC :YA
J1 Douglas R. Ansel, Irfterim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Post Construction Stormwater Management
Permit No. SW8140108
Attachment A
Station 18, Highway 17
Stormwater Permit No. SW8 140108
Pender County
Designer's Certification
I, as a duly registered in the State of North Carolina,
having been authorized to observe (periodically/weekly/full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the best of my abilities,
due care and diligence was used in the observation of the project construction such that the construction was
observed to be built within substantial compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
SEAL
Signature
Registration Number
Date
Page 1 of 2

• Post Construction Stormwater Management
Permit No. SW8140108
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 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 structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of the system.
11. The permitted amounts of surface area and/or volume have been provided.
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 a vegetated shelf, and a forebay.
15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded common areas, or
recorded easements.
cc: NCDENR-DEMLR Wilmington Regional Office
Pender County Building Inspections
Page 2 of 2

Attachment C-Permitting History
Station 18 Highway 17
Permit No.SW8140108
Approval Permit Action BIMS Description of the Changes Modified Plan Sheets
Date Version
High Density Commercial Wet Detention Pond Project-
construction,operation and maintenance of a wet
detention pond in compliance with the provisions of 15A
NCAC 2H .1000 and Session Law 2008-211. approved
for the management of stormwater runoff as described in
Section 1.7 of this permit.The stormwater control has
been designed to handle the runoff from 22,253 square
Original feet of impervious area. A 50' wide vegetative buffer .41.1,.1I. EC.]-
1/14/2014 Approval 1.0 must be provided and maintained adjacent surface waters, A,C2.1-2.2,C-1.2 2,
C4.1-4.4, Ll.l-1.2
measured horizontally from and perpendicular to the
normal pool of impounded structures,the top of bank of
both sides of streams and rivers and the mean high water
line of tidal waters. The tract will be limited to the
amount of built-upon area indicated in this permit, and
per approved plans. The built-upon area for the future
development is limited to 2,436 square feet.
3/14/2023 Renewal 2.0 This permit shall be effective until January 16,2030
Page 1 of 1

Permit Number:
sw�i�a�o
(to be provider!by DWQ)
Drainage Area Number:
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one): , ,� ^ 1_ E IVE.i:
❑ does ® does not incorporate a vegetated filter at the outl t
JAN 14 2014
This system (check one):
❑ does ® does not incorporate pretreatment other than 6ay
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected 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 should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
_ BMP element: Potentialproblem: How I will remediate theproblem:
The entire BMP Trash/debris is present. Remove the trash/debris.
The perimeter of the wet Areas of bare soil and/or Regrade the soil if necessary to
detention basin erosive gullies have formed. remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer ap plication.
Vegetation is too short or too Maintain vegetation at a height of
long. approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 0l 4

Permit Number:
r (to be provided by DWQ)
Drainage Area Number:
BMP element: Potentialproblem: How I will remediate theproblem:
The inlet device: pipe or The pipe is clogged. Unclog the pipe. Dispose of the
swale sediment off-site.
The pipe is cracked or Replace the pipe.
otherwise damaged.
Erosion is occurring in the Regrade the swale if necessary to
Swale. smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay Sediment has accumulated to Search for the source of the
a depth greater than the sediment and remedy the problem if
original design depth for possible. Remove the sediment and
sediment storage. dispose of it in a location where it
will not cause impacts to streams or
the BMP.
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. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf Best professional practices Prune according to best professional
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.
Weeds are present. Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area Sediment has accumulated to Search for the source of the
a depth greater than the sediment and remedy the problem if
original design sediment possible. Remove the sediment and
storage depth. dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over Consult a professional to remove
50%of the area. and control the algal growth.
Cattails, phragmites or other Remove the plants by wiping them
invasive plants cover 50%of with pesticide (do not spray).
the basin surface.
JAN 14 2014
Form SW401-Wet Detention Basin O&M-Rev.4 BY: 17 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element: Potentialproblem: How I will remediate theproblem:
The embankment Shrubs have started to grow Remove shrubs immediately.
on the embankment.
Evidence of muskrat or Use traps to remove muskrats and
beaver activity is present. consult a professional to remove
beavers.
A tree has started to grow on Consult a dam safety specialist to
the embankment. remove the tree.
An annual inspection by an Make all needed repairs,
appropriate professional
shows that the embankment
needs repair. (if applicable)
The outlet device Clogging has occurred. Clean out the outlet device. Dispose
of the sediment off-site.
The outlet device is damaged Repair or re lace the outlet device.
The receiving water Erosion or other signs of Contact the local NC Division of
damage have occurred at the Water Quality Regional Office, or
outlet. the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 4.0 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 4.0 feet in the forebay, the s gnn"t r tz
4 :
shall be removed.
II JAN 14 2014
BASIN DIAGRAM BY:
(lill in the blanks)
0 Permanent Pool Elevation 5.00
Sediment Removal E . 1.00 Pe nanen Pool
----------- -- Volume Sediment Removal Elevation 1.00 iY101Bo om Glevatio 0.00 ft Min. ---Sediment Bottom Elevation 0.00
Storage Sediment
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number:
(to be provided by DWQ)
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: Station 18, Hwy. 17
BAIIP drainage area number:I
Print name: Woody Sullivan
Title: Pender EMS And Fire, Inc.
Address: 805 Ridgewood Avenue Bur aw NCZ8425
Phone: [phone]
Signature:
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.
1, a Notary Public for the State of
County of1A) {IM(�IV_1.1 do hereby certify that
w LU. _personally appeared before me this
day of, CV1 1 . ��� _, and acknowledge the due execution of the
forgoing wet detention ba 'n maintenance requirements. Witness my hand and official
seal, � Q-Y��� uaA
w 9 C E
JAN 14 2014
BY:
SEAL
My commission expires
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 Of 4

Pv'� �1 `mC`:�91i"j,t1<„ _ ""DEMLR'.USE ONLYrify�. I,I �32�`i-z
Date Received Fee Paid Permit Number
L L o0
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3) the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 140108
2. Project name: Station 18 Highway 17
3. Project street address: 11401 US 1-1wy 17 N
City: Hampstead County: Fender ZIP
28433
4. What, if any, changes have been made to the project as permitted? None
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/abouUdivisions/energy-
minera l-land-resources/energy-mineral-land-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
orthe Permit Transferform available at: https://deg.nc.gov/abouUdivisions/enerqv-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: Pender EMS and Fire Inc.
2. Signing Official's Name: James Everett Baysden, Jr.
3. Signing Official's Title: Chief
4. Mailing Address: 805 Ridge Wood Ave.
City: Burgaw State: NC ZIP : 28425
5. Street Address: 805 Ridge Wood Ave. e
City: Burgaw State: NC ZIP : 28425
6. Phone: [phone] Email: lames.baysden(o)penderems.com
Roa 6 o aew
7 #4333
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

w _
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non-Coastal HQW/ORW1. 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:
JB 1. A permit application processing fee of$505.00 payable to NCDEQ.
JB 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.
JB 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.
JB 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.
JB 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.
& [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
�eFCe� p e
"IR 0 9 lUli
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
1, Tea. Cs C. Lit S Q the person legally responsible for the permit, certify that I have
a copy of the Permit ands M Agreeme on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built-upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, corre d complete.
Signature: ` 4 Date: � /2
NOTARIZATION:
I, 'w VU f :37 Uup 1, a Notary Public for the State of
r County of , do hereby certify
that personally appeared before me
this the am day of , 20�, and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
Js`,4� J'80
Seal) �
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n1zy Sig%d1AE 1-LU ,
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Stormwater Permit Renewal Application Form Page 3 of 3 May 1, 2018_,,,,.1^' __110

Permit No.✓: '?// _ /DY
(to be provx1ed by DWO)
OF W A rE9
®PA OG
\, rjj 9
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out,printed and submitted.
The Required Items Checklist(Part III)must be printed filled out and submitted along with all of the required information.
I: PROJECT INFORMATION- -
Project name Station 18,Hwy.17
Contact person John H.Richards,PE
Phone number 843-839-8424
Date 12/30/2013
Drainage area number Wet Detention Basin
IL.DESIGN INFORMATION. - -
Site Characteristics
Drainage area 52,370 f'
Impervious area,post-development 22,253 rys
impervious 42.49
Design rainfall depth 1.5 in
Storage Volume: Non-SA Waters
Minimum volume required 2,831 rya
Volume provided 3,736 fts
OK,volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
1.5'runoff volume Its
Pre-development 1-yr,24-hr runoff rys
Post-development 1-yr,24-hr runoff rys
Minimum volume required his
Volume provided f13
Peak Flow Calculations
Is the pre/post control of the 1yr 24hr storm peak flow required? N (Y or N)
1-yr,24-hr rainfall depth 3.9 in
Rational C,pre-development 0.35(tintless)
Rational C,past-development 0.46(unitless)
Rainfall intensity:1-yr,24-hr storm 0.16 in/hr OK
Pre-development 1yr,24-hr peak flow 0.08 rys/sec
Post-development 1-yr,24-hr peak Flow 0.03 ryslsec w"
PrelPost 1-yr,24-hr peak flow control -0.05 rys/sec JAN 14 2014
Elevations
Temporary pool elevation 41.00 fmsl
Permanent pool elevation 40.00 fmsl BY:---_-
SHWT elevation(approx.at the perm.pool elevation) 40.00 fmsl
Top of 1Oft vegetated shelf elevation 40.50 fmsl
Bottom of 10ry vegetated shelf elevation 39.50 fmsl
Sediment cleanout,top elevation(bottom of pond) 35.00 fmsl
Sediment cleanout,bottom elevation 34.00 fmsl
Sediment storage provided 1.00 It
Is there additional volume stored above the state-required temp.pool? N (Y or N)
Elevation of the top of the additional volume 41.0 fmsl OK
Form SW401-Wet Detention Basin-Rev.9-4/1e/12 Pans 1.8 11,Design Summary,Page 1 of 2

Permit No.
(robe orowdetl by DWQ)
It
II. DESIGN INFORMATION
Surface Areas
Area,temporary pool 4,251 ft'
Area REQUIRED,permanent pool 2,451 it'
SArDA ratio 4.68(unitless)
Area PROVIDED,permanent pool,Apa,m�„ 2,951 ft' OK
Area,bottom of 1Oft vegetated shelf,Aw,me1 2,175 ft'
Area,sediment cleanout,top elevation(bottom of pond),Aye,po„, 113 ffz
Volumes
Volume,temporary pool 3,736 ft3 OK
Volume,permanent pool,Vp m root 6,825 he
Volume,forebay(sum of forebays If more than one forebay) 1,275 fls
Forebay%of permanent pool volume 18.7%% OK
SAIDA Table Data
Design TSS removal 90
Coastal SArDA Table Used? Y (Y or N)
MountairdPiedmont SArDA Table Used? N (Y or N)
SAIDA ratio 4.68(unitless)
Average depth(used in SArDA table):
Calculation option 1 used?(See Figure 10-2b) N (Y or N)
Volume,permanent pool,V,n p,, 6,825 tta
Area provided,permanent pool,Ape,m-pod 2,951 it'
Average depth calculated 2.31 it Need 3It min.
Average depth used in SA/DA,day,(Round to nearest 0.511) It
Calculation option 2 used?(See Figure 10-2b) N (Y or N)
Area provided,permanent pool,Ape,R,p 2,951 ft'
Area,bottom of IOft vegetated shelf,Apo,mpn 2,175 ft'
Area,sediment cleanout,top elevation(bottom of pond),Aap,pp„d 113 ft2
'Depth'(distance law bottom of IOft shelf and top of sediment) 4.50 ft
Average depth calculated 2.80 ft Need 3 it min.
Average depth used in SArDA,de„(Round to dawn to nearest 0.5fd 3.0 it OK
Drawdown Calculations
Drawdown through orifice? Y (Y or N)
Diameter of orifice(if circular) 1.00 in
Area of orifice(if-non-circular) in'
Coefficient of discharge(Co) 0.60(unitless)
Drying head(He) 0.32 ft
Drawdown through weir? N (Y or N)
Weir type (unitless)
Coefficient of discharge IQ (unitless)
Length of weir(L) ft
Driving head(H) ft
Pre-development 1-yr,24-hr peak flow 0.08 ft'/sec
Post-development 1-yr.24-hr peak flow 0.03 ft'/sec
Storage volume discharge rate(through discharge orifice or weir) 0.00 ft'/sec
Storage volume drawdown time 2.21 days OK,draws down in 2-5 days.
Additional Information
Vegetated side slopes 3:1 OK , ,!!
Vegetated shelf slope 10:1 OK E v0-p'4'-.
Vegetated shelf width 10.0 It OK N
Length of flowpath to width ratio 3 :1 OK JAN 14 2014
Length to width ratio 3.0 :1 OK
Trash rack for overflow&odic*? Y (Y or N) OK
Freeboard provided 1.0 R OK BY'
Vegetated filter provided? N (Y or N) OK
Recorded drainage easement provided? Y (Y or N) OK
Capures all runoff at ultimate build-out? Y (Y or N) OK
Drain mechanism for maintenance or emergencies is:
Form SW401-Wet Detention Basin Rev.9 4/18/12 Parts I.&11.Design Summary,Page 2 of 2

0 . . Permit No.
(to be provided by DWO)
III. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met. If the applicant has designated an agent,the agent may initial below. If a
requirement has not been met,attach justification.
Page/Plan
Initials Sheet No.
C_3. 1 1. Plans(1'-50'or larger)of the entire site showing:
c tif, ] Design at ultimate build-out,
Off-site drainage(if applicable),
C 4, 3 Delineated drainage basins(include Rational C coefficient per basin),
EC I Basin dimensions,
c C Z Pretreatment system,
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way(ROW),
Overflow device,and
Boundaries of drainage easement.
3. 2. Partial plan(1"=30'or larger)and details for the wet detention basin showing:
y Z Outlet structure with trash rack or similar,
C 4 3 Maintenance access,
Permanent pool dimensions,
E� 4 � Forebay and main pond with hardened emergency spillway,
EC ' Z Basin cross-section, EDS
Vegetation specification for planting shelf,and
yM �tL'
C4,2 Filter strip. JAN f 4 2014 '
C y•3 3. Section view of the wet detention basin(1"=20'or larger)showing:
Side slopes,3:1 or lower, BV:-_
Pretreatment and treatment areas,and
Inlet and outlet structures.
Ciq• Z 4. If the basin is used for sediment and erosion control during construction,clean out of the basin is specified
S/2�� on the plans prior to use as a wet detention basin.
5. A table of elevations,areas,incremental volumes&accumulated volumes for overall pond and for forebay,
to verify volume provided.
E C - Z 6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
ne_"�. 7. The supporting calculations.
fAtH'1,�, ". ) 8. A copy of the signed and notarized operation and maintenance(O&M)agreement.
HTTac�•e. 9. A copy of the deed restrictions(if required).
►_4 ra 10. A soils report that is based upon an actual field investigation,soil borings,and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.9-4/16/12 Part III.Required Items Checklist,Page 1 of 1