SW7141007_CURRENT PERMIT_20221017

ROY COOPER
Governor
ELIZABETH S.B1SER as_
Secretary
BRIAN WRENN NORTH CAROLINA
Director Environmental Quality
October 17, 2022
DLS Properties, LLC
Attention: Dolly L. Smith, Manager
2123 Cowper Dr.
Raleigh, NC 27608
Subject: Stormwater Permit No. SW7141007 Renewal
Dollar General — Chowan County
High Density Project
Chowan County
Dear Dolly L. Smith:
The Washington Regional Office received a Stormwater Management Permit
Application for renewal of the subject permit on September 20, 2022. Staff review of the
application has determined that the permit can be reissued. We are forwarding Permit
No. SV 7141007 dated October 17, 2022, for the continued operation of the existing
stormwater treatment system.
This permit, upon its effective date, will replace all previous State Stormwater permits
for this project. This permit shall be effective from November 25, 2022, until November
24, 2030, and shall be subject to the conditions and limitations as specified therein and
does not supersede any other agency permit that may be required. Please pay special
attention to the Operation and Maintenance requirements in this permit. Failure to
establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714.
Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact me at [phone].
Ec Glandon Forest Equity, LLC
Sincerely,
Roger K. Thorpe
Environmental Engineer
� �� d-r•t nash-e.-rgcatol nQ Sqe a ,Mail toWn aosf Nnegrm n bN,-r.trhs Carolina
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE 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
DLS Properties, LLC
Dollar General— Chowan County
Located on NC Hwy 32 (Virginia Road), Edenton, NC
Chowan County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with
the provisions of 15A NCAC 2H .1000 (hereafter referred to as the 'rstonnwater rules')
and the approved stormwater management plans and specifications and other
supporting data as attached and on file with and approved by the Division of Energy,
Mineral, and Land Resources (Division) and considered a part of this permit.
This permit shall be effective from November 25, 2022, until November 24, 2030, and
shall be subject to the following specified conditions and limitations:
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 32,327 square feet of impervious area.
3. The tract will be limited to the amount of built-upon area indicated in Section I. of
this permit, and per approved plans.
4. 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.
North Carolina Department ofEnvironmental Quality Division of Energy.Mineral and Land Resources
E Washington Regional Office 943 Washington Square Mall I Washington,North Carolina 27889
252.946.648t

f
5. The runoff from all built-upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built-upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, ftz: 56,795
b. Total Impervious Surfaces, ftz: 32,327
C. Design Storm, inches: 1.5
d. Pond Depth - average, feet: 3.0
e. TSS removal efficiency: 90%
f. Permanent Pool Elevation, FMSL: 34.60
g. Permanent Pool Surface Area required, ftz: 3,692
h. Permanent Pool Surface Area, ftz: 4,060
i. Min. Volume required, ft3: 3,980
J Permitted Storage Volume, ft3: 4,010
k. Temporary Storage Elevation, FMSL: 23.90
I. Controlling Orifice: 1.00"0 pipe
M. Permitted Forebay Volume, ft3: 1,602
n. Receiving Stream/River Basin: Rockyhock Creek/Chowan River Basin
o. Stream Index Number: 25-22
p. Classification of Water Body: "B; NSW"
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 optimum
efficiency. 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. Mowin.9 and re-vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
North Carolina Department of Environmental Quality Division of Energy.Mineral and Land Resource's
D_E Washington Regional Office 943 Washington Square Mall I Washington,North Carolina 27889
252.946.6481

4. Records of maintenance activities must be kept for each permitted SCM. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Energy, Mineral, and Land
Resources an annual summary report of the maintenance inspection records for
each SCM. The report shall summarize the inspection dates, results of the
inspections, and the maintenance work performed at each inspection.
6. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
8. 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.
9. 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.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built-upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built-upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
�Qffl%75 North Carolina Department of Environmental Quality Divislon of Energy.Mineral and Land Resources
Washington Regional Office 943 Washington Square Mall 1 Washinyt on,North Carolina 27889
252.946,6481

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. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Energy,
Mineral, and Land Resources, signed by both parties, and accompanied by
supporting documentation as listed on page 2 of the form. The project must be in
good standing with the Division. The approval of this request will be considered
on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Energy, Mineral,
and Land Resources, in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DEQ Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re-issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
^�. North Carolina Department of Environmental Quality Division of Energy,Mineral and Land Resources
Washington Regional Office 943 Washington Square Mall 1 Washington,North Carolina 27889
252946.6481

9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. 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
as allowed by the laws, rules and regulations contained in Title 15A NCAC
211.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing address
changes at least 30 days prior to making such changes.
12. 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.
13. This permit shall be effective November 25, 2022, until November 24, 2030.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 17 th day of October 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
_. --- ----
---- For
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7141007
Y�i) 3,(\ North Carolina Department of Environmental Quality Dlvislon of Energy.Mineral and Land Resources
V— �O Washington Regional Office 943 Washington Square Mall I Washington,North Carolina 27689
G
252.446.6481

DEMLR USE ONLY
D to Received Fee Paid Permi Number
Q
(�? ��f j
v � O " T D C DEQ Division of Energy, Mineral and Land Resources
SEP 19 2022 STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
By
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 6 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: SW7141007
2. Project name: Dollar General Store# 15847
3. Project street address: 1503 Virginia Rd
City: Edenton County: Chowan ZIP : 27932
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 fora Major
Modification or Minor Modification Application form available at:httos://deg.nc.gov/abouUdivisions/energv-
mineral-land-resources/energv-mineral-land-rules/stormwater-Drop ram/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/abouUdivisions/energv-mineral-land-
resources/energy-mineral-land-rules/stormwater-Drogram/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property. /
1. Current Permit Holder's Company Name/Or ization: DLS Properties, LLC o/
2. Signing Official's Name: Dolly L. Smith
3. Signing Official's Title: Manager/Member-sole proprieter
4. Mailing Address: 2123 Cowper Drive
City: Raleigh State: NC Zip : 27608
5. Street Address: 2123 Cowper Drive
City: Raleigh State: NC —Zip : 27608
6. Phone: (919 ) 740-7789 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 HQ W/ORIM. 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:
DLS 1. A permit application processing fee of$505.00 payable to NCDEQ.
DLS 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.
DLS 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.
DLS 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.
DLS 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.
DLS 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.
DLS 7. [IF APPLICABLE]When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation,which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018

D. PERMITTEE'S CERTIFICATION
1, Dolly L Smith the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built-upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, correct complete.
Signature: Date:
NOTARION:
1, Oren eq. 4b acs a Notary Public for the State of
N G 0 , County of (�0. do hereby certify
that o Sal I+f\ personally appeared before me
this.the (t 1 day of S'2 24g,.v lW 20 and acknowledge the due
0 of the forgoing instrument. Witness my hand and official seal,
on
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x �7Notary ell)
r� �ji' Peary "'
ature:
�qKE CO,�••
"4I+Ay d6inmission expires
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

,TAN N 3q V V a / 'O
ROY COOPER °'>
Governor v. -�
ELIZABETH S.BISER a
Secretary
BRIAN WRENN NORTH CAROLINA
Director Environmental Quality
September 12, 2022
US Properties, LLC
Attention: Dolly L. Smith, Manager
2123 Cowper Dr.
Raleigh, NC 27608
Subject: Stormwater Permit No. SW7141007 Transfer of Ownership
Dollar General — Chowan County
High Density Project
Chowan County
Dear Dolly L. Smith:
The Washington Regional Office received a Stormwater Management Permit
Application for transfer of ownership of the subject permit on May 13, 2022. By e-mail
dated May31, 2022 you were advised that this permit had an expiration date of
November 24, 2022, and that a renewal application was required to extend the permit.
No response has been received to that e-mail and we have been unable to contact you
by telephone. We are transferring Permit No. SW7141007 dated September 12, 2022,
with an expiration date of November 24, 2022, for the continued operation of the
existing stormwater treatment system. Please be advised that renewal applications
were due 180 days prior to expiration. You should immediately submit a renewal
application and a $505.00 processing fee. Failure to submit the renewal application prior
to permit expiration will result in the Division pursuing an enforcement action for
operating a stormwater treatment system without a permit as required by the North
Carolina General Statutes and the Stormwater Rules 15A NCAC 02h .1000. Failure to
maintain a stormwater permit for this project may result in the assessment of civil
penalties of up to $25,000 per day.
This permit, upon its effective date, will replace all previous State Stormwater permits for
this project. This permit shall be effective from the date of issuance until November 24,
2022, and shall be subject to the conditions and limitations as specified therein and does
not supersede any other agency permit that may be required. Please pay special attention
to the Operation and Maintenance requirements in this permit. Failure to establish an
adequate system for operation and maintenance of the stormwater management system
will result in future compliance problems.
® North Carolina Department of Environmental Quality Division.of Energy—Mineral and Land Resources
Washington Regional Cf6ce '�, 943 Washington 5quare Mail ' Washington.North Carolina 27889
`o;roi�mmi�:w. wx..elry 25?r)Y J5.h43i

Page 2
September 12, 2022
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714.
Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact me at [phone].
Ec Glandon Forest Equity, LLC
Sincerely,
V
Roger K. Thorpe O
Environmental Engineer
ry,A c-Cn n t�eea r r i [ 'mai > .slon 2f r 9+ lineral and Land Resour:es
D `E` Q av;r y;ra 3 rc sn n i.r�q -\Iz I btiasi rnrn North Carolina 2i389
Mo+�mecr mnmmui pui 2 16

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE 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
DLS Properties, LLC
Dollar General— Chowan County
Located on NC Hwy 32 (Virginia Road), Edenton, NC
Chowan County
FOR THE
construction, operation and maintenance of one wet detention pond in compliance with
the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwaterrules')
and the approved stormwater management plans and specifications and other
supporting data as attached and on file with and approved by the Division of Energy,
Mineral, and Land Resources (Division) and considered a part of this permit.
This permit shall be effective from the date of issuance until November 24, 2022, and
shall be subject to the following specified conditions and limitations:
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 32,327 square feet of impervious area.
3. The tract will be limited to the amount of built-upon area indicated in Section I. of
this permit, and per approved plans.
4. 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.
North Carolina Department of Environmental Quality Division of Energy,Mineral and Land Resources
Washington Regional Office '.. 943 Washington Square Mall I Washington.North Carolina 27889
�momc.. 1%� 252.946.6481

5. The runoff from all built-upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built-upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, ftz: 56,795
b. Total Impervious Surfaces, ftz: 32,327
C. Design Storm, inches: 1.5
d. Pond Depth - average, feet: 3.0
e. TSS removal efficiency: 90%
f. Permanent Pool Elevation, FMSL: 34.60
g. Permanent Pool Surface Area required, ftz: 3,692
h. Permanent Pool Surface Area, ftz: 4,060
i. Min. Volume required, ft3: 3,980
j. Permitted Storage Volume, ft3: 4,010
k. Temporary Storage Elevation, FMSL: 23.90
I. Controlling Orifice: 1.00"0 pipe
M. Permitted Forebay Volume, ft3: 1,602
n. Receiving Stream/River Basin: Rockyhock Creek/Chowan River Basin
o. Stream Index Number: 25-22
P. Classification of Water Body: "B; NSW"
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 optimum
efficiency. 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. Mowin.9 and re-vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
D North Carolina Department of Environmental Quality Division of Energy,Mineral and Land Resources
Washington Regional Office 943 Washington Square Mall i Washington,North Carolina 27889
-xw Nu•-..o.�tia.xM� 252,940.6481

4. Records of maintenance activities must be kept for each permitted SCM. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Energy, Mineral, and Land
Resources an annual summary report of the maintenance inspection records for
each SCM. The report shall summarize the inspection dates, results of the
inspections, and the maintenance work performed at each inspection.
6. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
8. 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.
9. 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.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built-upon area, details, etc.
b. Project name change.
G. Transfer of ownership.
d. Redesign or addition to the approved amount of built-upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
r North Carolina Department of Environmental Quality j Division of Energy,Mineral and Land Resources
CWashington Regional Office 943 Washington Square Mall 1 Washington,North Carolina 27889
252.9•lti.o38I

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. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Energy,
Mineral, and Land Resources, signed by both parties, and accompanied by
supporting documentation as listed on page 2 of the form. The project must be in
good standing with the Division. The approval of this request will be considered
on its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Energy, Mineral,
and Land Resources, in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DEQ Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re-issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
North Carolina Deparhnent of Envirotnnental Quality Division of Energy.Mineral and Land Resources
D_E Washington Regional Office 943 Washington Square Nall I Washington,North Carolina 27889
252.9.16.n481

9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. 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
as allowed by the laws, rules and regulations contained in Title 15A NCAC
2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing address
changes at least 30 days prior to making such changes.
12. 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.
13. This permit shall be effective from the date of issuance until November 24,
2022. Application for permit renewal shall be submitted 180 days prior to the
expiration date of this permit and must be accompanied by the processing fee.
Permit issued this the 12 th day of September 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
For
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7141007
� C North Carolina Department of[nvironmentai Quality Division o Energy,Mineral and Land Resources
�v Washington Regional Office _ 943 Washington Square Mali I Washington,North Carolina_>7889
� u�+�0" 252.946.b48I

Thorpe, Roger
From: Thorpe, Roger
Sent: Tuesday, May 31, 2022 4:33 PM
To: dollysmithl @gmail.com
Cc: Ashley Davis
Subject: Stormwater Permits SW7141007 - Dollar General - Chowan County and SW7141105 -
Dollar General - Gates County
Attachments: Perm it-Renewal-Application-.docx
Dolly Smith
We received Stormwater permit applications to transfer ownership of both of the subject stormwater permits from
Glandon Forest Equity, LLC to DLS Properties, LLC. One of these permits expires in November (SW7141007 )and one
expires in December(SW7141105). Renewal applications are due 180 days prior to their expiration. Please submit
renewal applications along with a $505.00 processing fee for each. Once we receive these renewal applications we will
renew and transfer the permits. I have attached a copy of the renewal application for your use. If you have any
questions please give me a call.
Thanks
Roger
Roger K. Thorpe
Environmental Engineer
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
252-948-3923 office
roper.thorgeCa)ncden r.gov
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Uapasipmnt of Enrlraflmaapsl Gaati
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
1

Thorpe, Roger
From: Thorpe, Roger
Sent: Tuesday, May 24, 2022 4:59 PM
To: Ashley Davis
Cc: [e-mail]
Subject: Dollar General - Chowan County SW7141007 and Dollar General - Gates County
SW7141105 Stormwater permit applications
Ashley
We have received the two subject stormwater permit transfer applications. Both permits also need to be renewed at
this time. This will require renewal applications and separate fees. Let me know if you have any questions.
Roger
Roger K. Thorpe
Environmental Engineer
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
252-948-3923 office
roger.thorpe(o)ncdenr.gov
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
N��' RA Q>
Oak
omea.tenan:ar�.�;r ,ouanro� �yr�*.s
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
t

ULMLK USL ONLY
Date Received Fee Paid Permit Number
-15 - � 022 505 SV-714 100
D �I DEQ Division of Energy, Mineral and Land Resources
MAY 13 2022 U STATE STORMWATER:
PERMIT TRANSFER APPLICATION FORM
By
A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: htw.,Ildeg.nc.00v/contact/regional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until.
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G.S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official(for current and proposed permittee) must meet the following:
• Corporation -a principal executive officer of at least the level of vice-president;
• Limited Liability Company(LLC) -the designated manager,' (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
Municipality-a ranking official or duly authorized employee;
Partnership or limited partnership- the general partner;
• Sole proprietor;
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW7141007 8
2. Project name: Dollar General—Chowan County
Is this an updated project name from the current permit? ❑ Yes X❑ No
3. Reason for the permit transfer request:
Property being transferred to new ownership
Stormwaler Permit Transfer Application Form Page 1 of 7 April 27, 2018

i
B. PERSON(S) WHO HAVE SIGNED THIS FORM (select only one response below)
X 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F& G).
In accordance with G.S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent(50%) of the units or lots to owners other than
a declarant(provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act(see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
❑ 3. Only the proposed permittee (skip Part D below).
In accordance with G.S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ a. The proposed permittee is either(select one of the following):
❑ The successor-owner who holds title to the property on which the permitted activity is
occurring or will occur;
❑ The successor-owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other(please explain):
❑ c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor-owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
Stormwater Permit Transfer Application Form Page 2 of 7 April 27, 2018

C. SUBMITTAL REQUIREMENTS
Please mark"Y"to confirm the items are included with this form. Please mark W"if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143-215.3D(e)(2).
Y 2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
Y 3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
Y 4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s) from the proposed permittee, as required by the permit.
Y 5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
Y 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
NA 7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built-upon area or the maximum
allowed total built-upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
NA 8. If transferring under G.S. 143-214.7(c2) (i.e., Part 8, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
NA 9. If transferring under G.S. 143-214.7(c5) (i.e., Part 8, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
NA 10. A copy of the lease agreement if the proposed permittee is the lessee.
NA 11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
NA 12. A copy of the development agreement if the proposed permittee is the developer.
Stormwater Permit Transfer Application Form Page 3 of 7 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization: Glandon Forest Equity
2. Signing Official's Name: George Barnes
3. Signing Official's Title: Member/Manager
4. Mailing Address: 3825 Barrett Drive Suite 100
City: Raleigh State: INC ZIP : 27609
5. Street Address: 3825 Barrett Drive Suite 100
City: Raleigh State: NC ZIP : 27609
6. Phone: [phone] Email: gbarnesa_vanguardpg.com
I, George Barnes the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. 1 hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
X❑ the most recent permit;
X❑ the designer's certification for each SCM;
X❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
X❑ the approved plans and/or approved as-built plans;
X❑ the approved operation and maintenance agreement;
X❑ past maintenance records from the previous permittee (where required);
X❑ a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by-the DE MLR unless and until the facility is in complian a wi the permit.
Signature: Date: 5 3 ZZ-
I, Nt CO 1 Joy'k5 a Notary Public for the State of
County of Frag-1t -\ do hereby certify
that C�tA, %, r Jcax (U.)3 personally appeared before me
this the �b day of 201eL , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
�In11 _ go�� NorgR o s
Notary Signature: ' U( �� �
�n "^ _�� T �ss°NExpy �cog
a y A OS 23Rf S a
My commission expires C� CAS' �j 3.,y��� V9LIC
OIUTAtt„``rp
Stormwater Permit Transfer Application Form Page 4 of 7 April 27, 2018

E. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
X❑ Property owner (Also complete Part F.)
❑ Home Owners Association (HOA), Property Owners Association (POA), or Unit Owner Association
(UOA) (Also complete Part F.)
❑ Lessee-Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser-Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F& G.)
❑ Developer-Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co-permittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F & G.)
2. Proposed permittee name (check one of the following and provide the name):
X❑ Corporation, LLC, Partnership, Municipality name: DLS Properties LLC
❑ HOA/ POA/ UOA name:
❑ Sole Proprietor
3. Proposed permittee contact information:
Please be sure to provide Email.
a. Signing Official's Name: Dolly Smith
b. Signing Official's Title:
c. Mailing Address: 2123 Cowper Dr
d. City: Raleigh State: NC ZIP : 27608
e. Street Address:
City: State: ZIP
f. Phone: [phone] Email: dollvsmith1Ccilgmail com
4. If there is a Management Entity that manages the property for an HOA, PDA or UOA, please provide:
Please be sure to provide Email.
a. Management Company or Business name: NA
b. Contact Name: Title:
c. Mailing Address:
d. City: State: ZIP:
e. Phone: (_) Email:
Stormwaler Permit Transfer Application Form Page 5 of 7 April 27, 2018

F. PROPOSED PERMITTEE CERTIFICATION
I, Dolly Smith , hereby notify the DEMLR that I have acquired through sale, lease, development agreement, or
other legal transfer, the project/property covered by the stormwater management permit and/or the responsibility
for constructing and/or operating and maintaining the permitted stormwater management system. I acknowledge
and attest that 1 have received a copy of: (select all that apply):
X❑ the most recent permit;
X❑ the designer's certification for each SCM;
X❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
X❑ the approved plans and/or approved as-built plans;
X❑ the approved operation and maintenance agreement;
X❑ past maintenance records from the previous permittee (where required);
X❑ a copy of the most recent inspection report;
❑ Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule"addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule"must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built-upon area as shown on the
approved plans; and I will {construct}, operate and maintain the approved stormwater management system
pursuant to the require//r//��//ent4�s listed in the permit and i the operation and maintenance agreement.
Signature: rCJ«K��C�� Date:
I, ,lle rman Al, W4APotm a Notary Public for the State of A C
County of , do hereby certify that 11v Z e e ;�
personally appeared before me this the_ '�day of 20424 and
acknowledge the due execution of the forgoing instrument. Witness my h nd and official seal,
(Notary Seal)
Sherr ann N. Hepps
NOTARY PUBLIC
�/ Wake County
Notary Signature �,�C711 U L4C(4LA=�r North carolina 2s2s
My Commission Expires March 75,
My commission expires
Stormwaler Permit Transfer Application Form Page 6 of 7 April 27, 2018

G. PROPERTY OWNER INFORMATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization: NA
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City: State: ZIP : _
Phone: (_) Email:
I, hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the day of
20 , and acknowledge the due execution of the forgoing instrument. Witness
my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires
Stormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018