SW7020915_CURRENT PERMIT_20030124

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW��/�,
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
5- 04�
YYYYMMDD

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek,P.E., Director
Division of Water Quality
DIVISION OF WATER QUALITY
January 24, 2003
Mr. Norman L. Koestline
778 Bragaw Lane
Chocowinity, NC 27817
Subject: Stormwater Permit No. SW7020915
Koestline Professional Center
High Density Stormwater Project
Beaufort County
Dear Mr. Koestline:
The Washington Regional Office received the completed
Stormwater Application for the subject project on November 21,
2002. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding
Permit No. SW7020915 dated January 24, 2003 to Mr. Norman
Koestline.
This permit shall be effective from the date of issuance until
January 24, 2013, and shall be subject to the conditions and
limitations as specified therein. 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, P.O. Drawer 27447, Raleigh, NC 27611-7447.
Unless such demands are made this permit shall be final and
binding.
943 Washington Square Mall Washington, N.C. 27889 Telephone (252) 946-Wl FAX [phone]

t
Mr. Norman L. Koestline
January 24, 2003
Page Two
If you have any questions, or need additional information
concerning this matter, please contact Bill Moore at (252) 946-
6481, extension 264.
Sincerely,
,�- Jim Mulligan
Water Quality Regional Supervisor
Washington Regional Office'
cc: Rivers & Associates, Inc
Beaufort County Inspections
Washington Regional Office
Central Files

State Stormwater Management Systems
PezmitNP. SW7020915
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE 5TQRRMWATER 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
Mr. Norman L. Koestline
Beaufort County
FOR THE
construction, operation and maintenance of stormwater management
systems in compliance with the provisions of 15A NCAC 2H.1000
(hereafter referred to as the "stormwater 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
Water Quality and considered a part of this permit for (3) Bio-
retention areas to serve the Koestline Professional. Center, located
at Chocowinity, NC.
This permit shall be effective from the date of issuance until
January 24, 2013 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 on page 4 of this permit, the
Project Data Sheet.
3. Approved plans and specifications for this project are
incorporated by reference and -are enforceable parts of the
permit.
3
go

DIVISION OF WATER QUALITY
PROJECT DATA
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Water Body Receiving Stormwater
Runoff:
Koestline Professional. Center
SW7020915
Beaufort County
Mr. Norman L. Koestline
778 Bragaw Lane
Chocowinity, NC 27817
9/23/02 - original
11/21/02 - complete
UT-Chocowinity Bay
Classification of Water Body: SC -NSW
Total Site Area: 1.96 acres
Allowable Impervious Area: 1.36 acres
Bio-Filter Storage Depths: 0.54 ft - Filter # 1
Required Surface Area:
Provided Surface Area:
Required Storage Volume:
Provided Storage Volume:
Controlling Orifice:
0.59 ft - Filter # 2
0.76 ft - Filter # 3
697 sf - Filter #1
793 sf - Filter #2
749 sf - Filter #3
1275 sf - Filter #1
1275 sf - Filter #2
933 sf - Filter #3
687 cf -- Filter 41
993 cf - Filter #2
710 cf - Filter 43
1275 cf - Filter 41
1275 cf - Filter 42
933 cf - Filter #3
33.55 outlet elev -- Filter #1
34.72 outlet elev - Filter 42
34.75 outlet elev - Filter #3
4

,1
4. No homeowner/lot owner/developer shall be allowed to fill in,
alter, or pipe any vegetative practices (such as swales) shown
on the approved plans as part of the stormwater management
system without submitting a revision to the permit and
receiving approval from the Division.
5. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Change of ownership
d. Redesign or addition to the approved amount of built -upon
area
e. Further subdivision of the project area.
In addition, the Director may determine that other revisions
to the project should require a modification to the permit.
6. 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.
II. SCHEDULE OF COMPLIANCE
1. The permittee will comply with the following schedule for
construction and maintenance of the stormwater management
system.
a. 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 surfaces
except roads.
b. During construction, erosion shall be kept to a minimum
and any eroded areas of the system will be repaired
immediately.
2. The facilities must be properly maintained and operated at all
times. The approved operation and Maintenance Plan must be
followed in its entirety and maintenance must occur at the
scheduled intervals.
3. The permittee shall at all times provide the operation and
maintenance necessary to assure the permitted stormwater
system functions at optimum efficiency including, but not
limited to:
5

a. Semi-annual scheduled inspections (every 6 months)
b: Sediment removal
c. Mowing and revegetation of side slopes
d. Immediate repair of eroded areas
e. Maintenance of side slopes in accordance with approved
plans and specifications
f. Debris removal and unclogging of outlet structure,
orifice device and catch basins and piping.
4. Records of maintenance activities must be kept and made
available upon request to authorized personnel of DWQ. The
records will indicate the date, activity, name of person
performing the work and what actions were taken.
S. This permit shall become voidable unless the facilities are
constructed in accordance with the conditions of this permit,
the approved plans and specifications, and other supporting
data.
6. Upon completion of construction 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. Mail the Certification to the
Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Water
Quality.
7. A copy of the approved plans and specifications shall be
maintained on file by the Permittee for a minimum of five
years from the date of the completion of construction.
III. GENERAL CONDITIONS
1. This permit is not transferable. In the event there is a
desire for the facilities to change ownership, or there is a
name change of the Permittee, a formal permit request must be
submitted to the Division of Water Quality accompanied by an
application fee, documentation from the parties involved, and
other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and
may or may not be approved.
2. Failure to abide by the conditions and limitations contained
in this permit may subject the Permittee to enforcement action
'by the Division of Water Quality, in accordance with North
Carolina General Statute 143-215.6(a) to 143-215.6(c).
0

• � i
3. 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) which have jurisdiction.
4. 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.
5. The permit may be modified, revoked and reissued or terminated
for cause. The filing of a request for a permit modification,
revocation and reissuance or termination does not stay any
permit condition.
Permit issued this the 24 th day of January', 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7020915
7

Stormwater Permit No. SW7020915
Koestline Professional Center
Chocowinity, NC
Grassed lined swales & (3) Bioretention Filters
Designer's Certification
T, , as a duly
registered Professional Engineer in the State of North Carolina,
having been authorized to observe (periodically/weekly/full time)
the construction of the project,
for
(Project)
(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.
Signature
Registration Number
Date

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
April 11, 2016
Mr. Norman L. Koestline
1005 N. Market Street
Washington, NC 27889
W a-1 Y �
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7020915
Koestline Professional Center
Beaufort County
Dear Mr. Koestline:
Direc(or
A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit
SW7020915 for a stormwater blo-retention system serving the Koestline Professional Center located at
the end of Bragaw Lane in Chocowinity, NC expires on January 24, 2017. This is a reminder that permit
renewal applications are due 180 days prior to expiration. We do not have a record of receiving a renewal
application.
Please submit a completed permit renewal application along with a $505.00 fee for permit renewal at
least 180 days prior to expiration of the permit. Permit application forms for renewal can be found on our
website at http://deq.nc.gov/abouttdivisions/energy-mineral-land-resources/energy-mineral-land-
permits/stormwater-permits/forms.
North Carolina General Statutes and the Coastal Stormwater rules require that this property be covered
under a stormwater permit. Failure to maintain a permit subjects the owner to assessment of civil
penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to discuss this by
phone or meet with you.
Sincerely,
Roger K. Thorpe
Environmental Engineer
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
943 Washington Square Mall. I Washington, NC 27889
252-946-6481 T

Koesdine Professional Center
0 Bioretention Area Maintenance _Agreement
Bioretention is a water quality practice using plants and soils for the removal of
pollutants from stormwater runoff. The following are maintenance guidelines for
bioretention areas.
I. Inspect monthly, or after every runoff -producing rainfall event:
i. Remove debris from the Bioretention area
ii. Check and clear the piping of any obstructions.
iii. Check the area side slopes; remove trash, repair eroded areas before next
rainfall.
H. Quarterly
i. Inspect the collection system for proper functioning. Clear accumulated
trash from basin grates and basin bottoms, and check piping for
obstructions.
ii. Reseed grassed swales, including the vegetated filter if applicable, twice a
year as necessary. Repair eroded areas immediately.
III. • Every 6 Months
i. Remove accumulated sediment from the bottom of the outlet structure.
ii. Remove any sediment build up in the Bioretention area.
iii. Apply an alkaline substance, such as limestone. Testing of the pH of the
organic layer and soil should precede the limestone application to
determine the amount of limestone required.
IV. General
i. Mow the side slopes according to season. Maximum grass height will be
6".
it. All components of the bioretention pond system must be kept in good
working order.
iii. plant material upkeep includes addressing problems associated with
disease or insect infestations, replacing dead plant material and any
necessary pruning.

Koestline Professional Center
El
LI
V. Special Requirements
Keep records of all maintenance activity. Records shall be available for
DWQ or Town of Chocowinity inspection upon request.
ii. Contact the Town of Chocowinity and DWQ for approval before making
any modifications to the bioretention areas.
I, e y P-07 *W 1,, [= S l �X�� hereby acknowledge that I am
financially responsible party for maintenance of this bioretention area. I will perform the
maintenance as outlined above, -as part of the Certification of Compliance with
Stormwater Regulations received for this project.
Signature: -- �y Date:
a Notary Public for the State of f YQr`Fit c_.GCO
County of f , do hereby certify that NOrMO n L a CS4'ne,
pers nally appeared before me this aC) f= day of r2002, and acknowledge
the e execution of the foregoing instrument. Witness ny haI and official seal,
A AAA 1 ![ .04P J? M /_Seal
My commission expires JUL J T Cal �Q f

State Stormwater Inspection Report
General
Project Name: � .4 O �
L
Permit No: SW —CQ1
Expiration Date:
Contact Person:
Phone Number:
Inspection 'Type:
Inspection Date:
Time In: 12:00 P
Time Out: 1 , d�
Current Weather: �Q
Recent Rain (Date)?
Rain — in
Location
Facility Address / Location:
City: �� Zip: County: Lat: "N Long: - `'W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek High Quality Waters Outslanding Resource Waters
Density (circle one): (�H:iig:h (1-ID) Low (LD)
Stormwater Best Mana mment Practices (BMPs) (insert number of each):
Wet Ponds,--'—Infil�rat Basins Infiltration Trenches LD Swales Stormwater Wetlands
Dry Ponds( I3ioretention Permeable Pavement Sand Filters (circle one) Open Closed
Cistern preader/1 ilter Strip Other (specifi):
File Review Yes No NIA NIE
1. Is the permit active?
2 Signed En ineer's Certification on file`?
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
,-
Site Visit: Built Hnon Area fBIJAI Yes No NIA NIE
5. BUA is constructed and consistent with the permit requirements? /
6. BUA aspermitted) is graded such that the runoff drains to the system? hi g density only
7. Drainage area is consistent with ermit? i.e. no un ermitted drainage to the SW BMPs
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs Yes No NIA NIE
9, Stormwater BMPs are located per the a roved fans?
10, Stormwater BMPs have dimensions (e g. length, width, area) matching the approved plans?
1 1, Storm%aater BMPs are constructed per the a rovedf laps?
Site Visit: Oneration and Maintenance Yes No NIA NIE
12. Access points to the site are clear and well maintained?
13. Trash has been removed as needed?
14. Excessive landscape debris (grass clippings, leaves, etc) is controlled?
15. Stormwater B1V11's being operated and maintained as per the permit requirements?
16. Ins ection and Maintenance records are available for inspection? high density only, 1995 — present only)
Yes No NIA NlE
L 17. Is the site compliant with other conditions of the permit?
Site Visit: Other Water Quality Issues Yes No NIA NIE
18. Is the site compliant with other water quality issues as noted during the inspection? v
state Stormwuter inspection Report, Version 3.0 Page I of 2

State Stormwater Inspection Report
has bee i re -des s3 7
On VICIUMS (some of the pictures taken during the site visit
Compliance Status ❑ Compliant ❑ Non -Compliant
Letter Sent (circle one), Yes No Letter type: CEI NOV NOVRE Other
Date Sent: Reference Number:
Inspector Name and Signature:
Date:
State Stormwaler Inspection Repon, Version 2.0 Page 2 of 2

BIORETENTION CELL: O & M Inspection Checklist
D
YES NO N A NE
INLET and PERIMETER
1. Inlet and Perimeter are free of erosive gullies and bare soil areas: ❑ ❑ ❑
2. Inlet device (swale, pipe, stone verge) is free of erosion, damage or clogs:
❑
❑
❑
3. Weir heights appear to match approved plans:
❑
❑
❑
PRETREATMENT
6
4. Flow is entering pretreatment area (not being bypassed): (),6?c:�--Z,"--O-\Q., Z❑
�]
y0
❑
5. Pretreatment area is"free of erosion:
❑
-El
❑
6. Pretreatment. area is free of excessive sediment or clogs:
5�
❑
;❑,
❑
MAIN TREATMENT AREA
7. Side slopes are 3:1 or less:
❑
❑
❑
8. The under drain system is free flowing and free of clogs (if applicable):
❑
❑
❑
9. Cleanout(s) and cap is provided for the under drain as per the approved plans:
❑
❑
❑
10. Heavy equipment has not been driven into the cell:
❑
❑
❑
11. Surface is free of piles of heavy materials (piles of mulch, etc):
❑
❑
❑
12. Ponding depth is 9-12 inches after rain:
❑
❑
❑-
4
13. All dimensions are >=10ft.:
❑
❑
❑
SOIL/MULCH and VEGETATION
14. Plants are healthy and being maintained:ra,]
❑
❑
❑
15. The proper amount and type of vegetation is present in the cell:
fj
❑
❑
❑
16. Mulch is in good condition (has not broken down or floated/migrated towards the outlet):
❑
❑
N
❑
17. Surface if free of excessive sediment and clogs:
❑
❑
❑
18. Trees are free of stakes/wires > 6 months after planting:
❑
❑
❑
19. The annual soil test shows the proper pH and absence of heavy metal accumulation:
❑
❑
❑
OUTLET
20. Outlet is free of evidence of improper drainage (no standing water, cattails, etc.):
❑
❑
❑
21. Outlet device (drop inlet, weir, etc.) is free of damage or clogs:
0
❑
❑
❑
22. Orifice size matches approved plans:']
❑
❑
❑
23. Outlet is free of damage, clogs, or erosion:'
❑
❑
❑
24. Relative elevations match approved plans:
❑
❑
❑
V3.3_09

or,
1t•
iv-AaA-,r s
&Associates,lnc. --
Since1918
September 25, 2009
Mr. Norman L. Koestline
Center 33, LLC
1005 N. Market Street
Washington, North Carolina 27889
Subject: Koestline Professional Center
Chocowinity, Beaufort County, North Carolina
Stormwater Management Permit No. SW7020915
Dear Norm:
EC ItiVE. V11
SEP 2 8 2009
Engineers
Planners
Surveyors
Attached is the completed NCDENR State Stormwater Permit Name / Ownership Change Form
and revised Stormwater BMP Operation and Maintenance Agreement for the subject project.
Completion of these forms is necessary to:
1. Change the name of the project to Center 33, and
2. Change the permit holder I owner from Norman L. Koestline to Center 33 LLC, PMC Inc.
and Fishing Creek Properties.
Please have these documents signed on behalf of all of the property owners and return to our
office to submittal to the NC Department of Environment and Natural Resources.
Do not hesitate to call me if you have any questions.
With best regards,
Rivers nd Associat s, Inc.
F. urward Tyson, Jr., P.E.
Project Manager
Attachment
cc: Mr. Al Hodge, w/attachments
NCDENR DWQ
943 Washington Square Mall
Washingtion, NC 27889
07 Dist Second Street. Greenville, NC 27858 • Post Office Box 929 • Greenville, NC 27835 + (252) 7.2-4I35 • FAX [phone]
E-mail: rivers@rivers:indassoci ites.coni

1
2
3
4
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Stormwater Management Permit Number: SW7020915
Permit Holder's Name: Norman L. Koestline
Signing official's Name: same Title: Developer
(person legaliy responsible for permit)
Mailing Address: 1005 N. Market Street
City:
Washington State: NC Zip. . 27889
Phone: ( ) 252-945-9428 Fax: { _
II. NEW OWNER 1 PROJECT 1 ADDRESS INFORMATION:
1. This request is for: (please check all that apply)
X a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
X b. Name change of project (Please complete Item #5 below)
X C. Mailing address change. (Please complete Item #4 below)
d. Other (please explain):
2
3
.19
5
New owner's name to be put on permit: Center 33, LLC 1 PMC Inc. 1 Fishing Creek Properties
New owner's signing official's name and title; see attached Owner / Address Information
Title:
New Mailing Address -
City: State: Zip:
Phone: { } Fax: ) _
New Project Name to be placed on permit: center 33
OwnershiplName Change-022309 Page 1 of 3

PERMIT NAME/OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed form.
2. Legal documentation of the transfer of ownership.
3. A copy of the recorded deed restrictions, if required by the permit.
4. The designer's certification, if required by the permit.
5. A signed Operation and Maintenance plan, if a system that requires maintenance will
change ownership.
6. Maintenance records.
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT
HOLDER AND THE NEW APPLICANT IN THE CASE OF A CHANGE OF OWNERSHIP.
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION.
Current Permittee's Certification:
i Norman L. Koestline , attest that this application for a name/ownership
change has been reviewed and is accurate and complete to the best of my knowledge.
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as incomplete.
Signature:
Date:
New Applicant's Certification: (Must be completed for alf transfers of ownership)
see attached signature page , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that it all required
supporting information and attachments are not included, this application package will be
returned as incomplete.
Signature:
Mail the entire package to: NCDENR Division of Water Quality
Surface Water Protection Section — Stormwater
at the Appropriate Contact Address (see the following page)
Ownership/Name Change-022309 Page 2 of 3

Owner 1 Address Information:
Center 33, LLC
1005 N. Market Street
Washington, NC 27889
I, , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge.
understand that if all required parts of this application are not completed and that if all
required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:
PMC Inc.
1520 Blue Ridge Road
Raleigh, NC 27607
I, , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all
required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature:
Fishing Creek Properties
116 E. Shoreline Drive
Belhaven, NC 27810
Date:
i, , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge.
understand that if all required parts of this application are not completed and that if all
required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:

Center 33 Chocowinity, NC
Bioretention Area Maintenance Agreement
Bioretention is a water quality practice using plants and soils for the removal of pollutants from
stormwater runoff. The following are maintenance guidelines for bioretention areas.
I. Inspect monthly, or after every runoff -producing rainfall event:
i. Remove debris from the bioretention area
ii. Check and clear the piping of any obstructions.
iii. Check the area side slopes; remove trash, repair eroded areas before next rainfall.
II. Quarterly
i. Inspect the collection system for proper functioning. Clear accumulated trash
from basin grates and basin bottoms, and check piping for obstructions.
ii. Reseed grassed swales, including the vegetated filter if applicable, twice a year as
necessary. Repair eroded areas immediately.
III. Every 6 Months
i. Remove accumulated sediment from the bottom of the outlet structure.
ii. Remove any sediment build up in the bioretention area.
iii. Apply an alkaline substance, such as limestone. Testing of the pH of the organic
layer and soil should precede the limestone application to determine the amount
of limestone required.
IV. General
i. Mow the side slopes according to season. Maximum grass height will be 6".
ii. All components of the bioretention pond system must be kept in good working
order.
ii i. Plant material upkeep includes addressing problems associated with disease or
insect infestations, replacing dead plant material and any necessary pruning.
V. Special Requirements
Keep records of all maintenance activity. Records shall be available for DWQ or
Town of Chocowinity inspection upon request.
ii. Contact the Town of Chocowinity and DWQ for approval before making any
modifications to the bioretention areas.
Page 1 of 4

Center 33
Chocowinity, NC
Center 33, LLC
1005 N. Market Street
Washington, NC 27889
I,
hereby acknowledge that I am financially
responsible party for maintenance of these stonnwater BMPs. I will perform the maintenance as
outlined above, as part of the Certification of Compliance with Stormwater Regulations received
for this project.
Signature:
I,
County of
appeared before me this
Date:
a Notary Public for the State of
do hereby certify that
personally
day of , 2009, and acknowledge the due execution
of the foregoing instrument. Witness my hand and official seal,
Seal
My commission expires
Page 2 of 4

Center 33
Chocowinity, NC
PMC Inc.
1520 Blue Ridge Road
Raleigh, NC 27607
hereby acknowledge that I am financially
responsible party for maintenance of these stormwater BMPs. I will perform the maintenance as
outlined above, as part of the Certification of Compliance with Stormwater Regulations received
for this project.
Signature:
I,
Date:
a Notary Public for the State of
County of , do hereby certify that
personally
appeared before me this day of , 2009, and acknowledge the due execution
of the foregoing instrument. Witness my hand and official seal,
Seal
My commission expires
Page 3 of 4

Center 33 Chocowinity, NC
Fishing Creek Properties
116 E. Shoreline Drive
Belhaven, NC 27810
I,
hereby acknowledge that I am financially
responsible party for maintenance of these stormwater BMPs. I will perform the maintenance as
outlined above, as part of the Certification of Compliance with Stormwater Regulations received
for this project.
Signature:
I,
Date:
a Notary Public for the State of
County of , do hereby certify that personally
appeared before me this day of , 2009, and acknowledge the due execution
of the foregoing instrument. Witness my hand and official seal,
Seal
My commission expires
Pate 4 of 4

•
OFFICEMSE�ONLY" a?.
Date Received Fee Paid Permit Number
pr ►' c} Z 3 o y ZO stfl/ O / �
State of North Carolina
Reg 1111¢ Department of Environment and Natural Resources
Division of Water Quality
if Lee 1//L/ _
/A4 STORMWATER MANAGEMENT PERMIT APPLICATION FOR MMEWED
This form may be photocopied for use as an original
Nov 2 12002
I. GENERAL INFORMATION
PWQ.WARO
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project
Norman L. Koestline
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Norman L. Koestline
3. Mailing Address for person listed in item 2 above:
778_Bragaw Lane
City: Chocowinity State: NC Zip: 27817
Telephone Number: 252 940-1034
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Koestline Professional Center
5. Location of Project (street address):
NC Highway 33
City: Chocowinity County: Beaufort
6. Directions to project (from nearest major intersection):
East approximately 1/2 mile from intersection of US Hwy 17 and NC Hwy 33.
Project is on the left just before Bragaw Lane.
7, Latitude: N 350 3.0.5' Longitude: W 770 5.5' of project
8. Contact person who can answer questions about the project:
Name: Jim Poteet Telephone Number: ( _252 ) 975-1400
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
Form SWU-101 Version 3.99 Page 1 of

2, If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
Low Density X High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
_CAMA Major X Sedimentation/Erosion Control 404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project .
Stormwater will be treated by flowing over a grassed swale and then into
a bioretention cell.
2. Stormwater runoff from this project drains to the Tar /Pamlico River basin.
3. Total Project Area: 1.96 acres
5. How many drainage areas does the project have? 4
4. Project Built Upon Area: 69
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
Basin Information
Drainage Area 1
Drainage"Area 2
Receiving Stream Name
Pamlico River
Pamlico River
Receiving Stream Class
Drainage Area
0.34 AC.
0.40 AC.
Existing Impervious* Area
0 AC.
0 AC.
Proposed Impervious*Area
0.23 AC.
0.24 AC.
% Impervious' Area (total)
68%
61%
Impervious" Surface Area`
Drainage Area 1
Drainage Area 2 '
On -site Buildings
0
0
On -site Streets
0
0
On -site Parking
0.23 AC.
0.22 AC.
On -site Sidewalks
0
.02 AC.
Other on -site
0
0
Off -site
0
0
Total: 0.23 AC.
Total: 0.24 AC.
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of

7. How was the off -site impervious area listed above derived?
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
I. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot 5haI1 be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. Allpennitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form SWU-101 Version 3.99 Page 3 of 4

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm): Rivers and Associates, Inc.
Mailing Address: 107 East: Second Street - PO Box 929
City: Greenville
State: NC
Phone: ( 252 ) 752-4135 Fax: ( 252
VIII. APPLICANT'S CERTIFICATION
— Zip: 27858 -- Street
752-3974 27835 - PO
I. (print or type name of person listed in General Information, item 2)
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of 15A
NCAC ZH .1000. /
" 7Z&
Form SWU-101 Version 3.99 Page 4 of 4
Date: 4z

ATTACHMENT 'A'
Basin Information ^"{
Drainage Area 3
Drainage, Area.4
Receiving Stream Name
Pamlico River
Pamlico River
Receiving Stream Class
Drainage Area
.37 Ac.
.69 Ac.
Existing Impervious Area
0
0
Proposed Impervious Area
.23 Ac.
.66 Ac.
% Impervious Area total
62%
96%
Impervious Surface.Area
Drainage Area 3
Drainage Area 4
On -site Buildings
.23 Ac.
0 Ac.
On -site Streets
0 Ac.
0 Ac.
On -site Parking
0 Ac.
.66 Ac.
On -site Sidewalks
.003 Ac.
Other on -site
Off -site
0 Ac.
Total: .23 Ac.
Total: .66 Ac.
Total area in site is 1.96 Acres. The sum of the Drainage Areas is 1.80 Acres.
The difference is a result of .16 Acres draining directly into roadside ditches
and not into any of the four drainage areas.
T
/, g PA
1. 76
LCEIVED
NOV 2 12002
DWQ-WARO

Rivers
_ &Associates,
J I Inc.
TO: NC Department of Environment
and Natural Resources
Division of Water Quality
943 Washington Square Mall
Washington, North Carolina 27889
GENTLEMEN:
WE ARE SENDING YOU
[ ] Shop Drawings
[ ] Copy of letter
Engineers / Planners I Surveyors • Greenville, North Carolina
LETTER OF TRANSMITTAL
Date Job No. — --
November 20, 2002
ATTENTION:
Mr. William J. Moore
SUBJECT:
Koestline Professional Center
Stormwater Management Plan
Washington, North Carolina
JX] Attached [ ] Under separate cover via
[ ] Prints [ ] Plans [ ] Samples
[ ] Change order [ ] Other
Courier
[ ] Specifications
the following; items:
COPIES
DATE
No.
DESCRIPTION
2
11/20/02
Narrative and Calculations RECEIVED
2
11/20/02
W-2614
Construction Plans
1
Permit Application
NOV 2 12002
DWQ-WARO
THESE ARE TRANSMITTED as checked below:
[X] For approval [ ] Approved [ J Resubmit Copies for approval
[ 1 For your use [ ] Approved as noted [ ] Submit copies for distribution
[ ] As requested [ ] Disapproved [ ] Return corrected prints
( ] For review and comment [ ] Other
REMARKS:
Attached for your review and approval is the revised submittal package per our phone conversation
on November 14, 2002,
Please do not hesitate to call if you have any questions or need any additional information.
With str-ga
COPIES TO: Jim Poteet, Built Right, LLC SIGNED: .�
lfeaclusures rare not ag noted, kindly nnlifiy us at once F. Durwar Tyson, Jr., P.E.
d tyson©riversandassocia tes.cont
107 East Second Street * Post Office Box 929 Greenville, North Carolina 27835 * [phone] " FAX [phone]
8410 Falls of Neuse Road, Suite 0 * Raleigh, North Carolina 27615 * [phone] * FAX [phone]