SW7051007_CURRENT PERMIT_20060306

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 7OSl/%l%7
DOG TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

Michael F. Easley, Governor {N',�o
=!bu
Lad-i
Mr. Allen C. Bardwell, Jr
Birdland Properties, LLC
902 Cara Cara Drive
New Bern, NC 28560
Dear Mr. Bardwell:
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 6, 2006
Subject: Stormwater Permit No. SW7051007
Carolina Quick Lube and Super Wash
High' Density Project
Craven County
The Washington Regional Office received a complete Stormwater Management Permit Application for
Carolina Quick Lube and Super Wash on March 6, 2006. 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. SW7051007 dated March 6, 2006, for the
construction of the subject project.
This permit shall be effective from the date of issuance until March 6, 2016, 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.
If you have any questions, or need additional information concerning this matter, please contact Amy
Franklin, or myself at [phone].
Si A
erel
L ,�o upe�rvisor gional
Surface Water Protection Section
Washington Regional Office
AHlalf
cc: Mark Russell, PE, Mack Gay and Associates, P.A.
CgVen County Building Inspections
ashington Regional Office
Central Files
Noy` hCart
Ni7tura,
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
Internet nowateroualRY.Orq 943 Washington Square Mail, Washington, NC 27889 1-877-623-6748
An Equal Opportun4fAffirmative Action Employer- 50% Recycled190% Post Consumer Paper

State Stormwater Management Systems
Permit No. SW7051007
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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
Birdland Properties, LLC
Carolina Quick Lube and Super Wash
Craven County
FOR THE
construction, operation and maintenance of a two (2) wet detention ponds 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.
This permit shall be effective from the date of issuance until March 6, 2016, and shall be subject to the
following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in the
application and other supporting data.
This stormwater system has been approved for the management of stormwater .runoff as
described in Section 1.6 on page 3 of this permit. The stormwater control has been designed to
handle the runoff from 43,125 square feet of impervious area listed under drainage area 1.
3. The tract will be limited to the amount of built -upon area indicated on' page 3 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.
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 following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7051007
Pond I
Pond 2
a.
Drainage Area, acres:
1.08 -
0.76
b.
Total Impervious Surfaces, ftz:
28,314
14,811
G.
Design Storm, inches:
1.0
1.0
d.
Pond Depth, feet:
4
3
e.
TSS removal efficiency:
90%
90%
f.
Permanent Pool Elevation, FMSL:
93.0
95.0
g.
Permanent Pool Surface Area, ft2:
2,948
1,968
In.
Permitted Storage Volume, ft3:
6,072
2,655
i.
Temporary Storage Elevation, FMSL:
94.3
96.0
j.
Controlling Orifice:
1" 0 pipe
1" 0 pipe
k.
Permitted Forebay Volume, ft3:
1,692
576
I:
Receiving StreamiRiver Basin:
Jack Smith Creek
M.
Stream Index Number:
27-100
n.
Classification of Water Body:
" C. Sw: 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. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader, catch
basins and piping.
g. Access to the outlet structure must be available at all times.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7051007
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.
The facilities shall be constructed as shown on the approved plans. 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, 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.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
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.
10. The permittee shall submit final site layout and grading plans for any permitted future areas shown
on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of ten years from the date of the completion of construction.
12. 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.
13. This permit shall be effective from the date of issuance until March 6, 2016. 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.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7051007
Ill. 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 formal permit transfer
request to the Division of Water Quality, accompanied by a completed name/ownership change
form, 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. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves the transfer request.
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 143-215.6A to 143-215.6C.
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.
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 permittee grants DENR Staff permission to enter the property during normal business hours
for the purpose of inspecting all components of the permitted stormwater management facility.
6. 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.
7. 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.
8. Approved plans and specifications for this project are incorporated by reference and are enforceable
parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing address
changes within 30 days.
Permit issued this the 6t' day of March, 2006.
N RTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
For an W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7051007
Carolina Quick Lube and Car Wash
Stormwater Permit No. SW7051007
Craven County
Designer's Certification
as a duly registered in the State of
North Carolina, having been authorized to observe {periodically/ weekly] full time) the construction of the
project,
(Project)
for (Project Owner) hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the project construction such that the
construction was observed to be built within substantial compliance and intent of the approved plans and
specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7051007
Certification Requirements:
1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount of built -
upon area.
3. All the built -upon area.associated with the project is graded such that the runoff drains to
the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of the
system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Craven County Building Inspections
0
Page 7 of 7

ROY COOPER
Govemol
MICHAEL S. REGAN
Ser'r rim ,
S. DANIEL SMITH
Dirertne
NORTH CAROUNA
Environmental Quality
September 4, 2019
Attention: Mr. Henry H. Chambless, III, Registered Agent
CTC3, LLC
P.O. Box 7146
Rocky Mount, NC 27804
Subject: Stormwater Permit Renewal & Ownership Change
Stormwater Management Permit SW7051007
Carolina Quick Lube & Super Wash
Craven County
Dear Mr. Chambless:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7051007 for a stormwater treatment system consisting of two
wet detention ponds serving Carolina Quick Lube & Super Wash located at 1206 S.
Glenburnie Road in New Bern, NC expires on March 6, 2020. 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.
The permit was originally issued to Birdland Properties, LLC. It was noted in the Craven
County tax records that the property is now owned by CTC3, LLC. Permits are not
automatically transferred to new owners without the submittal of an ownership change
application and fee. Please submit a completed permit renewal application along with a
$505.00 fee for permit renewal and an ownership change application with an additional
$505.00 fee. Application forms for renewal and ownership change can be found on our
website at:
https: Zdi2q.n l curt divi ic)n ncr - in i lie 1-a] da nd-resour -min ral-l•il1 I-
ruleS/stormwater-f)rograrn,Zpost-constrLictioti. 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]. l will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at
roger.thorpegncdenr.gov
Sincerely,
Rog r K. Thorpe
Environmental Engineer
North Carolina Drpartmrnt of Envirur�mer2taf Quality ! Division of Energy, Miiicra1 aLa Q. - _'And nd Rusource>
©� Washington Regional Office 1 9,13 Wtishingtan Square Mali i Washington, North Carolino 27899
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Compliance Inspection Report
Permit: SV 7051007 Effectivo: 03/06/06 Expiration: 03/06/20
Project: Carolina Quick Lube Super Wash
Owner: Birdland Properties LLC —C Sfa�j! 1 2d 6
County: Craven Adress: S Glenburnie Rd
Region: Washington
CityfState/Zip: New Bern NC 28560
Contact Person: C e
Directions to Project:
Title:
Type of Project: State Stormwatef - HD - Detention Pond
Drain Areas: 1 - (Jack Smith Creek) (03-04-10) (C;Sw.NSW)
2 - (Jack Smith Creek) (03-04-10) ( C;Sw,NSW)
On -Site Represenfative(s):
Related Permits:
Inspection Date: 01/19/2018 Entry Time: 02:00PM
Primary Inspector: William J Moore
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ® Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
Phone: [phone]
Exit Time: 02:45PM
Phone: [phone] Ext.264
Inspection Type: Compliance Evaluation
page: 1

permit; SW7051007 Owner- Project: Sirdland Properties LLC
Inspection Dale: 0111912018 Inspection Type Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Site inspection at Carolina Quick Lube & Super Wash located on S Glenburnie Rd in New Bern, NC.
Building, parking & (2) wet ponds appear to be complete & built according to plans. The following maintenance issues
were observed:
(1)Front wp: some minor erosion along slopes; outlet structure OK,
(2)Back wp: PVC small orifice pipe broken; erosion along inside perimeter of wp
(3)Need to repair, regrade & reseed slopes of ponds.
(4)Remove trash & debris from inside ponds.
Built Upon Area Yes No NA NE
Is the site BUA constructed as per the permit and approval plans? ® ❑ ❑ ❑
Is the drainage area as per the permit and approved plans? ■ ❑ ❑ ❑
Is the BUA (as permitted) graded such that the runoff drains to the system? ® ❑ ❑ ❑
Comment:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? ® ❑ ❑ ❑
Are the inlets located per the approved plans? ® ❑ ❑ ❑
Are the outlet structures located per the approved plans? M ❑ ❑ ❑
Comment:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ®❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ ❑
DWQ upon request?
Comment: see summary comments
page: 2

V. N
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1
l I-S OFFICE USE ONLY
Date Received
ree Paid
I'erni t Nuniber
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2005
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��(�_��r State of North Carolina
`� �Vp�artment of Environment and Natural Resources
Division of Water Quality a �V
STORMWATER MANAGEMENT PERMIT APPLICATION FORM Co
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. Applicants name (specify the naive of the corporation, individual, etc, who owns the project)•
Birdland Properties, LLC c/o Allen C. Bardwell, Jr. z.SZ
2. Print Owner/Signing Official's name and title (persoii legally responsible for facility and compliance):
Allen C. Bardwell, Jr., President qVA 5 i"I/ev
3. Mailing Address for person listed in item 2 above:
902 Cara Cara Drive
City: New Bern
Telephone Number:
252 ) 637-5176
b 3.3- 3C33
State: NC, 28560 Zip:
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
spccificadons, letters. operation and maintenance agreements, etc.):
Carolina Quick Lube and Suaer Wash
5. Location of Project (street address):
1206 S. Glenburnie Road
city. New Bern, NC County: Craven
6. Directions to project (from nearest major intersection):
From the intersection of US 70 and S. Glenburnie Road, proceed north along
S. Glenburnie Road approx. 2 miles to site (on the left
7. Latitude: 35007'26"N Longitude: 77005'15"W — of project
8. Contact person who ran answer questions about the project: [phone]
Naine: Mark A. Russell, PE Telel haiie Number: ( )
III. PERMIT INFORMATION:
1. Specify whether project is (check one.): x New Renewal Modification
Form SWU-101 Vcrsion 3." Pagc 1 of
RI

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 High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
�CAMA Major _Sedimentation /Erosion Control _404/401 Permit _NPDES Storrnwater
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 flow stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater i nagernent or the project.
i o �1 �� �• Q.• 1: 4*Y re o vt
TrOh r+�w e
2. Stormwater runoff frorn this project chains to the !" e N s e River basin.
3. Total Project Area: 1. 19it acres 4. Project Built Upon Area: 51l %
5. How many drainage areas does the project have? 2
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 i
Drainage Area 2
Receiving Stream Name
J a C 5 ;4- Cr to
r-�
.l i C rtt
Receiving Stream Class
[; ' lWIVS
C ' SW /VT w
Drainage Area
�, L
�,7C Ac
Existing Impervious* Area
Q
AC
Proposed Impervious*Area
0, 5 C
G
% Impervious` Area (total)
670 /
:F p
.IrnpL'rvious* Surface Area
Drainage Area 1'
Drainage Ai 2.
On -site Buildings
O 8 T G
0. 0-7 L
On -site Streets
On -site Parking
�� ; "7
0. 2 -7 kc
On -site Sidewalks
—
—
Ot.her on -site
Off -site
�-
Total' G
'fotal•
C Yet`!
* Impervirrus area is defined as the bail[ upon area including, but not limited to, buildings,
sidewalks, gravel arras, etc.
Form SWU-101 Version 3,99
Page 2 of 4
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7. I -low was the off -site iriiperviotis area listed above cleriveci? NIA
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized derci restrictions and Protective covenants are required to be recorded for all
subdivisions, outl3arcels 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.
The follolAdng covenants are intended w ensure ongoing compliance tvltli siaie storm tvater managemerit permit numlmr
as issued by the Division of Wafer Quality. These covenants may riot be
changed or deleted without the consent of the Slate.
2. No man: than square feet of any lot shall k covered by structures or, impervious materials.
Impervious materials include asphalt; gravel, concrete, brick, stone, slate or similar material but do rent include tvuod
decking or the water surface ofmvimming pools.
3. Sivales shall not be filled in. piped, or altered except as necessary to provide driveway crossings.
4. Btrill-upon area in excess of tire, permitted amount requires a state storm ivater management permi f modifiration prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted sforrnivater control
system. These connections to the .sformtvaterr control system shall be performed in it manner that maintains the integrity
and performance of the system as permit fed.
By your signature below, you certify that the recorders Aced restrictions and prolm.tive 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 reclriired covenants cannot be changed or deleted
Without concurrence from the State, and that they will he recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state storutwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Conant the Stormwater and General Permits Unit at [phone] for tite status
and availability of these forms.
Form SWU-102
Wet Detention 133sin 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
1�onn SWU-101 Version 3.99 Page 3 of 4

VI. SUBMITTAL REQUIREMENT-S
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.
Please indicate that you have provided the following required information by initialing in the space provided
next to each itenl.
Initials
• Original and one copy of the Stormwater Management Permit Application Farm MA62
• One copy of the applicable Supplement For n(s) for each BMP Oe t 5;4C J t!pl"
• Permit application processing fee of $420 (payable to NCl)i?NR) 1"Ai
• Detailed narrative description of Stormwater treatment/managernent MA(Z
• Two copies of plans and specifications, including: MA 1z
- Development/Project name.
- Engineer and firm
-Legend
North at -raw
Scale
Revision number &elate
Mean high water line
Dimensioned property/project boundary
Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot clevat ions, finished floor elevations
- Details of roads, drainage features, collection systems, and storinwater control measures
Wetlands delineated. or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff UICUIa60115
- Drainage areas delineated
- Vegetated buffets (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 orfinn), Mack Gay Associates, P.A. $ua
Mailing Address: 1667 Woodruff Road p zu"sr: A_t � J
!
City: Rocky Mount NeW g1e4 &f&1t, )_ state: NC J zip: 27804 fC �[ llt�
Phone: ( 252 )446-3017 y Fax: I 252 _ 46-7715 JJ
2-51) C33-3633 Willey& (Af-0 05-&vs3 (Sf;llcy,
VIII. APPLICANT'S CERTIFICATION
1, (print or type nan?c of person listed in General Information, hell, 2) Allen C. Bardwell, Jr.
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
Date: %2- 9-0 6�
I'ortn SWU-101 Version 3.99 Page 4 of4

Permit No.
(io be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: CAro lln a 00 a .4 G.'L e ♦- Sw B/ Was lh
Contact Person: IMA • Af A. �1?V Jse I !, PC Phone Number: (252) ' , # C- 3417
For projects with multiple basins, specify which basin this worksheet applies to: AREA • 1
elevations
Basin Bottom Elevation
Permanent Pool Elevation
Temporary Pool Elevation
areas
Permanent Pool Surface Area
Drainage Area
Impervious Area
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DA I
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
*Form S'A U-i02 Rev 3,99
?9.0
ft.
(floor of the basin)
9 3•
ft.
(elevation of the orifice)
g At. 3
ft.
(elevation of the discharge structure overflow)
'19 4 $
sq. ft.
(eater surface area at the orifice elevation)
G $
ac.
(on -site and off -site drainage to the basin)
0• C6
ac.
(on -site and off -site drainage to the basin)
? � 3 1 cu. ft. (combined volume of main basin and forebay)
_ r° d? Z� cu. ft. (volume detained above the permanent pool)
C 9 2- cu. ft. (approximately 20% of total volume)
7, 3 (surface area to drainage area ratio from DN'Q table)
1 in. (2 to S day temporary pool draw -down required)
3.7 in.
go % (minimum $S% required)
Page Iof4
MAR 0 6 2006
IDWQ
PilltW #

r
t•.�1 . �-`. tom. 44i,
C).p7
r
D
0

Footnotes:
When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
® actual impervious % and permanent pool depth. Linear interpolation should he employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDFNR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
#0 It a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
W b. The forebay volume is approximately equal to 20% of the basin volume.
MA e _ c. The temporary pool controls runoff from the design storm event.
Q d. The temporary pool draws down in 2 to 5 days.
►f Rt e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
f. The basin length to width ratio is greater than 3:1.
MA R g. The basin side slopes above the permanent pool are no steeper than 3:1.
MA fit h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detaiI).
MA J i. Vegetative cover above the permanent pool elevation is specified.
J. A trash rack or similar device is provided for both the overflow and orifice.
R k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
BAR 1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
MR R _ m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does j does not incorporate a vegetated filter at the outlet.
This system; (check one) 0 does I does not incorporate pretreatment other than a forebay.
0Form SWU-102 Rev 3.99 Page 2 of 4

0
1A 0
:ffv�
;aJ
�

Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i,e,
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads IQ feet in the main pond, the sediment shall be removed.
0 When the permanent pool depth reads 90.7.S feet in the forebay, the sediment shall be removed.
Sediment Removal EL 96- 7 7 175
Bottom Elevation —� O
FOREBAY
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation
Sediment Removal Elevation 1 Q
------------------
Bottom Elevation ti
MAIN POND
75%
25% j
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
®Form S'WU-102 Rev 3.99 Page 3 of 4

1. awl =-con' =S Cf L1 e 'we: QeLewtiCL -as-- - Sie SL'dli be ti_a'-:tc �_z OOG ':vCi i G Oraei.
40 I aciL' o wledze anQ a fee by m y si 1a:ure below t11aL I am responslDle for the oeiOr-mance of Lh,, Seven
Malnterz2nce prcctd —?s 11sLeL'� a ovc. 1 a2-ev t0 n o:'t`- DbvQ CI ar_y DrOD1cL S 1Ln L>ne s'vSIe Or pnor t0 amiy_
Cnana-S LO t11C S'vStvM Or rCSDOnS1CLC Carr-'v.
7I
PT—ITIt r1a:u P,: f P Qn _ lam, [1 G r J (•.� 4° �� `J ('� .�
Title: Prey d f J
Address: c)0 2 Cc.r v-
,? ale u �ernNC 20
Phone: C272-) 6-3 7 - j 1 7 6- ---- -
Signature: lU - -
Date: 0/�� 7/ZOD
Note: The Ie-ally responsible pary should not be a homeownen association vniess more than 50% of tilt lots have been sold and a
resident of the subdivision has been named the presidenr.
vtn L. evs e a votary Public for the State of or t� CGrO 1 q
Curary of Nys k do hereby cer`.ify that_, fit „ C. ec, J w e Il , Jr.
personally appeared before me this 2 C day of J Gin 2 00 6 , and acknowledQe the due
execution of the forgoin,- wet detention basin maintenance requirements. Witness my band and official seal,
STF','-- N L. BUIE
iv07 .• -UBLIC
HASH CUONTY, NC
Vlv commission expires
E
SEAL
C)-27- 2010
'J \7r%'U - 10 21 Rzr _ QC Saar 0 �

Permit No.
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: - CG►�D'e n a Qvi c b L v t e d"svp e, W Gt 4_
Contact Person: hoe A, 6,23 e /1 ��C _ _ Phone Number: 9532
For projects with multiple basins, specify which basin this worksheet applies to: A �� �_" Z
elevations
Basin Bottom Elevation 92 • ft.
Permanent Pool Elevation 55.0 ft.
Temporary Pool Elevation 9 C. D ft.
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area O C $ sq. ft. (water surface area at the orifice elevation)
Drainage Area 0.7C ac. (on -site and off -site drainage to the basin)
Impervious Area 0.3't ac. (on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DA I
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
0 Form SWU-102 Rev 3.99
Z -7 cjO cu. ft. (combined volume of main basin and forebay)
5 S cu. ft. (volume detained above the permanent pool)
5 � 6 cu. ft. (approximately 20% of total volume
'7 (surface area to drainage area ratio from DYf'Q table)
! in. (2 to 5 day temporary pool draw -down required)
1 i in.
90 % (minimum 85%required) RECEINED
Page t of 4 MAR 0 6 2006

:�• IV R
o G
CIO r� 3-
4.4
L4
r
LJ w1

F2otnotes:
t 'When using the Division SAMA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BM-P manual provides design tables for both 85% TSS removal and 90% TSS removal.
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
Pro�
MAC
yet Rt'
b. The forebay volume is approximately equal to 20% of the basin volume.
c. The temporary pool controls runoff from the design storm event.
d. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
MAR f.
116A R g.
to A 9 h.
i-
M ;.
/yet kf k.
calculations)
The basin length to width ratio is greater than 3:1.
The basin side slopes above the permanent pool are no steeper than 3:1.
A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
Vegetative cover above the permanent pool elevation is specified.
A trash rack or similar device is provided for both the overflow and orifice.
A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
A R 1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does 0 does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does A does not incorporate pretreatment other than a forebay.
0 Form SWU-102 Rev 3.99 Page 2 of 4

�. AI
■
�
E

. Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads 52.75 feet in the main pond, the sediment shall be removed.
0 When the permanent pool depth reads q'3. 5 feet in the forebay, the sediment shall be removed.
Sediment Re oval El. rl y • 50 7
Bottom Ele ation q3 - }
FOR)[ BAY
BASIN DIAGRAM
(Jill in the blankr)
Permanent Pool Elevation / 5.0
Sediment Removal Elevation -/� ��p
-----_----------------------------
Bottom Elevation 12.0
MAIN POND
75%
25%
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
0Form SRrU-102 Rev 3.99 Page 3 of 4

a Qooc or:c or--,
1 aclmowleQ2Z an, agee by my si-aD:re below thai 1 an.:: res-oonslble for the oerfcumal"ice of :fie seven
nainiI niance procedur:s lisie� above, .1 aaree to IIot1 v D', Q oI any problemns wkh the syszp= or D%or to any
Cuanats to uh-1 systcm, or resaonsible naiiv.
I r �
name: A lie r+ C, Q a, d u c
Address: 9 2 Cc, ra Cr- rc Orr -e,
Phone: (2 G- 3 7- SI 7 C
Signature: - - Ci%Ll w (�? /J G
Date: (,/ > ZL066
Pe �., 6ern NC 2 SSCO
Note: The teaally responsible parry should not be a homeowners association unless more than 50% of the lots have been. sold and a
resident or the subdivision has been named the president.
v/t��� a Notary Public for the State of orf Caro 1; ' q
County of / r,'5 h do hereby cpriif; that A Oel
personally appeared before me this 2 day of J6,.va200C . and acknowled-e the due
execution of the foroin6 wet detention basin maintenance requirements. Witness my hand and official seal;
STEVEN L. BUIE
NOTARY PUBLIC
NASH COUNTY, NC
�fy commission expires
•
SEAL
9 - 27- 2C10
RECEIVED
FEB 0 6 MRS
IDWQ
PM 9 _.
1C2 Vie.:.P9 Page - of,'