SW7060222_HISTORICAL FILE_20141215

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
���t7o�I AC
YYYYMMDD

DEMLK USE ONLY
ARM MWIN
Fee ['aid ex . ress only
Permit Number
7 r
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YNBC I State of North Carolina kl Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERM CT�PLAN REVISION A�'PLICATION FORM
Thisforrrn nrnay be pboto1 "M4�
I. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW % ) 6�ZZZ MV�
2. Project Name: Murphy Oil USA Inc.
3. Permit Holder's name (specify the name of the corporation, individual, etc.):
Walrrlart Real Estate Business Trust
4. Print Owner/Signing Official's name and title (person legally responsible for permit):
Murphy Oil - Aaron Grieb, Vice President
5. Mailing Address for person listed in item 2 above:
422 North Washinvton A
City:El Dorado
State:AR %ip:71730
Phone: (870 ) 881-6678 Fax:
Email:, oy rtizOgreenbergfarrow.com
IL PLAN REVISION INFORMATION
1. Summarize the plan revision proposed (attach additional pages if needed):
Existing site permit shows an asphalt parking lot for the Walmart Store. This Plan Revision is for a Murphy
USA gas station. No additional impervious area is being added with this revision.
111. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. The complete
application package should be submitted to the DEMLR Office that issued the permit.
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original & 1 copy of the Plan Revision Application Form 611•5
• Two (2) copies of revised plans (must be revisions of original approved plan shect(s)) a-5;7
If applying for Express review (only available in 20 coastal connrties):
• Application fee of $500.00 (rrnmte payable to NCDENR)
V1. APPLICANT'S CERTIFICATION
1, (print or type ualrre of person listen in General lnrfornxatiorn, itenx 3)
certify that I have aLlthOrl7,ed these plan revisions and that the irlfOrnlati011 InClu[led on this plall revision
application is, to the best of my knowledge, correct and complete.
Signature:
Date:
Plan 1lcvisiorl Fornl Rev. Oct. 31, 201 3

��r7
UFAI
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
December 23, 2014
Wal-Mart Stores East, LP
Attn.: Mr. J. Chris Callaway, Assistant VP
2001 SE 10`h Street
Bentonville, AR 72716
Subject: Approved Plan Revision
Wal-Mart Store #3825 Havelock, NC
Stormwater Project No. SW7060222 Modification
Craven County
Dear Mr. Callaway:
John E. Skvarla, III
Secretary
On December 15, 2014, the Washington Regional Office received a Plan Revision request for
Stormwater Management Permit Number S W7060222 Modification.
The plan revision request is for the following:
To modify a portion of existing parking lot for Walmart Store #3825 to accommodate for a Murphy
Oil USA, Inc. gas station.
Based on the current Division of Energy, Mineral, and Land Resources Guidance on this issue your plan
revision request is hereby approved. Please include the approved attached plan set into the original set as
approved on March 13, 2007.
Please be aware that all terms and conditions of the permit issued on March 13, 2007 remain in full force
and effect. Please also understand that the approval of this revision to the approved plans for the subject State
Stormwater Permit is done on a case -by -case basis. Any other changes to this project must be submitted to and
approved through the Division of Energy, Mineral, and Land Resources prior to construction. The issuance of
this plan revision does not preclude the permittee from complying with all other applicable statutes, rules,
regulations or ordinances which may have jurisdiction over the proposed activity, and obtaining a permit or
approval prior to construction.
If you have any questions concerning this matter, please do not hesitate to call me at [phone].
Sincerely,
Samir Dumpor, PE
Environmental Engineer
PHMIsd: G:1LR1SWP\SDTLANREVISIONS\SW7060222 Modification
cc: Aaron Grieb, Vice President, Murphy Oil USA, Inc. (422 North Washington Ave., El Dorado,
AR 71730)
Greg Sistrunk, PE, GreenbergFarrow (1430 West Peachtree Street, NW, Suite 200, Atlanta, GA
30309)
Washington Regional Office
Division of Energy, Mineral, and Land Resources. Land Quality Section
Washington Regional office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] FAK 252-975-3716
Internet: h_ttp://portal.ncdenr.orgtweb/Ir/iand-quality
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

Greenbergarrew
December 8, 2014
To NC DENR
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
P:252-946-6481
Dear NCDENR:
1430 West Peachtree Street, i
Suite 200
Atlanta. GA 30309
t. 404 601 4000
t, 404 601 3970
Project Murphy USA — Havelock, NC
Project# 20130376.0
Re Murphy USA - Narrative and Project Letter for:
• Erosion & Sedimentation Control Permit
• State Stormwater Permit - Revision
ATLANTA
LOS ANGELES
NEW JERSEY
CHICAGO
NEW YORK
DALLAS
ROSTON
FRESNO
COLUMEUS
W fSCONSIN
RENTONVUE
PHILADELPHIA
SHANGHAI
MEXICO CITY
Murphy Oil USA, Inc. is proposing to subdivide and develop an existing parcel located at 566 U.S. 70 West in Havelock, NC.
The Murphy site is located on a 1.19 acre parcel, and access to the site is provided from an existing adjacent service road (SR
1823), which is served by U.S. Highway No, 70. Murphy Oil plans to construct a gas station which will consist of a 1,200
square foot building with 8 fueling stations and associated parking area.
The existing site is currently developed as a parking lot for Walmart Supercenter. The majority of the existing topography
slopes to existing stormwater inlets located within the parking area to capture stormwater runoff. This runoff is conveyed via
an underground storm system towards an existing on -site detention pond located approximately 800' to the east of Murphy's
proposed site. It is my understanding through a meeting with NCDENR staff on 11/25/2014 a stormwater permit already
exists for the Wall Supercenter. The proposed Murphy development will be a stormwater plan revision to the original
permit since no additional impervious area or BMP changes are proposed. It shall be noted that the Party financially
responsible for the land -disturbing activity is Murphy Oil USA, Inc. (property owner of the proposed parcel created for the gas
station).
The proposed scope of work will include the disturbance of +1-1.3 acres. During the initial phase, erosion control measures
will consist of silt fence and composite filter socks around the project area and inlet protection around the existing on -site inlets
which will serve to protect sediment from leaving the site. Beginning with the second erosion control phase, permanent
vegetation practices shall be used to stabilize disturbed pervious areas and temporary erosion control measures shall be
removed once the site is fully stabilized.
Please contact me if you have any questions regarding our submittal for an Erosion & Sedimentation Control Permit and State
Stormwater Plan Revision Permit.
Sincerely,
Greg Sistrunk
01 Project Letter 07.01.05 N201312013037601107 Permit Approvallxxxx-xx-xx to NCDENR (Initial Civil Plan Submitlal)Trojecl Letter - Nauative,docx

Greenbergf arrow
Letter of Transmittal
December 11, 2014
To NCDENR
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
ATTN: Samir Dumpor
252-948-3959
Y Y os
DEC 15 RK5
MCDEN
Project Murphy USA- Havelock, NC
Project # 20130376
From Greg Sistrunk
We are sending you the following enclosures via Air Express - Standard for your use:
1430 West Peachtree Street, N%A
Suite 200
Atlanta, GA 30309
t: 404 601 4000
f: 404 601 3970
ATLA14TA
t05 ANGELES
NEW ARSEY
CH ICAGO
NEW YORK
OALLAS
BOSTON
FRESNO
COLUMBUS
WISCONSIN
IENTONVILLE
PHILAnELPHIA
SHANGHAI
MExICO CITY
Copies Date Description
2 Site Development Construction Plans — (Rev-1, dated 12-08-2014)
1 Memorandum (E&SC Description)
2 Stormwater Management Permit Plan Revision Application(original + Copy)
1 Check #E046310: $500 payable to NCDENR (Stormwater Management Permit Plan
Revision)
Mr, Dumpor,
Enclosed for your review and approval are civil construction plans and associated documents for a proposed Murphy USA
gas station located at 566 US Highway 70W Havelock, NC. Please let me know if there are any fees and/or other
applications that are needed for you to complete the review process and feel free to contact me with any questions.
Please call me if you have any questions at 404-601-3672.
Thank you,
Greg Sistrunk
If enclosures are not as noted, please contact sender
Copies
01 Transmittal 02.06.06 PA201312013037%107 Permit Approvallxxxx-xx-xx to NCCENR (Initial Civil Plan Submittal)Ixxxx-xx-xx Letter of transmiltal to NCDENR (5Iormwaler) docx

State Stormwater Inspection Report
Project Name: Wal Mart #3825 Permit No: SW7060222 Expiration Date:5/8/16
Contact Person: Chris Callway/ Walmart Stores East, LP Phone Number: Inspection Type: routine
Inspection Date: --L C>a1 Time In: \2'. OSTime Out: '�Z : 3S
Location
Facility Address:
City: Zip: + County: I Lat:3$ °fjy 3"N I Long: ° s(P., 0 o1,W
Permit Information
• Density (circle one): High Low
• BMPs (insert number of each). Wet Ponds �Infil. Basins �tniil. Trenches LD Swales SW Wetlands
_Dry Ponds _Level Spr/Filter St. Bioretention _ Sand filters (circle one) Open Closed
Permeable Pave. C' erns Other (specify):
• Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule
• Current Weather:
Site Visit
Phase 11 Universal
Recent Rain:
Yes No NIA N/E
1. BMP(s) are located per the approved plans
X
2. BMP(s) appear to have dimensions matching the approved plans
-X
3. Drainage area is consistent with permit (no unpermitted drainage to the BMP)
4. Drainage area is stabilized (to reduce risk of sediment loading)
�(
5. Built upon area (BUA) appears to be consistent with the permit requirements
6. Access points to the site are clear and well maintained
7. Trash has been removed as needed
8. Excessive landscape debris (grass clippings, leaves, etc) are controlled:
9. All BUA (as permitted if high density) is graded such that the runoff drains to the system
10. Maintenance records are available for inspection (high density only, 1995 to present only)
0�
State Stormwater Inspection Report, Version 1.0 Page 1 of 2

State Stormwater Inspection Report
File Review Yes No NIA NIE
1. Signed Engineer's Certification on file:
2. Signed Operation and Maintenance agreement on file:"
-3. Recorded Deed Restrictions on file:
Comments
Inspection Pictures .
Compliance Status
❑ Compliant
❑ Non -Compliant
NOV Sent (circle one): Yes or No Date NOV Sent:
Inspector Name and Signature:
State Stormwater Inspection ReporE Version 1.0
NOV Number:
Date:
Page 2 of 2

- •tip.' :T` . -tea:
gw:.:�." F=ice•`---�
STORMWATER WETLANDS O & M Supplemental Inspection Checklist
YES NO NLA NE
INLETS and FOREBAY
2. The inlets are located per the approved plans:
❑
®0
❑
3. The inlet device (swale or pipe) does not show signs of damage, clogging or erosion:
❑
❑
❑
4. The forebay berm is in place and without erosion:
❑
❑
❑
5. Forebay is free of excessive sediment:
�]
❑
❑
❑
SIDE SLOPES AND PERIMETER
6. Vegetated slopes are no greater than 3:1:
7. Banks are stable with no erosion or bare soil present:
x
❑
❑
❑ ❑
8. Woody vegetation is not present on the slopes or berm:
10
❑
❑
❑
9. No evidence of muskrats or beaver activity:
❑
❑
❑
10. Plants are healthy and are being maintained:
❑
50
❑
❑
MAIN TREATMENT AREA
11. Shallow land remains flooded more than 5 days after rain:
12. Algal growth < 50% of the area:
[q
❑
❑
❑
13. Cattails, phragmites or other invasive plants < 50% of the basin surface:
[N
❑
❑
❑
14. Sediment has not accumulated in the main treatment area in excess of design storage depth:
❑
❑
❑
OUTLETS
15. Deep pool near outlet is free of vegetation:
16. Drawdown device is correctly sized and does not show signs of damage or clogging:
❑
®
❑
❑
17. Orifice size matches the approved plans
❑
❑
❑
qn
18. Erosion or other signs of damage have not occurred at the outlet:
❑
❑
❑
19. Trash rack is provided:
®
❑
❑
❑
20. The vegetated filter is in place (if applicable):
❑
❑
a]
❑
21. Relative elevations match approved plans:
5�
❑
❑
❑
V2.12_08

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 9, 2009
Wal-Mart Stores East LP
Chris Callaway
2001 SE 1011' St.
Bentonville AR 72716
Subject: NOTICE OF VIOLATION -Closure
NOV-2009-PC-0217
Stormwater Permit No.SW7060222
Wal-Mart Store #3825
Craven County
Dear Mr.Callaway:
On March 24`h, 2009 this Office received a written response to the Notice of Violation issued on March 16`h, 2009. The
response provided a copy of the designer's certification as required by the conditions of the permit. In addition, it
addressed the location of the inlet on the approved plans and provided a plan of action and timeline for addressing the
maintenance concerns of bare soil along the side slopes and the planting/re-planting of wetland vegetation. The
maintenance and planting are to be the responsibility of Retention Pond Services, and Edward Coleman has contacted us
regarding the activities already completed on -site and will provide documentation of the completed O&M repairs.
Please continue to inspect and monitor your site for compliance with both the permit conditions and O&M requirements.
The Division considers this violation closed.
Thank you for your cooperation and conscientious effort to help safeguard the waters of the State. if you should have any
questions regarding these matters, please contact either myself or any member of the Stormwater Unit at [phone].
Sincerely,
Amy Ada s
Environmental Senior Specialist
Surface Water Protection Section
Washington Regional Office
cc: John Hennessy- NPS-ACOU
Edward Coleman, RPS PO Box 15630 Wilmington NC 28408
Brian Bradner P.E., Dewberry 551 Piney Forest Rd. Danville, VA 24540-3353
,.�aRO Files
North Carolina Division of Water Quality Internet: O�
943 Washington Square Mall Phone: [phone]
Washington, NC27889 FAX [phone] NorthCarolina
An Equal Opportunity/Affirmative Acton Employer - 50% Recyded110% Post Consumer Paper ;Vaturally

1 oa O
MCDE NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 16, 2009
CERTIFIED MAIL 47007 3020 0001 8861 8650 CERTIFIED MAIL ##7007 3020 0001 8861 8636
RETURN RECEIPT REQUESTED RETURN RECEIPT REQUESTED
Wal-Mart Stores East, LP Wal-Mart Real Estate Business Trust
Attn: Chris Callaway, Asst, VP PO Box 8050
2001 SE loth St Bentonville AR 72712
Bentonville AR 72716
Subject: NOTICE OF VIOLATION
NOV-2009-PC-0238
Permit Condition Violations
Stormwater Management Permit No. SW7060222
Wal-Mart Store #3825
Craven County
Dear Mr. Callaway and Wal-Mart Real Estate:
This letter is to notify you are in violation of Title 15A North Carolina Administrative Code
(NCAC) 2H .1003 for failing to comply with terms, conditions and limitations of a Stormwater
Management Permit No. SW7060222.
On March 6, 2009, Amy Adams and Anthony Scarbraugh of the Washington Regional Office
performed an inspection to determine the status of compliance with Stormwater Permit
SW7060222. Permit Number SW7060222 was issued to you on March 13, 2007 for the
commercial development known as Wal-Mart Store 43825, located at 566 US Hwy 70 West,
Havelock, Craven County, North Carolina.
As a result of the site inspection and DWQ file review, the following observations and violations
are noted:
North Carolina Division of Water Quality Internet: www.ncwateraualily.orq
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal OpporlunitylAftirmative Action Employer- 50% Recycled110%a Post Consumer Paper
One
NorthCarolina
Naturally

I. Permit Condition #3
DWQ observed areas of bare soil on the side slopes, clogging or obstruction of the outlet
structure causing delayed draw -down, and trash around the perimeter of the pond. This is a
violation of Permit Number SW7060222 Condition #3 (1I. Schedule of Compliance) which states
the permittee shall at provide the operation and maintenance necessary to assure the permitted
storm water system functions at optimum efficiency.
II. Permit Condition #5
DWQ observed the required wetland vegetation has not been established as per the approved
plans. This is a violation of Permit Number SW7060222 Condition 45 which states 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.
Ill. Permit Condition 49 V p jJ�,(L _c4
DWQ observed catch basin and inlet not shown on approved plans and ownership different from
that on the issued permit. This is a violation of Permit Number SW7060222 Condition 99 which
states: 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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, 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.
IV. Failure to Submit a Designer's Certification V WbC <,tn l-- i n
Title 15A NCAC 2H .1008 0) requires that upon completion of construction, the designer for the
type of stormwater system installed must certify that the system was inspected during
construction, was constructed in substantial conformity with plans and specifications approved
by DWQ, and complies with the requirements of this Section. As of the date of this letter, DWQ
has not received this certification.
Required Response
1. This Office requires that you respond to this letter in writing to the address listed at
the bottom of the letterhead within 30 calendar days of receipt of this Notice. Please
provide a written "Plan of Action" which outlines the actions you will take to correct
the following violation(s) and a time frame for completion of those actions.
a. Cleaning of outlet structure and revegetating bare areas of side slopes

b. Establishment/Planting of required storm water wetland vegetation.
c. Submission of plans showing all catch basins and inlets to the system
d. Submit Name/Ownership Change Form
e. Submit Engineer's Certification.
Thank you for your immediate attention to this matter. Please be advised, these violations and
any continuing or future violations are subject to a civil penalty assessment of up to
$25,000.00 per day for each violation pursuant to North Carolina General Statute 143-
215.6A.
This office requires that the violations, as detailed above, be properly resolved. Should you
have any questions regarding these matters, please contact either DWQ Staff Name or myself at
[phone].
Sincerely,
Al Hodge, Regional Supervisor
Surface Water Protection Section
Washington Regional Office
Enclosures: Inspection Report
Name/Ownership Change Form
Engineer's Certification
cc: John Hennessy- NPS-ACOU
D 'berry & Davis, Inc. 551 Piney Forest Rd Danville VA 24540
aRO Files
DWQ Central Files

■ Compfete items 1, 2, and 3. Also completeitem 4 if d. ig ture
ed Delivery is
a Print Your name tand address on the reverse
so that we can return the card to you.
s Attach this card to the back of the maifp je eA cei by
or on the front if space permits. f+
1. Article Addressed to:�
WAL-MART STORES EAST, LP
ATTN: CHRIS CALLAWAY, ASST VP
2001 SE 10r" ST
BENTONVILLE AR 72716
❑ Agent
❑ Addressee
WEM Delivery ,
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service 7YPe
{ CCertified Mail ❑ Expo Mail t
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
_ 4. Restricted Delivery? Wnfa Fee) r
2. Article
ansfera t,� 7002007 3-d171 886Z 8j,50 -"� Q Yes
(transfer
rJ rorm J611, February2004
Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
e Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
WAL-MART REAL ESTATE
BUSINESS TRUST
PO BOX 8050
BENTONVILLE AR 72712
102595402-M-'1540
A. Si nature
'� ❑ Agent
X �rG ❑ Addressee i
�elI bylpn'rtted Name I Dgtppf Delivery
D. Is delivery address dffr'rent f;gm item 17 ❑ Yes f
If YES, enter delivery address below: ❑ No
3. SS '' ° Type
Lfd"Certified Mall ❑ Express Mall
❑ Registered ❑ Return Receipt for,Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Amenicle s ?007 3020 0001 8861, 6636'
s
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

State Stormwater Inspection Report
General
Project Name: Wal-Mart Store 93825
Permit No: SW706O222
Expiration Date: 05-18-2016
Contact Person: Chris Callaway/ Walmart Stores East LP
Phone Number: 800-530-9928
Inspection Type: Routine
Inspection Date: 03-06-2009
Time In:]2:05PM
Time Out: 12:35PM
Current Weather: Sunny, breezy
Recent Rain (Date): unknown
Rain — in
I nratinn
Facility Address / Location:
566 U.S. Hwy. 70 West
City: Havelock
Zip: 28532
County: Craven
Lat: 38 ° 54` 83 "N
Long: - 76 ° 56 `22 "W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule i995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek -Hig aters Outstanding Resource Waters
Density (circle one): High (HD) Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each):
Wet Ponds Infiltration Basins Infiltration Trenches
Dry Ponds Bioretention Permeable Pavement
Cistern Level Spreader/Filter Strip Other (specify):
File Review
LD Swales _]_Stormwater Wetlands
Sand filters (circle one) Open Closed
Yes No NIA NIE
1. Is the permit active?
X
2 Signed Engineer's Certification on file?
X
3. Signed Operation and Maintenance agreement on file?
X
4. Recorded Deed Restrictions on file?
X
Site Visit: Built Unon Area (RIJAt
Yes No NIA NIE
5. BUA is constructed and consistent with the permit requirements?
X
6. BUA aspermitted) is graded such that the runoff drains to the system? (high density only)
X
7. Drainage area is consistent withpermit? i.e. no un ermitted drainage to the SW BMPs
X
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs
X
Site Visit: Stormwater BMPs
Yes No NIA NIE
9. Stormwater BMPs are located per the approvedplans?
X
10. Stormwater BMPs have dimensions e . length, width, area matching the approvedplans?
X
I I . Stormwater BMPs are constructed per the approvedplans?
X
Site Visit: Oneration and Maintenance
Yes No N/A NIE
12. Access points to the site are clear and well maintained?
X
13. Trash has been removed as needed?
X
14. Excessive landscape debris Grass clippings, leaves, etc is controlled?
X
15. Stormwater BMPs being operated and maintained as per the permit requirements?
X
16. Inspection and Maintenance records are available for inspection? (high density only, 1995 — present only)
X
Site Visit: Other Permit Conditions Yes No NIA NIE
17. Is the site compliant with other conditions of the permiO X
Site Visit: Other Water Quality Issues Yes No NIA NIE
8. Is the site compliant with other water_quality issues as noted during the inspection? X
State StortmA-ater Inspection Report, Version 3.0 Page I of 2

State Stormwater Inspection Report
I . Condition #6 under section II. Schedule of Compliance, states that a designer's certification is required to be submitted to this
office. This Certification has not been received. Please submit the designer's certification form to this Office immediately.
2. During the site inspection, a catch basin and inlet was observed that was not shown on the approved plans. Please submit
revised plans showing all collection boxes and inlets.
3. The required wetland vegetation plantings could not be located. if a minimum coverage of 70 percent is not achieved in the
planted wetland zones after the second growing season, supplemental planting should be completed. Please provide this Office
with a planting plan and scheduled implementation dates.
4. Invasive Cattails were noted in a portion of the wetland system. Please monitor and remove as necessary.
5. Areas of bare soil were observed on portions of the side slopes. Please address these areas and re -seed where necessary.
6. Due to the water level and slow draining of the outlet structure, the outlet/draw down device appears to be clogged or otherwise
not functioning at full capacity. Please evaluate the status of your draw -dawn orifice and take corrective measures if necessary.
Compliance Status ❑ Compliant X Non -Compliant
Letter Sent (circle -one). Yes No Letter type: CEI(:: ) NOV NOVRE Other
Date Sent: 03-16-2009 Reference Number: NOV-2009-PC-0238
Inspector Name and Signature:
Date: _ -3 11 (P 1 Z0e9'
Stage Stormwater Inspection Report, Version 3.0 Page 2 of 2

STORMWATER WETLANDS O & M Supplemental Inspection Checklist
YES NO NA NE
INLETS and POREBAY
2. The inlets are located per the approved plans:
3. The inlet device (swale or pipe) does not show signs of damage, clogging or erosion:
®
❑
❑
❑
4. The forebay berm is in place and without erosion:
®
❑
❑
❑
5. Forebay is free of excessive sediment:
®
❑
❑
❑
SIDE SLOPES AND PERIMETER
6. Vegetated slopes are no greater than 3:1:
❑
7. Banks are stable with no erosion or bare soil present:
❑
®
❑
❑
S. Woody vegetation is not present on the slopes or berm:
®
❑
❑
❑
9. No evidence of muskrats or beaver activity:
®
❑
❑
❑
10. Plants are healthy and are being maintained:
❑
®
❑
❑
MAIN TREATMENT AREA
11. Shallow land remains flooded more than 5 days after rain:
12. Algal growth < 50% of the area:
®
❑
❑
❑
13. Cattails, phragmites or other invasive plants < 50% of the basin surface:
®
❑
❑
❑
14, Sediment has not accumulated in the main treatment area in excess of desion storage death:
M
n
n
n
15. Deep pool near outlet is free of vegetation:
16. Drawdown device is correctly sized and does not show signs of damage or clogging:
17. Orifice size matches the approved plans
18. Erosion or other signs of damage have not occurred at the outlet:
19. Trash rack is provided:
20. The vegetated filter is in place (if applicable):
21. Relative elevations match approved plans:
®
❑
❑
❑
❑
❑
®
❑
®
❑
❑
❑
V2.12_O8

RESULTS http://gismaps.cravencowity.com/maps/map_identify.asp?selX--26I 872...
Parcels
Parcel Id
6-216 -023
Owner
WAL-MART REAL ESTATE BUSINESS TRUST
Mailing Address (1 st line)
PO BOX 8050 ATTN 0555
Mailing Address (2nd line)
BENTONVILLE AR 72712
Address of Property
566 W US 70 HWY
Assessed Acreage
25.890
Calculated Acreage
25.72
Deed Book Page:
2731 0777
Deed Recording Date (m d y)
662008
Map Book or Plat Cabinet
H
Map Page or Plat Slide
63
Plat Sub Slide
D
Land Value
1161170
Total Mprovemerd(s) Value
4668200
Total Value
5829370
Number of Improvemerrts
2
Tax Exempt (YES/NO)
NO
C rrY:
Havelock
Fire Tax District (blank if in city)
Drainage district
Lot Description
Property Description
LOT 1 SURVEY FOR CESZKO FAMILY PROPERTY LLC
Special District
Year Built (1 st improvement)
Number of Rooms
Number of Bedrooms
Number of Baths.Half Baths
Base Area
I of 2 3/ 16/2009 12:59 PM

RESULTS
httpa/gismaps.cravencounty.com/rnaps/rnap_identi iy.asp?set X=261872...
Estate File Will)
Life Estate Deed Book & Page
Structure Type
Most Recent Sale Date(mldly)
Sellers Name
Sales Price
Type of Sale
Confirmation
Land Use
Safety and Noise Hazard Disclosure
Day -Night Ave Sound Level(s) (LDN):
Accident Potential Zone(s) (AP2):
Subdivision
6/6/2008
WAL-MART STORES EAST LP
12623000
STRAIGHT TRANSFER
SALES IS INTERCOMPANY
COMM-LARGE REGIONAL STORES
NO
60
2 of 2
3/ 16/2009 12:59 PM

i �
• _ '.,.
�� ' �r�t1 �: . I � _ ,mot ,
,' � _
a1,'-�F�
,, '
1� I
L r � .

551 Piney Forest Road 434 797 4497
Dewberry Danville, Virginia 24540-3353 434 797 4341 fax
P.O. Box 1509 • Danviiio, Virginia 24543-1509 www.dowborry.corn
February 29, 2008
Mr. Scott Vinson
Environmental Engineer
North Carolina Department
Of Environment and Natural Resources
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Reference: Wal-Mart Store #3825-00 (Project)
Havelock, NC
Stormwater Permit No. SW7060222MOD
High Density Project
Craven County
Dear Mr. Vinson.
Please find enclosed a copy of the Designer's Certification, for the above reference Project.
Please call with any questions.
Sincerely,
Dewberry & Davi Inc.
u•
rian K. Brad , P.E.
Associate
Manager of Land Development
Cc: Scott Chase, City of Havelock
P:\8026390DAdrriin\Pcrriiits1M.02.29-StorakCert-3825.doe
Dewberry & Davis, Inc.

!%L- 'i I
O, ,

Gm
State Stornwpr Management Systems
F nit No. SW7060222MOD
Page 1 of 2
Wal-Mart Store #3825-00 Havelock, NC
Stormwater Permit No. SW7060222MOD
Craven County
Designer's Certification
1, Brian K. Bradner as a duly registered
in the State of North Carolina, having been authorized to observe per!od y weekly/
full time) the construction of the project,
Wal-Mart Store #3825-00 Havelock, NC _
(Project)
for Wal-Mat (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: N/A
Signature K
Registration Number
Date _ Q IZZ sq Lo I? ..
NO
elk A
SEAL
rr
7.
Page 6 of 7

i
T.
c i

State Stormw-f—[ Management Systems
P �4t No. SW7060222MOD
Page 2 of 2
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
Havelock Building Inspections
Page 7 of 7

1

Dewberry
February 29, 2008
551 Piney Forest Road 434 797 4497
Danville, Virginia 24540-3353 434 797 4341 fax
P.O. Box 1509 • Danville, Virginia 24543-1509 www,dowborry.com
Mr. Scott Vinson
Environmental Engineer
North Carolina Department
Of Environment and Natural Resources
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Reference: Wal-Mart Store #3825-00 (Project)
Havelock, NC
Stormwater Permit No. SW7060222MOD
High Density Project
Craven County
Dear Mr. Vinson:
hAR 0 G 2008
Please find enclosed a copy of the Designer's Certification, for the above reference Project.
Please call with any questions.
Sincerely,
Dewberry & Davi Inc.
Q'ri'an"K. Brad P.E.
Associate
Manager of Land Development
Cc: Scott Chase, City of Havelock
PM02639001Adininftrmils12008.02 29-5turmCcir-3925.doc
Dewberry & Davis, Inc.

State Stormvr Management Systems
0 P hit No. SW7060222MOD
Page 1 of 2
Wal-Mart Store #3825-00 Havelock, NC
Stormw'ater Permit No. SW7060222MOD
Craven Coun
Designer's Certification
1, Brian K. Bradner , as a duly registered Prof Fggiuopr
in the State of North Carolina, having been authorized to observe periodica y weekly/
full time) the construction of the project,
Wal-Mart Store #3825-00 Havelock, NC
(Project)
for Wal-Mart Store, Toc _ (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 �C
Registration Number a2_+437
Date 0 Z-/ 29 f O I? 9
fk 0 i 2008
SEAL
Page 6of7

17
6
�tii'} ark
_.LLB%l.
1.
I . V

State Stormw Management Systems
Pt No. SW7060222MOD
Page 2 of 2
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.
f 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 outletfbypass 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
Havelock Building Inspections
mwpaWEDD
MAR 0 6 2008
®WQ- AR(n
Page 7of7

North Carolina Secretary of State
http://www.secretary. state. nc. us/corporations/Co rp.aspx'? Pite m I d=54..
N ar
-th Carolina
7<�""f{ Elaine F. Marshall DEPARTMENT 01= -I-H E
Secretary SECRETARY OF STATE
� ,� ..: •: PC r;c_x 23622 Ra13s 3t:, NC 27626 .22 is i c?F! 17
CORPORATIONS
Corporations Home
Search By Corporate Name
Search For New Corporation
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CONTACT US
Corporations Division
Secretary of State's web site
TOOLS
i Secretary of State Home
Printable Page €
Date: 3/13/2007
Click here to:
View Document Filings i
Corporation Names
Name
Name Type
NC Wal-Mart
Legal
Stores East, LP
NC Wal-Mart
Stores East I,
prev Legal
Limited
Partnership
NC Wal-Mart
prev Home State
Stores East, LP
Limited Partnerships Information
SOSI D:
0613316
County:
Unknown
Status:
Current -Active
Date Formed:
11/9/2001
Citizenship:
Foreign
State of Inc.:
DE
Duration:
Perpetual
Registered Agent
Agent Name:
CT Corporation System
Registered
225 Hillsborough Street
Office Address:
Raleigh NC 27603
Registered
225 Hillsborough Street
Mailing Address: Raleigh NC 27603
Principal Office
702 SW 8th Street
Address:
Bentonville AR
72716-0555
Principal Mailing No Address
Address:
I of 2 3/13/2007 2:55 PM

North Carolina Secretary of Stale
http://www. secrr-tary.state. nc. us/corporations/Corp. aspx?Pi tcmld=54..
For questions or comments about the Secretary of State's web site, please send e-mail to Webmaster.
of 2 3/13/2007 2:55 PM

O=0\NAr$ Michael F. Easley, Governor
William G. Ross 3r„ Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 13, 2007 .
Mr. J. Chris Callaway, Assitant VP & Director of Design & Real Estate
Wal-Mart Stores East, LP
2001 SE 10th Street
Bentonville, AR 72716
Subject: Stormwater Permit No. SW7060222MOD
Wal-Mart Store #3825-00 Havelock, NC
High Density Project
Craven County
Dear Mr. Callaway:
The Washington Regional Office received a complete Stormwater Management Permit
Application for the modification of Wal-Mart Store #3825-00 Havelock, NC on February
16, 2007. 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. SW7060222MOD dated March 13, 2007, for
the construction of the subject project. This permit replaces the stormwater permit
issued for this project on May 8, 2006.
This permit shall be effective from the date of issuance until May 8, 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 Scott Vinson, or me at [phone].
Sincerely,
-1
4XI Ho e
Regional Supervisor
Surface Water Protection Section
AHlsav: C:ISTORMWATERIPERMI-RSW7060222MOD
cc: Brian Bradner, PE wl Dewberry & Davis, Inc.
Craven County Building Inspections
City of Havelock Building Inspections
Aashington Regional Office
Central Files
Noc ftttCaro
Natural
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
Internet: www.ncwaterqualitv.org 943 Washington Square Mall, Washington, NC 27889 1.877-623-6748
An Equal OpportunitylAffirmative Action Employer — 50% Recycled110% Post Consumer Paper

State Stormwater Management Systems
Permit No. SW7060222MOD
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
Wal-Mart Stores East, LP
Wal-Mart Store #3825-00 Havelock, NC
Craven County
FOR THE
construction, operation and maintenance of an extended detention wetland system 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 May 8, 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.
2. 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
controls have been designed to handle the runoff from 16.94 acres of impervious
area.
3. The tract will be limited to the 16.94 acres of built -upon area within the total
project area of 22.38 acres as indicated on the application 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 areas of this
project must be directed into the permitted stormwater control systems per
approved plans.
Page 2 of 7

State Stormwater Management Systems
. Permit No. SW7060222MOD
Q
The following design criteria has been provided in the extended detention
wetland system and must be maintained at design conditions:
a.
Drainage Area, acres:
22.38
b.
s Surfaces, ac:
Total Im=Property
16.94
Off -Site Impervious, ac:
1.46
C.
Design Storm, inches:
1.0
d..
Pond Depth, feet:
3.00
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL:
21.50 .
g.
Permanent Pool Surface Area, ft2:
113,692
h.
Temporary Storage Elevation, FMSL:
22.10
i.
Temporary Storage Volume, ft3:
68,744
j.
Controlling Orifice:
3 - 6.0" � pipe
k.
Receiving Stream/River Basin:
UT Sandy Run 1 Neuse
I.
Stream Index Number:
27 —112 — 6 — 3
M.
Classification of Water Body:
"SC; 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.
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.
Page 3of7

State Stormwater Management Systems
Permit No. SW7060222MOD
5. 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.
B. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. 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 May,8, 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.
14. The Cieszo Family Property must submit a separate Stormwater Management
Permit Off -Site application package to the Division of Water Quality and receive a
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7060222MOD
permit prior to any construction of built upon area on the lot. If the property is
sold, the new owner(s) shall be notified of this permit condition and the name and
address of the new owner(s) shall be forwarded to the Washington Regional
Office's Division of Water Quality within 30 days of sale of property.
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 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.
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) 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 13t" day of March, 2007.
NORTH CAROL INA ENVIRONMENTAL MANAGEMENT COMMISSION
for
A an . Klime , P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7060222MOD
Page 5 of 7

State Stormwater Management Systems
Permit No. SW7060222MOD
Page 1 of 2
Wal-Mart Store #3825-00 Havelock, NC
Stormwater Permit No. SW7060222MOD
Craven County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification;
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7060222MOD
Page 2of2
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
Havelock Building Inspections
Page 7of7

OFFICE USE ONLY
Date
Fee Paid
Permit Number
/ �Receive�(d
YQ`O /j,
i% j
l dad
State of North Carolina SW7 0 6 0 2 2 2
R Department of Environment and Natural Resources
Division of Water Quality
FEB 16 200%TORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
DINQ-\NARO
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Wal-Mart Stores -East, LP, a DelawareLimited Partnership
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
J. Chris Callaway, Assistant Vice President and Director of Design & Real Estate
3, Mailing Address for person listed in item 2 above:
2001 S.E. loth Street
City: Bentonville State: AR Zip: 72716-0550
Telephone Number: ( 800 J. 530-9928 _
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Wal-Mart Store #3825--00 Havelock NC
5. Location of Project (street address):
U.S. Highway 70 and Catawba Road
City: Havelock, NC County: Craven
6. Directions to project (from nearest major intersection): .
Located at intersection of US 70 and Catawba Road
7. Latitude. 38° 54.83' N Longitude: 760 56.22'W of project
8. Contact person who can answer questions about the project:
Name: Sheila Reeves, PE Telephone Number: ( 919 } 881--9939
II. PERMIT INFORMATION:
1. Specify whether project is (check one)
Farm SWU-101 Version 3.99
New Renewal
Page I of 4
X Modification

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number SW7060222 and its issue date (if known) 5/8/2006
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 X 404/401 Permit X 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.
Plan has been modified to have entire developed site drain to one 1 wetland BMP.
The extended detention wetland has been designed to provide 90% removal TSS and 40%
2. Stormwater runoff from this project drains to the
3. Total Project Area: 27.89 acres
5. How many drainage areas does the project have? 1
Neuse
River basin.
4. Project Built Upon Area: 60.7 %
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
Ut .and-33:ocarm-ek-. S �
'— G - 41 '.emu 11
Receiving Stream Class
SC SW NSW
1Z /7
Drainage Area
22.38
Existing Impervious Area
0
Proposed Impervious*Area
16.94 ac
% Impervious Area (total)
87%
Impervious' Surface Area
Drainage Area I
Drainage Area 2
On -site Buildings
4.54 ac
On -site Streets
On -site Parking
10.48 ac
On -site Sidewalks
0.46 ac
Other on -site
___
Off -site Ci.eszko Property
1.46 ac
Total: 16.94
Total:
Impervious area Is defined as the built upon area Including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form S WU-101 Version 3.99 Page 2 of 4
A.

7. How was the off -site Impervious area listed above derived? Assumes built —out condition
(95% impervious)of gut" parcel.
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.
1. 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.
Z. No more than square feet of any lot shall 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. All permitted 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.
I. Please indicate that you have provided the following required information by Initialing in the space provided
next to each item.
Initials
• 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): Dewberry & Davis, Inc.
Mailing Address: 551 Piney Forest Road
City: Danville State: VA Zip: 24540
Phone: ( 434 ) 797-4497
VIII. APPLICANT'S CERTIFICATION
Fax: ( 434 ) 797-4341
1, (print or type name of person listed in General Information, Item 2) J. Chris Callaway
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 2H .1000.
116
Fonn SWU-101 Version 3.99 Page 4 of 4
Date: Z" Cc `a 7
Approved o ie ' ter orn,
b _
WAL-MF. T LEGAL DEPT.
Date: , - 30 - o

A,A
NCDENR �j�%r
North Carolina Department of Environment and Natural Resources S ' • r®6 0 2 2 2
Request for Express Permit Review
FILL-IN all information below and CHECK required Permit(s). Fax or email this completed form along with a narrative
and vicinity map of the project location to the appropriate One -Stop Coordinator:
• Fayetteville or Raleigh Region -David Lee 919-791-4203; david.lee(a ncmail. net EGF.JvEg)
• Mooresville & Asheville Region -Patrick Grogan 704-663-3772 or patrick.__qro_gan(a�ncmail.net
• Washington Region -Lyn Hardison 252-946-9215 or lyn.hardison(a.ncmail.net FEB Z j
• Wilmington Region -Cameron Weaver 910-350-2004 or cameron.weaver(a)ncmail.net 2007
Project application received after 12 noon will be stamped in the following work day.
DWQ-WARD
APPLICANT Name J. Chris Callaway
Company WaI-Mart Stores East, LP Address2001 SE 101h Street City/State Bentonville, AR Zip 72716-0550
Phone [phone] Fax Email
PROJECT SYSTEM(S) TRIBUTARY TO SURFACE WATER CLASSIFICATION
PROJECT Name Wal-Mart Store # 3825-00 Havelock, NC County Craven
PROJECT LOCATION (ADDRESS) HWY 70 AND CATAWBA RD
ENGINEERICONSULTANT Brad Bradner
Company Dewberry & Davis _ T
Address _ 551 Piney. Forest Rd. —City/State Danville VA Zip 24540
Phone [phone] Fax [phone] Email
State or National Environmental Policy Act (SEPA, NEPA) — EA or EIS Required ❑Yes ❑ No
❑ STREAM ORIGIN Determination: of Stream calls; Stream Name
® STORMWATER ❑Low Density ❑ High Density -Detention Pond
❑ Low Density -Curb & Gutter ❑ High Density -Infiltration
WETLANDS MUST BE ADDRESSED BELOW
® High Density -Other Wetlands
❑ Off Site
❑ COASTAL ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
MANAGEMENT ❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
❑ LAND QUALITY ❑ Erosion and Sedimentation Control Plan with acres to be disturbed.(CK # (for DENR use))
❑ WETLANDS (401); Check all that apply Isolated wetland on Property ❑ Yes ❑ No
Wetlands on Site ❑ Yes ❑ No I Buffer Impacts: ❑ No ❑ YES: acre(s)
Wetlands Delineation has been completed: ❑ Yes ❑ No 1 Minor Variance: ❑ No ❑ YES
Major General Variance ❑ No ❑ YES
US ACOE Approval of Delineation completed: ❑ Yes ❑ No 401 Application required; ❑Yes ❑ No If YES, ❑ Regular
404 Application in Process wl US ALOE: ❑ Yes ❑ No I Permit Received from US ACOE ❑ Yes ❑ No
Perennial, Blue line stream, etc on site ❑ yes ❑ No
The legislation allows additional fees, not to exceed 50% of the original Express Review permit application fee, to be
charged for subsequent reviews due to the insufficiency of the permit applications.
For DENR use only
Fee Split for multiple permits: (Check # 24813) Total Fee Amount $ 4000
SUBMITTAL
DATES
Fee
SUBMITTAL DATES
Fee
CAMA
Variance ❑ Ma'; ❑ Min
SW ® HD; ❑ LD
2/16/07
$4000
401:
LQS
I
Stream Deter,_

DATE TITLE SHEET NO.
��`�+' Dewberry 01/19/07 DRAINAGE AREAS
Dewberry & Davis, Inc. PROJ. NO. PROJECT
551 PINEY FOREST ROAD
DANVILLE, VA 24540 $0263900 WAL-MART STORE # 3825-00
PHONE: 434,797 4497
FAX: [phone] HAVELOCK, NC

Transmittal
To: NCDENR
943 Washington Square Mall
Washington, NC 27889
Attention: Lyn Hardison
We Transmit:
❑
as per your request
❑
under separate cover
❑
by mail
❑
by messenger
❑
by pick up
®
by overnight carrier
❑
regular UPS
the following:
®
prints
❑
copies
❑
reports
❑
studies
❑
reproducibles
❑
product literature
❑
computations
❑
specifications
❑
shop drawings
551 Piney Forest Road
P.O. Box 1509 (24543)
Danville, VA 24540
Date: 2/07/07 Project No: 80263900
E6MVADMN
Project: Wal-Mart Store #3825-00
Reference: Havelock, NC
cc:
for:
❑
your approval
❑
your review and comment
®
your fileluse
❑
revision and submission
❑
distribution
❑ as requested by
❑ as approved by
❑ as submitted for approval by
Copies
Date
Number
Description
2
2107
Permit Apphcation w/ BMP Worksheet
2
2/07
Revised Plans & Calculations
l
2/07
Express review fee check for $4,000.00
1
Boring logs for borings in area of BMP
Comments:
Please call if you have any questions. Thanks for your help.
E, CEIVED
FEB 15 2007
Thanks, l
QWQ-WARD Signed:
IPI
n K. Bradner P.If enclosures are not as noted, please notify us at once ne: [phone]
Fax: [phone]
E-mail: [e-mail]
i�

State of North Carolina o � ®� � oG
Department of Environment and Natural Resour e ,
Division of Water Quality
REGERVED STORMWATER MANAGEMENT PERMIT APPLICATION FORM R-r% 3
EXTENDED DETENTION WETLAND SUPPLEMENT
FEB 15 2007 (This form may be photocopied for use as an original.)
DlAfn fADrN
VDWQ�Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a Extended Detention Wetland supplement for
each proposed basin, design calculations, plans and specifications showing all basin and constructed wetland
details, and a fully executed operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name : Wal-Mart Store #3825-00
Contact Person: Sheila Reeves PE Phone Number: ( 919 ) 881-9939
For projects with multiple basins, specify which basin this worksheet applies to: NIA
II. DESIGN INFORMATION (Attach supporting calculations/documentation):
Drainage Area 22.38 ac. (on -site and off --site drainage to the basin)
Impervious Area 19.57 ac.
Permanent Pool Elevation 21.5 ft.
Temporary Pool Elevation 22.1 ft.
(on -site and off -site drainage to the basin)
(elevation of the orifice invert out)
(elevation of the outlet structure invert in)
Permanent Pool Surface Area 113,692sq. ft. (water surface area at permanent pool elevation)
Forebay Surface Area 10,906 sq. ft. (at permanent pool elevation approximately 1501o)*
+Marsh 0"-9" Surface Area 40,961 sq. ft. (at permanent pool elevation approximately 35%)*
+Marsh 9"-18" Surface Area 33,442_sq. ft. (at permanent pool elevation approximately 35%)*
'Micro Pool Surface Area 12,250 sq. ft. (at permanent pool elevation approximately 1501o) *
*Temporary Pool Surface Area 124,449 sq. ft. (water surface area at temporary pool elevation)
Temporary Pool Volume 68,744 cu. ft. (volume detained on top of the permanent pool)
SAIDA used 10.31 % (surface area to drainage area ratio from DWQ table) *
Diameter of Orifice 3-6" in. (2 to 5 day temporary pool draw -down required))
�Repoaed Perm Pool area ineludes the deep pool area.
+Deep pool area is not included in overall water iluality surface area. The volume above deep pool is used for attenuation.
Micropool area does nit include the deep pool area.
* Temporary pool arcs includes in the deep pool area. The deep pool area is counled only for flood attenuation purposes.
Extended Detention Wetland Supplement Form
Page 1 of 4

III. REQUIRED ITEMS CHECKLIST
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If a requirement has not been met, attach an explanation of why. At a minimum,
a complete stormwater management plan submittal includes a worksheet for each BMP, design calculations,
plans and specifications showing all BMPs and outlet structure details, a detailed drainage plan and a fully
executed operation and maintenance agreement. An incomplete submittal package will result in a request for
additional information and will substantially delay final review and approval of the project.
Applicants Initials
SSR The temporary pool controls runoff from the 1 inch rain.
SSR The basin side slopes are no steeper than 3:1.
SSR A planting plan for the marsh areas with plant species and densities is provided.
SSR Vegetation above the permanent pool elevation is specified.
Pump - SSR An emergency drain is provided to drain the basin.
SSR The temporary pool draws down in 2 to 5 days.
SR Sediment storage is provided in the permanent pool.
SSR A sediment disposal area is provided.
SSR Access is provided for maintenance.
SSR The drainage area (including any offsite area) is delineated on a site plan.
SSR Access is provided for maintenance.
SSR Plan details for the wetland are provided.
SSR Plan details for the inlet and outlet are provided.
SSR A site specific operation and maintenance agreement, signed and notarized by the
responsible party is provided (see http://h2o.ehnr.state.ne.us/ncwetlands/oandm.doc?.
* Pocket Wetlands have different design parameters and are only assumed to remove 35% TSS — See pp. 19 and 20 of
the NC DENR Stormwater BMP Manual, April 1999. 10% open water, 50% high marsh, 40% low marsh.
Extended Detention Wetland Supplement Form
Page 2 of 4

IV. EXTENDED DETENTION WETLAND OPERATION AND MAINTENANCE AGREEMENT
The extended detention wetland system is defined as the wetland detention basin, pretrement including
forebays and the vegetated filter if one is provided.
This system (check one) does M does not incorporate a vegetated filter at the outlet.
This system (check one) does ® does not incorporate pretreatment other than a forebay.
Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the extended detention wetland 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
grass cover around wetland area to maintain a maximum height of six inches, and remove trash as
needed. Vegetation selection will be of the same species as original plantings.
3. Inspect and repair the collection system (Le. catch basins, piping, swales, riprap, etc.) quarterly to
maintain proper functioning. Trash and debris will be cleared away from grates, curb cuts, velocity
reduction devices and piping.
4. Accumulated sediment will be removed from the forebay and deep pool semi-annually or when depth
is reduced to 75% of the original design depth. 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 treatment system 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 1.9 feet in the deep pool, the sediment shall be removed.
When the permanent pool depth reads 2.6 feet in the forebay, the sediment shall be removed.
If the elevation of the marsh areas exceed the permanent pool elevation, the sediment should be
removed to design levels. This shall be performed by removing the upper 6 inches of soil and
stockpiling it. Then the marsh area shall be excavated six inches below design elevations. Afterwards
the stockpiled soil should be spread over the marsh surface to redistribute wetland plant seeds. The
soil should not be stockpiled for more than two weeks.
5. Wetland planting densities in the marsh areas should be maintained by replanting bare areas as
needed. Wetland plants should be encouraged to grow in the marsh areas.
Extended Detention Wetland Supplement Form
Page 3 of 4

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.
Level spreaders or other structures that provide diffuse flow shall be maintained every six months.
All accumulated sediment and debris shall be removed from the structure, and a level elevation shall
be maintained across the entire flow spreading structure. Any down gradient erosion must be
repaired and/or replanted as necessary.
8. All components of the extended detention wetland system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. 1 agree to notify DWQ of any problems with the system or prior to
any changes to the system or responsible party.
Approvea as io f�Gai n� ^rry
Print name: J. Chris Callaway by
WAL-MA LEGA' D E P T
Title: Assistant Vice President and Director of Design & Real Estate Date: r - 3 0- 01
Address: 2001 S.E. 10`h Street Bentonville, AR 72716-0550
0
1,
E
Note: The legally responsible party should not be a homeowners association unless more than 50% of the
lots have been sold and a resident of the subdivision has been named the president.
Notary Public for the State of County of
do hereby certify that C� personally appeared before
me this �o day of , and acknowledge the due execution of the forgoing
wet [wetland] detention basin maintenance requirements. Witness my hand and official sea],
"NOTARY SEAL V
Judith Ann Smith, Notary Pu lic
Benton County, State of Arkar sas
My Commission Expires 21151011
SEAL
My commission expires
Extended Detention Wetland Supplement Form
Page 4 of 4

SW'706oaaD
6� ad -
June 12, 2006
P0. Box 3278
Knoxville, Tennessee 37927
Phow 865-523-05M
Fax:[phone]
Certified Mail Receipt #;_7000 0520 0014 7741 9973
NCDENR Land Quality
Pat McClain, PE
943 Washington Square Mall
Washington, NC 27889
RE: Wal-Mart Supercenter #3825-00
U.S. Highway 70
Havelock, NC 28532
PERMIT AUTHORIZATION FOR STORM WATER:
GENERAL PERMIT FOR STORMWATER DISCHARGES FROM
CONSTRUCTION ACTIVITIES
SIGNATURE DELEGATION
I, the undersigned, hereby delegate J.A. Ficlden's Project Superintendent or Project Manager as
the authorized signatory for all reports required by this permit and other information requested by
the Director or authorized representative of the Director in accordance with the provisions of the
General Permit.
certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure qualified personnel
properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage this system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true accurate
and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations,
Sincerely
J.A. IELDEN CO. C.
i
_ r`�
J Se A. Fielden
President
cc: City of I lavelock Planning

Re: WNI Store #i825 Havelock, NC
Subject: Re: WM Store 93825 Havelock, NC
From: Scott Vinson <Scott.Vinson a ncmai1,net>
Date: Wed, 03 May 2006 16:54:06 -0400
To: "Bradner, Brian" <[e-mail]>
CC: Sheila Reeves < S Reeves @Dewberry. corn>
Brian,
could you please email me a copy of your April 26, 2006 response letter?
The second page to your letter is missing from the submittal.
Thanks,
Scott
Bradner, Brian wrote:
Scott,
Sorry to bug you. Just wanted to make sure you had received our resubmittal
package.
Thanks.
Brian.
-----Original Message -----
From: Scott Vinson[mailto:[e-mail]3
Sent: Thursday, April 27, 2006 11:41 AM
To: Bradner, Brian
Subject: Re: wM Store #3825 Havelock, NC
Brian,
we have Found the original signed forms here in the office. Sorry, they
were misplaced .
with another project after they came in. I hope you get to feeling
better soon,
Scott
Bradner, Brian wrote:
IScott, I
I I
Just wanted to let you know we have about everything ready to send
Iback to you. I will be reviewing it in the morning and sending out I
tomorrow for your review along with the $1,000 review fee. I'meant to I
1 of 3 5/4/2006 3:29 PM

Re: WM Store #3825 Havelock, NC
Isend out to you today but unfortunately have been sick the past 2 days
Thanks for -your help.
j Brian K. Bradner, P.E.
I
Associate
I
Senior Project Manager
I
Dewberry
I
551 Piney Forest Rd.
(
Danville, VA 24540-3353
434.797.4497, Ext. 22.8
I
434.797.4341 fax
I
434.548.4497 mobile
j www.dewberry.coin <http://www.ctewberry.coin/>
1
IDewberry is celebrating its 50^th Anniversary in 2006!
2 of 3 5/4/2006 3:29 PM

Re: WMiStore #j825 Havelock, NC
3 of 3 5/4/2006 3:29 1'M

I
SITE GRADING &
STORM DRAINAGE NOTES
F
• ���� sr ir�rsr�
• II•. rrl�Ri.l�i�•�ii
r. • MN•/ Y •AI�••.il •.r 11�i .1� �i
• �rr�w=.,^�rr�i r.a.. w.
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0
Q1�=�.rr.r4.rr.
Ln
of •IZi�10ltiii!\ •�����
OD
O
O
N
N
Q
47
V.
i'\
R
7.40 ACRES 8.90 ACRES
IMPERVIOUS IMPERVIOUS
4
1.61 ACRES CONTAINED IN \
CURB 6 PROPERTY LINE
1.46 ACRES MOST IJKELY
MAXIMUM IMPERVIOUS
APR z 8 zoos
DWQ
ROJ # NOTE: SEE COVER SHEET FOR FOUNDATION
SUBSURFACE PREPARATION NOTE
E & S LEGEND
® pp ounE: ononcriox
su oeru�
® �P r4rtce.�r�ErcaorEcnox-
® Dewberry
N0 o €€
w G
� � a
J4 �

RC: WM Store 43825 Havelock, NC
r
0
Subject: RC: WM Store #3825 Havelock, NC
From: "Bradner, Brian" <[e-mail]>
Date: Thu, 4 May 2006 15:20:45 -0400
To: "Scott Vinson" <[e-mail]>
CC: "Reeves, Sheila" <[e-mail]>
MAY
vwa
Scott,
Sorry I missed your call. Just got back in the office. Attached is a copy of the response letter. Please call with
any questions.
Thanks for your help.
Brian
-----Original Message -----
From: Scott Vinson[mailto:[e-mail]]
Sent: Wednesday, May 03, 2006.4:54 PM
To: Bradner, Brian
Cc: Reeves, Sheila
Subject: Re: WM Store #3825 Havelock, NC
Brian,
could you please email me a copy of your April 26, 2006 response letter?
The second page to your letter is missing from the submittal.
Thanks,
Scott
Bradner, Brian wrote:
> Scott,
> Sorry to bug you. Just wanted to make sure you had received our
> resubmittal package,
> Thanks.
> Brian.
> -----Original Message -----
> From: Scott Vinson[mailto:[e-mail]]
> Sent: Thursday, April. 27, 2006 11:41 AM
> To: Bradner, Brian
> Subject: Re: WM Store 43825 Havelock, NC
> Brian,
> we have found the original'signed forms here in the office. Sorry, they
>
> were misplaced
> with another project after they came in. T hope you get to feeling
> better soon,
> Scott
> Bradner, Brian wrote:
I of 3 5/4/2006 3:29 PM

RE: WM Store 43825 Havelock, NC
>
>> Scott,
>
>
.. >> Just 'wanted to .Let you know we have about everything ready to send
>> back to y6u. I.will be reviewing it in the morning and sending out
>> tomorrow for your.review along with the $1,000 review fee. I meant -to
>> send out,to you today but unfortunately have been sick the past 2 days.
>
>> Thanks for your help.
>
>
>> Brian K. Bradner, P.E.
>
>> Associate
>
>> Senior Project Manager
>> Dewberry
>> 551 Piney Forest Rd.
>
>
>> Danville, VA 24540-3353
>> 434.797.4497, Ext. 228
>
>> 434.797.4341 fax
>> 434.548.4497 mobile
>
>> www.dewberry.com <http://www.dewberry.com/>
>> Dewberry is celebrating its 50^th Anniversary in 2006!
a
2 of 3 5/4/2006 3:29 PM

RE: WM Store 93825 Havelock, NC
Content -Description: DWQresponse.pdf
DWQresponse.pdf Content -Type: application/octct-stream
Content -Encoding: base64
3 of 3 5/4/2006 3:29 PM

I
April 26, 2006
Mr. Scott A. Vinson
Environmental Engineer II
NCDENR
Division of Water Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
RE: Wal-Mart Store #3825-00
Havelock, NC
Dear Mr. Vinson:
R-SC,ZIVEDNJ
MAY: .04B
DWQ
P803 #
Please find enclosed revised calculations, forms, and plan sheets per your letter dated
4/18/06. Below are responses (in italics) to each comment:
1. Please provide the original signed application and supplement forms. The forms
received are only copies of the originals. The original signed applications were sent
415106 via Federal Express delivery to Lyn Hardison's attention at the Washington
Regional Office.
2. Please verify the proposed impervious areas for Drainage Areas 1 & 2 under section
Ill., no. 6 on form SWU-101. These impervious numbers do not match the proposed
numbers given in both the supplement forms and the calculations. (D.A. #1 = 7.40ac
vs. 8.40ac & D.A. #2 = 10.36ac vs.] 1.29ac.). The calculations have been revised to
reflect the correct impervious areas (D.A. #1 = 7.40ac & D.A. #2 = 10.36ac).
3. The drainage area delineations on sheet 3A do not match the delineations in the
attachments. Please provide correct drainage area delineations on sheet 7. The
drainage area delineations shown on Sheet 3A depict the drainage areas for the
temporary sediment basins. Drainage area delineations for the permanent BMP's
have been added to Sheet 7.'
4. The contour lines given on the wet detention pond nearest Catawba Rd. on plan
sheets 6, 7, & WL-1 are mislabeled. Please verify and correct., The contour labels
have been corrected.
5. When applying the simple orifice equation to check the draw down of only the l"
re4uired.storage volumes, both the 6 inch and 4 inch small diameter orifices draw
down the respective volumes in 1 day or less. Please verify that only the required 1"

In
Mr. Scott A. Vinson
Page 2
April 26, 2006
volume and not the excess "proposed" storage volumes are used in determining the
small diameter draw down orifices. If the orifices are too large then the 1" storm will
not be detained for at least a 2 day period. Drawdown times for the orifices have been
evaluated and are sufficient to drawdown over a period of 2 to 5 days. Calculations
have been carried out to demonstrate drawdown time till Q = 0.00. For the Wet
' Pond, a drawdown time of 4.3 days is provided (WQ Elev. = 21.03' drawdown occurs
between time steps of 1,555 and 7,810 minutes for the l yr storm). For the Wetland, a
drawdown time of 3.2 days is provided (WQ Elev. = 21.70' with drawdown occurring
between time steps 1,040 and 5,660 for the lyr storm). The method of calculating
'drawdown time using the simple orifice equation assumes a constant head on the
- orif ce. This is not a correct assumption for a falling head (i.e. drawdown) orifice,
See additiona�calculations enclosed.
6. The 36" riser top elevation is mislabeled with 27.50 and not the correct 22.50 on
sheet 12 the wetland outlet structure details. This detail on Sheet 12 has been revised.
7. Please provide a trash guard for the small diameter orifice for the wetland outlet
structure detail. It can be angled down below the permanent pool elevation as long as
the detail shows the invert into the riser is at the permanent pool elevation. -This detail
on Sheet 12 has been revised.
8. Please also include a trash guard for the 3' wide primary overflow weir on the wet
detention pond outlet structure detail. It can be grate or rebar, but needs to have no
larger than 4" openings to help prevent trash from entering surface waters. A 6 ft. high
vinyl coated chain link fence will be installed around the wet detention pond. A note
has been added to the detail on Sheet 12.
9. Please provide the required 10ft. wide. 6:1 sloped vegetated shelf starting at and
going below the permanent "pool elevation on the cross section detail of the wet
detention pond found on sheet WL-I. Sheet WL-1 has been revised.
10. The permanent pool volume on the Wei Detention Basin Supplement form is given as
35,145cf. This volume needs to include the permanent pool volume detained within
the forebay area of 28,263cf as well. Please verify and correct if needed. A corrected
sheet is enclosed.
11. Please notify Cieszko Family Properties, LLC that they will be required to obtain an
Off -site State Stormwater Permit from this Office prior to diverting their impervious
runoff drainage into the wet detention basin. This will be necessary to verify the 1.46
acres of proposed Off -site impervious area that is designed in the wet basin. Cieszko
Family Properties, LLC has been notified of this requirement.
12. On any plan sheets that require revisions, please provide 2 copies of those Seale
plans. Two (2) copies of revised Sheets 6, 7, 12 and WL-I are enclosed.
�wQ
VSPa '

r
Mr. Scott A. Vinson
Page 3
April 26, 2006
13. Please provide the 25% additional information fee associated with the Express
Stormwater Review Program of $1000.00 by check made payable to "NC DENR".
The check is enclosed.
Please call me should you have any questions or require additional information. Thanks
again for your help on this Project.
Sincerely,
Dewberry & Davis, Inc.
Brian K. Bradner, P.E.
Associate
Senior Project Manager
Cc: Shelia Reeves, P.E., Dewberry
P: 80263900lAd min/Corrcspondance/D W Qresponse,doe
MAY �.4 20
D`H�
yROd #

Transmittal
To: NCDENR
943 Washington Square Mall
Washington, NC 27889
Attention: Scott A. Vinson
We Transmit:
the following:
❑
as per your request
®
prints
❑
under separate cover
❑
copies
❑
by mail
❑
reports
❑
by messenger
❑
studies
❑
by pick up
❑
reproducibles
®
by overnight carrier
❑
product literature
❑
regular IMPS
❑
computations
❑
specifications
❑
shop drawings
9 Dewberry
551 Piney Forest Road
P.O. Box 1509 (24543)
Danville, VA 24540
Date: 5/05/06 Project No: 80263900
E6MVADMN
Project: Wal-Mart Store #3825-00
Reference: Havelock, NAECEIVED
cc:
MAY 0 8 2006
for:
❑
your approval
❑
your review and comment
®
your fileluse
❑
revision and submission
❑
distribution
DWQ-WARD
❑ as requested by
❑ as approved by
❑ as submitted for approval by
Copies
Date
Number
Description
2
5/06
Revised Sheet 12
Comments:
Please call if you have any questions. Thanks for your help.
Thanks, 1
If enclosures are not as noted, please notify us at one
Signed: l�
rian K. Bradne P.E.
e hone: [phone]
Fax: [phone]
E-mail: [e-mail]

FW: WM Store #3825 Havelock, NC
Subject: FW: WM Store #3825 Havelock, NC
From: "Reeves, Sheila" <[e-mail]>
Date: Mon, 8 May 2006 10:41:38 -0400
To: "Scott Vinson" <[e-mail]>
CC: "Bradner, Brian" <[e-mail]>, "Hanson, Michael" <[e-mail]>
Scott,
I have a call .into your voicemail this morning regarding your comment
below, related to item #5. 'I thought I'would try you by email as well.
The orifices on both BMP facilities are designed for the 1" storm. Using
the NCDENR Stormwater Manual, the "Simple Method" (Scheuler) was used to
calculate the volume to be controlled from the 1" storm. These
calculations were performed and provided to you as part of our
submittal, (see page 2 of 2 for Wet Pond Design and page 2 of 2 for
Wetland Design).
Wet pond Water Quality Volume (shown on the spreadsheet as "Volume (1"
storm)" is 36,004 cf.
Wetland WQV is calculated to be 25,728 cf.
Attached are revised (sealed) stage -storage curve development worksheets
for each of the BMP facilities. (When I made the most recent revision
to peak flow calcs based on your comments I forgot to update the WQV in
my stage storage curve). The attached spreadsheets use the
stage -storage curve developed for each facility to back -calculate the
elevation corresponding to the WQV calculated in the "Design"
spreadsheets.
As shown for the Wet Pond the WQV is 36,004 cfs. Using the attached
revised stage -storage curves provided, this volume occurs at elevation
20.95 for this facility. If you flip to the 1-yr routing for the pond,
you will see that elevation 20.95 occurs at time -step 1705 minutes and
the routing ends at time step 7810 minutes. The drawdown occurs over
4530 minutes, or 4.2 days. (The drawdown time will be the same for the
100-yr routing, too, when you identify the time step associated with the
WQ elevation).
The same procedure can be used to evaluate Wetland drawdown time. The
WQV is calculated to be 25,728. Using the attached revised
stage -storage curves, the elevation corresponding to this volume is-
21.63. Going to the 1-yr 24hr routing, the time step corresponding to
elevation 21.63 is 1130 minutes and routing ends at 5660 minutes. The
drawdown occurs over 6105 minutes, or (3.14 days).
Please let me know if you have any further questions.
Sheila Stallings Reeves, PE, CFM
Project Manager
Dewberry
2301 Rexwoods Drive, Suite 200
Raleigh, NC 27607-3366
919.881.9939 ext. 273
919.881.9923 fax
www.dewberry.com
Dewberry is celebrating its 50th Anniversary in 2006!
di,ECEIVED
MAY 0.8.2006
DWQ
1 of 8 5/8/2006 W0 54 AM

FW: WM Store 43825 Havelock, NC
-----Original Message -----
From: Bradner, Brian
Sent: Thursday, May 04, 2006 4:42 PM
To: Reeves, Sheila
Subject: FW: WM Store 43825 Havelock, NC
-----Original Message -----
From: Scott Vinson [mailto:[e-mail]
Sent: Thursday, May 04, 2006 4:39 PM
To: Bradner, Brian
Subject: Re: WM Store 43825 Havelock, NC
Brian,
I need two items re -addressed.
First is item no. 7 on my April 18, 2006 letter:,
There has been no change to the outlet structure detail for the wetland
system
to address the trash guard for the small diameter outlet orifice. There
has been
the addition of a steel mesh guard on the pond detail, but not the
wetland detail.
Please -revise sheet 12 and'send two copies.
Second, is item no. 5 on my April 18, 2006 letter: .
The outlet orifices for both the wet pond and the constructed wetland
have been
designed based on the lyr. storm, but the rules require these orifices
to be designed
based on only the 1" design storm. The first flush or 1" storm needs to
be detained
for at least 2 days and when you design the orifice based on a larger
lyr. storm the
1" storm passes out of the pond/wetland too fast.
New calculations for both the pond and wetland, don't forget to seal
these,
and two copies of the revised detail sheet 12 need to be submitted.
These .items need to be in my office by 5pm on Monday 8, 2006.
Thanks,
Scott
Bradner, Brian wrote:
Scott,
Sorry I missed your call. Just got back in the office. Attached is a
copy of the response letter. Please call with any questions.
Thanks for your help.
Brian
--.,--Original Message-7---
From: Scott Vinson[m5i-1to:[e-mail]]
Sent: Wednesday, May 03, 2006 4:54 PM
To: Bradner, Brian
Cc: Reeves, Sheila
Subject: Re: WM Store #3825 Havelock, NC
0
2 of 8 5/8/2006 10:54 AM

ofWArFq
r_
>
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
May 8, 2006
Mr. John Clarke, Regional VP of Design/Real Estate n �t,Gy�� I
Wal-Mart Stores, Inc.
2001 SE 101h Street `10
Bentonville, AR 72716
Subject: Stormwater Permit No. SW7060222 .
Wal-Mart Store #3825-00 Havelock, NC
High Density Project
Craven County
Dear Mr. Clarke:
The Washington Regional Office received a complete Stormwater Management Permit
Application for Wal-Mart Store #3825=00 Havelock, NC on May 8, 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. SW7060222 dated May 8, 2006, for the construction of the
subject project.
This permit shall be effective from the date of issuance until May 8, 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 Scott Vinson, or me at [phone].
Sincerely,
L
I Hodg
Regional Supervisor
Surface Water Protection Section
AHlsav: C:ISTORMWATERIPERMIT1SW7060222
cc: Brian Bradner, PE wl Dewberry & Davis, Inc.
Craven County Building Inspections
C1ty of Havelock Building Inspections
Washington Regional Office
Central Files
North Carolina Division of Water Quality Washington Regional Office Phone [phone] FAX [phone] Customer Service
Internet: www.ncwateroualkv.or¢ 943 Washington Square Mall, Washington, NC 27889 1-877-623-6749
An Equal OpportunitylAtfirmative Action Employer— 50% Recycled110% Post Consumer Paper
Now Caro
Ntumi

'{
State Stormwater Management Systems
Permit No. SW7060222
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
Wal-Mart Stores, Inc.
Wal-Mart Store #3825-00 Havelock, NC
Craven County
FOR THE
construction, operation and maintenance of a wet detention pond and a extended
detention wetland system 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 May 8, 2016, 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 1.6 on page 3 of this permit. The stormwater
controls have been designed to handle the runoff from 17.76 acres of impervious
area.
3. The tract will be limited to the 17.76 acres of built -upon area within the total
project area of 20.44 acres as indicated on the application 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 areas of this
project must be directed into the permitted stormwater control systems per
approved plans. _
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7060222
6. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
D.A. #1 D.A. #2
Wetland Wet Pond
a. Drainage Area, acres: 8.55 1.1.89
b. Total Impervious Surfaces, ac: 7.40
C. Design Storm, inches:
d. Pond Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area, ft2:
h. Temporary Storage Elevation, FMSL:
i. Temporary Storage Volume, W:
j. Controlling Orifice:
k. Receiving Stream/River Basin:
I. Stream Index Number:
M. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
1.0
3.00
90%
21.00
44,060
22.50
69,409
10.36
(1,46 Cieszo Property)
1.0
5.00
90%
20.00
37,866
21.70
68,748
6.0" � pipe 4.0" � pipe
Slocum Creek 1 Neuse' .
27-112
"SC; Sw, NSW"
1. The stormwater management systems 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.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
Page 3 of 7

State Stormwater Management Systems
r Permit No. SW7060222
activity, name of person performing the work and what actions were taken.
5. 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.
9. 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 May 8, 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. SW7060222
1
14. The Cieszo Family Property must submit a separate Stormwater Management
Permit Off -Site application package to the Division of Water Quality and receive a
permit prior to any construction of built upon area on the lot. If the property is
sold, the new owner(s) shall be notified of this permit condition and the name and
address of the new owner(s) shall be forwarded to the Washington Regional
Office's Division of Water Quality within 30 days of sale of property.
III. GENERAL CONDITIONS
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.
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) 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 81h day of May, 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klirnelrc�E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5of7

State Stormwater Management Systems
Permit No. SW7060222
Page 1 of 2
Wai-Mart Store #3825-00 Havelock, NC
Stormwater Permit No. SW7060222
Craven County
Designer's Certification
1, , 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 myabilities, 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. SW7060222
Page 2of2
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
Havelock Building Inspections
Page 7 of 7

Amo+' R,Dewberry
Y•pt.
April 26, 2006
Mr. Scott A. Vinson
Environmental Engineer II
NCDENR
Division of Water Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
RE: Wal-Mart Store #3825-00
Havelock, NC
Dear Mr. Vinson:
551 Piney Forest Road 434 797 4497
Danville, Virginia 24540-3353 434 797 4341 fax
P.O. Box 1509 • Danville, Virginia 24543-1509 www.dewberry.com
Please find enclosed revised calculations, forms, and plan sheets per your letter dated
4/18/06. Below are responses (in italics) to each comment:
1. Please provide the original signed application and supplement forms. The forms
received are only copies of the originals. The original signed applications were sent
415106 via Federal Express delivers, to Lvn Hardison 's attention at the Washington
Regional Office.
2. Please verify the proposed impervious areas for Drainage Areas I & 2 under section
III., no. 6 on form SWU-101. These impervious numbers do not match the proposed
numbers given in both the supplement forms and the calculations. (D.A. #1 = 7.40ac
vs. 8.40ac & D.A. 42 = 10.36ac vs.I 1.29ac.). The calculations have been revised to
reflect the correct impervious areas (D.A. #1 = 7.40ac cli D.A. #2 = 10.36ac).
3. The drainage area delineations on sheet 3A do not match the delineations in the
attachments. Please provide correct drainage area delineations on sheet 7. The
drainage area delineations shown on Sheet 3A depict the drainage areas for the
temporary sediment basins. Drainage area delineations for the permanent BMP's
have been added to Sheet 7.
4. The contour lines given on the wet detention pond nearest Catawba Rd. on plan
sheets 6, 7, & WL-1 are mislabeled. Please verify and correct. The contour labels
have been corrected.
5. When applying the simple orifice equation to check the draw down of only the 1"
required storage volumes, both the 6 inch and 4 inch small diameter orifices draw
down the respective volumes in 1 day or less. Please verify that only the required 1"
Dewberry & Davis, Inc.

Mr. Scott A. Vinson
Page 2
April 26, 2006
volume and not the excess "proposed" storage volumes are used in determining the
small diameter draw down orifices. If the orifices are too large then the I" storm will
not be detained for at least a 2 day period. Drawdown times for the orifices have been
evaluated and are sufficient to drawdown over a period of 2 to 5 days. Calculations
have been carried out to demonstrate drawdown time till Q = 0.00. For the Wet
Pond, a drawdown time of 4.3 days is provided (WQ Elev. = 21.03' drawdown occurs
between time steps of 1,555 and 7,810 minutes for the lyr storm). For the Wetland, a
drawdown time of 3.2 days is provided (WQ Elev. - 21.70' with drawdown occurring
between time steps 1,040 and 5,660 for the 1 yr storm): The method of calculating
drawdown time using the simple orifice equation assumes a constant head on the
orifice. This is not a correct assumption for a falling head (i.e, drawdown) ori_frce.
See additional calculations enclosed. , 1 9�+;�e i s/e/ .�S- I ' t o J- , fk,*+
5� 4e^r „'� . 1^6L 16r. aQaav91 c•.��1 f d� S , V"
6. The 36" riser top elevation is mislabeled v, ith 27.50 a not the correct 22.50 on VV4 - c�
sheet 12 the wetland outlet structure details. This detail on Sheet 12 has been revised. i5
� 5
7. Please provide a trash guard for the small diameter orifice for the wetland outlet
structure detail. It can be angled down below the permanent pool elevation as long as
the detail shows the invert into the ser is at the ermanent ool elevation. This detail `_�
on Sheet 12 has ben revised S 9.."l �f 'S hW � 9_.:/ q� �
� b.,��- did .4r �le,
8. Please also include a trash guard for the 3' wide primary overflow. weir on the wet
detention pond outlet structure detail. It can be grate or rebar, but needs to have no
larger than 4" openings to help prevent trash from entering surface waters. A 6 ft. high
vinyl coated chain link fence will be installed around the wet detention pond. A note
has been added to the detail on Sheet 12. dr-11.0 rAllkrww- A" fv'd16 _AA- 4L ij1 Jk
/ •'tG�Gt. rJDw� �e ACAJ per_ - W4,
9. Please provide the required 1 oft. wide, 6 1 sloped vegetated shelf starting at and
going below the permanent pool elevation on the cross section detail of the wet.rct j�pw•�.
detention pond found on sheet WL-1. Sheet WL-1 has been revised.
10. The permanent pool volume on the Wet Detention Basin Supplement form is given as
35,145cf. This volume needs to include the permanent pool volume detained within
the forebay area of 28,263ef as well. Please verify and correct if needed. A corrected
sheet is enclosed.
11. Please notify Cieszko Family Properties, LLC that they will be required to obtain an
Off -site State Stormwater Permit from this Office prior to diverting their impervious
runoff drainage into the wet detention basin. This will be necessary to verify the 1.46
acres of proposed Off -site impervious area that is designed in the wet basin. Cieszko
Family Properties, LLC has been notified of this requirement.
12. On any plan sheets that require revisions, please provide 2 copies � ���
plans. Two (2) copies of revised Sheets 6, 7, 12 and WL-1 are enclose`9h��i'
MAY p 4.2006
])we
PROD #

Mr, Scott A. Vinson
Page 3
Apri 126, 2006
13. Please provide the 25% additional information fee associated with the Express
Stormwater Review Program of $1000.00 by check made payable to "NC DENR".
The check is enclosed.
Please call me should you have any questions or require additional information. Thanks
again for your help on this Project.
Sincerely,
Dewberry & Davis, Inc.
u
Brian K. Bradn r, P.E.
Associate
Senior Project Manager
cc: Shelia Reeves, Q.E., Dewberry
P: 802031)00/Admi nlCon•espondance/[)W Qresponse. doc
Dewberry
46w7-0�

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
April 18, 2006
Mr. John Clarke, Regional VP of Design/Real Estate
2001 SE 10' Street
Bentonville, AR 72716
Subject: Stormwater Review SW7060222
Wal-Mart Store #3825-00 Havelock, NC
Craven County
Dear Mr. Clarke:
This office received a Coastal Stormwater permit application and plans for the subject project on
April 5, 2006- A preliminary review of the project indicates that before a State Stormwater permit can be
issued the following additional information is needed.
➢ Please provide the original signed application and supplement forms. The forms received are
only copies of the originals.
➢ Please verify the proposed impervious areas for Drainage Areas 1 & 2 under section Ill., no. 6 on
form SWU-101. These impervious numbers do not match the proposed numbers given in both
the supplement forms and the calculations. (D.A:# 1 = 7.40ac vs. 8.40ac & D.A.#2 = 1036ac
vs.1 i .29ac.)
➢ The drainage area delineations on sheet 3A do not match the delineations in the attachments.
Please provide correct drainage area delineations on sheet 7.
➢ The contour lines given on the wet detention pond nearest Catawba Rd. on plan sheets 6, 7, &
WL-1 are mislabeled. Please verify and correct_
When applying the simple orifice equation to check the draw down of only the I" required
storage volumes, both the 6 inch and 4 inch small diameter orifices draw down the respective
... ....J :C.:JG Vulil) ilAU UiiiY i.i.'i% i7:Eii.ilii:(r #,- vilrtllttfv iLll© notZ1�G excess
JJLVJJUZ%i1Li JLiJJa6t- VV1Lt111CJ 111k t1SCU ll1 uCSC11111IM1`11 UU: S111aIl olalit::Ecr drravv down
t11:' UPe1r.C� ^ r:t�,EuT-: �i -Vi:frt:J— — vUilnc" aU U1ri.i iinl.
rvah 27.3ii arlu, ric"t the coi-iccl G2._5lJ 1p1 S314L-gi 12 Ow
wetland ouliel ssrueiiire deiali,,.
i- Pleas provide a (rps h pmprd f,, the 4mali H1arn-tPr nrlrtr_P Cr,?- 07, --#Il f -4 f'.i
{I r �r .rnnlr. r# ri n.,... i.n fin..• .w �, .. n.- n.,♦ tit .�1n. r: n.. 1...... 3!.- s
.,- r _., ...- ..-..... ...... .... ::.., .... Gil
.,o a< riiJei ail iu Q lee%. %Vlue i1111ttaa'� tivV' 11OW %VfZ11 1111 Alm WCL 6eienEloii pond
Oudei sittic;iurc deiail. i can be gr-dic or rcbar, but needs to have no larger than 4" openings to
help prevent trash from entering surlace eaters.
Please provide the required 10ii. wide. 6:1 sloped vegetated shelf starting at and going helcnv the
permanent pool elevation on the crass section detail of the vet detention pond found on sheet
WL-l.
North Carolina Division of Water Quality Washington Regiottal Office Phone [phone] FAX [phone] Customer So V icr
lntemet: h2o.enr.state.mus 943 Washington Square Mall, Washington, NC 27889 1-877-623-6748
Nt rthf'at
,JVpiur�

➢ The permanent pool volume on the Wet Detention Basin Supplement form is given as 35,145cf.
This volume needs to include the permanent pool volume detained within the forebay area of
28,263cf as well. Please verify and correct if needed.
➢ Please notify Cieszo Family Properties, LLC that they will be required to obtain an Off -site State
Stormwater Permit from this Office prior to diverting their impervious runoff drainage into the
wet detention basin. This will be necessary to verify the 1.46 acres of proposed Off -site
impervious area that is designed in the wet basin .
➢ On any plan sheets that require revisions, please provide 2 copies of those sealed plans.
➢ Please provide the 25% additional information fee associated with the Express Stormwater
Review Program of $1000.00 by check made payable to "NC DENR".
The above requested information must be received in this office prior to April 27, 2006 or your
application will be returned as incomplete. The return of this project will necessitate resubmittal of all
!4t�te G!�.tt ii4ii�$ iiicludint- filc- application �•_.., you need additional time to submit the required
'¢ GP, � ` - ;' r=-- J i iai ivT iiii3c ea`acsss:vi1 to this office at the Letterhead
_uvia iae:.� iii .xa vi viii a� u
Yon gho i€Id also he aware that the Stormwater R€€les require that the permit he issoied prior to any
3 ,,ehV- € ieilt ac_ivit . Construction without a permit is a violation of 15A NCAC 2H.1000 and North
Carolina General Statute 14321 `. i and may result in civil pen :!tics of up to j i t`s,un!)
1'let,se re crence the Stormwater Project Number above on ail correspondence. If you have
please .1al free to contact €ne at {252) 948-3848.
Environmental Engineer
Washington Regional Office
cc: Sh 'la Reeves, PE — Dewberry & Davis, Inc.
hington Regional Office

WAL*ART sam m. walton development complex
2001 S.E. 10'" Street
REAL ESTATE DIVISION Bentonville, Arkansas 727.16-0550
Fax: [phone]
DELEGATION OF AUTHORITY
TO SIGN STORM WATElk DOCUMENTS
KNOW ALL MEN BY THESE PRESENTS:
That I, J. Robert Bray, Senior Vice President for Real Estate Design and Construction with authority
over the design and construction of all Wal-Mart stores and �upercenters, do hereby delegate to the Wal-Mart
Director of Storm Water Compliance and Senior Director of ite & Building Construction the authority to sign
any and all documents relative to or required by any sto water construction general or individual permit
issued or promulgated by the United States Environmental P�tection Agency, or by a state or local agency with
authority to regulate storm water discharges from construction sites.
This authorization includes, without limitations, thelauthority to sign Notices of Intent, Storm Water
Pollution Prevention Plans, reports, certifications, Notices of Termination, or any other information or document
required to be signed by Wal-Mart Stores, Inc. as a permitt¢e under the terms of any of the above described
permits.
Witness my hand on this / .
Wal-Mart S retb s. Inc)
Yf Vice President
Estate and Design and
13LECEUVEm
APR 0 5 2006
DWQ-WARD

Mlar.29, 2006 3:38PM
No, IU14 K 1
March 24, 2006
Mr. Brian K. Bradner, P.E.
Dewberry & Davis, Inc.
SS 1 Piney Forest Road
Danville, Virginia 24540
RE: Wal-Mart Store ##3825-00 (Project)
U.S. Hwy. 70
Havelock, NC
Dear Brian:
Wal-Mart has entered into an Agreement to purchase 25 acres t of property owned by
Ciesko Family Property, LLC for the above referenced Project. In accordance with the
terms of this Agreement, Wal-Mart and its assigned agents have permission to conduct
tests, studies, surveys, etc. on the subject property and obtain all approvals and permits
necessary to construct the Project.
Please call if you have any questions.
Sincerely,
Martin Cieszko RECEQVED
Cieszko Family Property, LLC
Cc: Mr. Albert C. Hwang, Troutman Sanders, LLP APR 0 5 2006
DWQ-WARD
P:1802639001Admin\Conspondena\Ag rtetoPemut-3825.doc

DETENTION POND ANALYSIS FILE NAME- C-\STORMWATER\POND1SW7060222
PROJECT* SW7 060222 REVIEWER: Svinson
WETPOND - DA#2
PROJECT NAME: Wal-Mart - Havelock
DATE: 1 8-Apr-06
Receiving Stream: Slocum Creek Class: SC; NSW
Drainage Basin-.- Neuse Index No.
Site Area 20.44 acres
Drainage Area �square feet Area 11.89 acres
17 .......... :
IMPERVIOUS AREAS
Rational C
Buildings
101059.20
square feet
Parking
271378-80
square feet
Sidewalks
15246.00
square feet
Other
63597.60
square feet
square feet
square feet
TOTAL
square feet
Rational Cc= 0.03
SURFACE AREA CALCULATION
% IMPERVIOUS
87.13%
SA/DA Ratio 6.27%
Des. Depth
5
Req. SA 32477
sf
TSS:
90
Prov. SA sf
VOLUME CALCULATION
place a "'I" in the box if Rational is used
Rational ?*
FOREBAY
Des. Storm
inches
Perm. Pool Volume=
Rv=
0.83
Req. Forebay Volume=
7029
Bottom
15 msI
Provided Volume=
28263.00
Perm. Pool
msI
Percent=
Design Pool
21.7 rnsI
Design SA
43000 sf
Req. Volume
cf
SA @
Prov. Volume
.68736.: cf
Elevation=
ORIFICE CALCULATION
Avg. Head =
0.77 ft
Q2 Area = 7.12
sq. in.
Flow Q2, cfs
0.208 cfs
Q5 Area = 2.85
sq. in.
Flow Q5, cfs
0.083 cfs
Orifice Area 12.57
sq. in.
No. of Orifices
Q= 0.368
cfs
Diameter, inches
. weir H x W
........... ....
in x
in
Drawdown
days
COMMENTS
Surface Area , Volume and Orifice are within Design GuidelineE

PROJECT#: SW7 060222 REVIEWER: Svinson
90IR11=44=91 "IM11K, W,
PROJECT NAME: Wal-Mart - Havelock
DATE: 18-Apr-06
Receiving Stream: Slocum Creek Class: SC; NSW
Drainage Basin: Neuse Index No.
Site Area 20.44 acres
Drainage Area i8q square feet Area = 8.55 acres
IMPERVIOUS AREAS
Rational C
Buildings 95832.00 square feet
Parking 223462.80 square feet
Sidewalks 3049.20 square feet
square feet
square feet
square feet
TOTAL square feet Rational Cc= 0.03
SURFACE AREA CALCULATION
% IMPERVIOUS
86,55%
SA/DA Ratio
10.25%
Des. Depth
3
Req. SA
38180 sf
TSS:
90
Prov. SA
sf
VOLUME CALCULATION
Rational ?*
Des. Storm
inches
Rv=
0.83
Bottom
19 msl
Perm. Pool
msl
Design Pool
22.5 msl
Design SA
50723 sf
Req. Volume 28 cf
Prov. Volume cf
... ­ - I
ORIFICE CALCULATION
Avg. Head =
Flow Q2, cfs
Flow Q5, cfs
No. of Orifices
Diameter, inches
Drawdown =
* place a "'I" in the box if Rational is used
FOREBAY
Perm. Pool Volume=
Req. Forebay Volurne= 0
Provided Volume=
Percent=
SA @
Elevation=
Q2 Area =
5.63
sq. in.
Q5 Area =
2.25
sq. in.
Orifice Area
28.27
sq. in.
Q=
0.747
cfs
in
x
in
COMMENTS
Surface Area , Volume and Orifice are within Design Guideline:

NCDENR
North Carolina Department of Environment and Natural Resources
943 Washington Square Mall, Washington NC 27889 (252) 945-r5481 FAX (252)975_3715
Request for Express Permit Review
FILL-IN all information below and CHECK required Permit(s).
Please include this with the application package upon submittal. Project application received after 12 noon will be
stamped in the following work day. Thank you! Lyn Hardison 1vn.hardison0ncmail.net
APPLICANT Name .;ohn.Clarke, Regional VP of Design/Real Estate
Company Wal—Mart Stores, Inc.
Address 2001 SE loth Street City/State entonvi _—e, A..- Zip 72716-0550
Phone [phone] Fax Email
PROJECT Name Wal—Mart Store 113825-00 CoUO#y Craven
PROJECT LOCATION (ADDRESS) U.S. Hwy 70 & Catawba Road — Havelock, NC =`
ENGINEER/CONSULTANT
Company Dewberry' &_Davis, Inc.
Address 551 Piney Forest Road City/State Danville, VA Lip 24540
Phone [phone] Fax [phone] Email [e-mail]
State or National Environmental Policy Act (SEPA, NEPA) — EA or EIS Required ❑Yes ❑i No
❑ STREAM ORIGIN Determination; of Stream calls, Steam Name
® STORMWATER ❑ Low Density © High Density -Detention Pond ❑High Density -Other
❑ Low Density -Curio & Gutter ❑ Hiah Density -Infiltration ❑ Off Site
PROJECT SYSTEM(S) TRIBUTARY TO Slocum STREAM, NAME Neuse RIVER BASIN
❑ COASTAL ❑ Excavation & Fill ❑ Bridoes & Culverts ❑ Structures information
MANAGEMENT ❑ Upland Development ❑ Marina Development . ❑ Urban Waterfront
❑ LAND QUALITY L] Erosion and Sedimentation Control Plan wih aores to b= disturbed. CK r 16956
[]WETLANDS (401) ❑ No Wetlands on Site (letterfrom C0=) ❑Wetlands Deiineated/No JD
❑ Greater than 0.1 AC Wetlands Impacted ❑iurisdi;,tional Determination has been done
❑ Less than 0.1 AC Wetlands Impacted ❑Greater ti�an 0.5 AC Wetlands lmpactrd
CIRCLE YIN: 401 Application ❑Yes ❑ No 404 Application in Pro_,ess w/USCO= ❑Yes ❑ No
The legislation allows additional fees, not to exceed 50% of the original Express Review permit application
fee, to be charged for subsequent reviews due to the insufficiency of the permit applications.
ForDENR use only RECEIVED
CHECK# 16596
SUBMITTAL DATES:
SW 4-5-D
CAMA
L Q S _'--5- •D 61
401
Fee Split for multiple permits:
{sa5_3�
Total Fee Amount S 4, 000.00 ✓
APR 0 5 2006

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MERCANTILE.-SAFE�:AUTHORIZATION
ERCANTILE.-SAFEDEPO{Si f.f.1- i} ' OFFICE
&TRUST COMPANY IiI {
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s FOR _; 1 - !, ,. !I-; .. 41 •, 3 , �, ;: it II I,-' 'I. - _ ----� - — ��— '--"°
SIGNATURE ki
11'I'-1:05 20006 LBO:,ki iE P. 613-S =
i1=.=11__II._!I-'=il _ •t
-' _ - ---- - - THi30OCUMENTINCLIIOE —...PRY SCREEN ON PACKOFTHECRECN r—_--:—:�:m-=��'--- _--�===--'—•
Fel.
1 �

r:.
$TRICKLIN LAW FIRM; PJC
BOBBY 1 STRICKLIN 8K-1' 6 a 5
448 WESTBROOKE SHOPPING CEM
HAVELOCK. NC 28532
NORTH CAROLINA' PARCEL ID: 6-216 018
CRAVEN COUNTY 6-216 $*$oR
NTS 6-216 023
.. .'"1 �: 1• j ,';.� ,_... .. _. :; �'7'1:a S- ,'I :il. .': d':, iKl .; i'-'::'r11 ;Y:(,...r. .11.
Ii, '`�! i, .L IF 11. liM1 .. .v M1v�4 I .� 1 „..f 1•.
:THISr DEED;; made ,theay k ofit December,.! 199�,: by and
between EDWARD.J.tCIESZKO,and wife,SUS M. CIESZKO,�hersinafter
` called "GRANTORS"- end'.'CIESZKC FAMILY PROPERTY'" LLC, 'ar North
{': - � '�. :�..j .I .. '. -. is {'�If r ,Ir .. ._ r .,. `l:.l•: . .}r.f;
Carolina.! Limited: Liability; Company, . P..0.- BOX-i�_5Q6,,`HAVF�Nc
..2s532 hereinafter called. ."GRANTEE". ,The.:desi,gnationY1Grantors and
Grantee as' used' herein' 'shall include- said' parties, 'their",heirs,
successors, and assigns, and shall^'`include singular',''plural,
-masculine,.: feminine: or%neuter: asrequired,,,by: ;context.,:..:.,. .
That the GRANTORS, for a valuable consideration paid by .
the ,GRANTEE,r.the,:receipti.,of which-, ,q,,hereby,,4#nowledgsd,'-have and
by 'these presents -do'!' bargain; self and "con'vey'' unto the
GRANTEE in fee simple, all that certain lot or parcel of, land
situated in Craven County, North Carolina and more particularly
described as follows:
SEE SCHEDULE "A" HERETO ATTACHED AND
INCORPORATED HEREIN BY REFERENCE.

!
of all encumbrances, and that GRANTORS will warrant and defend the
title against,the lawful claims of all persons whomsoever except
"
for the exceptions hereinafter, stated.,;' ;
NONE.
IN,WITNESS-WHEREOFf7the GRANTORS,have.hereunto set their
t
.hands.. and seals the day and year .first ja0ove,,wxit;ten.;
(SEAL)
EDWARD J. C ZK
( SEAL)
.
SUSIE M. CIESZKO'
5
NORTH CAROLINA
CRAVEN COUNTY
I, o +� • st ��^ ; a. Notary Public in and
for the County a/state aforesaid, do hereby certify that EDWARD
J. CIESZKO and wife, SUSIE M. CIESZKO personally appeared before nee
this day and acknowledged the execution of the foregoing
instrument.
This the 71JT day of December, 1997.
•
`:firr
rj
OTARY PUBLIC"
My Commission Expires:_
x

y
BK 605 2`15
SCHEDULE "A"
All those certain tracts or parcels of.land lying and being situate in Number Six Township,
Craven County, North Carolina and being more particularly described as follows: a"
a
TRACT ONE: (70 Frontage Tract)
Beginning at a point in the eastern right-of-way line of U.S.. Highway No. 70 which said point
lies the following courses and distances from the intersection of the centerlines of NCSR 1765 l
and the northbound lane of U.S. Highway No. 70: North 44-13-46 East 173.28 feet, North 45-
46-14 West 40.07 feet, North 78-56-8 West 52.5 feet, and North 23-51-42 West 903.8 feet.
This 11eing the northwestern corner of the property heretofore conveyed to Balsam. Thence
� from this �t,� immn.so. located along and with the eastern right -of. -way line. of U.S.
;`"`Highway No. 70 North 23-51-42. West 685 feet to the southwestern - corner -of the U.S. .
f. 1 Government property; thence along and:with the! southern line of the U.S. Government property
f� North 70-58-18, East 401.43 feet to a point; thence South_ 23-51-42 East. 651.18 feet to the
northeastern corner o the property hereto fore.'conveyed. to Balsam; thence along and with
Balsam's northern line South 66-8-18 West 400 feet to the point of beginning.
Saving and excepting however'a right-of-way and easement for the purposes of ingress, egress,
and regress' to and from U.S. Highway No. 70 to and from the'Acreage Tract hereinafter
described said easement being nonexclusive and.perpetual, said easement being 60 feet in width
and the same being more particularly described as follows:
. _ • � � whibeNorth23-5142--West 200::feet.:foBe ining`ata?omt �lis:m'he. oint.of be i�.rng'.;of
the iraci' hereiipabove described and running thencefrom.: this: point of begmrpg-..so, located
' Nofih 66-8=1$ °-East 400 feet to. a -point; thence North 23-51-42 inches West 50. feet to a point;
thence South 66-8-18� West 400. feet to- a -point in the eastern line of U.S. Highway No. 70;
thence along and with said right-of-way line South 23-51- 42 East 60 feet to the point of
beginning.
J
FTRA
(Acreage Tract)
' Beginning at a point in the northern righ-of-way line of NCSR 1765 which said point of
beginning lies the following courses and distances from the intersection of the centerlines of
NCSR 1765 and the northbound lane of U.S. highway No. 70: North 44-13- 46 East 173.28
feet, North 45- 46-14 West 40.07 feet, and North 44-13-46 East 667.61 feet. Said point of
beginning marks, the southeastern comer of the property conveyed to Walsh and Ewing.
Thence from this point of beginning so located'along and withthe northern right-of-way line of
NCSR 1765 North 44-1346 East 373.33 feet to.a concrete monument; thence South 45-26-21
East 40.07 feet to a point in the conterline of NCSR 1765; thence along and with the centerline
' of NCSR 1.765 the following courses and distances: North 46-37-33 East 100 feet, North 52-
39-27 East 100 feet, North 5840-21 East 100 feet, North 63-47-14 East 100 feet, North 70-27-
8 East 89.27 feet, North 764-3.OlEast 100 feet,• North 81-50710 East, 100 feet; N.grth $7•729-30
East 100 feet,fort}r8fi:29-30 East-10O feet 1�IbrU 86-26�15'East 100 fedt;{and North 85-0-50
.s,._ East 22 ;70 fAt o a point,...thence•-along and with : the, western, hne of the U S:, Govemrnent
property" North,6-33-30-'East 40.0L-feet to a. point in the, northein•right-of--way' line 9f NCSR
F"

1pti
r- L--- aft 1605 296
.1765, thence North 6-33-30 East 1350.80 feet -to an iron corner; thence South 70-58-18 West
500.54 fegt to a point; thence South 70-58-18 West 600.27 feet to a point; thence South 70-58-
18 West 1299.56 feet to the northeastern corner of the 70 Frontage Trmat; thence South 23-51-
42 Aes 1051.17 feet to a point. marking the northwestern comer of the property conveyed to
Walsh and Ewing; thence along and with the line of Walsh and Ewing the following two
courses and distances to the point of beginning: North 66-08-18-East 262.43 feet and South 23-
51-42 East 294.76 feet.
Together with the, non-exclusive easement hereiniabove desctib6d but subject to the, right -of-
. way of NCSR 1765.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form maybe photocopied for use as an original
1. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
WAL—MART STORES,_INC.
2. Frint Owner/Signing Official's name and title (person legally responsible for facility and compliance):
WAL-MART STORES, INC. —John Clarke, Regional VP of Design/Real Estate
3. Mailing Address for person listed in item 2 above:
2001.SE 10TH STREET
City: BENTONVILLE State: • AR Zip: 72716
Telephone Number: (� 47.9 } 204-0904
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
WAL-MART STORE #3825-00 HAVELOCK, NC
5. Location of Project (street address):
U. S. HIGHWAY 70 & CATAWBA ROAD
City: HAVELOCK County: CRAVEN
6. Directions to project (from nearest major intersection):
LOCATED AT INTERSECTION OF U. S. HIGHWAY-70 CATAWBA ROAD]
7. Latitude: 38054.83'N Longitude:: ''.76°56.22'W of project
8. Contact person who can answer questions about the project:
Name: BRENT HUSS Telephone Number: ( 434 1 797-4497
11. PERMIT INFORMATION:
1. Specify whether project is (check one)
Farm SWU-101 Version 3.99
XX New Renewal
Page I of 4
Modification

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 qW of project (check one):
Low Density _X High Density Redevelop —General Pam* —Other
4. Additional Project Requirements (check applicable blanks):
XX XX LAMA Major Sedimentation/Erosion Control 404/401 Permit XX—NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
Ill. 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.
STORKWATER.WILL BE TREATED WITH ONE WETLAND POND AND ONE STORMWATER POND.
SEE NARRATIVE.
2. Stormwater runoff from this project drains to the NEUSE River basin.
3. Total Project Area: 20.44 acres 4. Project Built Upon Area- 86.9. %
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 arm in the
project, attach an additional sheet with the information for each area provided in the same format as below.
U) Q)V\c, -et L) Z47 R�14
Receiving Stream Name
SLOCUM CREEK
SLOCUM CREEK
Receiving Stream Class
5c� Sur . ow
Y—C., W
Drainage Area
8.95 ACRES
11.89 ACRES
Existing Impervious` Area.
n
Proposed Irnpervious*Area
7.40 ACRES
10.36 ACRES
% Impervious* Area (total)
86.5
87.1
D -in
—On-site Buildings
2.20
ACRES
2.32
ACRES
On -site Streets
0
0
On -site Parking
5.13
ACRES
6.23
ACRES
On -site Sidewalks
0.07
ACRES
0.35
ACRES
Other on -site
0
1.46
ACRES
Off -site
Total:
7.40 ACRES
Total:
10.36 ACRES
Impervious area is defined as the built upon area including, but not lirMted to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
FunnSWU-101 Version3.99
Page 2 of 4
Ar? - I I -a

7. How was the off -site impervious area listed above derived? BASED -UPON POTENTIAL
DEVELOPMENT AREA OF ADJACENT PARCEL.
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
The fallowing 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 shall 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 musings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
S. All permitted runoff from outparceis or future development shall be directed into the permitted stormwater control
system. Thence 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-lob
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.
Please indicate that you have provided the following required Information by initialing In the space provided
next to each item.
Initials
• 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
Norio 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)
VI1. 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): DEWBEM & DAVIS, INC.
Mailing Address: 5 51- PIKEY-- FOREST ROAi]
City: DANVILLE State: VA Zip: 24540
Phone: ( 434 ) 797-4497 - Fax: ( 434 ) 797-4341
VIII. APPLICANT'S CERTIFICATION
1. (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 Prot a covenants will recorded, and that the proposed project complies with the requirements of 15A
NCAC 2
Signature Date- •- 1 %�
Approve ie only
by
WAL-M T LEGAL DEPT,
Date;
Form SWU-101 Version 3.99 Page 4 of 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
EXTENDED DETENTION WETLAND SUPPLEMENT
(This form may be photocopied for use as an original.)
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an Extended Detention Wetland supplement for
each proposed basin, design calculations, plans and specifications showing all basin and constructed wetland
details, and a fully executed operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Wal -Mart Store # 3825-00 -- Havelock NC
Contact Person: Sheila Reeves, P.E.-Dewberry Phone Number: [phone]_ext 273 Q-
For projects with multiple basins, specify which basin this worksheet applies to: Neuse River
H. DESIGN INFORMATION (Attach supporting calculations/documentation):
Drainage Area 8.55 ac. (on -site and off -site drainage to the basin)
rl.�i
Impervious Area _W ac. (on -site and off -site drainage to the basin)
Permanent Pool Elevation 21 ft.
Temporary Pool Elevation 22.5 ft.
(elevation of the orifice invert out)
(elevation of the outlet structure invert in)
Permanent Pool Surface Area 44,060 _ sq. ft. (water surface area at permanent pool elevation)
Forebay Surface Area 5,795 sq. ft. (at permanent pool elevation approximately 15%)
Marsh 0"-9" Surface Area 21,940 sq. ft. (at permanent pool elevation approximately 35%)*
Marsh 9"-18" Surface Area 15,263 sq. ft. (at permanent pool elevation approximately 3517o)*
Micro Pool Surface Area _ 12,219 sq. ft, (at permanent pool elevation approximately 15°Io) *
Temporary Pool Surface Area 52,927 sq. ft. (water surface area at temporarypool elevation)
Temporary Pool Volume
SA/DA used
Diameter of Orifice
69.409 cu. ft. (volume detained on top of the permanent pool)
11.74 (surface area to drainage area ratio from DWQ table)*
6 in.
(2 to 5 day temporary pool draw -down required))
Extended Detention Wetland Supplement Form
Page 1 of 4

III. REQUIRED ITEMS CHECKLIST
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If a requirement has not been met, attach an explanation of why. At a minimum,
a complete stormwater management plan submittal includes a workshect for each BMP, design calculations,
plans and specifications showing all BMPs and outlet structure details, a detailed drainage plan and a fully
executed operation and maintenance agreement. An incomplete submittal package will result in a request for
additional information and will substantially delay final review and approval of the project.
Applicants Initials
SSR The temporary pool controls runoff from the 1 inch rain.
SSR The basin side slopes are no steeper than 3:1.
SSR A planting plan for the marsh areas with plant species and densities is provided.
SSR Vegetation above the permanent pool elevation is specified.
SSR — Pump to be provided as needed. An emergency drain is provided to drain the basin.
SSR The temporary pool draws down in 2 to 5 days.
SSR Sediment storage is provided in the permanent pool.
SSR - offsite A sediment disposal area is provided.
SSR Access is provided for maintenance.
SSR The drainage area (including any offsite area) is delineated on a site plan.
SSR Access is provided for maintenance.
SSR Plan details for the wetland are provided.
SSR Plan details for the inlet and outlet are provided.
SSR A site specific operation and maintenance agreement, signed and notarized by the
responsible party is provided (see http://h2o.ehnr. state, nc.uslncwetlands/oandm.doc).
* Pocket Wetlands have different design parameters and are only assumed to remove 35% TSS — See pp. 19 and 20 of
the NC DENR Stormwater BMP Manual, April 1999. 10% open water, 50% high marsh, 40% low marsh.
Extended Detention Wetland Supplement Form
Page 2 of 4

IV. EXTENDED DETENTION WETLAND OPERATION AND MAINTENANCE AGREEMENT
The extended detention wetland system is defined as the wetland detention basin, pretreatment including
forebays and the vegetated filter if one is provided.
This system (check one) does ® does not incorporate a vegetated filter at the outlet.
This system (check one) does ® does not incorporate pretreatment other than a forebay.
Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the extended detention wetland 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
grass cover around wetland area to maintain a maximum height of six inches, and remove trash as
needed. Vegetation selection and location will be similar to that of original plantings.
Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to
maintain proper functioning. Trash and debris will be cleared away from grates, curb cuts, velocity
reduction devices and piping.
4. Accumulated sediment will be removed from the forebay and deep pool semi-annually or when depth
is reduced to 75% of the original design depth. 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 treatment system 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 sed}}meats
,2, 25'Q,'1� V4 dap �° ds = a. 7; �4 JyA
When the permanent pool depth reads ji fleet in the deep pool, the sediment shall be removed.
- ,.514/.
When the permanent pool depth readsj;T feet in the forebay, the sediment shall be removed.
If the elevation of the marsh areas exceed the permanent pool elevation, the sediment should be
removed to design levels. This shall be performed by removing the upper 6 inches of soil and
stockpiling it. Then the marsh area shall be excavated six inches below design elevations. Afterwards
the stockpiled soil should be spread over the marsh surface to redistribute wetland plant seeds. The
soil should not be stockpiled for more than two weeks.
Wetland planting densities in the marsh areas should be maintained by replanting bare areas as
needed. Wetland plants should be encouraged to grow in the marsh areas.
Extended Detention Wetland Supplement Form
Page 3 of 4

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.
7. Level spreaders or other structures that provide diffuse flow shall be maintained every six months.
All accumulated sediment and debris shall be removed from the structure, and a level elevation shall
be maintained across the entire flow spreading structure. Any down gradient erosion must be
repaired and/or replanted as necessary.
S. All components of the extended detention wetland system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to
any changes to the system or responsible party.
Print name: John Clarke Approve i erms only
by
Title: Wal-Mart Stores, Inc. - Regional VP of Design/Real Estate WAL-M T LEGAL DEPT.
Address: 2001 SE loth Street Bentonville AR 72716-0554 Date:.__'+r
Note: The legally responsible party should not be a homeowners association unless more than 50% of the
lots have been sold and a resident of the subdivision has been named the president.
I, Sncdlem a Notary Public for the State of ff-ri<CL+V. 4 S , County of
do hereby certfy that John F. Clarke personally appeared before
me this day of _ rr'l —:;W and acknowledge the due execution of the forgoing
wet [wetland] detention basin maintenance requirements. Witness my hand and official seal,
CYNTHIA C. BRADLEY
"NOTARY PUBLIC"
State of Arkansas, Benton County
My Commission Expires 4/1/2014
SEAL
My commission expires LI / ! I L A
Extended Detention Wetland Supplement Form
Page 4 of 4

Permit No. Sw 7,9tv
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality RECEIV�4
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
APR 2, g . 2006
WET DETENTION BASIN SUPPLEMENT DWQ
This form may be photocopied for use as an original
PR03 #
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: Wal-Mart Store 11 3825-00
Contact Person: Shelia S. Reeves, Dewberry Phone Number: ( 919 ) 881-9939 _ T
For projects with multiple basins, specify which basin this worksheet applies to: Neuse River k--
elevations
Basin Bottom Elevation 15 ft.
Permanent Pool Elevation 20 ft.
Temporary Pool Elevation 21.7 ft.
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 37,866 sq. ft. (water surface area at the orifice elevation)
Drainage Area 11.89 ac. (on -site and off -site drainage to the basin)
Impervious Area 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
63,408 cu. ft. (combined volume of main basin and forebay)
68,748 cu. ft. (volume detained above the permanent pool)
28,263 cu. ft. (approximately 20% of total volume)
6.9 (surface area to drainage area ratio from DWQ table)
4 in. (2 to 5 day temporary pool draw -down required)
3.90 in.
90 % (minimum 85% required)
Form S W U-102 Rev 3.99 Page I of 4

Footnotes:
t When using; the Division SAlCMA tables, the correct SAIDA ratio for permanent pool sizing should be computed baud upon the
actual impervious IX, and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
z In the 20 coastal counties. the requirement for a vegetative filter may be waived if the wet detention basin is designed to ptovide
90% TSS removal. The NCDF.NR BMP manual provides design tables for both m% 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
,;9 a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
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.
_, n /A 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.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6.1 or less (show detail').
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.
1 k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
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 i does not Incorporate a vegetated filter at the outlet.
This system (check one) 0 does %does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
I . 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 croded 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%4 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 3.75 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 3.75 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(ill in the blanks)
Permanent Pool Elevation 20
Sediment Re oval E1. 16.25 ' 75
♦• Sediment Removal Elevation 16.25 75%
Bottom ale a-- Iy - q,--------------------------------------------- ------
tion
Bottom Elevation ice_ 25%
FOREBAY MAIN POND
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 5 W U-102 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: John E. Clarke
Title:. AeplaWVlcePresident
Address:— '�,00 Si _ lb`T �P.� `m�u �'l l� 2221t,- ,..
Signature: /
Date: AL-MA�TLE�tC D
IV —Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
1, +h'E�ig__C . l3►�c.Ot' 1!9:,4 , a Notary Public for the State of Ztr C4'ISQ S
County of 22P.w� , do hereby certify that 0 r. q y
personally appeared before me this �_ day of —T� zooF , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
CYN'THIA C. BRADLEY
"NOTARY PUBLIC"
State of Arkansas, Benton County
My Commission Expires 41112014
SEAL
My commission expires 41 1 jlq
Form S W U-102 Rev 3.99 Page 4 of 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality V�
STORMWATER MANAGEMENT PERMIT APPLICATION F®RmCVVED �'
This form may be photocopied for use as an original
APR 0 5 2�06
I. GENERAL INFORMATION nn pp
DWQ-WAR0
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
WAL—MART STORES, INC.
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
WAL-MART STORES, INC. — John Clarke, Re,glnnal VP of Design/Real Estate
3. Mailing Address for person listed in item 2 above:
2001 SE IOTH STREET
BENTONVILLE
State: AR Zip: 7271E
Telephone Number: ( _ 479 ) 204-0909 _
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
WAL—MART STORE #3825-00 HAVELOCK, NC
5. Location of Project (street address):
U. S. HIGHWAY 7.0 & CATAWBA ROAD,
City: HAVELOCK
County: CRAVEN
6. Directions to project (from nearest major intersection):
LOCATED AT INTERSECTION OF U. S. HIGHWAY 70 & CATAWBA ROAD
7. Latitude: 38054.83''N Longitude: 76056.22'W of project
8. Contact person who can answer questions about the project:
Name: BRENT HUSS Telephone Number: 434 797-4497
Ii. PERMIT INFORMATION:
1. Specify whether project is (check one): XX New Renewal Modification
Form SWU-101 Version 3.99
Page I of 4

4
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 - Sedimentation/Erosion Control 404/401 Permit NPDFS 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 WITH ONE WETLAND POND AND ONE STORMWATER POND.
SEE NARRATIVE. - - -
2. - Stormwater runoff from this project drains to the
3. Total Project Area: 20.44 acres
NEUSE
5. How many drainage areas does the project have?2
River basin.
4. Project Built Upon Area: 86.9.. %
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.
W e'A-1p,4
liasrnlnformation s
. e,.,..:, -.- ,. ,.,. .�r ... !•.. i.
Drain a e Area 1
E:rx_.7.x, - .. . :... •.g �' H
Y i `s1 ,;
D � a Are 2
i�g ii s+r�M2��.r i l,•.
-'r
Receiving Stream Name
SLOCUM CREEK
SLOCUM CREEK
Receiving Stream Class
Drainage Area .
8.55 ACRES'
11.89 ACRES
Existing Impervious* Area
Proposed Impervious'" Area
7.40 ACRES
10.36 ACRES
% Impervious* Area (total)
86.5
87.1
r
impervious 4Surface Area r 1
F�'- '� '4'
Drainage Area 1 ti Fk
1r 1 It �S !"
1 : _A: l�rairjage4Area
On -site Buildings
2.20 ACRES
2.32 ACRES
On -site Streets
0
0
On -site Parking
5.13 ACRES
6.23 ACRES
On -site Sidewalks
0.07 ACRES
0.35 ACRES
Other on -site
.0
1.46 ACRES
Off -site
7
Total: 7.40 ACRES
Total: 10.36 ACRES
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 4

How was the off -site impervious area listed above derived? BASED UPON POTENTIAL
DEVELOPMENT AREA OF ADJACENT PARCEL.
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 ]at, 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 shall 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. All permitted 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
I~orm 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.
Please indicate thatyou have provided the following required information by initialing in the space provided
next to each item.
Initials
• 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): DEWBERRY & DAVIS INC.
Mailing Address: 551 RINEY FOREST ROAD
City: DANVILLE State: VA Zip: 24540
Phone:( 434 ) 797-4497 Fax: ( 434 I 797-4341
SReerve.s @D
VIII. APPLICANT'S CERTIFICATION
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 2H .i000.
Signature: Date:
Form SWU-101 Version 3.99 Page 4 of 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION. FO ECEE ED
EXTENDED DETENTION WETLAND SUPPLEMENT
(This form may be photocopied for use as an original.) f,>'
APR 0 5 '2005
DWQ Stormwater Management Plan Review: nVU�I_WARO
A complete stormwater management plan submittal includes an Extended Detention Wetland suppl ment for
each proposed basin, design calculations, plans and specifications showing all basin and constructed wetland
details, and a fully executed operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Wal -Mart Store # 3825-00 -- Havelock, NC .
Contact Person: Sheila Reeves P.E.-Dewberry Phone Number: (919) 881.993.9 ext 273
For projects with multiple basins, specify which basin this worksheet applies to: Neuse River`!
II. DESIGN INFORMATION (Attach supporting calculations/documentation):
Drainage Area 8.55 ac. (on -site and off -site drainage to the basin)
911
Impervious Area � (on -site and off -site drainage to the basin)
Permanent Pool Elevation 21 ft. (elevation of the orifice invert out)
Temporary Pool Elevation 22.5 ft. (elevation of the outlet structure invert in)
Permanent Pool Surface Area _ 44,060 sq. ft. (water surface area at permanent pool elevation)
Forebay Surface Area 5,795 sq. ft. (at permanent pool elevation approximately 15%)
Marsh 0"-9" Surface Area 21,940 sq. ft. (at permanent pool elevation approximately 35%)*—
Marsh 9"-18" Surface Area _ 15,263 sq. ft. (at permanent pool elevation approximately 35%) * 35�-0
Micro Pool Surface Area 12,219 sq. ft. (at permanent pool elevation approximately 15916)* 'S At '
Temporary Pool Surface Area 52,927 sq. ft. (water surface area at temporary pool elevation)
Temporary Pool Volume
�f p SA/DA used
Diameter of Orifice
69,409 cu. ft. (volume detained on top of the permanent pool)
11.74
6 in.
(surface area to drainage area ratio from DWQ table) *
(2 to 5 day temporary pool draw -down required))
Extended Detention Wetland Supplement Form
Page 1 of 4

III. REQUIRED ITEMS CHECKLIST
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation 'is attached. ff a requirement has not been met, attach an explanation of why. At a minimum,
a complete stormwater management plan submittal includes a worksheet for each BMP, design calculations,
plans and specifications showing all BMPs and outlet structure details, a detailed drainage plan and a fully
executed operation and maintenance agreement. An incomplete submittal package will result in a request for
additional information and will substantially delay final review and approval of the project.
Applicants Initials
SSR The temporary pool controls runoff from the 1 inch rain.
SSR The basin side slopes are no steeper than 3:1.
SSR A planting plan for the marsh areas with plant species and densities is provided.
SSR Vegetation above the permanent pool elevation is specified.
SSR — Pump to be provided as needed. An emergency drain is provided to drain the basin.
SSR The temporary pool draws down in 2 to 5 days.
SSR Sediment storage is provided in the permanent pool.
SSR - offsite A sediment disposal area is provided.
SSR Access is provided for maintenance.
SSR The drainage area (including any offsite area) is delineated on a site plan.
SSR Access is provided for maintenance.
SSR Plan details for the wetland are provided.
SSR Plan details for the inlet and outlet are provided.
SSR A site specific operation and maintenance agreement, signed and notarized by the
responsible party is provided (see http://h2o.ehnr.state.nc.us/ncwetlands/oandi-ti.doc).
* Pocket Wetlands have different design parameters and are only assumed to remove 35% TSS — See pp. 19 and 20 of
the NC DENR Stormwater BMP Manual, April 1999. 10% open water, 50% high marsh, 40% low marsh.
Extended Detention Wetland Supplement Form
Page 2 of 4

IV. EXTENDED DETENTION WETLAND OPERATION AND MAINTENANCE AGREEMENT
The extended detention wetland system is defined as the wetland detention basin, pretreatment including
forebays and the vegetated filter if one is provided.
This system (check one) does ® does not incorporate a vegetated filter at the outlet.
This system (check one) does ® does not incorporate pretreatment other than a forebay.
Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the extended detention wetland 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
grass cover around wetland area to maintain a maximum height of six inches, and remove trash as
needed. Vegetation selection and location will be similar to that of original plantings.
Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to
maintain proper functioning. Trash and debris will be cleared away from grates, curb cuts, velocity
reduction devices and piping.
4. Accumulated sediment will be removed from the forebay and deep pool semi-annually or when depth
is reduced to 75% of the original design depth. 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 treatment system 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 1_5 feet in the deep pool, the sediment shall be removed.
When the permanent pool depth reads 1.55 feet in the forebay, the sediment shall be removed.
If the elevation of the marsh areas exceed the permanent pool elevation, the sediment should be
removed to design levels. This shall be performed by removing the upper 6 inches of soil and
stockpiling it. Then the marsh area shall be excavated six inches below design elevations. Afterwards
the stockpiled soil should be spread over the marsh surface to redistribute wetland plant seeds. The
soil should not be stockpiled for more than two weeks.
Wetland planting densities in the marsh areas should be maintained by replanting bare areas as
needed. Wetland plants should be encouraged to grow in the marsh areas.
Extended Detention Wetland Supplement Form
Page 3 of 4

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.
7. Level spreaders or other structures that provide diffuse flow shall be maintained every six months.
All accumulated sediment and debris shall be removed from the structure, and a level elevation shall
be maintained across the entire flow spreading structure. Any down gradient erosion must be
repaired and/or replanted as necessary.
8. All components of the extended detention wetland system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to
any changes to the system or responsible party.
Print name: John Clarke
Title. Wal-Mart Stores, Inc_ - Regional_ VP of Design/Real Estate
Address: 2001 SE 10th Street Bentonville, AR 72716-0550
Phone:
Signature:
Date:
Note, The legally responsible party should not be a homeowners association unless more than 50% of the
lots have been sold and a resident of the subdivision has been named the president. .
a Notary Public for the State of , County of
do hereby certify that personally appeared before
me this day of , and acknowledge the due execution of the forgoing
wet [wetland] detention basin maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Extended Detention Wetland Supplement Form
Page 4of4

Permit No.
(to be provided by D WQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENTC'5VF[)
This form may be photocopied for use as an original
APR4.5 :2006,
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, aow,�SiCde�t'eYikionrbasin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
\ I. PROJECT INFORMATION
Project Name: Wal-Mart Store ll 3825-00
Contact Person: Shelia S. Reeves, Dewberry Phone Number: ( 919 L 881-9939
For projects with multiple basins, specify which basin this worksheet applies to: reuse River
elevations
Basin Bottom Elevation 15 ft.
Permanent Pool Elevation 20 ft.
Temporary Pool Elevation 21.7 ft.
areas
Permanent Pool Surface Area 37 , 866 sq. ft.
Drainage Area 11.89 ac.
Impervious Area ac
(floor of the basin)
(elevation of the orifice)
(elevation of the discharge structure overflow)
(water surface area at the orifice elevation)
(on -site and off -site drainage to the basin)
(on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume 35,145 cu. ft. (combined volume of main basin and forebay)
Temporary Pool Volume 68,748 cu. ft. (volume detained above the permanent pool)
Forebay Volume 28,263 cu. ft. (approximately 20% of total volume)
Other parameters
SA/DA1 6.9 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 4 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall 3.90 in.
Design TSS Removal 2 90 % (minimum 85% required)
Form SWU-]02 Rev 3.99 Page 1 of 4

Footnotes:
When using the Division SAIDA tables, the correct SAIDA 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.
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 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
a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
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
calculations)
f. The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
d 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.
f k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
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 � does not
This system (check one) 0 does *Adoes not
incorporate a vegetated filter at the outlet.
incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
l . 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 3.75 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 3.75 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 20
Sediment Re oval El. 16.25 ♦ 75 0
______ _ Sediment Removal Elevation 16.25 75%
Bottom Ele ation %--------------------------------------------- ------
Bottom Elevation 15 25%
FOREBAY MAIN POND
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 SWU-102 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name:
Title:
Address:
Phone:
Signature:_
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
I,
County of
a Notary Public for the State of
do hereby certify that
personally appeared before me this day of
execution of the forgoing wet detention basin maintenance requirements
SEAL
My commission expires
, and acknowledge the due
Witness my hand and official seal,
Form SWU-102 Rev 3.99 Page 4 of 4

2 8 2006
D K_(0 ic�
J FEB 2 6 2006
V tl Q-4f 1f AR0 LAND QUALITY SE.;
No person may initiate any land -disturbing activity on one or more acres as covered y�'�tt76II(1�$arltt,..
form and an acceptable erosion and sedimentation control plan have been complete -and-approved-bybe�...
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
�•vy � j���.t, j,(Jarcl LaZ
L1zsr/ob
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
EXPRESS PERMITTING OPTION
Part A. W7 0 6 0 2 2 2
1. Project Name Wal-Mart Store # 3825-00 Havelock, NC
2. Location of land -disturbing activity: County Craven City or Township Havelock
r� 3`
Highway/Street_U.S. Hwy 70 & Catawba Rd. Latitude 38° 54.83'N Longitude 76° 56.22'W
3. Approximate date land -disturbing activity will commence: March, 2006
4, Purpose of development (residential, commercial, industrial, institutional, etc.): commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 25.3
6. Amount of fee enclosed: $ 5,300 . The Express Permitting application fee is a dual charge.
The normal fee of $50.00 per acre (rounded up to the next acre) is assessed without a ceiling amount.
In addition, the Express Permitting supplement is $250.00 per acre up to eight acres, after which the
Express Permitting supplemental fee is a fixed $2,000.00 (Example: 9 acres total is $2,450).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name_ Shirley D. Morrow E-mail Address shirley.morrow(&wal-mart.com
Telephone [phone] Cell # [phone] Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to fist additional owners):
Cieszko Family Practice, LLC 252-670-8708 252-447-0687
Name Telephone Fax Number
P. 0. Box 690 249 HWY 70 West
Current Mailing Address Current Street Address
Havelock NC 28532 Havelock NC 28532
City State Zip City State Zip
10, Deed Book No, 1605 Page No. 242 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
Wal-Mart Stores. Inc. - c/o Shirley D. Morrow shirlev.morrow4wakmart.com
Name E-mail Address
2001 SE 10T" STREET Same as mailing address
Current Mailing Address Current Street Address
BENTONVILLE AR 72716
City State Zip City State Zip
Telephone [phone] Fax Number 479-204-0934

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Troutman Sanders, LLP — Go Ashley Stogy+ [e-mail]
Name E-mail Address
434 Fayetteville Stree-Wall, Two Hannover Square. Suite 1100 Same as Mailing
Current Mailing Address Current Street Address
Raleigh N.C. 27601
City State Zip City State Zip
Telephone [phone] Fax Number 919-212-4101
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed name, attach a copy of the Certificate of Assumed Name, If the Financially Responsible
Partv is a Corporation, give name and street address of the Registered Agent: -------
Wal-Mart Stores, Inc. — c/o Shirley D. Morrow__
Name of Registered Agent
2001 SE 10'" Street
Current Mailing Address
Bentonville AR 72716
City State Zip
E-mail Address
Current Street Address
City
F�J) L"'tc EE j v
'N,rSA19GTON
Telephone [phone] Fax Number _ [phone]
(c) In order to facilitate Express Permitting, it is necessary to be able to contact the Engineer or other
consultant who can assist in providing any necessary information regarding the plan and its preparation:
Dewber & Davis Inc. bhuss cDdewberrv.com
Engineering Firm or other consultant E-mail Address
Brent Huss, P.E—P.L.S. 434-797-4497 434-797-4341
Individual contact person (type or print) Telephone Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided by me
under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney -in -
fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute
instruments for the Financially Responsible Person). I agree to provide corrected information should there by
any change in the information provided herein.
Shirley 0. Morrow Director of Storm Water Compliance
Type or print name n Title or Authority
Sig
oZ/a/_olo
Date
a Notary Public of the Coun of
State of hereby ce\ that appeared
personally before me this day and being duly sworn acknowledged that tHe above form was executed by him.
Witness my hand and notarial seal, this `' day of Lb 20 ,
``
Seal
Notary
i 2� oil
My commission expires
.: 1 �221201.2