SW8121023_COMPLIANCE_20121026

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
swca240g:/YA Ie�J
DOC TYPE
El CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
INCOMPLIANCE EVALUATION INSPECTION
1.
DOC DATE
"
YYYYMMDD

Permit No.
(to be provided by DWQ)
ATASTORMWATER MANAGEMENT PERMIT APPLICATION FORM a
NCDENR
401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This form must be completely filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and
submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name
Calabash Fire Department
Contact Person
Amie Drucker
Phone Number
943-280-5870
Date
10/22/2012
Drainage Area
DA-3
!I. DESIGN INFORMATION
Soils Report Summary
Hydrologic soil group (HSG) of subgrade
A
Infiltration rate
20.00
in/hr
Pavement Design Summary
BUA Credit for Permeable Pavement Footprint:
Permeable Pavement (PP) design type
Infltration - HSG A/B
75% SUA Credit
SA of PP being proposed (AP)
2,082
ft2
Resulting BUA counted as impervious for main application form 521
ft2
Adjacent BUA directed to PP (AEI
1,709
ft2 OK
Ratio of A, to A,
0.82
(unitless)
Flow from pervious surfaces is directed away from PP?
Yes
OK
Design rainfall depth
3,0
in
Permeable pavement surface course type
PC
Layer 1 - Washed aggregate size (ex. No. 57)
No. 57
Layer 1- Aggregate porosity In)
0.40
(unides) OK
Layer 2 - Washed aggregate size (ex. No- 571
WA
Mayer 2 - Agenegate pay (nIl
WA
(woes-4 Please wetif)r; MUSS be belw 0 & 1
Minimum total aggregate depth for design rainfall (%q)
15.0
to
Drawdown/infiltration time for Dwq
0.1
days OK
How is 10-yr, 24-hr storm handled?
infiltrated
Aggregate depth to infiltrate 10-yr, 24-hr storm (Dlo)
0.0
in
Drawdown/infiltration time of 10-yr, 24-hr storm
O.06
days
Actual provided total aggregate depth
16.0
in OK
Top of aggregate base layer elevation
49.80
frost
Storage elevation of design rainfall depth
48.50
fmsl
Overflow elevation
50.30
fmsl
Bottom elevation at su4®rade
4&46
Srssl REF!
SHWT elevation
46.46
fmsl
Underdrain diameter
0
in
ECEO\06E�
OCT262012
er:
Form SW401-Permeable Pavement-Rov.4-October 16, 2012 PP Supplement Form, Page 1 of 3

Permit No.
(to be provided by DWQ)
Detention Systems (skip for infiltration systems)
Diameter of orifice
in
Coefficient of discharge (Cp]
(unitless)
Driving head (H.)
ft
Storage volume discharge rate (through discharge orifice)
ft3/sec
Storage volume drawdown time
days
Pre -development 1-yr, 24-hr peak flow
ft3/sec
Post -development 1-yr, 24-hr peak flow
ft3/sec
Additional Information
Slope of soil subgrade at bottom of permeable pavement
0.00
%
OK
Slope of the permeable pavement surface
0.00
%
OK
Construction sequence minimizes compaction to soils?
Yes
OK
Subsoil preparation specified {must select one)
scarified
Meets industry standards for structural requirements?
Yes
OK
Washed stone is specified for the aggregate?
Yes
OK
Required signage specified on plans?
Yes
OK
Number of observation wells provided
1
OK
Distance to structure
10.00
ft
Distance to surface waters
N/A
ft
OK
Distance to water supply well(s)
N/A
ft
OK
Form SW40 1 -Permeable Pavement-Rov.4-October 16, 2012 PP Supplement Form, Page 2 of 3

i
Permit No.
(to be provided by DWQ)
III:""REQUIRED"iTEMS(CHECKLIS7 t .,�� " t" ?�¢ 'a; ._
Please indicate the page or plan sheet numbers where the supporting documentation can be found, An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification.
1. Plans (1" w 50' or larger) of the entire site showing:
- Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per
basin),
Location of permeable pavement,
Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2.5ection view of the permeable pavement (1" = 20' or larger)
showing:
All layers (including details about the surface course), and
SHWT
3. A detail of what the permeable pavement sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
hxotpria of the proposed peraxaMe pawarnenL The soak
krAest4ption shag state the motion rite, SHWr eke+laUom and
information about any confining layers. County soil maps are not
an acceptable source of soils information.
(Projects in the WiRO - The results of the soils report must be
verified in the field by DWQ, by completing & submitting the soils
investigation request form.)
S. A construction sequence that shows how the permeable
pavement will be protected from sediment until the entire
drainage area is stabilized_
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
(O&M) agreement.
8. A copy of the deed restrictions (if required).
Initials
(190
C-2
C-3
01k)— C-3
5WM Reprt
CPA—
C-4
cAb sWM Report
40 N/A
Pagel Plan Sheet No.
OCT 2 6 2012
Form SW401-Permeable Pavement-Rev.4-October 16. 2012 1 PP Supplement Form, Page 3 of 3

v
Permit No.
(to be provided by DWQ)
® STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NCDENR 401 CERTIFICATION APPLICATION FORM
PERMEABLE PAVEMENT SUPPLEMENT
This foram must be completely filled out, printed and submitted.
The Required Items Checklist (Part 111) must be painted, filled out and submitted along with all of the required information.
I.-PROJECT'INFORMATION
Project Name
Calabash Fire Department
Contact Person
Arnie Drucker
Phone Number
843.280-5870
Date
10/22/2012
Drainage Area
DA-4
II. DESIGN INFORMATION
Soils Report Summary
Hydrologic soil group (HSG) of subgrade
A
Infiltration rate
20.00 in/hr
Pavement Design Summary
Permeable Pavement (PP) design type Infiltration - HSG A/B
SA of PP being proposed (AP) 1,801 ft2
Resulting BUA counted as impervious for main application form 450 ft2
Adjacent BUA directed to PP (AJ 1,453 ft2
Ratio of Ac to Ap 0.61 (unitless)
Flow from pervious surfaces is directed away from PP? Yes
Design rainfall depth
Permeable pavement surface course type
Layer 1 - Washed aggregate size (ex. No. 57)
Layer 1 - Aggregate porosity (n)
Layer 2 - Washed aggregate size (ex. No. 571
Layer 2 - Aggregate porosity (n)
Minimum total aggregate depth for design rainfall (D.
Drawdown/infiltration time for D.,
How is 10-yr, 24-hr storm handled?
Aggregate depth to infiltrate 10-yr, 24-hr storm (Dip)
Drawdown/infiltration time of 10-yr, 24-hr storm
Actual provided total aggregate depth
Top of aggregate base layer elevation
Storage elevation of design rainfall depth
Overflow elevation
Bottom elevation at subgrade
SHWT elevation
Underdrain diameter
BUA Credit_ for Permeable Pavement Footprint:
75% BUA Credit
OK
OK
in
PC
No 57
0.40 (unitless) OK
NIA
N/A (unitless) Please verify; Must be between 0 & 1
a) 16.0 in
0.1 days OK
infiltrated
0.0
in
0.00
days
16.0
in
49.80
fmsl
48-46
fmsl
50.30
fmsl
48"46
fmsl
46.46
fmsl
0
in
OK
#REF+
%ECEIVER"
OCT 2 s 2012
8Y:
Form SW401-Permeable Pavement-Rev,4-0ctober 16, 2012 PP Supplement Form, Page 1 of 3

Detention Systems (skip for infiltration systems)
Diameter of orifice
Coefficient of discharge (Co)
Driving head (Ha)
Storage volume discharge rate (through discharge orifice)
Storage volume drawdown time
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Additional Information
Slope of soil subgrade at bottom of permeable pavement
Slope of the permeable pavement surface
Construction sequence minimizes compaction to soils?
Subsoil preparation specified (must select one)
Meets industry standards for structural requirements?
Washed stone is specified for the aggregate?
Required signage specified on plans?
Number of observation wells provided
Distance to structure
Distance to surface waters '
Distance to water supply well(s)
in
(unitless)
ft
ft3/sec
days
ft3/sec
ft3/sec
0.00 % OK
0.00
%
OK
Yes
OK
scarified
Yes
OK
Yes
OK
Yes
OK
1
OK
50.00
ft
N/A
ft
OK
N/A
ft
OK
r
Permit No.
(to be provided by DW4)
Form SW401-Permeable Pavement-Rev.4-0ctober 16. 2012 PP Supplement Forth, Page 2 of 3

Permit No.
fto be provided by DWQ)
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result in a request
for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following design requirements
have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach justification.
Initials
1. Plans (1" = 50' or larger) of the entire site showing:
- Design at ultimate build -out,
Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per
basin),
Location of permeable pavement,
Roof and other surface flow directed away from permeable
pavement,
- Location of the permeable pavement sign(s).
2. Section view of the permeable pavement (1" = 20' or larger)
showing:
All layers (including details about the surface course), and
SHWT
3. A detail of what the permeable pavement Sign.
4. A site specific soils report that is based upon an actual field
investigation, soil borings, and infiltration tests within the
footprint of the proposed permeable pavement. The soils
investigation shall state the infiltation rate, SHWT elevation, and
information about any confining layers. County soil maps are not
an acceptable source of soils information.
{Projects in the WiRO - The results of the soils report must be
verified in the field by DWO, by completing & submitting the soils
investigation request form.)
5. A construction sequence that shows how the permeable
_
pavement will be protected from sediment until the entire
drainage area is stabilized.
6. The supporting calculations.
7. A copy of the signed and notarized operation and maintenance
0-4
(O&M) agreement.
g. A copy of the deed restrictions (if required).
i A
C-2
C-3
C-3
SWM Report
C-4
SWM Report
Page/ Plan Sheet No.
nECEGVIEM
� � OCT 2 s 2012
dy:
Form SW401-Permeable Pavement-Rev.4-October 16, 2012 PP Supplement Form, Page 3 of 3

a
Permit Number:
(to be provided by DWQ)
Drainage Area / Lot Number: ► Q
Permeable Pavement Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
At all times, the pavement shall be kept free of:
— Debris and particulate matter through frequent blowing that removes such
debris, particularly during the fall and spring.
— Piles of soil, sand, mulch, building materials or other materials that could deposit
particulates on the pavement.
— Piles of snow and ice.
— Chemicals of all kinds, including deicers.
The permeable pavement will be inspected once a quarter. Records of operation and
maintenance will be kept in a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential problem:
How to remediate the problem:
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
permeable pavement
erosive gullies
remove the gully, then plant ground
cover and water until established.
A vegetated area drains
Regrade the area so that it drains
toward the pavement.
away from the pavement, then plant
ground cover and water until
established.
The surface of the
Trash/debris present
Remove the trash/debris.
permeable pavement
Weeds
Do not pull the weeds (may pull out
media as well). Spray them with a
systemic herbicide such as
glyphosate and then return within
the week to remove them by hand.
(Another option is to pour boiling
water on them or steam them.)
Sediment
Vacuum sweep the pavement
Rutting, cracking or slumping
Consult an appropriate professional.
or damaged structure
Observation well
Water present more than five
Clean out clogged underdrain pipes.
days after a storm event
Consult an appropriate professional
for clogged soil subgrade.
Replace the sign.
Educational sign
Missing or is damaged.
F—CEUVE
OCT 2 6 2012
U- V117nn1 f-%P r,R o.... n IAInInn t7
K Y: �_w .-

Permit Number:
(to be provided by DWQ)
i acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Calabash Fire Department T
BMP drainage area number:. DA-J +_1)A 4
Print name:
Jennings Edge
Title:
President
Address:
892 Persimmon Road, Calabash, NC 28467
Phone:
910,.579-2355
Signature: ilk!
Date: T/d — -:3t
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
T10 A-k1., Col rb - Inc , County of _ 3ruvi s w : C-k , do hereby certify that
�,,,,�•Y+1S �, L h� c personally appeared before me this 3
day of ;0l; , and acknowledge the due execution of the
forgoing infiltration trench maintenance requirements. Witness my hand and official
seal, 5�0
SEAL
My commission expires 6i) -as 1 y
OCT 2 6 2012
gY:�f
r7--_. QAIIAl11 I r.i._ .: T l no.AX n,... I

►: �. .
C
•� �

[910X5
DIVISION OF WATER QUALITY
INFILTRATION SYSTEM INVESTIGATION
Complete and email this form to Vincent. [e-mail]. If there are more than 7 areas to be tested,
attach a second sheet. A/Y )1- 1 i6 b
Y
State Soil Scientist Confirmation Visit date/time: Bobby Long, LSS #1146, 5/23/12*
Project Name: Calabash Fire Department County: Brunswick
Street Address: 892 Persimmon Road, Calabash
Directions from the nearest intersection of two major roads: Southwest corner of
Thomasboro Road and Persimmon Road
>1 acre being disturbed? ®YES ❑NO CAMA Major required? []YES ®NO
Consultant Name: Amie S. Drucker, PE Phone: [phone]
Consultant Firm Name: Carolina Site Design, Inc.
Bore Number
1
2
3
4
5
"1.%6`
71. ,.,
a Existing Ground Elevation
50.5
50.0
b Proposed Bottom Elevation
49.5
c Difference a minus b
1
d Add 2 ft. Min. Bore Depth)
3
e Hardpan Depth?
NIA"
f Approx. Elev. Of SHWT
47.8
47.6-
Max. lowest bottom elev.
49.8lv
h Infiltration Rate OK? *..
il Confirmation of SHWT *
P
For projects requiring more than 5 hand borings, manpower or equipment to
conduct the excavation must be provided by the consultant.
*State Soil Scientist Use ONLY
Comments Sa! ! /e, It, f,
Required Attachments:
1. Legible vicinity map.
2. Complete Soils Report.
3. PDF formatted site plan with the boring locations to be tested. Site plans should
be emailed or hand -delivered only. Illegible faxed maps will not be accepted.
All proposed infiltration areas and existing, active utility lines located within the proposed
basin/trench must be marked and flagged. If these areas are not flagged, the Soils Scientist
reserves the right to decline to do the investigation. If the proposed infiltration system will be
located in an area of existing pavement and there is no open area nearby, equipment capable
of breaking through the impervious layer must be provided. The soils investigation does not take
the place of a soils report prepared by an appropriate professional. The Soils Scientist will only
verify the soil conditions that are reported in the Soils Report, and make a determination as to
the suitability of the site to meet the infiltration design requirements under NCAC 2H.1000, and
assumes no liability should the system fail.
S:1WQSISTORMWATERIFORMSIinfiltration site visit Revised 3/08

Page 1 of i
Notes
mapquest
Map of:
1646 Thomasboro Rd SW
Calabash, NC 28467
33.891589,-78.567173
(Address is approximate)
1Z
' C�iabash
v"
G .
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1 00 ra
- � ni�i]�iJesfm
02012 Mal -Portions 02012 NAY Ir F,{) I Terms
02012 MnpQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content. road
conditlons or route usability. You assume all risk of use.'1i, f anii3 of s
9/17/2012

B AI L071(0, & Associates
P.O. Box 1117 * 6601) Ocean Hwy West* Sliallotte, NC 2944;9
Phone [phone] * Fax [phone]
-LAND SURVEYORS * PLANtNERS-
WE SURVEY THE LAND AND ANYTHING THEREON
,May 23, 2012
Calabash Fire Department
892 Persimmon Road
Calabash, NC 28467
Re; Storm 'Water Infiltration Study
Tax Parcel 42410002301
Location — Intersection of
I'17omasboro Road & persimmon Road
On March 23. 2011 1 made an evaluation of the proposed storm -water infiltration at the .
above site. T'he purpose of his evaluation was to describe the soil profile, qualify the
depth to the seasonal high water table to determine soil texture, to identify the infiltration
rate and to inform the project engineer of any potential limitations to this project.
The soil on this site is mapped Baymeade in the Soil Survey of Brunswick County. North
Carolina Soil Conservation Service Book dated 1986. Actual soil borings of Hole 91
confirm -the soil to be in the Baymeade Soil Series. Hole 42 appears to be in the
Bavmeade/Nlandarin So-il Series.
The Baymeade/Mandarin soil on this site can be described as well -drained to moderately -
well soil on low ridges and convex divides. Most areas are generally broad and long.
The seasonal high water table is normally evident by observation of redoximorphic
features and soil color suggesting past condition of saturation and reductiot). 1'bere is
evidence of soil color from the two holes that I dug and it is my opinion that the seasonal
high water on Hole # 1 is 32 inches, Hole #2 is 28 inches from the natural soil surface (see
map for location of holes).
It is expected from the soil borings that the infiltration rate of Hole 91 is 6.0 to 20.0
inches hour from 0 to 32 inches and 2.0 to 6.0 inches/hour from 32 to 60 inches. Hole #2
is'6,0 to 20 inches/hour fronn 0 to 28 inches and 1.0 to 2 inches/hour from 28 to 60 inches
i'rom the natural soil surface.
In summary, these test holes were placed on this parcel upon engineer's request. There is
only a minor difference in elevations throughout this parcel (see attachment #2). The
engineer is designing a building for the Calabash Fire Department and this information
was provided to assist the engincer-in designing the storm -water for this project.

Soil Profile Dcscrivtiori
-Pest Holes
West hole #1
0 — 5
Disturbed soil, dark grayish brown (10 YR 4/2) and
yellowish brown (10 YR 514) fine sand.
5 — 14"
Pale broNk-n (10 YR 6/3) fine sand.
14 — 32"
Pale brown (10 YR 6/3) fine sand with few five faint
eery pale brown (10 Y1t 7/3) mottles.
32 — 60"
Light gray (10 YR 7/2) fine sand with few tine faint pale
Brown (10 YR 6/3) and yellowish brown (.10 YR 5 6) mottles,
"rest Hole 1i
0 — 8"
Disturbed soil very ciark grayish brown (10 YR 3/2) latae sand
v ith few fine distinct yellowish brown (10 YR 5/4) mottles.
8 -- 16"
Dark gray (10 YR 4/ 1) tine Sand.
16 -- 28"
Gray (10 YR 6/1) line sand.
28 — 40"
Dark grayish brown (10 YR 4/4) fine sand with common tneditlrn
distinct yellowish brown (10 YR 5/4) mottles.
40-50"
Pale brown (10 YR 6/3) tine sarid with few fine fairrt dark grayish.
brown (10 YR 4/4) rrrottles,
50 — 60" Light gray (10 YR 7/2) fine sand with few fine faint yellowish
brown (10 YR 5/6) mottles
If I can be of additional assistance, ptcase advisc.
Sincerely.
Bobby M. o g, LSS #1 146
attachments: 3 (three)
` p SOIL
-�U oo

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�4100021
Parcel Number
2410002301
j Plat Date
12/20/2011
;Account Number
50/18860
Land Value
$300:000
PIN
11035171251190
Building Value
$436,420 _I
f Owner
€CALABASH FIRE DEPARTMENT INIC
Other Value
$15,960 I
`Owner Address 1
Deferred Value
SO
Owner Address 2
City ---�
802'PERSIMMON ROAD
CAL -ABASH
Total Taxable Value
3 Heated Sq Ft
$752,380
�8,200
State
INC
� Year Built
1972
Zip
28467
Bedrooms
0 BEDROOMS
Legal Description i
Parcel Street Number 1892
Full Baths
Stories
Parcel Street !PERSIMMON
Ext ','frail i
MODULAR METAL
Street Type
RD
Ext. V'dall2
Street Dir
Neighborhood
C633
Subdivision
Municipality
CALABASH
Deed Book 3223 _ Fire Tax District �
CALABASH
Deed Page Ij 0966
Township I
SHALLOTTE
I Deed Date E i 2/2212011
Acreage
1,34
— --
Plat Book C072
Sale Price
$225,000
Plat Page 0032
1
Disclaimer: Map and parcel data are believed to be accurate, out accuracy is not Map Scafe
guaranteed This is not -a legal document and should not be substituted for a title search, 1 inch = 100 feet
I of 2 5/30/2012 8:59 AM

Completeness Review Checklist
Project Name:
Project Location:
Received Date: pL�
Accepted Date:
Rule(s) M2008 Coastal El1995 Coastal Phase 11 (WiRO)1-1 Universal 01988 Coastal
Type of Permit: New or Mod or PR Existing Permit# (Mod or PR): ']PE Cert on File?
Density: D or LD Type: Cot rnerci _ or Residential F-1NCG:
%: Sp�2iJ(%OK?) Stream Class: A' �SA Map ElOffsite to SW8
Subdivided?: Subdivision or Single Lot IL�nORW Map nExempt
Paperwork Emailed Engineer on:
F—ISupplement(s) (1 original per BMP) BMP Type(s): �C�t �� 3f& .Mf-AYCOA3 -v DR 4)
�O&M with correct/original signatures (1 original per BMP except LSIVFS and swales)
Application with correct/original signatures J SOW
[]Corp or LLC: Sig. Auth. per SoS or letter Note to Reviewer:
0$505 (within 6mo) — 9DE\*t-aP EATr V
Sror\J
Soils Report with SHWT
Calculations (signed/sealed)
�No obvious errors
Density includes common areas, etc
Deed Restrictions, if subdivided:
Signed & Notarized
Correct Tem late Comm Res & HD LD or Dec. Covenants & Rest.
Plans
132 Sets FIDetaiis (roads, cul-de-sacs, curbs, sidewalks, BMPs, Buildings, etc)
Grading Wetlands: Delineated or No Wetlands
Vicinity Map 1-1 Layout (proposed BUA dimensions)
Legend 11DA Maps El Project Boundaries
Infiltration Wet Pond Offsite
Soils Report Soils Report FTE Cert for Master Lot #:
SHWT: SHWT: Deed Rest for Master Lot # Matches Master
Bottom: PP: BUA Permitted (Master): sf
Visited: BUA Proposed (Offsite): sf
Additional Information:
Permitted
BUA (sf)
DA (sf)
PP (el)
SHWT (el)
Depth (ft)
SA (sf)
Pro
d:
P