SW7070136_HISTORICAL FILE_20201124

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE%�lai
Y
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Aireclor
NORTH CAROLINA
Environmental Quality
November 24, 2020
Pasquotank County
Attention: Mr. Sparty Hammett, Manager
206 East Main Street
Elizabeth City, NC 27909
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7070136
Pasquotank Fuel Facility and Shelter
Pasquotank County
Dear Mr. Hammett:
VJQ2o
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7070136 for a stormwater treatment system consisting of a wet
detention pond serving Pasquotank Fuel Facility and Shelter located on Jail Road in
Elizabeth City, NC expires on April 2, 2021. This is a reminder that permit renewal
applications are due 180 days prior to expiration. We do not have a record of receiving
a renewal application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal. Also, it was noted in the file review that a designer's certification that the
project was constructed in accordance with the approved plans as required by the
permit has not been submitted. Please include this with your application. Permit
application forms for renewal can be found on our website at:
littps://deq.iic.gov/about/divisions /eiiert.lv-mineral-land-resources/energy-mineral-land-
rules/stormwater-program/host-construction. North Carolina General Statutes and the
Coastal Stormwater rules require that this property be covered under a stormwater
permit. Failure to maintain a permit subjects the owner to assessment of civil penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application form. You can request a copy by e-mailing me at roger.thorpe(oncdenr.gov.
Sincerely,
v•
.y
l Roger K. Thorpe
Environmental Engineer
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Washington Regional Office I Q43 Washington Square Mall I Washington, North Carolina 27880
aro�a�+�s=nTm.mi 25294c,645t

Human & RoheV, PC
Consulting Engineers and Land Surveyors [phone] Office
[phone] Office
[phone] Fax
January 25, 2007
Bill Moore
Division of Water Quality -Surface Water Section
Washington Regional Office RECEAVED
943 Washington Square Mall
Washington, NC 27889
JAN 2 0 2007
Subject: Stormwater Management Permit DWQ-WAR®
Pasquotank Fuel facility and Shelter
Project # 060617
Dear Mr. Moore:
Enclosed for your review and approval, please find the following items:
Two (2) copies of sheets 1, 2 and 3 for the above referenced project.
2. The original and one copy of the Stormwater Permit Application and
required attachments.
Two (2) copies of the project description and calculations.
4. Check in the amount $420.00 for the required fee.
If you have any questions, please do not hesitate to call this office at
[phone].
cc: file
Mike Etheridge
Sincerely,
�Sean�C.. �R000beey(, P.E.
CN V b�'-
Kimberly D. Hamby
Project Manager
P. O. Box 339, Camden, NC 27921

RECEIVED
PROJI CT DESCRIPTION
PASQUOTANK FUEL FACILITY & SHELTER DWQ-WARO
Pasquotank County, North Carolina
tl; 1 i
t i- i7 ,i i�?r� +na
4anuary 16, 2007"
Pasquotank County owns a 7.01 acre tract that is adjacent to Pritchard Street and
McPherson Street in Elizabeth City. The tract is zoned 1-2 (industrial) and O & I (office
and institution). There are several county office buildings and a farmer's market with
related parking currently located on the site. Proposed development will include the
construction of a shelter for storage of vehicles used by the solid waste department and a
fuel station for county vchicics. This construction will take place on a 0.81 acre portion
of the overall tract.
Due to limited available space and existing site topography, the site has been
divided into two drainage areas. Drainage Area 1 will contain all of the proposed
surfaces, except the vehicle shelter, plus 0.48 acres of off -site area. The 0.81-acre site
currently contains approximately 18,481 sf (3,253 sf in Drainage Area 2 and 15,224 in
Drainage Area 1) of gravel that will be either removed or covered by the new surfaces.
New impervious areas will include a 5,000 sf shelter, a 936 sf canopy over the pump
island, 11,318 sf of asphalt, and a 616 sf area for the fuel tanks. The total proposed
impervious area for the 0.81-acre site is 17,870 sf, or approximately 50%.
In Drainage Area I, storm water treatment will be provided by wet detention
basin. Due to existing topography, approximately 18,500 sf of existing off -site pavement
will sheet flow across a grassed strip of land approximately 20 feet wide and into the
detention pond. This area currently drains to the pond area and cannot be easily rerouted.
Since the available space for the pond is limited, the runoff from this existing pavement
will now be treated and the runoff from the new 5,000 sf shelter will be routed away from
the pond in Drainage Area 2. The runoff from the new pavement, tank area, and fuel
island canopy will be, routed to the detention pond through a new collection system. The
total drainage area to the pond is 1.13 acres. This drainage area will contain 0.72 acres of
impervious surface resulting 64% coverage. The detention pond has been designed for
90% TSS removal. After storing the first inch of runoff, the pond will discharge into the
existing drainage system. Per the City of Elizabeth City's ordinance, we are required to
limit the post development discharge to pre -development levels based on a 10-year storm.
As the proposed lot coverage does not exceed the existing coverage, the increase in runoff
is negligible. Utilizing the rational method, the peak runoff from this drainage area will
be approximately 6 cfs. The peak discharge from the detention pond will be less than I
cfs
Drainage Area 2 will consist of the remaining 7,340 sf of the 0.81-acre site. The
proposed 5,000 sf of building will be the only impervious area within Drainage Area 2.

y
The runoff from the building will be routed directly into the existing underground
drainage system. This runoff is not being directed into the detention pond.
The on -site soil type is Araphoe. On January 16, 20007, a soil boring was made
on the site in the area of the proposed detention pond. The existing elevation at the soil
boring location is approximately 8.0'. The first 12" of the soil was a combination of
topsoil and gravel. From 12" to 36" the soil was a sandy loam with some clay. At 36"
the sand became finer and at 48" it was coarse wet sand. After one hour, the free water in
the bore was 2.5' below grade or elevation 5.5'. This corresponds to the soil classification
of Araphahoe (formerly Pocomoke) as shown on the Pasquotank County Soils Map.
Given the high water table, we feel that wet detention will be the most appropriate
method of stormwater treatment for this site.
The total disturbed area for this project is 1.04 acres. Limits o1' disturbance have
been shown on the plans.

PERMANENT POOL DEFENTION PONDS Hyman & Robey, PC DESIGN OF POND 150-A Hwy 158 East RECEIVED
Camden, NC 27921
Pasquotank County shelter and fuel facility (252)-335-1888 JAN 2 0 2007
IO Yr, 24 Hr Storm 01/16/07
DETENTION POND Pagel Y.J'tldQ-WARO
SA/DA PERCENTAGES FOR 90% TSS REMOVAL WITHOUT VEGETATIVE FILTER
% 1MPRV 3.0 FT 3.5 FT
4.0 171'
4.5 FT
5.0 FT
5.5 FF
6.0 FP
6.5 FT 7.0 FT
10% 1.3 1.0
0.8
0.7
0.6
0.5
0.4
0.3
0.2
20% 2.4 2.0
1.8
1.7
1.5
1.4
1.2
1.0
0.9
30% 3.5 3.0
2.7
2.5
2.2
1.9
1.6
1.3
1.1
40% 4.5 4.0
3.5
3.1
2.8
2.5
2.1
1.8
1.4
50% 5.6 5.0
4.3
3.9
3.5
3.1
2.7
2.3
1.9
60% 7.0 6.0
5.3
4.8
4.3
39
3.4
2.9
2.4
70% 8.1 7.0
6.0
5.5
5.0
4.5
3.9
3.4
2.9
80% 9.4 8.0
7.0
6.4
5.7
5.2
4.6
4.0
3.4
90% 10.7 9.0
7.9
7.2
6.5
5.9
5.2
4.6
3.9
100% 12.0 10.0
8.8
8.1
7.3
6.6
5.8
5.1
4.3
WATERSHED AREA:
1.13
ACRES
WATERSHED % IMPERVIOUS:
70
%
PERMANENT POOL ELEVATION:
5.5
FT
DESIGN PERMANENT POOL DEPTH:
4
FI'
SA/DA PERCENTAGE FACTOR:
6
%
(IROMABOVETABLii-'rAKENIROMDESIGNOF
STORM
WATER
CONTROL FACILI
nF_S WORKSIIOPMANUAL
PENC 1988)
POND SURFACE AREA REQ'D:
2953
SF
FOREBAY AREA:
886
SF
AT WIDTH = 0.33 LENGTH,
WIDTH =
31.376
LF
(BASED
UPON MINIMUM SURFACE AREA)
LENGTH =
94.1281
LF
Use these dimensions:
WIDTH
27.24
LF
LENGTH
131
LF
VOLUME OF I " RAINFALL
AREA OF ROOFS: 0.03 AC
AREA OF PARKING/CONCRETE: 0.72 AC
AREA OF GREEN AREAS: 0.38 AC
VOLUME OF RUNOFF 2867.7 CF
STORAGE DEPTH FOR MINIMUM AREA =
ELEVATION OF I" RAINFALL = 6.30
Normal Pool Elevation 5.5
VOL (C17=I(R00E-1.0)+(PARKING '.95)+(GI(ASS*0.2)J'41560/12
0.80 Fr
AL
o I r 6 c
- 7855050 -
g .1 I p

'DRAWDOWN - WATER QUALITY
Q(2 DAYS) = 0.0166 CPS
Q(5 DAYS) = 0.00664 CPS
I'RUNOFF STAGE 0.80 FI'
DEPTH OF DRAWDOWN DEVICE 13E-LOW OUTLET 1.5 FT
I" RUNOFF OUTLET DEVICE; 0.83537 INCH DIA HOLE
DIAMETER OF HOLE TO USE: 0.875 INCH DIAMETER
I" STORM RUNOFF DRAWDOWN TIME, 2.60417 DAYS
INFLOW HYDROGRAPH
Retum Year Stonn 10 Yr
Qp = Peak Discharge = 6 cis
Tc = Time of Concentration =
Calculation of Tp (Time to Peak)
From SCS NEH 4, page 15-7 Eqn. 15.4
A=(Q/(Cd*SQRT(2gh))1* 144
Rad.=SQRT(A/PI)
Dia.=2*Rad,
10 min
Lag Time (L) = (1^0.8*(S+I)^0.7)/(1900*Y^0.5) for L in His
where: I = hydraulic length of watershed (It)
S = (I 000/CN)-10
CN = approximately same CN from TR-55
Y = avg. watershed land slope in
S= (1000/CN)-10 = L 1 1 1 1 1
L= 0.13504 firs
From SCS NEH 4 , page 16-7 Eqn. 16.7
Tp=D/2+L
where : D = unit of excess duration rainfall (firs)
L = Lag Time (fits)
From SCS NEH 4, page 16-8 Eqn. 16.12
D = 0.133 tc
where: Te = Time of Concentration (firs) - (See Tr-55 Printout)
THEREFORE: D = 0.02217 firs
Tp =
0.14612
firs =
8,76733
min
Volume under Hydrograph
= 1.39 *
Qp *'I'p =
4387.17
Cubic Feet
500
= I.II111
90
0.9
lab 5a
�� 'y.NGINEEQ:: \�

Inflow Hydrograph
SCS Dimensionless Hydrograph
Time Discharge'rime Discharge VUlmne
Ratio Ratio fir cfs cf
0.00
0.00 0.00
0
0.10
0.03 0.01
0
9
0.20
0.10 0.03
1
32
0.30
0.19 0.04
1
60
0.40
0.31 0.06
2
98
0.50
0.47 0.07
3
148
0.60
0.66 0.09
4
208
0.70
0.82 0.10
5
259
0.80
0.93 0.12
6
294
090
0.99 0.13
6
312
1.00
1.00 0.15
6
316
1.10
0.99 0.16
6
312
1.20
0.93 0.18
6
294
1.30
0.86 0.19
5
271
1.40
0.78 0.20
5
246
1.50
0.68 0.22
4
215
1.60
0.56 0.23
3
177
1.70
0.46 0.25
3
145
1.80
0.39 0.26
2
123
1.90
0.33 0.28
2
104
2.00
0.28 0.29
2
88
2.20
0.21 0.32
1
131
2.40
0.15 0.35
1
93
2.60
0.11 0.38
1
68
2.80
0.08 0.41
0
49
3.00
0.06 0.44
0
35
3.20
0.04 0.47
0
25
3.40
0.03 0.50
0
18
3.60
0.02 0.53
0
13
3.80
0.02 0.56
0
9
4.00
0.01 0.58
0
7
4.50
0.01 0.66
0
8
5.00
0.00 0.73
0
0
Volume undcrhydrograph =
4167 cf
Based upon runoff volume
= 4387.17 cf
Depth reil d for minimum area = 1.22944
I'rSEAL
18550
• ;vQNEE?•`
JF •

STAGE STORAGE FUNCTION OF POND
(FOR RECTANGULER DETENTION POND ONLY)
Minimum surface area taken at normal water level
BASIN AREA INCR ACCUM
VOLUMEVOLUMESTAGE In s
S Z
sf cc ct It
Pond Side Slope (M)=
In Z Z est Elevation
3568
0
0
0
Surface area at normal pool
5.5
4052
1905
1905
0.5
7.55
-0.69
0.50
6
4554
2152
4057
1
8.31
0.00
0.97
6.5
5074
2407
6464
1.5
8.77
0.41
1.45
7
5611
2671
9135
2
9.12
0.69
1.96
7.5
6167
2945
12079
2.5
9.40
0.92
2.50
8
6741
3227
15306
3
9.64
1.10
3.07
8.5
7332
3518
18825
3.5
9.84
1.25
3.67
9
7942
3819
22643
d
10.03
1.39
4.31
9.5
8570
4128
26771
4.5
10.20
1.50
4.99
10
9216
4446
31218
5
10.35
1.61
5.70
10.5
Regression
Output:
Constant
9.34346
Ks = S/Z^b =
4202.983
Sid Err of Y Est
0.00969
R Squared
0.99962
No. of Observations
7
Degrees of Freedom
5
X Coefficient(s) 1.15215 = b
Std Err of Coef. 0.01009
FOR VERTICAL SIDED DETENTION POND SET b=0, AND Ks = SURFACE AREA (SF)
Page 4
STAGE DISCHARGE
(FOR RISER/BARRELL SPILLWAY W EMERGENCY
WEIR)
RISER
Dr =
18
Riser Dia. (in)
Flop =
20.00
Elev. Top Riser (it) 6.73
Cwr =
3.33
Riser weir coeff
Cdr =
0.60
Riser orifice coeff "
I-Iln =
5
Number ol Holes
Hid =
2
Hole Dia. (in)
EHI =
20.00
Elev.Iloles(1)
H2n =
5
Number of Holes
H2d =
2
Hole Dia. (in)
EH2 =
20.00
Elev. Moles (2)
H3n =
0
Number of Holes
Had =
2
Hole Dia. (in)
EH3 =
20.00
Elev. Holes (3)
BARREL:
Db =
15
Barrel Dia. (in)
Einv
20.00
Elev Invert Barrel (ft) Barrel] Adjustment Factor
Cdb =
0.60
Barrel orifice coeff
3
I' iSEAL =
I8550
• 'F'YGINEEP:: •.
se4 C. ROB�as
//ill /fill 11111111ss\..

EMERGENCY WEIR
Page 5
Cw
=
3
Weir coeff
Ecr
=
6.30
Elev weir coef f (fl)
Lw
=
I
Weir Lengtli (fQ
Riser
Riser
Riser
Elevation
Hole
Hole
Hole
Riser Riser
Barrel
Principal
Ennergey
(1)
(2)
(3)
(weir) (orifice)
Spillway
Weir
5.50
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.50
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.51
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.52
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.54
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.57
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.61
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.67
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.74
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.81
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.89
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
5.96
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.04
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.10
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.16
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.22
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.26
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.30
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.33
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.36
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.0
6.38
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.1
6.41
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.1
6.44
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.45
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.46
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.47
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.46
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
6.45
0.0
0.0
0.0
0.0
0.0
0.0
0.00
0.2
I
�( uA'' /SEAL
- 10e50
.'FNUINEQ:..•
,,///�FqN CI E1pe�, ``

Page 6
ROUTING OF INFLOW HYDROGRAPI-1 THROUGH POND AND OUTFLOW DEVICE
Total
Riser
Riser
Riser
Barrel
Emerg
Time
Inflow
Storage
Slage
Outflow
Holes
(weir)
(orifice)
Spillway
t(hr)
cfs
of
Elevation
cfs
(1+2+3)
cfs
cfs
cf,s
cfs
cfs
0.000
0
0
5.50
0.00
0.00
0.00
0.00
0.00
0.00
0.015
0
0
5.50
0.00
0.00
0.00
0.00
0.00
0.00
0.029
1
9.46872
5.51
0.00
0.00
0.00
0.00
0.00
0.00
0.044
1
41.0311
5.52
0.00
0.00
0.00
0.00
0.00
0.00
0.058
2
101
5.54
0.00
0.00
0.00
0.00
0.00
0.00
0.073
3
198.843
5.57
0.00
0.00
0.00
0.00
0.00
0.00
0.088
4
347.186
5.61
0.00
0.00
0.00
0.00
0.00
0.00
0.102
5
555.499
5.67
0.00
0.00
0.00
0.00
0.00
0.00
0.117
6
814.31
5.74
0.00
0.00
0.00
0.00
0.00
0.00
0.132
6
1107.84
5.81
0.00
0.00
0.00
0.00
0.00
0.00
0.146
6
1,120.31
5.89
0.00
0.00
0.00
0.00
0.00
0.00
0,161
6
1735.93
5.96
0.00
0.00
0.00
0.00
0.00
0.00
0.175
6
2048.4
6.04
0.00
0.00
0.00
0.00
0.00
0.00
0.190
5
2341.93
6.10
0.00
0.00
0.00
0.00
0.00
0.00
0.205
5
2613.37
6.16
0.00
0.00
0.00
0.00
0.00
0.00
0.219
4
2859.55
6.22
0.00
0.00
0.00
0.00
0.00
0.00
0.234
3
3074.18
6.26
0.00
0.00
0.00
0.00
0.00
0.00
0.248
3
3250.93
6.30
0.00
0.00
0.00
0.00
0.00
0.00
0.263
2
3396.11
6.33
0.02
0.00
0.00
0.00
0.00
0.02
0.278
2
3518.34
6.36
0.04
0.00
0.00
0.00
0.00
0.04
0.292
2
3620.35
6.38
0.07
0.00
0.00
0.00
0.00
0.07
0.321
1
3790.16
6.41
0.12
0.00
0.00
0.00
0.00
0.12
0.351
1
3908.65
6.44
0.16
0.00
0.00
0.00
0.00
0.16
0.380
1
3985.1
6.45
0.18
0.00
0.00
0.00
0.00
0.18
0.409
0
4033.41
6.46
0.20
0.00
0.00
0.00
0.00
0.20
0.438
0
4060.88
6.47
0.21
0.00
0.00
0.00
0.00
0.21
0.468
0
4073.36
6.47
0.22
0.00
0,00
0.00
0.00
0.22
0.497
0
4075.87
6.47
0.22
0.00
0.00
0.00
0.00
0.22
0.526
0
4071.32
6.47
0.22
0.00
0.00
0.00
0.00
0.22
0.555
0
4061.92
6.47
0.21
0.00
0.00
0.00
0.00
0.21.
0.584
0
4049.11
6.47
0.21
0.00
0.00
0.00
0.00
0.21
0.658
0
4012.06
6.46
0.19
0.00
0.00
0.00
0.00
0.19
0.731
0
3969.24
6.45
0.18
0.00
0.00
0.00
0.00
0.18
6.4737 = maximum stage elevation
0.21717 = maximum discharge
"SEAL
- lasso
•'�.NGIN... •
P��tC I ROB,

Pasquotank Fuel Facility
Pasquotank County
10yrSTORM
7
6 oma 1
b
5
mq
r
L I
m 3
1 �m
o m
i.. m
0 C.OPp44AdP'Dfcbry4�9 pP-P2 N. b4. ' n-Ci Y "�'`'"
0.000 0.200 0.400 0.600 0,800
Time (hrs)
--m—INFLOW (cfs)
o OUTFLOW (cfs)
-�5FEAL
19: 0
I Hog
Ig,

POND VOLUME CALCULATIONS
FOR
S:IHyman & Robey '061060617 - Pasquotank Fuel Facility & ShelterlExceh060617 - POND VOLUME CALCULATION.xis
POND CALCULATIONS
AREA
PERMANENT POOL SURFACE AREA
MAIN BASIN SURFACE AREA
FOREBAY SURFACE AREA
AREA AT EDGE OF MAIN BASIN SHELF
AREA OF MAIN BASIN BOTTOM
AREA AT EDGE OF FOREBAY SHELF
AREA OF FOREBAY BOTTOM
SURFACE AREA AT 1" STORAGE
ELEVATIONS
PP ELEVATION
ELEVATION AT EDGE OF MAIN BASIN SHELF
ELEVATION OF MAIN BASIN BOTTOM
ELEVATION AT EDGE OF FOREBAY SHELF
ELEVATION OF FOREBAY BOTTOM
ELEVATION OF 1" STORAGE
Fz
3,569.71
2,653.49
916.22
751.00
131.19
166.16
38.27
4,322.72
F
5.50
3.83
1.50
3.83
2.50
6.30
VOLUME CALCULATIONS
F3
MAIN BASIN VOLUME
3,870.50
FOREBAY VOLUME
1,039.73
PERMANENT POOL VOLUME
4,910.23
FOREBAY PERCENTAGE OF TOTAL PERMANENT POOL VOLUME
21.17%
TEMP. STORAGE VOLUME (1" RUNOFF)
3,156.97
TEMPORARY ST(
SLOPE (EX: IF 3:1 ENTER 3)
OFFSET FROM PP
BASIN DIAGRAM CALC
MAIN POND
SEDIMENT REMOVAL ELEVATION
PP DEPTH READS ... SEDIMENT SHALL BE REMOVED
FOREBAY
SEDIMENT REMOVAL ELEVATION
PP DEPTH READS ... SEDMENT SHALL BE REMOVED
1/16/200712:01 PM
1.60
2.50
3.00
2.25
-f'SEAL c
18b5o
BFgN C.
PAGE 1 OF 1

��r`tuh • Mk%--O� WOLOA 1--4
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT \13a/v7
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Nalural 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.)
Part A.
1. Project Name Pas-quo-tank--Euel—Fac-ility—and ah-elter
2. Location of land -disturbing activity: County Pasquotank City or Township Elizabeth City
Highway/Street Latitude_3.6° 1a' Longitude 760 14
3. Approximate dale land -disturbing activity will commenre:Ma_rch 2007
4. Purpose of development (residential, commercial, industrial, institutional, etc.):
5. Tolal acreage disturbed or uncovered (including olf-site borrow and waste areas): 1 . 04 acres
G. Amount of fee enclosed: $ 1_QO, 00 . The application fee of $50.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $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 Randy Keaton E-mail Address
Telephone (2�7) 335-0865 Cell /f Fax A
9. Landowner(s) of Record (attach accompanied page to list additional owners):
_ Pasquotank County
—(242)-335-Q865
Name
Telephone Fax Number
206 East Main Street
Current Mailing Address
Current Street Address
ElizabethjCitly NC 2,7909
City Slate Zip
City Stale Zip
10. Deed Book No. 479 Page No.
370 Provide a copy of the most current deed.
Part B.
jI�C C�C�oML—,
1. Person(s) or firm(s) who are financially
responsible for the land-distu Bing activity (Provide a
S(—_.____._._ f
comprehensive list of all responsible parties on an attached sheet):1.
Pasquotank County
�tl JqN 2 7 2007
Name
E-mail Address
!
206 East Main Street
y
I LAND QUALITY SEC! i"'�; �
Current Mailing Address
Current Street Address wAtoHN , ON ''TL , ,, -
Elizabeth City NC 27909
City Stale Zip
City State Zip
Telephone (25.2.) 335-0865
_ Fax Number

2. (a) If the Financially Itespunsible Party is not a resident of North Cawlina, give name and street address
of the designated North Carolina Agent:
Name
t Mailing Address
Slate
Telephone
E-mail Address
Current Street Address
Zip City
Fax Number
Zip
(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
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent
Mailing Address
City Stale
Telepho
E-mail Address
Current Street Address
City State Zip
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.
Randy Keaton
Type or print r me
Signatur
County Manager
Title or Authority
Dale
^-{ J CAP tr a Nolary Public of the County of PGSgI v��c x
State of North Carolina, hereby certify that F-\G c+'For appeared
personally before me this day and being duly swGAi acknowledged that the above form was
executed by him.
Witness my hand and notarial seal, this ca13`U day of JGr xA, G,r 20y1
MARIANNE 1. COOPER
NOTARY PUBLIC Notary
Seal pASQUOTANN COUNTY, NC
My commission expires_ _w (Q q