SW7110505_CURRENT PERMIT_20110714

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

Beverly Eaves Perdue
Governor
Mr. Barnes Boykin
Eastern Pride, Inc.
2405-F Nash Street
Wilson, NC 27896
Dear Mr. Boykin:
woaRo
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
July 14, 2011
Subject: Stormwater Permit No. SW7110505
Family Dollar - Columbia
High Density Commercial Wet Pond Project
Tyrrell County
The Washington Regional Office received a complete Stormwater Management Permit Application for the Family Dollar
store in Columbia, NC on July 14, 2011. Staff review of the plans and specifications has determined that the project, as
proposed, will comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000.
We are forwarding Permit No. SW7110505 dated July 14, 2011, for the construction of the subject project.
This permit shall be effective from the date of issuance until July 14, 2021, 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. 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 Roger Thorpe, or me at
[phone].
S ccere'
_ �i
1
Regional Supervl
Surface Water Protection Section
cc: Pamlico Engineering Services, PLLC
,Tyrrell County Building Inspections
✓Washington Regional Office
North Carolina Division of Water Quality Internet �tsc�c.ncsrllcruualin.ury
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% RecydeNlO% Post Consumer Paper
NorthCarohna
Naturally

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
Eastern Pride, Inc.
Family Dollar - Columbia
US Hwy 64, Columbia, NC, Tyrrell County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the provisions of
Session Law 2008-211 and 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 July 14, 2021, 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 of this permit. The stormwater control has been designed to handle the
runoff from 17,190 square feet of impervious area.
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.
4 The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
5. The built -upon areas associated with this project shall be located at least 50 feet landward of
all perennial and intermittent surface waters.

6. The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
a.
Drainage Area, acres:
0.83
b.
Total Impervious Surfaces, ft2:
17,190
C.
Design Storm, inches:
1.5
d.
Average Pond Depth, feet:
3.3
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSI.
2.0
g.
Permanent Pool Surface Are. ftft
5,352
h.
Permitted Storage Volume, ft :
11,201
i.
Temporary Storage Elevation, FMSL:
3.5
j.
Predevelopment 1 year 24 hour:
0.07 cfs
k.
Post development 1 year 24 hour:
0.01 cfs
I.
Controlling Orifice:
1.0 "0 pipe
M.
Permitted Forebay Volume, ft3:
3,000
n.
Receiving Stream/River Basin:
UT to Scuppernong River/ Pasquotank
o.
Stream Index Number:
30-14-4
p.
Classification of Water Body:
"C-Swp"
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 perrnittee shall at all time 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 re -vegetation of slopes and the vegetated filter strip.
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, level spreader, filter
strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The records will
indicate the date, activity, name of person performing the work and what actions were taken.
5. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
6. The facilities shall be constructed as shown on the approved plans. This permit shall become
void unless the facilities are_ constructed in accordance with the conditions of this permit, the
approved plans and specifications, and other supporting data.

7. 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.
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.
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 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.
11. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by the Permittee at
all times.
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 completed
Name/Ownership Change form, to the Division of Water Quality, signed by both parties, and
accompanied by supporting documentation as listed on page 2 of the form. The project must
be in good standing with the Division. The approval of this request will be considered on its
merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such time as the
Division approves the transfer request.
3. 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.

4. 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.
5. 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.
6. 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.
7. The permit issued shall continue in force and effect until revoked or terminated. The permit
may be modified, revoked and reissued or terminated for cause. The filing of a request for a
permit modification, revocation and re -issuance or termination does not stay any permit
condition.
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.
9. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws,
rules and regulations contained in Session Law 2008-211, Title 15A NCAC 2H.1000, and
NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing address changes at
least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until July 14, 2021.
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.
Permit issued this the 14 th day of July 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
I
For Coleen H. Sullins, Dire or
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SV 7110505

Family Dollar - Columbia
Stormwater Permit No. SW7110505
Tyrrell 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:
SEAL
Signature
Registration Number
Date

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.

Permit
(to be provided by D WQ)
III. REQUIRED ITEMS CHECKLIST
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
Page/ Plan
Sheet No.
F-'tir�q
ED
(u-�
1. Plans (1" - 50' or larger) of the entire site showing:
3
- Design at ultimate build -out, MAY 17 2 011
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin), ` y�
-Basindimensions, =;� :v +� u,f'0
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROM,
- Overflow device, and
- Boundaries of drainage easement.
Ctl d }
2. Partial ptan (1" = 30' or larger) and details for the wet detention basin showing:
- Outlet structure with trash rack or similar,
- Maintenance access,
- Permanent pool dimensions,
- Forebay and main pond with hardened emergency spillway,
- Basin Gross -section,
- Vegetation specification for planting shelf, and
G°U
- Filter strip.
3. Section view of the wet detention basin (1" = 20' or larger) showing:
- Side slopes, 3:1 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures.
C
4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin.
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for Forebay,
to verify volume provided.
V
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
7. The supporting calculations.
"
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required).
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.8-9/17/09 Part IN. Required Items Checklist, Page 1 of 1

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
r
6 5-
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Pla
❑ Other WQ M mt Plan: z�
k l
State of North Carolina��.
Department of Environment and Natural Resources
ED
Division of Water Quality MAY 17 2 011
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forni may be photocopied for use as an original DWI,` 't�tr ry RO
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Columbia - Family Dollar
2. Location of Project (street address):
City:Columbia County:Tvrell Zip: 27695
3. Directions to project (from nearest major intersection):
Take US 64 East through the toown of Columbia to the site which is appx 300' east of School Maintenance
4. Latitude:.35 * 55' 08" N Longitude:76 ° 14' 33" W of the main entrance to the project.
If. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: []NotStarted ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control:1.1 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Version 07July2009 Page I of

III, CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Eastern Pride Inc.
Signing Official & Title:Barnes Boykin
b.Contact information for person listed in item la above:
Street Address:2405-F Nash Street
City:Wilson State:NC Zip:27896
Mailing Address (if applicable):
Phone:
State: Zip:
Fax: ( )
c. Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
® Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organi7ation:Scuppernong Group, LLC
Signing Official & Title: Lilias 1. Morrison Member Manager
b.Contact information for person listed in item 2a above:
Street Address:
Mailing Address (if applicable):
Phone:
Fax:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Selden Taylor - Stock and Taylor Construction Co.
Signing Official & Title:Selden Taylor, P.E. President
b.Contact information for person listed in item 3a above:
Mailing Address:1825 Carolina Ave
City:Washington State:NC Zip:27889
Phone: (252 ) 975-5855 Fax:
4. Local jurisdiction for building permits: Town of Columbia
Point of Contact:Carlisle Harrell Phone #: (252 ) 796-2781
Form S WU-101 Version 07July2009 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff from the development shall be treated by a wet pond and then overflow into a grass filter
area before draining into the farm ditch
2. a. if claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.Identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Pasquotank River basin.
4. Total Property Area: 1.1 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area+:1.1 acres
Total project area shall be calculated to exclude the followingg the normal pool of impounded structures, the area
between the banks if streams and rivers, the area below the Nornal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward fjrrorn the NHW (or MHtM line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (orMHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 47.7 %
9. How many drainage areas does the project have?l (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07Iuly2009 Page 3 of 7

Basin Information
Drainage Area t
Drainage Area 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Trib to
Scuppernon
River
Trib to
Scuppemon
g River
Stream Class
C-SW
c-sw
Stream Index Number *
30-144
30-144
Total Drainage Area (so
35988
11928
On -site Drainage Area (so
35988
11928
Off -site Drainage Area (so
0
Proposed Impervious Area*' (so
17190
10180
% Impervious Area" (total
47.7
84
Impervious— Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
4000
4000
0
On -site Streets (so
0
On -site Parking (so
13190
6180
On -site Sidewalks (so
0
Other on -site (so
0
Future (so
0
Off -site (so
0
Existing BUA*** (so
Total (so:
17190
10180
* Stream Class and Index Number can be determined at: http://li2o.erzr.state.tu.us/bims/reports/reportsWB.bttnl
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
"** Report only that anwunt of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. I -low was the off -site impervious area listed above determined? Provide documentation. NA
Proiects in Union County: Contact DWQ Central OfJice stajfto check ifthe project is located within a Threatened &
Endangered Species watershed thal may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://h2o.enr.state.nc.us/su/bmo forms.htm.
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. A detailed application instruction sheet and BMP
checklists are available from http://h2o.enr.state.nc.us/su/bmp forms.htm. The complete application
package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating
project on the interactive online map at http://h2o.enr.state.nc.us/su/msi maps.htm.)
Please indicate that the following required information have been provided by initialing in the space provided for
each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from http://h2o.enr.state.nc.us/su/bap forms.htm.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M / 1l
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.htmI for information on the Express program v
Form SWU-101 Version 07July2009 Page of

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and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the/2
mile radius the map.
7. Sealed, signed
and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify I
elevations in addition to depths) as well as a map of the boring locations with the existing -`
elevations and boring logs. Include an 8.5"x1l" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No:
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
http://h2o.enr.state.nc.us/su/bmp forms.htm#deed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, 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 NC DWQ and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 07July2009 Page 5 of 7

VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Marie U. Peedin, PE
Consulting Firm: Pamlico Engineering Services, PLLC
Mailing Address:128 Abbey lane
City:Washington State:NC Zip:27889
Phone: (252 ) 945-2983
Email:[e-mail]
Fax: (252 ) 974-7618
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or hjpe name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe none of person
listed in Contact bifonnation, item to) Barnes Boykin with (print or type name of organization listed in
Contact Information, item lb) Eastern Pride Inc. to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
do hereby
before me this _ day of
a stormwater permit. Witness my hand
a Notary Public
that
SEAL
Date:
State of . County of
personally appeared
and acknowledge the due execution of the application for
seal,
My commission
Form SWU-101 Version 07July2009 Page 6 of 7

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity- listed in Contact Information, item 1) dissolves their companv and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Storniwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facilih' without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of VC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessmentAf civil penalties of up top25,000 per day, pursuant to NCGS 143-215 6.
Signature. � l,t1t 4 f tYleT r-t�Gl.p � DN ,atte:! A\1. __�_b*'&/'
� a Notary Public for the State of L . County of
Uirf 3_. do hereby certify that C-� \Zc�\ I personally appeared
beforeme this L day of %`�, and cknowledge the due execution of the application for
a stormwater permit,,,l)tijtness my hand and official seal, _Q ()]��_►��gp u r—
c n, one
N,TARp "
COU��°��`
X. APPLICANTS CERTIFICATION
SEAL
My commission expires i� f
1, (print or type mmnte ofperson listed in Contact Information, item 2) Burnes Boykin
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 the
applicable stormwater rules under 15A NCAC 2H .1000, St. 2006.246 (Ph.11- Post Construction) or SL 2008-211.
Signature: ci--- J R d L'c.-j \ Date:
1, -'YY) lick- a Notary Public for the State of IJC County of
—L0 t -son rA do hereby certify that • BWneS g-, Kin personally appeared
before me this d day of_� .�D 11 . and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official sea], "1 na G . Ln, o✓�t u n
`1'1�-�-y Pl.ti�l: c •-li1arsl,a A .'�{'cLiwzt l
SEAL
My commission expires n5 I U j 15

As the leg?l property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
1, , 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 application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Infonnation, item 2) Barnes Boykin
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 the
applicable stormwater rules under 15A NCAC 21-1.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Signature: (.,::— 1J e d lC-I Date:
I, Cdr6ko a • -swe.) I. a Notary Public for the State of NC- County of
L i 160 r) do hereby certify that G • Barnes Bouk i n
n& personally appeared
J
before me this �_ day of �Mct 1 aO j j • and acknowledge the due execution of the application for
Z)
a stormwater permit. Witness my hand and official seal, � " `o- Q lln o/a.t ilj y�
"Y1o�rL Publ -Ylarsl,aA.i3raswel�
SEAL
My commission expires 05' 10' 15

Family Dollar - Columbia
Stormwater Permit No. SW7110505
Tyrrell County
Designer's Certification
I, aka e u . ?eel , as a duly registered �. •I, ee r- in the State of North
Carolina, having been authorized to observe (periodically weekly/ full time) the construction of the
project,
(Project)
for =ks)eev, -�^r L - (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:
`II1111Y7f///
`���QPOFESS%p • ��Z
Signature:�•'�NGINEEP••'���:
Registration Number -2c '!�'�pHLEZt
;I1111W
Date yb- /(1—

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.
✓S. The outlet structure is located per the approved plans.
Trash rack is provided on the outlet/bypass structure.
✓8. All slopes are grassed with permanent vegetation.
may 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.
L,--r2. Required drawdown devices are correctly sized per the approved plans.
'�-'l 3. All required design depths are provided.
14..- All required parts of+the, system are provided, such as a vegetated shelf, and a forebay.
v 15. The required -system dimensions are provided per the approved plans.
`J

EGOVED
MAY 17 2011
Wet Detention Basin Operation and
I
Permit Number: I
(to be provided by DWQ)
Drainage Area Number _--
I will keep a maintenance record on this BMP. This maintenance re(
log in a known set location. Any deficient BMP elements noted in tl
corrected, repaired or replaced immediately. These deficiencies can
of structures, safety of the public, and the removal efficiency of the I
The wet detention basin system is defined as the wet detentior
pretreatment including forebays and the vegetated filter if one
This system (check one):
❑ does ® does not incorporate a vegetated filter at thi
This system (check one):
® does ❑ does not incorporate pretreatment other tha
Important maintenance procedures:
— Immediately after the wet detention basin is established, the
vegetated shelf and perimeter of the basin should be watered
needed, until the plants become established (commonly six Ni
— No portion of the wet detention pond should be fertilized aft
fertilization that is required to establish the plants on the veg
— Stable groundcover should be maintained in the drainage are
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform i
flushing of sediment through the emergency drain should be
maximum extent practical.
— Once a year, a dam safety expert should inspect the embanks
Agreement
:d will be kept in a
inspection will be
fect the integrity
basin,
s provided.
outlet.
a forebay.
on the
weekly if
the first initial
ated shelf.
to reduce the
the
to the
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 15 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately. i
BMP element:
Potential problema
How I will reinediate the Problem,
The entire BMP
Trash debris is present
Remove the trash debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the sod if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
a roximatel , six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4

A

Permit Numbe
Drainage Area
BMP element:
Potential Problem
How I will remediate theproblem:
The inlet device: pipe or
Swale
The pipe is clogged.
Unclog the pipe. Dispose of the
sediment ofi site.
The pipe is cracked or
otherwise damaged.
Replace the pipe.
I
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future prottetns with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
original design depth for
sediment storage.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it ii a location where it
will not cause impacts to streams or
the BM[P. 1
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or nprap if needed to
prevent futurI erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according
to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the
source of the
dying.
problem: soils,
hydrology, disease,
etc. Remedy the
replace plants!
problem and
Provide a one-time
fertilizer application
to establish the
ground cover
if a soil test indicates
it is necessary
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rattier than spraying.
The main treatment area
Sediment has accumulated to
a depth greater than the
original design sediment
storage depth.
Search for the source of the
sediment and remedy the problem if
ossible. Remove the sediment and
epose of it iri a location where it
ill not cause impacts to streams or
LeeBM[P.
Algal growth covers over
50% of the area.
Consult a professional to remove
and control the aLgal growth -
Cattails, phragmites or other
invasive plants cover 50% of
the basin surface.
Remove the plants by wiping them
with pesticide (do not spray).
Form SW401-Wet Detention Basin O&M-Rev.4 IPage 2 of 4

0
_.�
.,
• '.
;. � .
..'
..
��,
�..
..
..
,�
,..
- .,
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. �.
..
.
{
1'
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_
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-
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1
s

I
Permit Number.
(to be provided by DWQ)
Drainage Area Number.
BMP element•.
Potential problem
How I will remediate theproblem:
The embankment
Shrubs have started to grow
on the embankment
Remove shrubs i immediately.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers. I
A tree has started to grow on
Consult a dam safety specialist to
the embankment
remove the tree.
An annual inspection by an
Make all needed
repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out theloutlet
device. Dispose
of the sediment
off -site.
The outlet device is damaged
Repair or replace
the outlet device.
The receiving water
Erosion or other signs of
damage have occurred at the
Contact the local NC Division of
Water Quality Regional Office, or
outlet
the 401 Oversight Unit at 919-733-
1786. 1
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 feet in the
sediment shall be removed.
When the permanent pool depth reads feet in the
shall be removed.
Sediment Removal
e
- -------------
A -t
FOREBAY
BASIN DIAGRAM
(fill in the blanks)
Sediment
Storage
Form SW401-Wet Detention Basin O&M-Rev.4
Permanent Pool
Sediment Removal Elew,
----------------------
the
the sediment
LA, d
in— 3-F
---------------
MAIN POND
Page 3 of 4
l-ft M
Storage

r
� .•
r
'"'
.�
, l
. __. __ .. �
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- ..
�. .)
a ..
'

Permit
be provided by
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 nameTamily Dollar
BMP drainage area number:
M,
No
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,—Mctrskcx- A • B rasa) e-I I a Notary Public for 1
tic County of Lk i lson do here
Barnes B o o k; Y) personally appeared b
day of v{rY1a l i �� I 1 , and acknowledge the due exec)
I
forgoing wet detention basin maintenance requirements. Witness my I
seal,
" I n an)Dka Cl .
'hofartJ, Public=
My commission expires o 5 11 1 b' 1 5
State of
certify that
.e me this "d
,n of the
and official
h0. A .BrasweI(
Form SW401-Wet Detention Basin O&M-Rev.4 IPage 4 of 4

Permit No.
-
Jai De amended by DWO)
AT
NCDENR
Contact person
Phone number
Date
Drainage area number
MAY 17 2011
V,��,�f 1 �WIARO
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad III) must be printed, filled out and submitted eking with all of the requited information.
Drainage area
Impervious area, post -development
% impervious
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SAWaters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the lyr 24hr storm peak Bow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Pre -development 1-yr. 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pod elevation)
Top of 1Oft vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment deanouL top elevation (bottom of pond)
Sediment deanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
Marie U
Area to pond only
35,988 ft2
17,190 fl
47.77 %
1.5 in
b�oF W A7Fj19
t
O T
2,166 ft3 OK
11,201 ft3 OK, volume provided is equal to or in excess of volume required.
ft3
to
If
ft3
63
Y (Y or N)
3.5 in
0.50 (unless)
0.85 (unidess)
0.15 iNhr OK
0.07 flilsec
0.10 43lsec
0.03 ft3isec
3.50 f nsl
2.00 Imsl
1.50 ImSI
2.50 fmsl
1.50 fmsl
.3.00 frost
4.00 Mist
1.00 If
Y (Y or N)
3.5 Imsl OK
Forth SW401-Wet Detention Basin-Re¢8-9117109 Parts I. 811. Design Summary (21, Page 1 of 2

i.'
Permit No.
(b be premW by DWO)
II. DESIGN INFORMATION
Surface Areas
Area, temporary pool 9,582 ft7
Area REQUIRED, permanent pool 1,694 IF
SAIDA ratio 4.68 (umdess)
Area PROVIDED, permanent pool, Ar„ _caw 5,352 fl` OK
Area, bottom of 10ft vegetated shelf,Ada„ y 2,610 ft
Area, sediment deanout, lop elevation (bottom of pond), A,., 519 ft
Volumes
Volume, temporary pool
11,201 ft'
Volume, permanent pod, Vp,,,, �
16,142 ft
Volume, fombay (sum of fombays if more than one forebay)
3,000 ft'
Forebay % of permanent pod volume
18.6% %
SAIDA Table Data
Design TSS removal
85 %
Coastal SAIDA Table Used?
Y (Y or N)
MountaiNPiedmont SAIDA Table Used?
N (Y or N)
SAIDA ratio
4.68 (unidess)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pod, Vp,,,, p�
16,142 ft'
Area provided, permanent pool, Ap, _caw
5,352 ft
Average depth calculated
2.07 It
Average depth used in SAIDA, da., (Round to nearest 0.5ft)
4.0 ft
Calculation option 2 used? (See Figure 10-2b)
y (Y or N)
Area provided, permanent pool, Ap jw
5,352 ft
Area, bottom of 11%vegetated shelf, A� ern
2,610 ft`
Insufficient. Volume does not agree with data previously entered.
Need 3 ft min.
Insufficient. Check calculation.
Area, sediment deanout, top alevafion (bottom of pond), Ab_�
519 If
'Depth' (distance b/w bottom of 10ft shelf and top of sediment)
4.50 It
Average depth calculated
3.33 If OK
Average depth used in SAIDA. d„, (Round to nearest 0.5ft)
3.3 If OK
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice (d circular)
1.00 in
Area of orifice (d-noncircular)
in
Coefficient of discharge (CO)
0.60 (unidess)
Driving head (Ha)
0.50 It
Drawdown through weir?
N (Y or N)
Weir type
(urudess)
Coefficient of discharge (C.)
(unidess)
Length of weir (L)
ft
Driving head (H)
It
Pre -development 1-yr, 24-hr peak flow
0.07 ft3/sec
Post-developm rat 1-yr, 24-hr peak flow
0.10 fe/sec
Storage volume discharge rate (through discharge orifice or weir)
0.01 ft3/sec
Storage volume drawdown time
� OK, draws dawn in 2-5 days
2 00 d .
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1
OK
Vegetated shelf width
10.0 ft
OK
Length of 0owpath to width ratio
3 :1
OK
Length to width ratio
2.0 :1
OK
Trash rack for overflow & orifice?
Y (Y or N)
OK
Freeboard provided
Y It
OK
Vegetated filter provided?
y (Y or N)
OK
Recorded drainage easement provided?
n (Y or N)
Insufficient- Rewrded drainage easement required.
Capures all runoff at ultimate build -out?
Y (Y or N)
OK
Drain mechanism for maintenance or emergencies is:
Sump pump
Form S W401-Wet Osterman Basin -Rev 9-9/17/09 Parts 1, d II. Design Summary (2). Page 2 of 2