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HomeMy WebLinkAboutSW7051109_HISTORICAL FILE_20100510STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW DOC TYPE El CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE DOC DATE .a'i/.�7DS7D YYYYMMDD � AVOLIS ENGINEERING, P.A. �� P,O. Box 15564 • New Bern, North Carolina 28561 • (252) 633-0068 RECOVEO NOV - g 2005 October 7, 2005 OWQ WARO Ms. Amy Franklin Environmental Engineer NCDENR - Water Quality Section 943 Washington Square Mall Washington, NC 27889 RE: Arbor Green - A Planned Unit Development U.S. Highway 17 South, New Berg, Craven County, North Carolina AE Project No. 05075 Dear Amy: Enclosed please find the following for the above -referenced project for your review and approval: • Stormwatcr Permit (Original and One Copy) • Project Plans (2 Copies) • Stormwater Calculations (2 Copies) • $420 Permit Fee It is requested that you review the permit package at your earliest convenience. Should you have any questions relating to this matter or need any additional information, please do not hesitate to call. Sincerely, ViI vin Avolis, P.E. ce -President AVOLIS ENGINEERING, P.A. Z��� P.O. Box 15564 • New Bern, North Carolina 28561 • (252) 633-0068 i May 7, 2010 MAY 10 2010 Mr. Al Hodge Regional Supervisor Surface Water Protection Section i Washington Regional Office NC Division of Water Quality 943 Washington Square Mall Washington, NC 27889 RE: Engineer's Stormwater Certification — SW7051 109 Arbor Green — A Planned Unit Development, New Bern, Craven County, North Carolina AE Project No. 05075 Dear Al: Enclosed please find the Engineer's Stormwater Certi fication for the above -referenced project. Should you have any questions relating to this matter or need any additional information or assistance, please do not hesitate to call. Sincerely, -vin Avolis. P.F. ce-President 't State Stormwater {Inspection Report +.t No maintenance or inspection records have been provided to the inspector and there is not a signed Engineers Certification or a copy of the recorded deed restrictions on file with the division. Section 1, Design Standards, paragraph l l of your permit states that: Deed restrictions are incorporated into this permit by reference and must be recorded with the office of Register of Deeds. A copy of the recorded deed restrictions must be received by this office within 30 days of the date of recording. (some of the pictures taken during the site vi Compliance_ Status Compliant X Non -Compliant Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other Date Sent: March 31 2010 Reference Number; NOV-2010-PC-0313 Inspector Name and Signature: ���.� .�' Date: March 31, 2010 ■ Complete items 1, 2, and 3.. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailplece or on the front if space permits. SA, A. I' x I�gent ❑ Addressee B. . `Received by ( ed Name) C. Date of Delivery t vj 0 �/ J—o_,V.CLS I Lj_(,, _ I O i D !s deify address differerrt from item 1? ❑Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No MR. JIM STALLINGS 604 EAST MAIN ST. HAVELOCK NC 28532 e. servl ype ,erned Mail 13 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4: Restricted Delivery? (Extra Fee) ❑ Y89 i 2. Article Num 7009 2250 QQQQ 9252 19- l I T (Transfer from serwce rauml { PS Form 3811, February 2004 Domestic Return Receipt _ 102595-02-M-1540 State Stormwater inspection Ripon, Version 3.0_3-09 Page 2 ol'2 .r State Stormwater Inspection Report General Project Name: -Arbor Green Permit No: SW7051 109 Expiration Date: ' Contact Person: Jim Stallings Phone Number: 252-447-0865 Inspection Type: Compliance Evaluation Inspection Date: 3/17/2010 Time In: 02:00pm "Time Out: 4:00pm Current Weather: Clear Recent Rain (Date)? Rain -- in Location Facility Address 1 Location: US HWY 17 City: New Bern Zip: 28532 County: Beaufort Lat: 1"N Long: - ° "W Permit Information Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246 Goose Creek High Quality Waters Outstanding Resource Waters Density (circle one): High (HD) Low (LD) Stormwater Best Management Practices (BM Ps) (insert number of each): X Wet Ponds Infiltration Basins Infiltration Trenches Dry Ponds X Bioretention Permeable Pavement Cistern Level Spreader/Filter Strip Other (specif}): File Review LD Swales Stormwater Wetlands Sand filters (circle one) Open Closed Yes No, NIA NIE I. 1s the permit active? X 2. Signed Engineer's Certification on file? X 3. Si ned O eration and Maintenance agreement on file? X 4. Recorded Deed Restrictions on file? X Rite Visit- Ruilt [lnnn Area IR[IA1 Yes No NIA NIE 5. BUA is constructed and consistent with the permit requirements? X 6. BUA (aspermitted) is raded such that the runoff drains to the system? (high density only) X 7. Drainage area is consistent withpermit? (i.e, no un ermitted drainage to the SW BMPs) X 8. Drainage area is stabilized? (to reduce risk of sedimentation to the SW BMPs) X Site Visit: Stnrmwater RMPs Yes No NIA NIE 9. Stormwater BMPs are located per the approvedplans? I X 10. Stormwater BMPs have dimensions (e . length, width, area) matching the approvedplans? X 1 1. Stormwater BMPs are constructed per the approvedplans? X Site Visit: Oneration and Maintenance Yes No NIA NIE 12. Access points to the site are clear and well maintained? X 13. Trash has been removed as needed? X 14. Excessive landscape debris (grass clippings, leaves, etc) is controlled? X 15. Stormwater BMPs being operated and maintained as er the permit requirements? X 16. Inspection and Maintenance records are available for inspection? (high density -only, 1995 — present only) X Site Visit: Other Permit Conditions Yes No NIA NIE 17. Is the site compliant with other conditions of thepermit? X Site Visit: Other Water Quality Issues Yes No NIA NIE 18. Is the site compliant with other water quality issues as noted during the inspection? X State Stormwater Inspection Report, Version 3.0_3-09 Page I oF2 Page 2 of 2 Requested Response This Office requests that you respond to this letter in writing to the address listed on the letterhead within 30 calendar days of receipt of this Notice and should address the following items: Provide a written "Plan of Action" which outlines the actions you will take to correct the violation(s) and a time frame for completion of those actions. a. Provide a copy of the Engineer's Certification on file (sample enclosed). b. Provide a copy of the recorded Deed Restrictions. c. Provide all maintenance and inspection records. Failure to provide the "Plan of Action" within 30 calendar days, or failure to correct the violations by the date designated in the "Plan of Action", are considered violations of 15A NCAC 2H.1000, and may result in the initiation of enforcement action which may include recommendations for the assessment of civil penalties, pursuant to NCGS 143-215.6A. Thank you for your attention to this matter. This office requires that the violations, as detailed above, be abated immediately. Please be advised, these violations and any future violations are subject to a civil penalty assessment of up to $10,000.00 per day for each violation. Should you have any questions regarding these matters, please contact either Jeffery A. Manning or myself at (252) 948-3966. S, cerely, Al Hodge, Region rr—upervisor Surface Water Protection Section Washington Regional Office Enclosures: Inspection Report Designer's Certification Form cc: John Hennessy- NPS-ACOU WaRO Files Central Office Files 1� Ash Q= NCDENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Governor Coleen H. Sullins Director D/ March 31, 2 p CERTIFIED MAIL #7009 2250 0000 9252 1909 Mr. Jim Stallings 604 East Main St. Havelock, NC 28532 Dear Mr. Stallings: Natural Resources Dee Freeman Secretary Subject: NOTICE OF VIOLATION NOV-2010-PC-0313 Permit Condition Violations Stormwater Permit No.SW7051109 Arbor Green Craven County This letter is to notify you that you are in violation of Title 15A North Carolina Administrative Code (hereby known as NCAC) 2H .1003 for failing to comply with terms, conditions and limitations of a Stormwater Management Permit. 15A NCAC 2H .1003 is a rule of the Environmental Management Commission implementing Part I of Article 21 of the North Carolina General Statutes. On March 17, 2010 Jeffery A. Manning of the Washington Regional Office performed an Inspection to determine the status of compliance with Stormwater Permit Number SW7051109 issued to you on February 06, 2006 for the subject project, off of US 17 and lying within Craven County, North Carolina. As a result of the site inspection and file review, the following violations are noted: 1. There is not a signed copy of the Engineer's Certification on file. 2, There is not a copy of the recorded Deed. Restrictions on file. 3. No Maintenance or Inspection records have been provided to the inspector. North Carolina Division oC Waler Quality Inlemel: www.ncwaternualitv.org 943 Washington Square Mall t'hone: 252-946-6481 Washington, NC 27989 FAX 252-946-9215 An Equal OpportunitylAf rmalive Action Employer - 54% Recycledll D% Post Consumer Paper NorthCarolina ,aturallry � a� � � c : � rd"SG ' `;iX....,sr `lyc`.R'PS• � �K t'�i^s "_' `-s : � " ti � ,t �., �.g. • +`�_�.: ?''': ar - f `:� 7 .;a`. � , � ,,.:cr . .,� �,l. ;i } � -�{ � " _ � �,.... _ d - -.-i ..�' «^..<."�,�. .3•r s. ? rn : .F`5,'vr� .�'.' •.'Wr< n?. r.,�, ,3.w - .x a- 'y-? "..s*� _<• rt`- a. .�,ra 'a .fir.. '.r*.. -.�y` .��. �.�`J�:., ;- '�` - :�,:+_;�` pc -�.'�' i .: :... . : 1 + s :�.?".. �• "'� � ' r ' z� �.^`�' %. 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'p, ���;�` _ i '-9. ..Y.� Mai Vim•. a � r,.i Ri r- ,,.�.�* �.,�%- axe �- as _' t^"}p'-qs, T _ •�,S}�,•,Y•� t !� •� -v '�. Y i �`<". it-.T, :.`� i r �. �' `: - � , t • � ur . a �`=' ✓ Not a t - -: 41 7zA C r < f F.. - �N.`3 ��_ _ t v l'Kh,G-. - ''��. _ a:. ' 1 '^' ..`•+i+-p-`n"•"`s, -'<,�'"."�, y.L .g� !r ' _ ��- .'. .e.'s- �a� e.. ��► �•f., .S � w.- �_.-sw"�;:r' ��_ �y - ��d � �� � � • a` , , �;�� y yF�, , _� ¢ � � � -E'` •�' €c ,� ,,, D - 2,c� g � � , x � . � � "q"y�^ ~ } a S �y. �' xr , s P WET DETENTION O & M Inspection Checklist L�.. »�r:rr�f - 1•u:,,!%kr .,n ;. n.... - t .r!�xt•.. t. _. . i.' -ZEI, f: rr!.s.,fz vtr:i}� y:.L,. e.''{. �.:4,i....a..:r..-r�. k..r,1xK� _ .. ,... �e'ks !"�''.t.»-_ _ :.aS� _ 1. Inlets are located per the approved plans: ® ❑ ❑ ❑ 2. Inlet device (swale or pipe) is free of damage, clogs or erosion: ® ❑ ❑ ❑ 3. Forebay berm is in place and without erosion: ❑ ❑ ❑ 4. Forebay is free of excessive sediment: ® ❑ ❑ ❑ 5. Vegetated slopes are 3:1 or less: ® ❑ ❑ ❑ 6. Banks are stable and free of erosion or bare soil: ® ❑ ❑ ❑ 7. Slopes or berms are free of woody vegetation: ® ❑ ❑ ❑ 8. Free of muskrats or beaver activity: ® ❑ ❑ ❑ 9. Grass is being maintained and mowed (not scalped) as required: ® ❑ ❑ ❑ 1 S.• ... •ti.r�.. 3C r � ' a ';PERIMETER AND.:MAIN BAY tF �'�L rr�'}�t§�V 1' , i Ts sa ' ` ,wti ' �1',�' ' t , r �r �� FV.-:�?=+.r� t R $a l S. .3.i ..,-L r�ar. ,. �... .4..n �,.r,..:ei.� 't n;.-�.>•<�_... i�.vk. ,.r..: .-. ..x :�, 10. Vegetated shelf is 6:1 or 10:1 as permitted and properly vegetated: ❑ ❑ ® ❑ 11. Algal growth covers less 50% of the area: ® ❑ ❑ ❑ 12. Cattails, phragmites or other invasive plants cover less than 50% of the basin surface: ® ❑ ❑ ❑ 13. Main treatment area is free from excess sediment accumulation: ® ❑ ❑ ❑ s+ �' "�- �,, .OF, `r �a�- ,• � � � :" � .��' � ✓,r2 rki- :.<;._ rr �'�~; -.,. �3iw F..�i'.-f .. ..-r" sT�M1� 3.. 4�`'_.wi,..rL...e.�k!4_r.. G..r.�.. _.�,.._. .s-.e. ..�.f� S...r _._F'JF... 7:'d wi:K :-S•e:�` 14. Swale or emergency outlet bypass is in the correct place and is in good condition: ® ❑ ❑ ❑ 15. Drawdown device is correctly sized free of damage or clogging: ® ❑ ❑ ❑ 16. Orifice size matches the approved plans ® ❑ ❑ ❑ 17. Outlet is free of erosion or other signs of damage: ❑ ® ❑ ❑ 18. Trash rack is installed ® ❑ ❑ ❑ 19. Vegetated filter is in place (if applicable) ❑ ❑ ® ❑ 20. Relative elevations match approved plans ® ❑ ❑ ❑ 21. Fountain pump (if permitted) is less than or equal to the maximum allowable size: ❑ ❑ ® ❑ V3,3_09 BIORETENTION CELL: O & M Inspection Checklist �1NLET;4i*0,1jUMkTERA � ,� ' . � rc sw 4, . +�_ _ ,�<.�g.. �.Is ._.»� - �•: ._ .�... _. �... au .,� .+# �,�i s,..�-'�C• .-F � .,.ma's: .r� .w.:, £.,: .�s:. 1. inlet and Perimeter are free of erosive gullies and bare soil areas: ® ❑ ❑ ❑ 2. Inlet device (swale, pipe, stone verge) is free of erosion, damage or clogs: ® ❑ ❑ ❑ 3. Weir heights appear to match approved plans: ® ❑ ❑ ❑ 4. Flow is entering pretreatment area (not being bypassed): ® ❑ ❑ ❑ 5. Pretreatment area is free of erosion: ® ❑ ❑ ❑ 6. Pretreatment area is free of excessive sediment or clogs: ® ❑ ❑ ❑ . :mN1AINrITREATMENT*AREA°�x``h}'��_�'r i ..� •,..i�w`...rt� t*" s�r...r_._.5. i.I, rs�." 7. Side slopes are 3:1 or less: ® ❑ ❑ ❑ 8. The under drain system is free flowing and free of clogs (if applicable): ® ❑ ❑ ❑ 9. Cleanout(s) and cap is provided for the under drain as per the approved plans: ® ❑ ❑ ❑ 10. Heavy equipment has not been driven into the cell: ® ❑ ❑ ❑ 11. Surface is free of piles of heavy materials (piles of mulch, etc): ® ❑ ❑ ❑ 12. Ponding depth is 9-12 inches after rain: ❑ ❑ ❑ 13. All dimensions are >=10ft.: ® ❑ ❑ ❑ � ..... - � � a S01V/dMUCCH,iW ' GETATION0dR'�Z s x y `d �h R •s� w 1. � � b °t � r,. < f ` , .:,ti 14. Plants are healthy and being maintained: ® ❑ ❑ ❑ 15. The proper amount and type of vegetation is present.in the cell: ® ❑ ❑ ❑ 16. Mulch is in good condition (has not broken down or floated/migrated towards the outlet): ® ❑ ❑ ❑ 17. Surface if free of excessive sediment and clogs: ® ❑ ❑ ❑ 18. Trees are free of stakes/wires > 6 months after planting: ® ❑ ❑ ❑ 19. The annual soil test shows the proper pH and absence of heavy metal accumulation: ❑ ❑ ❑ '' S4�" hr='n�"'i' �1--�%t�'-Y`!.':i"vF}t*`,•":if'•_.,(.`N 4�''yj7 >I f�: Tr'J {' '�+���..�`V�P Y.� -,34 1e)•''.F- ri��-f�.�.. E.C' L.. �'F'.> �i:fl��dl^yr�•�"•. x��?,tip 3i?tf"• !-{}�7,_ .. r"� t Arx^ ! �.� �,'..S •2" jrt�� �'.' `" ' r}.�--fi^i.y ��..4 a s' a`fl.' �' t, y�`•� •rOUTLE7' s�� a �t �, .K �. 4•$_ w4 �! �"t�rw !L ..w lr' .�. .'s-"s`.x.r. Y,..C.. � e.Fit _.. Yi.v. 14....i.' _s... ;:� -.� ., i!1.. �_�' t; r: �..'3 '.?C': ^.. `.£.W� ,.X�X ir*" ��'.G•. 1�•.2-�r srrs{::',.. 20. Outlet is free of evidence of improper drainage (no standing water, cattails, etc.): ® ❑ ❑ ❑ 21. Outlet device (drop inlet, weir, etc.) is free of damage or clogs: ® ❑ ❑ ❑ 22. Orifice size matches approved plans: ® ❑ ❑ ❑ 23. Outlet is free of damage, clogs, or erosion: ® ❑ ❑ ❑ 24. Relative elevations match approved plans: ® ❑ ❑ ❑ V3.3_09 Feb 01 06 12:52p Kevin Avolis 252-633-6507 p.l FAXTRANSMISSION AVOLIS ENGINEERING, P.A. F.O. Box 1 5564 NEW BERN. NC 28562 (252) 633-0065 Fax: (252) 633-6507 To: Ms. Amy L. Franklin Date: Division of Water Quality Fax #: 252-946-9215 Pages: From: Kcvin Avolis, P.E., Subject: Arbor Green Subdivision, New Bern, NC February 1, 2006 2 including cover page. � AVOLIS ENGINEERING, P.A. .,.� ZZI�-� P,O. Box 15564 • New Bern, Norfh Carolina 28561 • (252) 633-0068 January January 10, 2006 JAN .i d %''YY.' a Ms. Amy L. Franklin ®WQ- VARO Environmental Engineer NC Division of Water Quality Washington Regional Qlfice 943 Washington Square Mall Washington, NC 27889 R11: Stormwater Review SW7051 109 Arbor Green, Craven County, North Carolina AI--- Project No. 05075 Dear Army: Pursuant to your January 6, 2006 letter requesting additional inlormation on the referenced project, attached please find the lollowing: Modified Project Plans - Sheet C4, C8 and C9 The stormwater pond was enlarged in one area to increase the length to width ratio. Additionally, the inlet pipe emptying onto the weir wall has been relocated to discharge to the norebay area. The bio-retention drains arc depicted on the project plans. Additionally, I have annotated the temporary pool surface area and elevation on the enlarged stormwater pond sheet. I realize that the stormwater pond length to width ratio does not meet the 3: l criteria. However, as you arc aware, we are providing pretreatment of all runoff from the site. The first inch of' rUI10ff is actually being captured in the bio-retention areas. Additionally, we are providing tt vegetated outlet filter for the stormwater pond even the pond has been sized for a 90% TSS removal. It is requested that you continue your review ofthe permit considering this additional information further, and inappropriate, issue the stormwater permit for the project. Should you have any questions relating to this matter or need any additional inlormation or assistance, please do not hesitate to call. Sincerely, in Avolis, P.L. .-President QL -Michael F. Easley. Governor William G. Ross Jr.. 5ecremn- North Carolina Department of Environment and Natural Resources :Van W, Klimel P.E. Director Division of Water Qualiy January 6. 2006 Mr. Jim Stallings Arbor Green. LLC 604 East Main Street Havelock- NC 28532 Subject: Stormwater Review SW7051109 Arbor Green Craven County Dear Mr. Stallinizs: This office received a Coastal Stormwater permit application and plans for the subject project on November 3, 2005. A preliminary review of your project indicates that before a State Storfnwater permit can be issued the following additional information is needed. Please note that the pond does not meet the 3:1 length to width ratio. `Please move the pipe inlet that is currently located on the weir wall. Also please insure that all inlets have rip rap. i -Please show that all bioretention under drains empty into the pond. v/ Please provide temporary pool surface area. The above requested information must be received in this office prior to February 6. 2006 or your application will be returned as incomplete. The return of this project will necessitate resubmittal of all required items including the application fee. If you need additional time to submit the required information. please mail or fax your request for time extension to this office at the Letterhead address. You should also be aware that the Stormwater Rules require that the permit be issued prior to an development activity. Construction without a permit is a violation of 15A NCAC 2H.1000 and North Carolina General Statute 143-21 5.1 and may result in civil penalties of up to S 10.000 per day. Please reference the Stormwater Project Number above on all correspondence. If you have questions. please feel free to contact me at (252) 948-3934. Sincere]%•. Amv L. Franklin Environmental EnuJneer Washington Regional Office cc: Kevin Avolis. PE - ashington Regional Office :tio hCarol; Aaturatt ?north Carolina Division of Water Quality Washington Regionai Office Phone (252) 946-6481 FAX (252) 946-9215 Customer Service Intariet h2o.enrstate.nc.us 943 Washington Square Mall, Washutston. \C 27889 1-877-623-6748 sw7avi R ~ I NOV — 7 2005FINANCIAL RESPONSIBILITY/OWNERSHIP FORM ����►►� �, SEDIMENTATION POLLU T iON CONTROL ACT No person may inftiatia y 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 Natural Resources. (Please type or print and, if the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.) Part A. � 1. Project Name Arbor Green - A Planned Unit Developm it 2. Location of land -disturbing activity: County Craven Cit r lbvINQNP_ �'7 Highway/Street US Highway 17 Latitude N 350 05' 44" Long1itutl-e'"��"r 2" 1As�1C7 �1 ' 3. Approximate date land -disturbing activity will commence: Lvov ]Wp6lW6y REGIONAL 0!!CE 4. Purpose of development (residential, commercial, industrial, institutional, etc.): Residential/Commercial 5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 11 .63 AC 11.13 PC Q-t-site 600. 00 (0.50 PC Off -Site) 6. Amount of fee enclosed: $ . 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 X No Enclosed X 8. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name Jim Stallings E-mail Address Telephone 252-447-0865 Cell # Fax # 9. Landowner(s) of Record (attach accompanied page to list additional owners): Roderick L. Cotten 252-638-4201 Name Telephone Fax Number P.O. Box 15234 Current Mailing Address New Bern NC 28561 City State Current Street Address Zip City State Zip 10, Deed Book No. 1645 Page No. 911 Provide a copy of the most current deed. *Property is currently under contract to Arbor Green, LLC. Part B. 1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a comprehensive list of all responsible parties on an attached sheet): Arbor Green, LLC Name E-mail Address 604 East gain Street Current Mailing Address Havelock NC 28532 City State Current Street Address Zip City State Zip Telephone 252-447-0865 Fax Number. 6� 2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina Agent: Name Current Mailing Address E-mail Address Current Street Address City State Zip City State Zip Telephone Fax Number (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 Current Mailing Address City State Telephone E-mail Address Current Street Address Zip 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. Jim Typ/o r print name Sigriagt re G Beth Simmons Member/Manager Title or Authority Date , a Notary Public of the County of Craven State of North Carolina, hereby certify that Jim Stallings appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. { r r , �' c7 Witness notarial seal, this Lam; day of �.� 20 3tA�MOti�, NOTARY Notary 9 P�C � My commission expires April 22, 2009 A UNFR R E NOV - 3 DWQ-WARD UktTs OF CONSTRUCTION/ u ke Ts OF DISTURBANCE Labu UZNK MC3 KM LOL"- — — — — — — — - — — — — — — — — — — — — — 21--"Q-Lo -- — — — — — — — — — — — — — — — — — — — — — — — — — - ff tL�- —um i9w L-- FT-T-F I FF' r 1 -7-1 1 1-7-1 M -T-1 1dot'JA lof lat Fl z wilrillalell 11'a wi - - - - - - OJI, BA ux) ORAIN z o Cl UBBA'SIN'—/'#2—( —TRIANGLE (TMCAt) h 2X357 Vtlti P—liLUJI-111 Clll DRAINA Ofm M911 WAY 61 R 31'B RM a -st D R A I N A U B 8 A SIN' K/#l/ V/ F AID a ! 2c0u11ERCJAt- FARfjI'A%' I A LU SIORMWATER POW Vu IMLTr- 47 271111v 101 Z0Zl3tW AC 101AI f %2i J � Y uaK-W-Tol —tata- \LIU115 CF CONSTRUCTION/ F= "Xk IC LIM15 Cr DISTLORBANcE m IMAM ow o ifi affillAWN F AN t M uAAw Mo to 1'=40' &MllS R AL mci Lurs OF CONSTRUCTION/ UWTS OF DISTURBANCE RAID aLwff Do (I DDIM Alm C-3