HomeMy WebLinkAboutSW7090605_HISTORICAL FILE_20091203STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
AAI
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
December 3, 2009
Mr. George Venters, Manager
Glandon Forest Equity II, LLC
3900 Merton Drive, Suite 210
Raleigh, NC 27609
Natural Resources
Subject: Stormwater Permit No
Dollar General
Dee Freeman
Secretary
SW7090605
Pond Vegetated Shelf Plantings
Berne County
Dear Mr. Venters:
The Washington Regional Office issued Stormwater Management Permit Application for Dollar
General on August 7, 2009. On October 30, 2009 Mr. Matthew Lowder, PE submitted the required
Designer's Certification stating that the project was constructed per the approved plans with one
noted deviation. The deviation was that a seeding mixture was used instead of the wetland plantings
that are called out in the approved plans. Historically, wetland seeding mixtures have not proven to
be an effective method of vegetating the perimeter shelf. Please pay close attention this coming early
spring for signs of a dense wetland plant vegetative cover on this shelf. If wetland plants are not
visible, then the planting plan called out on the approved set of plans will be required to be planted
prior to the end of the 2010 spring planting season.
If you have any questions, or need additional information concerning this matter, please contact me at
(252) 946-6481.
Sincerely,
l .
Scott Vinson
Environmental Engineer
Surface Water Protection Section
AH/ sv: S:\WQS\SAV\STORMWATER\LETTERS\SW7090605
cc: Matt Lowder, PE — Triangle Site Desing, PLLC (email)
Washington Regional Office
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Internet: www.ncwaterquality.org
Phone: 252-946-64811 FAX: 252-946-9215
FAX: 252-946-9215
ne
NorthCarolina
Naturally
An F.nual OnnonuniN 1 Atn..native Aclinn Fmclnver
Please check top of file
cabinet for plans for
this project.
DTRIANGLE SITE
ESIGN PLLC
165 Trantham Trail
Clavion, Noah Carolina. 27527
TEL (919)553-6570
JUL 3 0 2009
Transmittal
sue" "fit% "N,i.- tY A
IR
Date: July 28, 2009 Job Number: 004004
Project Name: Dollar General — NC Highway 308 — Bertie County
To: NCDENR — Washington Regional Office
Ann. Scott Vinson
943 Washington Square Mall
Washington, NC 27889
252-946-6481
We are sending these by
❑ U.S. Mail ® UPS ❑ Hand Delivery
❑ Other
We are sending you
® Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints/Plans ❑ Samples Cl Specifications ❑ Change Orders
❑ Other
Copies Date No. Description
2 Civil Drawings (sheets C3, C4, C5 & C9)
These are transmitted as checked below:
❑ For your use ❑ Approved as submitted
❑
Resubmit ❑
Copies for approval
❑ As requested ❑ Approved as noted
❑
Submit ❑
Copies for distribution
® For review and comment ❑ Returned for corrections
❑
Return ❑
Corrected prints
Remarks:
Copy to:
Signed:
Matthew E. Lowder, PE
North Carolina Secretary of State
http://www.secretary.state. ne.us/corporations/Corp.aspx?Pi lcmld=8...
Elaine F. Marshall
Secretary
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Secretary of State Home
yN—o�rth Carolina
DEPARTMENTOF THE
SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 (919)807-2000
Date: 6/16/2009
Click here to:
View Document Filings I Sign Up for
E-Notifications 1
71 Print apre-populated Annual Report
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Report I
Corporation Names
Name Name Type
NC Glandon Legal
Forest Equity II,
LLC
Limited Liability Company Information
SOSID:
1066721
Status:
Current -Active
Date Formed:
10/8/2008
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Barnes, George T, Jr.
Registered
3900 Merton Drive
Office Address:
Raleigh NC 27609
Registered
3900 Merton Drive
Mailing
Raleigh NC 27609
Address:
Principal Office
3900 Merton Drive
Address:
Raleigh NC 27609
Principal
3900 Merton Drive
Mailing
Raleigh NC 27609
Address
I of2 6/16/20094:55 PM
TRIANGLESHE
DESIGN PLLC
JUN 15 2009
165 Trantham Trail
Clayton, North Carolina, 27527
TEL (919) 553-6570
Transmittal
Date: June 12, 2009 Job Number: 004004
Project Name: Dollar General — NC Highway 308 — Berrie County
To: NCDENR — Washington Regional Office
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
252-946-6481
We are sending these by
❑ U.S. Mail
❑ Other
►�I
❑ Hand Delivery
We are sending you
® Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints/Plans ❑ Samples ❑ Specifications ❑ Change Orders
❑ Other
Copies Date No. Description
2
Civil Drawings
2
Stormwater Permit Application
I
Wet Pond Supplement
1
Wet Pond O & M agreement
1
Permit Fee $505.00
2
Calculations
2
Soils Report (Part of Calculations)
These are transmitted as checked below:
❑ For your use
❑ Approved as submitted
❑ Resubmit
❑
Copies for approval
❑ As requested
❑ Approved as noted
❑ Submit
❑
Copies for distribution
® For review and comment
❑ Returned for corrections
❑ Return
❑
Corrected prints
Remarks:
Copy to:
Signed:
Matthew E. Lowder, PE
kamAv-d) G-l6-ocoax
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
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 Natural Resources. (Please type or phhf nd,-ifn 6X7t,
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
JUN 1 0 2009
1. Project Name Dollar General 'w.rn,
2. Location of land -disturbing activity: County Bertie City or Township Lewiston
Highway/Street NC Hwy 308 Latitude N36-07'22" Longitude W77^10'25
3. Approximate date land -disturbing activity will commence: August 2009
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Commercial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 1.5
6. Amount of fee enclosed: $ 130.00 . The application fee of $65.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
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 —George Venters-Glandon Forest Equity II, LLC E-mail Address gventers(gDvanguardpg.com
Telephone (919) 459-2602 Cell # (919) 604-5480 Fax # (919) 459-2604
9. Landowner(s) of Record (attach accompanied page to list additional owners):
�ir:hnc Cf�tVv r1��cr. (2S2) AcI•y�28
Name Telephone Fax Number
? �9 is C x S p y 3 4' 3 /�' S'i'
Current Mailing
' Address Current Street Address
/
City State Zip City State Zip
10. Deed Book No. RE 6 3 9 Page No._ !L� Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land- a ! Rye Vide a
comprehensive list of all responsible parties on an attached sheet):!
George Venters-Glandon Forest Equity II LLC qventers(@vanquardpq.com JHNI 1 a 9nn
Name E-mail Address
3900 Merton Drive, Suite 210
Current Mailing Address
Raleigh NC 27609
City State Zip
LAND QUALITY SECTIG,ti
l`;ASHINGTON RFr-lnni4i r,:_c;-.E
Current Street Address ' "
State
Telephone 919) 459-2602 Fax Number (919) 459 2604
- l - - - , '1 t
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
City
Telephone
State Zip
ail Address
Current Street Address
City
Fax Number
State 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:
George Venters Glandon Forest Equity II, LLC gventers(a)vanguardpg com
Name of Registered Agent E-mail Address
3900 Merton Drive Suite 210
Current Mailing Address Current Street
Raleigh NC 27609
City State Zip City
State
Telephone (919)459-2602 Fax Number (919)459-2904
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 be any change in the information provided herein.
Type
manager/owner
Title or Authority
Date
ic////c,
(( 1/aF �� ��i✓/ �� I7IC-,O,c�5 a Notary Public of the County of
State of North Carolina, hereby certify that 6zOW6E C, V�IVrz RW S t J/L appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him.
Witness mizOTARY
Yxht I t�f(� rial seal
N
MBLIC
L'OI1111111UtN,�ya�`�
this // T// day of //Vc— , 20—(�Z_
Mary
My commission expires