SW7131013_HISTORICAL FILE_20210203

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW `7`� `(%A
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Ser rary
BRIAN WRENN
Director
1424 Valencia Street, LLC
Attention: Diane Litke
7403 Highline Ct.
Missoula, MT 59808
Dear Ms. Litke:
NORTH CAROLINA
Environmental Quality
February 3, 2021
Subject: Stormwater Permit Renewal/Ownership Change
Stormwater Management Permit SW7131013
CVS Pharmacy
Havelock, NC, Craven County
Wlav-0
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7070138 for a stormwater treatment system consisting of a
constructed wetland serving a CVS Pharmacy located at 103 Catawba Road, Havelock,
NC expires on November 22, 2021. Renewal applications are due 180 days prior to
expiration. A review of the Craven County tax records shows that the property is
currently owned by 1424 Valencia Street, LLC.
The Coastal stormwater rules and the NC General Statutes require a stormwater permit
for this project. Stormwater permits are not automatically transferred when property is
sold. The stormwater permit is currently issued to Hart Redd LLC. Please submit a
completed permit renewal application and a stormwater ownership transfer application
along with a $505.00 processing fee. Permit application forms for renewal and
ownership transfer can be found on our website at:
https•//deq nc gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-
rules/stormwater-program/post-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 permittee and landowner 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 forms. You can request a copy by e-mailing me at
roger.thorpe(a)ncdenr.00v.
Sincerely,
Roger K. Thorpe
Environmental Engineer
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
_ Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889
2SZ946.6481

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
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 Plan
❑ Other WQ M mt Plan: -sw
State of North CarolinaL�
Department of Environment and Natural Resources
Division of Water Quality OCT 18 2013
STORMWATER MANAGEMENT PERMIT APPLICATION FORMD))�-Ml
This form may be photocopied for use as an originals 1, F 17�' V l
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.):
CVS Pharmacy Store #7344 be
2. Location of Project (street address):
103 Catawaba Road
City:Havelock County:Craven Zip:28532
3. Directions to project (from nearest major intersection):
Northwestern Quadrant of the intersection of US Hwy 70 and Catawba Road
4. Latitude:34' 54' 39.38" N Longitude:76' 56' 11.01" W of the main entrance to the project.
it. PERMIT INFORMATION:
1.a.Specify whether project is (check one): ®New DO" ❑Modification ❑ Renewal w/ Modificationt
t Renernals znith modifications also requires SWU-102 — Renaval Application Form
PA
3.
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: ❑Not Started ❑Partially Completed* ❑ Completed* 'provide a designer's certification
Specify the type of project (check one):
❑Low Density ®I-Iigh Density ❑Drains to an Offsite Stormwater System ❑Other
el
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,
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):
❑CAMA Major ®Sedimentation/Erosion Control: 2.21 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have alfeady been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permitN/A
�y r
Is the project located within 5 miles of a public airport? []No ®Yes V
If yes, see S.L. 2012-200, Part VI: littl2://port-,il.iicdeiir.org/web/­wq/ws/sLi/statesw/rLileS laws
Forrn SWU-101 Version 06Au92012 Page I of 6

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 Hart Redd, LLC
Signing Official & Title:Tim Register, Registered Agent
b.Contact information for person listed in item la above:
Street Address:455 North Ingold Avenue
City:Garland _ State:NC Zip:28441
Mailing Address (if applicnhle):N/A
Phone: (910 ) 385-5194 Fax: (615 ) 591-5868
Email:timregister©intrstar.net
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/Organization: jaybird Properties, LLC
Signing Official & Title:Wendy Fisher Manager/Member
b.Contact information for person listed in item 2a above:
Street Address:110 Riverdale Road
City:New Bern State:NC Zip:28562
Mailing Address (if
City:
Phone ( )
Email:
State:
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:lon Thomas
Signing Official & Title:Redd Realty Construction Manager
b.Contact information for person listed in item 3a above:
Mailing Address:2948 Sidco Drive
Phone: (615 ) 591-5525x230
Email:ion©hartredd.com
State:TN Zip:37024
Fax: ( )
4�, Local jurisdiction for building permits: City of Havelock
' Point of ContactKatrina Marshall Phone #: (252 ) 444-6411
Form SWU�I01 Version 06Aug2012 Page 2 of

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The net increase in impervious area will be treated with a wetland located on the site to the southeast
of the CVS building. The Wetland is designed for 85% TSS removal and detention of the 1-year, 24 hour storm
event to re-devevelopment levels.
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 PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. 5tormwater runoff from this project drains to the Neuse River basin.
4. Total Property Area: 1.98 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':
1.98 acres
Total project area shall be calculated to exclude the followin the normal pool of imppounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal Wetlands landzard from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal Wetlands landward of the NHW (or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 64.6 (onsite only) %
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 I 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.
Basin Information
Draina e Area 1
Draina e Area _
Draiha e Area -
Draina e Area
Receiving Stream Name
Unnamed
TributaryTa
�UC �Ct
r�e�
Stream Class
SC;Sw,NSW
Stream Index Number *
27-112-6
Total Drainage Area (sf)
88,950Iwo
dnvi a*�,
On -site Drainage Area (sf)
86,249
Off -site Drainage Area (sf)
2,701
vd
4er �P C
ItAw
6a 9- W 70
Proposed Impervious Area'* (sf)
55,757
% Impervious Area** (total)
64.6%
Impervious- Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
11,945
On -site Streets (sf)
0
On -site Parking (sf)
42,302
On -site Sidewalks (so
1,510
Other on -site (sf)
0
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (so:
55,757
}6fwl k
Stream Class and Index Number can be determined at: h//porfnl.ncdenr.orghoebhngZps/esu/classificationj�s
Form SWU-1.01 Version 06Aug2012 Page 3 of 6 �G �� por^ -� 11d Zo 13
Yvilc KP,

r�
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only flint amount of existing BUA that will rennai❑ after developinent. Do not report any existing BUA that
is to be rennoved and which mill be replaced by neto BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Survey
projects in Union County: Contact DWQ Cenral Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A 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://portal.ncdenr.org/web/wq/ws/su/bap-manual.
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 fromhttp://LiortaI.ncdenr.org/web/wq/ws/su/statesw/forms does. Thecomplete
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 httLi://portal.ncdenr.org/web/wq/ws/su/maw.)
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://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. `! 6i1
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants mil
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M SGM
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.html for information on the Express program
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/managementfor , \ AIM,
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the [, M
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: ;f 6
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.
Form SWU-101 Version 06Aug2012 Page 4 of 6

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
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"xll" 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: 1767 Page No: 561
17. 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 15A 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
VIL 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://portal.ncdenr.nrg/web/wq/ws/su/statesw/forms does. 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.
VIIL 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.Chris Bostic
Consulting Firm: Kimley-Horn and Associates, Inc.
Mailing Address:333 Fayetteville Street, Suite 600
State:NC Zip:27601
Phone: (919 ) 835-1494 Fax: (919 ) 653-5847
[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Con tact Information, item 2 has been filled out, complete this
section) VA%nCct S 1=iShC✓ °6/✓
I, (print or type name of person listed in Contact Information, item 2a) Ia" 13u d i%peA7S U (, certify that l
own the property identified in this permit application, and thus give Permission t6 (print or type name ofperson
listed in Contact Information, item la) Tim Register with (print or type name of organization listed in
Contact Information, item 1a) Hart -Redd, LLC 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.
Form SWU-101 Version 06Aug2012 Page 5 of

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.
Signatu
Date: 1011 & ) 13
I, mm o"4 /7��'C e/S a Notary Public for the State of / y_09M (f(;!&liYffiounty of
do hereby certify that We ee personally appeared
before me this 0 day of 0 00,6e4 21013, and^^ack ledge the due execution o^-ff/ the application for
a stormwater permit. Witness my hand and official seal, VTR 5/l7�Q Q/1/j�J Noeing A�/ff /S
NOTARY
PUBLIC �C
FN CouN�•``��``:
l�llllllll \\\\�
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires
I, (print or hype name of person listed in Contact Information, item la) Tim Register
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 stormwa n Vs under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: ID�G/yU(3
a Notary Public for the State of .vo.rrN r"./.•,y , County of
54 do hereby certify that 7;7 -1 Z a lne personally appeared
before me this day of ocrn,Sr,Z , and acknowledge the due ex ution of the application for
�_- a stormwater permit. Witness my hand and official seal,-C� r7 _ -L
SEAL
My commission expires-y,-A4Ar4 I/.
Form SWU-101 Version 06Aug2012 Page 6 of

wa-Ro
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM
Director
November 22, 2013
Hart Redd, LLC
Attn.: Mr. Tim Register, Registered Agent
455 North Ingold Avenue
Garland, NC 28441
Subject: Stormwater Permit No. SW7131013
CVS Pharmacy Store #7344 - Havelock
High Density Project
Craven County
Dear Mr. Register:
Pat McCrory, Governor
John E. Skvada, III, Secretary
The Washington Regional Office received a complete Stormwater Management Permit
Application for the CVS Pharmacy Store #7344 - Havelock project on October 18, 2013
and additional information on November 19, 2013. 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. SW71310132 dated November 22, 2013, for
the construction of the subject project.
This permit shall be effective from the date of issuance until November 22, 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 150E 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 me at [phone].
Sincerely,
Samir Dumpor, PE
Environmental Engineer
LSD: G:\LR\SWP\SD\SW7131013
Geological Survey Section' Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Phone J919 707-92001 FAX:
512 North Salisbury Street, Raleigh, North Carolina 27604 ;Internet:-hftp://www.portal:ncde6
+-r
An Equal Opportunity I Affirmative Aclio�Emplon.yer�-: 50YoRecydedAO%Post Consumer Paper
yM
1� N

cc: Jason Meadows, PE, Kimley-Horn and Associates, Inc. (333 Fayetteville
Street, Suite 600, Raleigh, NC 27601)
Craven County Building Inspections
Washington Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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
Hart Redd, LLC
CVS Pharmacy Store #7344 - Havelock
Craven County
FOR THE
construction, operation and maintenance of a constructed wetland 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 Energy, Mineral, and Land Resources and considered a part of this
permit.
This permit shall be effective from the date of issuance until November 22, 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 1.7 of this permit. The stormwater controls have
been designed to handle the runoff from 18,250 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1. of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project r
will be recorded showing all such required easements, in accordance with the '
approved plans.
5. The runoff from all built -upon area within the permitted"drainage,area of this-­��
project must be directed into the permitted'stomiwater control system.
-•- 1 Page 2 of 7

6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
7. The following design criteria have been provided
in the constructed wetland and
must be maintained at design condition:
a. Drainage Area, ftz:
28,750
b. Total Impervious Surfaces, ftz:
18,250
G. Design Storm, inches:
1.50
A Permanent Pool (PP)Elevation, FMSZL:
24.00
e. Shallow Water (PP) Surface Area, ft :
1,263
f. Temporary Pool (TP) Elevation, F9SL:
25.00
g. Shallow Land (TP) Surface Brea, ft :
1,215
h. Required Storage Volume, ft
2,233
i. Permitted Storage Volume, ft3:
3,305
j. Controlling Orifice:
k. Permitted
1.00" 0 pipe
Forebay Surface Area, ftz:
386
I. Receiving Stream/River Basin: UT to Tucker Creek/ Neuse Basin
M. Stream Index Number:
27-112-6
n. Classification of Water Body:
"SC; Sw; NSW"
il. 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 permittee 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.
o. 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.
r
1 6. Decorative spray fountains will not be allowed in the stormwater treatment
system.
7. The facilities shall be constructed as shown on the approved plans. This permit
N, .� shall become void unless -the facilities are constructed in accordance with the
conditions of -this -permit, the approved plans and specifications, and other
Page 3 of7_,

supporting data.
8. 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.
9. 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..
10. 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.
11. 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.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
A
2.�
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 Energy,
Mineral, and Land Resources, signed by both parties, and accompanied by
supporting documentation as listed on page 2 of the form. The project must be in r`
good standing with the Division. The approval of this request will be considered
on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.—.,r-� •,_ "' ^ i
—IN'-%
-,,,-Page 4 of 7

Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Energy, Mineral,
and Land Resources, in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
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.
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.
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.
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.
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 November 22, 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 22nd day of November, 2013.
r
NORTH CC �OLINA ENVIRONMENTAL MANAGEMENT COMMISSION t
for
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
F Stormwater Permit-Nor•SW7131013
r. yy
Page 5 of 7,
r�
J

CVS Pharmacy Store #7344 - Havelock
Stormwater Permit No. SW7131013
Craven 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:
Signature
Registration Number
Date
,Page 6 of 7
r`
SEAL
(r
f

Certification Requirements:
4.
5.
6.
7.
8.
9.
10
11
12
13
14
15
The drainage area to the system contains approximately the permitted
acreage.
The drainage area to the system contains no more than the permitted
amount of built -upon area.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
All roof drains are located such that the runoff is directed into the system.
The outlet/bypass structure elevations are per the approved plan.
The outlet structure is located per the approved plans.
Trash rack is provided on the outlet/bypass structure.
All slopes are grassed with permanent vegetation.
Vegetated slopes are no steeper than 3:1.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
The permitted amounts of surface area and/or volume have been
provided.
Required drawdown devices are correctly sized per the approved plans.
All required design depths are provided.
All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
The required system dimensions are provided per the approved plans.
H
Page 7 of 7

TOTAL SITE Ml A-ZM2 AC
MMMS AREA:0.762 AC
112PERNOUS MEA:/.26 AC
-SITE DRAINAGE MEA-
NOV 19 2013
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pharmsof
pry CHAAt$1 DRVE-TFf��/I/J.
VIMLmAm 7M
HWY 70 R CATAIM RD.
RAKLOCX, NC
flIGB1.T71R3 R0.0
M&TIM FEEJOR3 tlolm
Ca FRI)i MUM 76M
Kimley-Horn ©�
and Associates, Inc.
CON9lILTANR
KIMLEY-HORN AND ASSOC.
333 FAYETTEVILLE STREET
SUITE 600
RALEIGH, NC 27601
TEL [phone]
FAX [phone]
R DL�ANODS,INC.
2948 SIDCO DRIVE
NASHVILLE, TN 37204
PH [phone]
FAX [phone]
REVISIONS:
MAWWG BY:
.Ni1
DATE
17-6EPTE]®ER-2013
JDB NUMBER:
712421M16
111
POST DEVELOPMENT
DRAINAdE
SHEET NtAil[ ER:
EX. 2
cwMENm-
NOT RE !Mi I M CON61RU M

A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
November 15, 2013
Hart Redd, LLC
Attn.: Tim Register, Registered Agent
455 North Ingold Avenue
Garland, NC 28441
Subject: Request for Additional Information
Stormwater Permit No. SW7131013
CVS Pharmacy Store #7344 - Havelock
Craven County
Pat McCrory, Governor
John E. Skvarla, III, Secretary
Dear Mr. Register:
The Washington Regional Office received a Coastal Stormwater Permit Application for the
CVS Pharmacy Store #7344 - Havelock project on October 18, 2013. A preliminary
review of that information has determined that the application is not complete. The
following information is needed to continue the stormwater review:
1. Drainage Areas 1 and 2 (and associated built -upon area) as listed on
page 3 of 6 of the Stormwater Application do not match the drainage area
and impervious area as shown on plans and the Wetland Supplement.
Please provide a plan sheet with drainage areas delineated and notes
about built -upon area within each drainage area. This pertains to both
drainage areas as listed in the application as well as the drainage area as
shown in the Wetland Supplement.
2. Please provide two copies of the drainage areas plan sheet as well as a
copy of the stormwater application, the wetland supplement and an
Operation and Maintenance Agreement document since only originals (no
additional copy) were included in original submittal..
The requested information should be received in this Office prior to December 16, 2013,
or the application will be returned as incomplete. The return of a project will necessitate
resubmittal of all required items, including the application fee.
The construction of any impervious surfaces, other than a construction entrance under
• an approved Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and
is subject to enforcement action pursuant to NCGS 143-215.6A.
Please reference the State assigned project number on all correspondence. If you have
any questions concerning this matter please feel free to call me at [phone] or
email me at [e-mail].
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889 • Phone: [phone] / FAX: [phone] f
Internet: http://www.portal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity / Aff rmative Action Employer- 50%Recyc1ed110% Post Consumer Paper
a

Sincerely,
Samir Dumpor
Environmental Engineer
CC: Chris Bostic, Kimley-Horn and Associates, Inc.
/Washington Regional Office

®U Kimley-Horn
and Associates, Inc
Transmittal
Date: 11 / 18/ 13
Project Name: CVSPharmac
To: NCDENR— Stormwater
— Havelock, NC
ATTN: Mr. Samir Darner, P.E.
Unit
333 Fayetteville Street,
Suite 600
Raleigh, North Carolina
27601
TEL [phone]
FAX [phone]
Job Number: 012426066
943 Washington Square Mall
NOV
19
2013
Washington, North Carolina 27889
[phone]
We are sending these by
❑ U.S. Mail ® FedEx
❑
Hand Delivery
❑ Other
We are sending you
® Attached ❑ Under separate cover via
the following items.:
❑ Shop drawings ® Prints/Plans ❑ Samples ❑
Specifications
❑
Change Orders
® Other NCDENR Stormwater Permit Application Package
Cnnie.c Date No. Descrintion
I copy
CVS Havelock Stormwater Management Permit Application
Form
1 copy
NCDWQ Wetland Supplement Form
1 copy
NCDWQ Stormwater Wetland O&M Agreement
2 copies
Site Drainage Area Maps for Clarification
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 ❑ Canceled prints
Remarks: If you have any questions or comments, please feel free to contact me directly at
[phone].
Copy to: File Signed: Jason Meadows, P.E
r
I

Aston Soil Works, Inc.
P.O. Box 86
Simpson, NC 27879
September 27, 2013
ya
Ut: t' ;
Jason VanderBroek OCT 18 2013
TM Engineering, Inc. 'pEAZ-R
b H 4
Ifn
Car - Hiawatha Court
Cary, M 4 �/?
, NC 27513 b � ,f-\i O
Re: Soil Seasonal High Water Table Determination for Stormwater Facility (CVS
Pharmacy).
Dear Mr. VanderBroek,
As requested, a soil seasonal high water table evaluation was conducted on September
26, 2013 for a proposed development in Havelock, NC. The method of soil evaluation
utilized two hand auger borings to a depth of 42 inches and 30 inches from the surface.
An enclosed map identifies the approximate location of the borings conducted. The
findings of this investigation suggest a seasonal high water table is approximately 36
inches at boring 1 and approximately 17 inches at boring 2 from the surface. The soil
morphology method of determination was based on the presence of soil redoximorphic
features containing > 2% chroma 2 color or less mottles within the natural profile.
The soil profile descriptions contained:
Disturbed Layer - 0-16 inches mixed fill
Bt1 - 16-33 inches; light olive brown (2.5Y 6/6) sandy loam; granular structure;
friable.
Bt2 - 33-36 inches; light yellowish brown (2.5Y 6/4) sandy loam; granular
structure; friable.
Btg - 36-42 inches; light yellowish brown (10YR 6/2) sandy loam granular
structure; friable.
2. Disturbed Layer - 0-17 inches mixed fill
A - 17-22 inches; black (10YRY2/1) sandy loam, granular structure; friable.
Btg - 22-30 inches; dark gray (10YR 4/1) sandy clay loam with few brownish
yellow (10YR 6/8) concentrations; subangular blocky structure; firm.
This data is presented for the purposes of aiding in the design of the above -mentioned
stormwater systems. If I can be of further assistance feel free to contact me at 252 341
9707.

Sincerely,
Gene Aston
Licensed Soil Scientist # 1261
SOIL v7.�,
a ASjo`'

0
Test Location Map. for Storrswate'r Facility
CVS, Pharmacy Project on SR SR 1765
Havelock., NC
ing
01 60'
`SCALE: 1 "=1 60'
Aston Soil Works, Inc.
.2858. Madison Grove
-Grebnville,.NC 2785,8

cp pe l a 61
Jos �-Deedk Tw6
Crum K - owuewt star
NORTH CAROLINA ftp of Deeds
"T�"mWftftl1 of 6 iR
No: CRAVEN COUNTY 7D -M109%
Bosh jiltya =y DIM
TUE" GG/g9ao5,�1740yL�`gj(�{ov}�o`
009f1:WDIS064, I,B2 =4A-
DOC, B-M-3000, R 6-216-013
THIS DEED, made and entered into this 47"- day of July, 2000, by and between
MIER STORES, INC, party of the first part; and JayBiRD PROPERTIES, LLC, a North
Carolina limited liability taaapmy,whoseatldreaais I I ORivardaleRoad,NewBaq NortbCarolim
28560, party of the sc and part;
WITNESSETH
That the Party of the first part, in cortsideration of the soar of I= Dollars (S10.00)
and other good and valuable considerations to said party paid by the party of the second part, the
receipt of%Web is htaeby selmowledged, has bargained and sold and by these presents does bargain,
. sell, end comcy onto the Party of the second part, said paty's somessors and askSm, the following
described property, m wit RECEIVE
TRACT ONE:
OCT 18 2013
All that certain tract or parcel of land lying and being siWwa in Number Sevm (7) AnL
Township, Craven Com y, North Carolina, which is more putimlarly ducdbod sa /v'
follows: p (� G P��'y�+'
—W \t `.f
Bering all of Loa Nos. 3, 4, and B se the same ate shown and daignatod m the map
entitled "Plan ofBroughtm Division" as temrded in Map Book 6, err Page 16, in the
Of6ee of the Regigtm of Deeds of Craven Comny, North Carohruk said map being
Incorporated herein by reforcom for a more particular decnpuoa of the aforeaaid
lots.
61azHo-" :01 ar{i >WM
I
lens: -1-1 'p : S.l W: 3

2
Data 01R8!l000 bee 120122 2 of 6 Pas
Being a portion oftbat property which was conveyed to Fisher 992, anS� d1EJ6L
dated May 6, 1d recorded in 1320, st Page 528, o�i
Re&" of Dada of maven County,
TRACT TWO
All that cauin trap or parcel of land lying and being simare to Number Seven (7)
Township, Craven County, North Carolina, which is more particularly dmvibed as
follows:
Being all of let No. 9 At the same is shown and designated on the map emdled
*Subdivision of the W. M. Watno Peopaty' as recorded in Map Book 5, at Page 35,
in the Office of the Register of Deeds of Craven Comdy, North Carolina, said map
being incorporated herein by nefereaoe for a more particular description of the
aforesaid LOU.
Being aportion of that property which wee conveyed to Pisber Steno, Inc., by deed
dated May 6, 1992, and recorded in Book 1320, at Page 528, in the Office of the
Register of Deeds of Craven Cotody,
11:7Sa171 1 .i;7:i5
All that certain nett or parcel of land lying And being dtw to in Number Two (2)
Township, Craven County, North Caroling, which to more parUmdudy deam'bed as
follows:
BEGINNING at a point located in the northem lime of the sixty foot rightof-wsy of
North Carolina Secondary Road No. 1600 (also (mown as Broad Crack Road) said
beg:o mng point being located at the point where the wmmoo boundary line ofTract
No. 1 and 2 intersects with said nortban right-of-way line as the name is shown and
designated on a map entitled "Survey for Wyatt A. Holton" prepmed by Easton
Enginmenris& Aaociates es mcorded in Plat Cabinet A, at Slide 39-A, in the Office
of the P.cgWwOfDnda ofCraven Co®ty, North Carolina; and nmming thence from
said POW OfWgimdag an located along ad with the common boundary line of7mct
1 and Tract 2 as shown on the aforesaid map North 22 degrees 59minutes 00 seconds
Pest 279.16 foot; thence South 63 degrees 05 minutes 00 seconds East 163.07 feet
to a point in the common boundary line of Trap 2 and Tract 3 as shown on the
aforesaid map; thence along and with the common boundary line of ntct2 and Tract
3 South 25 degrees 43 minutes 00 sewnds West 278.56 fact to an iron pipe located
in the northern rightof way lima of N.C.SA No. 1600; thence along and with the
northern "ghtof-wry line of N.C.S.R. No. 1600 North 63 degrees 05 minutes 00
sownds Wert 149.75 feet to the point of beginning, containing 1.00 are, more or
.,..: erst •ro.: ze. a.a: a

3
0ata 411BI208/ Time 121=22 3 of 6 Pa
tore, and bring the soWheomost portion of Tract 2 u shown on Mi wed
map of the Wyatt A. Holton Imdt got* 1767 Para 563
Thisconveyamoe is made subject totherigbtof-wsy, 20 feet inwidtb,m®ing eaves
the southeast saner of the shove desrnbed pineal of lad a shown m the
aforementioned map entitled 'Survey, for Wyatt A. Holton" u recorded in Plat
Cabinet A, a Slide 39-A, in the Office of the Register of Deeds of (raven County,
North Carolina.
Being then same property which was conveyed to Fisher Starts, Inc., by deed deed
Decaaber 30. 1996, and recorded in Book 1140, at Page 532, in the Office of the
Regina of Doeds of Craven County, and upon which is located the Broad Crack
Fuel Market Reference is botchy made to a Ground Lasso of cum date herewith by
and between JayBiRD Properties, LLC, and Fisher Stores, ba., regarding the
ownership of improvemenot located on the property.
lY 7S0190K Z'L
All that whin tract Or petccl of land lying and being situate in Number Eight (9)
Township, Cram Comity, North Caroling which is more particularly deseribod as
follows:
Beginning at the intersection of the southern rigbtof--way lime of US. Highway 17
and the eastern ngbtof-way line of Piutes Road Extension; thence Gam add point
of beginning South 28 degrm 43 minutes 42 seconds &a 250 feet, thencc North
61 degres 16 minutes 18 seconds Faa 200 took* theta North 28 degrans 43 minutes
42 s000nds West 250 fat thence South 61 dq;rces 16 minutes 18 samnds Wet 200
foe to the point and place ofbc&mio& containing 1.15 time, more or less. Said lot
being designated as lot CI oo map entitled, 'Final Plan-NmMny PJteen-Phase
Thrcv; dated hue 9,1989, prepared by Floyd Suitt and Associtum recorded in Plat
Cabinet F, Slide 39, Craven County Registry, and said map is by refama
incorporated herein for a more complete and pat cider description.
Being the same property which was conveyed to Fisher Storog Inc., by deed dated
February 26, 1990, and recorded in Book 1247, at Page 564, in the Office of the
Regina of Deeds of CMW Canty, and upon which is located the Norbury Foal
Maelort Reference is hereby made to a Ground Lease of evm date herewith by and
between layBiRD Properties, LLC, and Fisher Stour, Inc., regarding the ownetthip
of iarprovemmh located m the property.
her: 1167 rye: aaa Nat: a

11� 6 ere 6)
4
11411 07/2UM Time 120,22 4 of 6 Pas
TRACT FIVE: Fat 2000-MI 194
All that certain tract or pared of lam lying and being eih,, mL7Q slitam 564
TowodW, Craven County,Nouh Caroliry and being morepartic ulariy described as
follows:
BEGINNING at a point in the southern ngbtof--wsy of US Highway 17 South of
New Bern, said point ofbcgioamg bring boated the following menses and disiances
Oom the ihtaoeeam of We oenterlim of US Highway, 17 with the ocaterlim of
Pirates Rom Extension: South 50 degrees 27 minutes 56 eoonda East 80.65 fed to
the intersection of the southern right-of-way line of US Highway 17 with thecati m
rigbsof way Ihx of Pirates Road Extuosion; thence North 61 degrees 16 minutes 18
wounds Eau 200.00 feet to THE POINT OF BEGINNDJG:. thence firm raid point
ol'begrtmmg so located North 61 depot 16 mioutm 18 seconds East alms and with
the southern right-of-way lino of US Highway 17 50.00 feet to a point; theuce South
28 degrees 43 minutes 42 seconds Eau 230.00 feet to a point; tbence Sash 61
degrees 16 minutes 18 Woods West 50.00 feel to a point thence North 28 degrees
43 minutes 42 seconds Went 250.00 foes to the point of beginning consisting of029
acres, come or laser.
The foregoing described payed of land bring a portion of the land described in a
Dead recorded in Book 1224, Page 719, (}averh Comity Registry.
Being that same property which was conveyed to Fiaber Stores, Inc., by deed dated
Febrtmy 6, 1998, and recorded in Book 1610. at Page 519, in the Office of the
Register of Doeds of Craven County, and rer000rticd in Book 1621, at Page 846,
Craven County Registry, and upon which is locator the Norbury Pool Marten.
Reference is hereby made to a Grand Lasser of wen date herewith by and between
JayBiRD Properties, LLC, and Fisher Storm, inc., regarding the ownership of
impr cnta located on the property.
C=
All that certain trine or parcel of load lying and being aiMM in Nsmba Six (6)
Township, Craven County, North Carohru, being morn puumlarly deacribod as
follows:
Beginning at a point which is located the following muses and distances form the
amaline Iuterserxim of a 20 foot service road esu of and running parallel to U. S.
Highway #70 and a 20 foot povameM South of and running parallel to N.CS1L #
1765 (Catawba Road), North 44dopees 13 miuutes 50 woods Ent 209.81 fear and
North 45 degrene 46 minutes 09 seconds West 40.00 feet to the point or place of
beV mmg. FROM SAID POINT OR PLACE. OF BEGINNING RUNNING
aoei: ra6r ..s.: sa 6y; a

IP.W ! c "
5
Date V/ZV 0 Tine lrap22 5 of 6 Pos
THENCE South "degrees 13 minutes 51 sends West 114.99 1.
Ing
'von pipe, thence North 78 degrees 56 miw- 09 second, Wakw.. 565
=iuiag wn=te right of way momment, thence North 23 degrees 5 rm`m"' Fula 42
seconds Wen 203.80 fat to an existing iron pipe, tharce North 66 degree og
minutes 18 second- Ead 130.00 feet to an existing imonpipe, thence South29 degrees
45 minutes 39 soconds East 191.97 feet to thcpoim mplaeeofbegiming. being 0.69
acre, some or less, in accordance with that'Resurvey for Fisher Oil Co.,* by Brad
L. Suitt, RLS, dated July to, 1997, which emvqy is ineotporatoE by reference for a
more perfect description of said tract or parcel of Land.
Being that same property which was conveyed to Fisher Stores, loc., by dad dated
July 16,1997. and receded in Book 1577, at Page 517, in the Office of the Register
of Dads of Craven County.
TO HAVE AND TO HOLD said property and all privilege and appurtenance
thaeunto belonging to the party of the second pert, said parry's suatason and a Wgm forever.
AND the party of the tzar put does covenam that said party is seized of said premise.
in fee and hu the right to convey the same in fa simple; that the same am fro, from encumbrances
except any too eb(aaG.yerrrestridlons mentioned above and thin said party will warrant and defm9d
the title to the same against the lawful claims of all persons Whomsoever.
IN TESTIMONY WHEREOF, the party of the Cush part has caused this msmmou
to be execsoed to its corporate name by its _ President attested by its _ Socretmy, and its
corporate anal to beaffixed hereto, all by orderofits Bond ofDiratm duly gives, this day and yen.
feat above written.
FISHER STORE'S. INC
President
ATTEST:apron;�°
r•
.`
SEAL
m: 1717 ..p: w sK: s

Inge 1 o f)
NORTH CAROLINA
CRAVEN COUNTY
6
Date 47/d1M Tin 12,23t22 6 of 6 Pss
No: 20*.Mlm%
,-k 1767 f»e 566
F�. I, Mary J. Holliday . a Notary Public in and for said Countyand State do
hereby certify that W- a Flati� Personally appeared before me this day and
acknowledged that hdabe ta tba Seoretmy of FISHER STORES, INC., a corporation, and that by
authority duty given and a the 20 of the carport the foregoing instrument wat dppod in its
namcby its Pra+dm4 sealed with its corporate Peal, and one" byhimxlLbcrulf a its Secretary.
Vteass my Lend and notarial sal, this the s7yday of July 2000sp8
*
pTA i-
Notary J.'�•� °^5
My Conum con Exphea: 6-24-2= r i P G ..OB
�
NORTH CAROLINA'r�/UgjMjp
CRAVEN COUNTY -
The foregoing certificate of��NOtuy Public of Paid county
and State, is certified to be correct Ibis inaume presorted fi9r4stration this day and bortr
and duty recorded in the office of the Register ofDceds of Chum Cotmty, North Carolina, in Book
-, atPage s& /
This the ZQ_ dry of P&4— MM, at IZ-23 O'clock,0M.
Register otDtzde�- DWntY Rcgista of ' -
hoe: X767 lee:

North Carolina Secretary of State
Page 1 of 2
North Carolina
Elaine F. Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
Account Login Register
_r _. t
IVED
Date:
10/16/2013
L.,_
Click here to:
OCT 1 8 2013
View Document Filings I File an Annual Report I
em
JPrint a Pre -populated Annual Report Fillable PDF Form I Amend A Previous Annual
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Corporation Names
Name
Name Type
NC JAYBIRD PROPERTIES, LLC
LEGAL
Limited Liability Company Information
SOSID:
0548793
Status:
Current -Active
Effective Date:
5/12/2000
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name:
FISHER, WENDY B
Office Address:
110 RIVERDALE ROAD
NEW BERN NC 28560
Mailing Address:
110 RIVERDALE ROAD
NEW BERN NC 28560
Principal Office
Office Address:
110 RIVERDALE ROAD
NEW BERN NC 28560
Mailing Address: 110 RIVERDALE ROAD
NEW BERN NC 28560
Officers
Title: MEMBER
Name: REBECCA MINTON
Business Address: 103 INGE COURT
NEW BERN NC 28560
Title: MEMBER
Name: RACHEL FISHER
Business Address: 4500 HELEN LANE
NEW BERN NC 28560
Title: MEMBER
Name: JAMES FISHER
http://wwwsecretar.y.state.ne.us/corporations/Corp.aspx?Pitemld=5264288 - l 10/16/2013

North Carolina Secretary of State Page 2 of 2
Business Address: 4500 HELEN LANE
NEW BERN NC 28560
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
1790
http://wwwsecfetary.§tate.ne.us/corporations/Corp.aspx?Pitemld=5264288--^-- 10/16/2013

North Carolina Secretary of State
Page 1 of 1
Account Login Register
Nonh Cafolha
Elaine F. Marsha!! QEPARTMENT aF1-HE
Secretary S EC RETARY o1- STATE
PO Box 2M2 Ralelyh. INC 27626-0t'rP2 [phone]
Date: 11 /13/2013
Click here to:
View Document Filings I File an Annual Report I
JPrint a Pre -populated Annual Report Fillable PDF Form I Amend A Previous Annual Report I
Corporation Names
Name
Name Type
NC HART-REDD, L.L.C.
LEGAL
Limited Liability Company Information
SOSID:
1042833
Status:
Current -Active
Effective Date:
5/12/2008
Citizenship:
FOREIGN
State of Inc.:
TN
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name:
REGISTER, TIM
Office Address:
455 N. INGOLD AVENUE
GARLAND NC 28441
Mailing Address:
455 N. INGOLD AVENUE
GARLAND NC 28441
Principal Office
Office Address:
116 WILSON PIKE CIRCLE, SUITE 103
BRENTWOOD TN 37027-2707
Mailing Address:
116 WILSON PIKE CIRCLE, SUITE 103
BRENTWOOD TN 37027-2707
Officers
Title:
MEMBER
Name:
G. MARSHALL HART JR
Business Address:
116 WILSON PIKE CIRCLE, SUITE 103
BRENTWOOD TN 37027-2707
Title: MEMBER
Name: MARGARET P. STAATS
Business Address: 4200 NORTHSIDE PARKWAY,NW
BUILDING 10, SUITE 101
ATLANTA GA 30327
} This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
)1964
:•��r�
1 ice.-..,�\ f _
http://,www.secretary.State.nc.us/corp` rations/Corp:aspz?PitemId=8806l'66.� 1.1113/2013

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APPENDIX D
COPY OF CURRENT DEED

J �NOV 1 9 2013
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__ — _ _ _ — L, - _- _--_—_-
CvS1
phar arf
91117H N Q9454M
CHAM:a DIIVE•1}fiU
SUE NAM 7W
H'NY 70 t CATANA RD.
HAVRM, NC
FRD,Bf TVPB IRO
DEALTUB FEE-FOR$ANQ
CS PRIECT RJAE A 760
ENGNEEt
© mn
Kimley-Horn
and Associates, Inc.
CONStLTANT-
KIMLEY-HORN AND ASSOC.
333 FAYETTEVILLE STREET
SUITE 600
RALEIGH, NC 27601
TEL [phone]
FAX [phone]
NMOPM
REDDLANDS, INC.
2948 SIDCO DRIVE
NASHVILLE, TN 37204
PH [phone]
FAX [phone]
REVISIONS:
DRAMVIG BY: .Ail
DAIS: 17-SEP1E1®EN-=3
JOB NUMBfA: 01242EOE9
nnE:
PRE -DEVELOPMENT
DRAINAGE
s¢ET Nt�E9:
EX. 1
cwwwrs
NOT REl M F CR151RBCnON

1

,, i nialgg.�y�
333 Fayetteville Street,
Kimley-Horn Suite boo
® and Associates, Inc. OCT 18 P013 27t601 North Carolina
919 835 FAX
5847
PAX 919 653 5847
Transmittal
.a
Date: 10/ 16/ 13 Job Number: 012426066
Project Name: CVS Pharmacy— Havelock, NC
To: NCDENR — Stormwater Permitting Unit
ATTN: Mr. Scott Vinson
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
We are sending these by
❑ U.S. Mail ® FedEx ❑ Hand Delivery
❑ Other
We are .sending J,on
® Attached ❑ Under separate cover via the jollmving items:
❑ Shop drawings ® Prints/Plans ❑ Samples ❑ Specifications ❑ Change Orders
® Other NCDENR Stortnwatcr permit Application Package
Conies Date No. Deserintion
I original
]copy
CVS Havelock Stormwater Management Permit Application
Form
I original
NCDWQ Wetland Supplement Form
1 original
NCDWQ Stormwater Wetland O&M Agreement
2 sets
CVS Erwin Permit Set folded to 8.5" x 14"
1
Check for $505 made payable to NCDENR
I
CVS Erwin Stormwater Analysis
I
Geotechnical Seasonal High Water Table Report
1
Property Deed
I
LLC Documentation
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: If you have any questions or comments, please feel free to contact me directly at
[phone].
Copy to: File Signed: Jason Meadows, P.E.