SW8140102_HISTORICAL FILE_20220115

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 14 01 0 2
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 07 15
YYYYMMDD

McPeake, Dylan
From: McPeake, Dylan
Sent: Friday, July 15, 2022 1:50 PM
To: Lee McDowell
Subject: RE: [External] RE: Additional Information Requests - SW8 990406 & 140102 - Han Dee
Hugo's #21 & Han Dee Hugo's #39 (Rocky Point)
Hello Mr. McDowell,
Thank you for getting these back to me so quickly; I'll get the permits written up and mailed out as soon as I can. Also,
there is no need to apologize sir, it happens.
Sincerely,
Dylan McPeake
Stormwater Intern
Division of Energy, Mineral, and Land Resources — State Stormwater Program
North Carolina Department of Environmental Quality
Office: 910 796 7215
Direct: 910 796 7318
Email: [e-mail]
Address: 127 Cardinal Drive Ext
Wilmington, NC 28405
From: Lee McDowell<[e-mail]>
Sent: Friday, July 15, 2022 1:48 PM
To: McPeake, Dylan <[e-mail]>
Subject: [External] RE: Additional Information Requests - SW8 990406 & 140102 - Han Dee Hugo's #21 & Han Dee Hugo's
#39 (Rocky Point)
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Apologies for the over sight. Here are both corrected pages
From: McPeake, Dylan <[e-mail]>
Sent: Friday, July 15, 2022 12:06 PM
To: Lee McDowell<Lee.McDowell @sampsonbladen.com>
Subject: Additional Information Requests - SW8 990406 & 140102 - Han Dee Hugo's #21 & Han Dee Hugo's #39 (Rocky
Point)
Hello Mr. McDowell or Mr. Clark,

Attached are the pdfs of the requests for additional information for the subject projects. There is just one
administrative item on each application that needs to be addressed. Since it is just one change not related to signatures
or notarization, you can submit the correction by just scanning and emailing me the corrected first pages of the
applications. Please let me know if you have any questions or concerns. Thanks!
Sincerely,
Dylan McPeake
Stormwater Intern
Division of Energy, Mineral, and Land Resources — State Stormwater Program
North Carolina Department of Environmental Quality
Office:
910 796 7215
Direct:
910 796 7318
Email:
[e-mail]
Address:
127 Cardinal Drive Ext
Wilmington, NC 28405

ROY COOPER
aavana
ECIZABETH S. BISER
sear"
BRIAN WRENN
July 15", 2022
NORTH CAROLINA
FnWromnattal Qaaflly
Via email only: lee. mcdowell(a�samnsonhalden. com
Sampson Bladen Oil Company, Inc.
Attn: Haddon M. Clark, Ill, President
PO Box 469
Clinton, NC 28329-0469
Subject: Request for Additional Information
Stormwater Project No. SW8 140102
Han -Dee Hugo's #39 (Rocky Point)
Brunswick County
Dear Mr. Clark:
The Wilmington Regional Office received and accepted a State Stonnwater Management Permit Renewal
Application for the subject project on July 15', 2021 A preliminary in-depth review of that information has
determined that the application is not complete and that additional information is needed. To continue the review,
please provide the following additional information in a single, hard copy submittal package:
Permit Renewal Process:
I. 15A NCAC 0211.1045(3)(a)(iii): Please confirm the following: The mailing address for the property
owner listed in Section BA of the application is not consistent with the mailing address on rile with the
Secretary of Statc. Please confirm the mailing address for property owner listed in Section BA of the
application is consistent with the information on rile with the Secretary of State.
Please remember to confirm that any revised information is presented consistently throughout the application
documents. Please also remember to provide a hard copy of any updated documents per 15A NCAC
02H.1045(3).
The requested information should be received in this Office by 7/30/2022, or the application will be returned as
incomplete. If additional time is needed to submit the requested information, please email your extension request
prior to this due date to the email address provided below with a justification and a date of when the requested
information will be submitted, which shall be no later than 15 days past the original due date. Please note that
only two letters requesting additional information is allowed in the State Stormwater Program for a total of 30
clays to submit the requested additional information. If the information is not satisfactorily provided after either
the second request or 30 days, the project will be returned. If the project is returned and you wish to re -submit
later, you will need to resubmit all required items at that time, including the application fee.
Please reference the State assigned application 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].
Sincerely,
Dylan McPeake
Stormwater Intern
DES/DM: %Stonnwater\Permits & Projects\2014\140102 HD\2022 07 addinfo 140102
cc: Wilmington Regional Office Stonnwater File
North Carolina Department of Environmental Quality I Dlvlslon of Energy, Mineral and Land Resources
D E Zvi ntIngton Regional office 1127 Cardi ai Drtve Extenston I WlLnington, North Carolina 28405
-�Z / 9t0.796.7215

Burd, Tina J
From: Burd, Tina J
Sent: Friday, July 15, 2022 9:25 AM
To: [e-mail]
Subject: SW8 140102 - Han -De Hugo's #39 (Rocky Point)
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on July 14, 2022. The project has
been assigned to Dylan McPeake and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Email conespondence to and from this address is subject to the
North Carolina Publir, Records Law and may be disclosed to third parties.
Website: http://deg.nc,gov/about/divisions/energV-mineral-land-resources/stormwater
Based on the current guidance to minimize the spread of COVID-t9, the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered
shifts. To accommodate these staffing changes, all DEQoffice locations are limiting public access to appointments only. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.

,Non -Transfer Application Completeness Review Checklist
Project Name: 4-AhJ— DDEE 1 UC C)' [ :i'34)
Project County/Location: rt 0 zC2 / IZO CJC1 pa / N T
Permit Action: New New Permit b':
Not located in the ETJ of the following delegated
and functioning programs:
Date Delivered to WIRO: 7 ) 2-0ZZ
BIMS Received/Accepted Date: 2D
Date Given to Admin: / 5 pia
BIMS Acknowledged Date': 7 a
NHC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isle Onsl: Jacksonville Pend: Surf City
Major Mod / Minor Mod / Renewal Existing Permit M:
❑Applicant & Permittee are the same?3 Expiration Date°:
Permit Type: HD D / LD Overall / HD &LD Combo
General Permit / Offsite / Exempt + Redevelopment
Development Type: ommercial Residential/Other
Subdivided?: Subdivision or 6ELoD
Rule(s): n2017 Coastal F;�a2008 Coastal n1995 Coastal
1988 Coastal
cf3ta�8 pgt�i62
I to
MOffsite to SW8:
ElIsOffs ite Lot approved in Master Pei mit? 5
Permittee Type & Documents Needed:
Property Owner(s) Purchaser QLessee QHOA Developer
Property
Viable? Viable? Viable? Viable?
Deed QPurchase Agmt QLease QElection Minutes
Paperwork
Application
®Fse: �$505 (within 6mo) Check#(s): ZQj
MSu pplement3 (1 new form or for older forms: 1 original per SCM)
FT&M'
Soils Report (Infil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided
Project Narrative
FIUSGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?
Plans (2 Sets)
F-1No Fee
Y/N
NOTES:
IEnter RIMS Acknowledged Date on this Sheet
2For New Projects -Enter New Permit It on Supplements & Deed Restriction Templates.
3If permittee is different, STOP. Needs to be transferred first.
°If w/in 6 months and they are requesting a mod, STOP, Needs a renewal first.
slf Lot not approved in master permit, STOP. Master permit needs mod.
EMAILED ENGINEER DATE:
REVIEWER NAME:
Comments:
l.c(k
G:WQ\\\Reference Library\Procedures\Checklists\Completeness Review Checklist 20210908

McPeake, Dylan
From: McPeake, Dylan
Sent: Monday, July 11, 2022 1:43 PM
To: Lee McDowell
Subject: RE: [External] Han -Dee Hugo's 39: Storm Water Permit Application
Hello Mr. McDowell,
Thank you for sending in the digital copy of the Stormwater Permit Renewal Application. The application will be
reviewed once the check and hardcopy application are processed (you'll receive a separate email once that happens).
Also, the address to send the hardcopy + check to are listed in the signature line of this email incased you missed it.
Sincerely,
Dylan McPeake
Stormwater Intern
Division of Energy, Mineral, and Land Resources — State Stormwater Program North Carolina Department of
Environmental Quality
Office: 910 796 7215
Direct: 910 796 7318
Email: [e-mail]
Address: 127 Cardinal Drive Ext
Wilmington, NC 28405
-----Original Message -----
From: Lee McDowell<[e-mail]>
Sent: Monday, July 11, 2022 1:11 PM
To: McPeake, Dylan <[e-mail]>
Subject: [External] Han -Dee Hugo's 39: Storm Water Permit Application
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spa m.<mailto:[e-mail]>
Second site, per phone conversation.
-----Original Message -----
From: [e-mail] <[e-mail]>
Sent: Monday, July 11, 2022 2:46 PM
To: Lee McDowell<[e-mail]>
Subject:
CS 3501i
[00:17:c8:08:28:6b]

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
June 171. 2022
Sampson-Bladen Oil Company, Incorporated
Attn: Haddon M. Clark, III, President
PO Box 469
Clinton, NC 28329-0469
NORTH CAROLINA
£nvlronmentd Qwftty
Subject: Stormwater Permit Renewal Request and Transfer Request
State Stormwater Management Permit No. SW8 990406
State Stormwater Management Permit No. SW8 140102
Dear Mr. Clark:
State Stormwater Management Permit #SW8 990406 and #SW8 140102 have expired or will expire on the dates
listed below. This is a reminder that permit renewal applications are due 180 days prior to their expiration per
15A NCAC 2H.1045(3). North Carolina General Statutes and the Coastal Stormwater rules require that this
property be covered under a stornwater permit. Failure to maintain a permit subjects the owner to assessment of
civil penalties.
Permit No.
Subject
I Last Issued
Ex iration Date
County
#SW8 990406
Han Dee Hugos
October 13 , 2009
June 24 , 2023
Brunswick
#21
#SW8 140102
Flan Dee Hugos
April 219, 2016
January 10 , 2022
Pender
Rockv Point
Please submit a complete permit renewal form along for each individual permit with a $505.00 fee and other
submittal requirements within 30 days. The permit renewal form can be found on our website at:
Permits are not automatically transferred when the property ownership changes. If this property has had an
ownership change (SW8 990406), a permit transfer application form along with the submittal requirements will
also need to be submitted. This form can also be found on the website provided above.
If you have any questions regarding this matter, please contact Dylan McPeake (dylan.mcpeakea..ncdenrsov) or
Ashley Smith (ashlevm.smith(r),.ncdenr. ,o_v) either via email or phone at [phone].
Sincerelyp Q�
�11,tOY4�- 'Y
S Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
DES/DM: \\\Stormwater\Permits & Projects\1999\990406 HD\2022 06 req_ren 990406
%Stormwater\Permits & Projects\2014\140102 11D\2022 06 req_ren 140102
cc: Clark Stores, LLC / Haddon M Clark, 111; New Property Owner / Registered Agent; PO Box 469; Clinton, NC
28329-0469
Wilmington Regional Office File
D_E Q.,, North Carolina Department of Environmental Quality I Division of Energy, Kneal and land Resources
Wllmington Regional Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796,7215

-o-
North Carolina Department of Environmental Quality
Land Quality Section: 127 Cardinal Dr Extension Wilmington, NC 28405, Phone: [phone]
COUNTY: Ponder PROJECT: Han -Dee Hugo RIVER BASIN: CAPE FEAR
PERSON FINANCIALLY RESPONSIBLE: (IHaddon Clark, Sampson-Bladen Oil Company, PROJECT # PENDE-2014-015
ADDRESS: P.O. Box 469 Clinton NC 28399 CASE # SO S(HQ/O Z
1. PROJECT LOCATION: 11795 US Hwy. 117 S. Rocky Point NC
Pictures: Video: Digital:
2. Weather and Soil Conditions: SUNNY AND DRY First Inspection:NO
3. Is site currently under Notice of Violation? NO
4. Is the site in compliance with S.P.C.A. and rules? YES
5. Violations:
6. Is the site in compliance with NPDES Permit NCG 010000?: YES
7. Has Sedimentation Damage occurred since last inoections?
Lake/natural watercourse on the tract: Lake/natural watercourse off the tract: Other Property:
Description:
Degree of Damage:
Stormwater Discharge Outfall with high turbidity or sedimentation loss:
8. Contact Made with (name): NONE Title:
Inspection Report: SENT TO PERSON FINANCIALLY RESPONSIBLE Date Given/Sent: SEP 08, 2017
9. Corrective Actions Needed:
10. COMMENTS: Project appears complete and stabilized. File will be closed.
Permanent ground cover sufficient to restrain erosion has been established. No additional self -monitoring or
self -inspections are required. Project is released and coverage under NPDES General Stormwater Permit for
Construction Activities is to m�Ihated. �7
Report By: Trend James / Others Present
Date of Inspection: AUG 31, 2017 Time Arriving on Site: 12:00 Time Leaving Site: 12:18
cc;
Revision Date 10/16/2015 Pace 1 of 1

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal Name
Sampson-Bladen Oil Company, Incorporated
Information
Sosld: 0128585
Status: Current -Active O
Date Formed: 3/3/1939
Citizenship: Domestic
Fiscal Month: October
Annual Report Due Date: February 15th
CurrentgnnuaL Report Status:
Registered Agent: Clark, Haddon M, III
Addresses
Principal Office
510 Commerce Street
Clinton, NC 28328
Officers
Secretary
David K. Clark
P O Box 469
Clinton NC 28329-0469
Reg Office Reg Mailing Mailing
510 Commerce Street PO Box 469 PO Box 469
Clinton, NC 28328 Clinton, NC 28329 Clinton, NC 28329-0469
Vice President
Rogers Howell Clark , Jr.
PO Box 469
Clinton NC 28329-0469
President
Haddon M. Clark , III
PO Box 469
Clinton NC 28329-0469
Vice President
John Litton Clark
PO Box 469
Clinton NC 28329-0469

Stock
Class: Common Class A Voting
Shares: 400
Par Value 100
Class: Common Class B Non Voting
Shares: 39600
No Par Value: Yes
Class: Preferred
Shares: 100
Par Value 100