SW8980707_CURRENT PERMIT_20220624

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 R 9 0 7 0.7
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
202Z D6 �4
YYYYMM D D

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
June 24, 2022
Sandpiper Bay Golf and Country Club
Attn: Timothy 1'. Tilma, General Manager
800 N. Sandpiper Club Drive
Sunset Beach, NC 28468
NORTH CAROLINA
Environmental Quality
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 980707
Sandpiper Bay Golf Plantation Phase I
Brunswick County
Dear Mr. Tilma:
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on June 10, 2022. The Division is hereby notifying you that permit SW8980707 has been
renewed, updated, and re -issued on June 23, 2022, as attached. As requested, a copy of the current operation and
maintenance agreement is also enclosed. Please be aware that the renewal and re -issuance of this stormwater
permit does not imply that the site is currently in compliance.
This permit shall be effective until November 21, 2030 and does not supersede any other agency permit that may
be required. The project shall be subject to the conditions and limitations as specified therein. This permit does
not impose new or increased stormwater control requirements; it clarifies the rules and requirements of this
program to provide you with abetter understanding of your obligations under this permit. Failure to comply with
these requirements will result in future compliance problems. Please note that this permit is not transferable
except after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAR). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the tiling process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
:If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely,
A; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C — Permitting History
Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/ams: %StormwateAPermits & Projects\ 1 998\980707 HD\2022 06 permit 980707
cc: Wilmington Regional Office Stormwater File
D_E Qom,- North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
�1{/t NNmington Regional Ofnce 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
�'' —\1/0 �1 / 910.796.7215

Post -Construction Stormwater Management
Permit No. SW8 980707
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION 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
Sandpiper Bay Golf and Country Club
Sandpiper Bay Golf Plantation
800 N. Sandpiper Club Drive, Sunset Beach, Brunswick County
FOR THE
construction, operation and maintenance of one alternative design (non -discharging) series of
interconnected wet detention ponds in compliance with the provisions of 15A NCAC 2H .1000
(hereafter referred to as the "stormwater rules') and as outlined in the application, approved
stormwater management plans, supplement, calculations, operation and maintenance agreement,
recorded documents, specifications, and other supporting data (the "approved plans and
specifications') as attached and/or on file with and approved by the Division of Energy, Mineral and
Land Resources (the "Division" or "DEMLR"). The project shall be constructed, operated and
maintained in accordance with these approved plans and specifications. The approved plans and
specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until November 21, 2030 and shall be subject
to the following specified conditions and limitations. The permit issued shall continue in force and
effect until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission, however, these actions do not stay any condition. 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 for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
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 1.5 of this permit. The stormwater system has been permitted to treat its
214.6 acre drainage area at 100% impervious.
3. The alternative system consists of an existing 24.15 acre series of lakes that were dug to
provide irrigation water for the golf course on the site. The system is designed to provide
sufficient storage for 100% impervious (214.6 acres) and a 3.5" design storm without
discharging, thus meeting the requirement to provide 85% TSS removal, and the post
development discharge rate is no larger than the pre -development discharge rate for the
year 24 hour storm.
Page 1 of 6

Post -Construction Stormwater Management
Permit No. SW8 980707
4.
The following design criteria have been permitted for the proposed alternative design
interconnected series of wet detention ponds and must be maintained at design condition:
a. Drainage Area:
b. Total Impervious Surfaces, ft2:
Roads/Parking, ft2:
Existing clubhouse and cartpaths, ft2:
Offsite:
71 Single Family lots (SW8 130815), ft2:
Sunset Village West (SW8 981024), ft2:
Phase 2 (SW8 020501)
Phase 3 (SW8 021125)
Phase 4 (SW8 030705)
Phase 5 (SW8 040121)
Hotel Site (no permit):
Wyndfall Subdivision (SW8 991118) ft2:
Future Development:
c. Permanent Pool Elevation, FMSL:
d. Provided Surface Area, ft2:
e. Design Storm, inches:
f. Required Storage Volume, ft':
g. Provided Storage Volume, ft':
h. Temporary Storage Elevation, FMSL:
i. Controlling Orifice:
II. SCHEDULE OF COMPLIANCE
214.61 acres
9,348,411 ft2
115,000
176,870
1,107, 731
1,266,725 (total)
120,225
566,517
5,995,313
53.2
24.15 acres
3.5
2,745,706
2,748,125
55.7
N/A (golf course irrigation)
All new development within the project must receive a separate offsite stormwater permit or
modify an existing offsite permit prior to construction.
The permittee is responsible for verifying that the proposed built -upon area does not exceed
the allowable built -upon area. The permitted amount of built -upon area may not be revised
without approval from the Division.
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.
4. 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.
5. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
6. The permittee grants permission to DEMLR Staff to enter the property for the purposes of
inspecting the project for compliance with the conditions of this permit.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted on
the Certification. A modification may be required for those deviations.
Page 2 of 6

Post -Construction Stormwater Management
Permit No. SW8 980707
8. Decorative spray fountains are allowed in the pond, subject to the following criteria:
a. The minimum permanent pool volume is 30,000 cubic feet.
b. The fountain must draw its water from less than 2' below the permanent pool surface.
C. Separated units, where the nozzle, pump and intake are connected by tubing, may be
used only if they draw water from the surface in the deepest part of the pond.
d. The fountain may not be placed into the forebay.
e. The falling water from the fountain must be centered in the main pond, away from the
shoreline.
f. The maximum horsepower for a fountain in this pond is 1 horsepower.
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. Prior to the sale of any lot or parcel, deed restrictions must be recorded which require each lot
to direct its runoff into the permitted system. The pond system was designed to treat the
drainage area at 100% impervious. Impervious area includes pavement, structures, walkways
of brick, stone, or slate, but does not include uncovered, open slatted decking or the water
surface of swimming pools. The recorded statements must follow the form:
a. The covenants pertaining to stormwater regulations may not be changed or deleted without
concurrence of the State of North Carolina.
b. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the State of North Carolina.
c. All runoff within the project must be directed into the permitted system. This may be
accomplished through providing roof drain gutters which drain to the street, grading the lot
to drain toward the street, or grading perimeter swales and directing them into the pond or
street. Lots that naturally drain into the system are not required to provide these additional
measures.
11. A copy of the recorded deed restrictions must be submitted to the Division within 30 days of
the date of recording the plat. The recorded copy must be signed by the Permittee, dated,
stamped with the deed book number and page, and bear the stamp/signature of the Register
of Deeds.
12. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. Adding the option to use permeable pavement or #57 stone within the lots as a
permeable surface. The request may require a proposed amendment to the deed
restrictions and protective covenants for the subdivision to be submitted and recorded.
g. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications.
h. Other modifications as determined by the Director.
Page 3 of 6

Post -Construction Stormwater Management
Permit No. SW8 980707
13. The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division.
14. Any person or entity found to be in noncompliance with the terms and conditions of a
stormwater management permit or the stormwater rules is subject to enforcement action in
accordance with North Carolina General Statute 143 Article 21.
15. The permittee shall at all times maintain the collection system within the project such that the
design storm runoff is adequately conveyed to the permitted BMP. The permittee shall 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 revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes at a minimum of 3:1 in accordance with approved plans and
specifications.
f. Debris removal and unclogging of the collection system and drainage structures.
q. Access to the overflow weir structures must be available at all times.
16. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
III. GENERAL CONDITIONS
CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems. These additional or replacement measures shall receive a permit from
the Division prior to construction.
PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITI'EE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
4. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request: must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This
request must be submitted within 90 days of the permit holder meeting one or more of the
following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property
on which the permitted activity is occurring or will occur through foreclosure,
bankruptcy, or other legal proceeding.
Page 4 of 6

Post -Construction Stormwater Management
Permit No. SW8 980707
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur, except in the case of an individual
residential lot sale that is made subject to the recorded deed restrictions and
protective covenants,
V. The assignment of declarant rights to another individual or entity,
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection
will be conducted by Division personnel to ensure the permit conditions have been met and
that the project and the on -site stormwater system complies with the permit conditions.
Records of maintenance activities performed to date may be requested. Projects not in
compliance with the permit will not be transferred until all permit and/or general statute
conditions are met.
COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions
e. OBTAINING COMPLIANCE. 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 modified plans and certification in writing to the Director that the
changes have been made.
OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction. Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Page 5 of 6

Post -Construction Stormwater Management
Permit No. SW8 980707
Permit renewed, updated and reissued this the 24th day of June 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,BrianDirector
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 980707
Page 6 of 6

Attachment C - Permitting History
Sandpiper Bay Golf Plantation Master
Permit No. SW8 980707
Approval
Permit Action
BIMS
Description of the Changes
Date
Version
1020/1998
Original
1.0
Approval
different versions in BIMS show different application dates;
3/4/1999
1.1
showing revised applications but only one permit/modification
was issued
Sandpiper Bay Drive extended to serve 29.08 acre condominium
tract and future 9-hole golf course and siggle famil residential
3/4/1999
Modification
1.2
development; new storm drainage K added to handle the
drainage on the road extension; previously permitted storm lines
E through 1 have been relocated to the other side of the street in
order to save a group o'trees
1/302003
Plan Revision
1.3
rewritten to include 100% BUA for the 214.61 acre DA
became a master permit: all permits in this subdivision drain to
this permit and the area permitted by those permits is therefore
also already permitted al 100% impervious The impervious area
restriction for each lot covered by the permits; the restriction
2232012
Plan Revision
1.11
was Isited as a deed restriction requirement in each permit; the
deed restriction requirements other than the "impervious area
per lot" or "built upon area per lot" or similar language remain in
effect and must be recorded; it is impossible for the subdivision
to overbuild; If the FICA chooses to impose such impervius
restrictions, they may do so
723/2012
Transfer
1.5
From Sandpiper Bay Land Company, Inc. to Sandpiper Bay
Property Owners Association, Inc.
Page 6 of your permit stated a specific BIJA per lot. This has
9/10/2012
Correction
--
been corrected to reflect the revision made on February 23,
2012. Please replace page 6 of your stair, slonnwuter permit
issued on July 23, 2012 with the corrected page
2/18/2013
Plan Revision
1.6
adding a retaining wall near, but outside the outer permitted
edge of a stormwater pond.
Transfer: to Sandpiper Bay Gulf & Country Club
Modification: This permit is the "Master" permit for the
interconnected pond system BMP for the 214.61 acre
project/drainage area; The 71 Phase I single family lots under
SW8 13081$ are now listed as an ofl'site project draining to this
permitted stormwater system. The 13UA per lot under the offsite
"transfer/
permit is to be administered by the Sandpiper Bay Property
I/152014
Modification
1. 7
Owners Association, Inc; The Sunset Village West permits
under SW8 981024, 020501, 021125, 030705, and 040121 are
now listed as offsite projects draining to this permitted
slormwater system. The BUA under these otisite permits will be
administered by the Sunset Village at Sandpiper Bay Golf &
Country Club Condominium Association, Inc; The Wyndfall
Subdivision permit under SW8 991118 is now listed as an
offsite project draining to this permitted stormwater system
8/42014
Renewal
2
1
BIMS effective date 11212014; issued 8/42014
624/2022
Renewal
3
Expires November 21, 2030

�W
POND MARq=ANCE REQUIItEm=S D E C E I V E
Project Name: Sandpiper Bay Golf Course PUD D
JUL '0 91998 D
Permittee: North Star Development PF10J
Address: 800-Sandpiper Bay Drive PhoneNo. 910-579-9120
Sunset Beach, NC 28468
I. Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it is not functioning.
B. Inspect and clear the orifice of any obstructions. If a pump is used as the drawdown
mechanism, pump operation will be checked. A log of test runs of the pump will be kept.
on site and made available to DWQ personnel upon request. (NOT APPLICABLE -
NO ORIFICE)
C. Inspect the pond side slopes and grassed inlet swales; remove trash, and repair eroded areas
before the next rainfall event.
D. If the pond is operated with a vegetated filter, the filter will be checked for sediment
accumulation, trash accumulation, erosion and proper operation of the flow spreader
mechanist.:. Repairs/cleaning will be done as necessary. (NOT' APPLICABLE -
..NO OUTFALL)
II. Quar etly (Four times a year):
A. Inspect the collection system (ie. catch basins, piping, grassed swales) for proper
functioning. Accumulated trash will be cleared from basin grates, basin bottoms, and piping
will be checked for obstructions and cleared as required.
B. Pond inlet pipes will be checked for undercutting. Riprap or other energy dissipation
structures will be replaced, and broken pipes will be repaired.
M. Semi-annually (twice a year):
r:.
A. Accumulated sediment from the bottom of the outlet structure will be removed.
B. The forebay depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75 % of the original forebay design depth of
(NOT APPLICABLE - EXISTING LAKES - NO FOREBAY_S�-
C. Grassed swales, including the vegetated filter if applicable, will be reseeded twice a year as
necessary.

POND MAINTENANCE REQUIRE ENI'S
PAGE 2
IV. Annually (Once a year):
A. The pond depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75% of the original design depth or Y, whichever is greater. Design
depth is ', measured, vertically from the orifice down to the pond's bottom.
Sediment must be removed to at least the original design depth.
V. General:
A. Mowing of the side slopes will be accomplished according to the season. Maximum grass_
height will be 6".
B. Cattails are encouraged along the pond perimeter, however they will be removed when they
cover more than 1/2 the surface area of the pond. The best time to cut them is at the end of
the growing season, in November. Environmentally sensitive chemicals for use in killing
cattails can also be used. Contact your nearest Agricultural Extension Agent.
C. The orifice/pump is designed to draw down the pond in 2-5 days. If drawdown is not
accomplished in that time, the orifice will be replaced with a larger or smaller orifice. Slow
drawdown may be attributed to a clogged system. The source of the clogging will be found
and eliminated. (NOT APPLICABLE - NO ORIFICE)
D. All components of the detention pond system will be kept in good working order. Repair
or replacement components will meet the original design specifications as per the approved
stormwater plan. If previously approved components are determined to be ineffective, the
component must be redesigned and/or replaced.
VI. Special Requirements:
Sandpiper Bay Land Development Co. by Roger E. Grigg
I North Star Development, by Gene Blanton} hereby acknowledge that I am the financially
(please print or type name dearly)
responsible party for maintenance of this detention pond. I will be responsible for the performance of the
maintenance as outlined above, as part of the Stormwater Management Permit received for this project.
Revised 225/97� �y�s
S/;00BQ-
Date:_ 7 /7 /g R-
-7/7�YS

11FMLH 11SF IINLY
Date Received
Fee Paid
Permit Number
In �u�2o'Z2
3`t�6o�c g5o5°�
Sw g6o-to�
i l RECEIVED
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER: JUN 10 2022
PERMIT RENEWAL APPLICATION FORM NCDEQ
WILWNOTON RO
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60. (c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number:
2. Project
3. Project
City: _
Swg gf(070.7
4. What, if any, changes have been made to the project as permitted? none
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: httl)s:/Ideg.nc.gov/about/divisions/energy-
min era I-land-resou rces/energy-min era I -la nd-ru les/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/abou/divisions/energy-mineral-land-
resources/energy-minera l-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization:
2. Signing Official's Name: '27m 081t, ?I
3. Signing Official's Title: &eneml 144rna y
4. Mailing Address: ffUy 41• �iGf�tCipr,pll
City: 6d6ned 9'eadt T
5. Street Address: /V. f&v14,404-
City: SMNLt7 Sewh
6. Phone: (y10 ) E °I 9/ WEmail: 7'Y tvf eCt)
ZIP:
6, (�)-4
ZIP: Ao'r
is
ECEsvEr� .
JUN 10 2022 �
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
V 1. A permit application processing fee of $505.00 payable to NCDEQ.
✓ 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
N condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
❑
I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑v
I do not have a copy of the current recorded O&M Agreement for all SCMs and am
✓
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
_
❑
A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
(VI
❑
A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑
The project has not yet been built.
Na 6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
1V1r,e®V
1VNN�2O11
gV�
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

,.
��y

D. PERMITTEE'S CERTIFICATION �
I, T1kXd TkU,7 P T))*�V , the person legally responsible for the permit, certify that I have
a copy of the Permit 6nd O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, corr nd comgplette.I� %
Signature: �� �l A%� 4 Date: 6C 2,1�2
NOTARIZATION:
I, F_( ( I a I J'tn-rLA'w , a Notary Public for the State of
r1t1y (0*0 I u"ZG , County of ZYL rlS wlCk , do hereby certify
that -�1 Ilr\n-%4--\�1 P • Jr rnc- personally appeared before me
this the ra r d day of Sync 20 , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
LBrunswick
MELIA VENTURA
(Notary Seal) Notary Public
Co., North Caroline
mison ExpiirrelsAug. 23, 2023
Notary Signature: V
My commission expires&lvS+ as aoa'a
Stormwaler Permit Renewal Application Form Page 3 of 3 May 11, 2018

-23-11;09:5uPM; tlm tilma ;13104769501
To: North Carolina Division of Water Quality
From: Blair Tanner
Date: Nov. 15, 2011
Re: Water Permit Revisions
As the President of North Star Carolina Corporation, I am responsible for the
overall management of my company. Many matters I handle myself, but
some must be delegated to my officers.
In the matter of scormwater permit applications and/or plan revision
applications and/or permit transfer documents, I authorize North Star
Carolina Corporticn Secretary Tim Tilma to sign documents on behalf of my
company.
Thank you for your understanding.
Sincerely,
Blair C. Tanner
President
��� oit
va

ASI ENGINEERS
I N C O R P O R A T E D
710-G 21st Avenue North, Myrtle Beach, SC 29577
Telephone [phone] facsimile 843.946.9997
Sandpiper Bay Golf Plantation, Portion of Phase I
Stormwater Permit No. SW8 980707
Brunswick County
Engineer's Certification
1, Jon G. Taylor, Jr., as a duly registered Professional Engineer in the State of North Caro-
lina, having been authorized to observe weekly the construction of the project, Sandpiper Bay
Golf Plantation, for Sandpiper Bay Land Company, Inc., 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.
ST�fJU� J�1�9�L
Noted deviations from approved plans and specifications:
�ECE111"'
MAR 2 12000 11),
None
PROJ 4 _-Y ( 30
LU- qT() 7
SEAL
Signature: '—
Registration Number: 23672
Date: 3 - 14 - as
3 - i.1•0o