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54596D - Piedmont
-AMA / ❑DREDGE & FILL iENERAL PERMIT qew ❑Modification El Complete Reissue El Partial Reissue Previous permit # Date previous permit issued rsd by the State of North Carolina, Department of Environment and Natural Resources )astal Resources Commission in an area of environmental concern pursuant to I SA NCAC r�GveRules attached. Nameji�NT Ni/ Project Location: County j/�' i fw Sly /� 14t4 Street Address/ State Road/ Lot #(s) LtZ.-�fi Y1"?t i State / � ZIP ,` t ``f Wt2.�N C 1-L""JrJit�t� Wt )ft Fax # () Subdivision :d Agent ❑ CW ❑ EW P PTA ❑ ES E71PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: city s-l'n7?ar,)r ZIP— 6 14 (�' J Phone # ( ) River Basin ( 17�JL Adj. Wtr. Body Closest Mai. Wtr. Body ,es /!?6) PNA yes / 49 Crit.Hab. yes / no Project/ Activity 1)i k 15C 77 t i'v r) (_ U'r� I L rr }ll (Scale: t _ :k) length (s) igth nber i/ Riprap length distance offshore x distance offshore cannel )ic yards np ise/ Boatlift ulldozing ILL 7r3t)t.� ie Length not sure yes pa — Is: not sure yes rium: n/a yes �t1b yes Attached: yes go ing permit may be required by: ACV i WOPT ❑ See note on back regarding River Basin r 4C Division of Coastal Nlgt, Habitat Impact Computer Sleet kpplicant: Pf E0/Y WT_ AM17 6AS )ate: Permit* S1-11c16 )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen Iound in your Habitat code sheet. iabitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fini disturbance. Excludes any restoration and) temp impact amount ©W Dredge ❑ Fill ❑ Both ❑ Other e (f O Dredge ❑ Fill ❑ Both ❑ Other 2'--' �O V Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 171 EDDY ENGINEERING, P.C. June 23, 2010 EEPC Project Number: 2008-034R Heather Coats NCDENR Division of Coastal Management 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 Re: Application for CAMA General Permit Piedmont Natural Gas Southport Project Brunswick County Dear Ms. Coats: The purpose of this letter and attachments is to apply for a CAMA General Permit for the above referenced project. It is our intention to avoid all wetland impact with directional drilling from highland to highland. The following items are attached: Attachment 1. Encroachment Agreement, dated June 11, 2010, between N.C. Department of Transportation and Piedmont Natural Gas. Attachment 2. Erosion and Sedimentation Control Plan Approval dated March 1, 2010. Attachment 3. Exemption from Stormwater Management Permit Regulations dated March 18, 2010. Attachment 4. Vicinity Map. Attachment 5. Typical Creek Bed Crossing Detail. Attachment 6. Index for Adjacent Riparian Parcels and Site Location Map. Attachment 7. Table of Parcels, Owners, and Receipt of Notification. Attachment 8. Copies of Letters with certification of receipt. Ms. Heather Coats Page 2 June 23, 2010 Please let us know if you need a complete copy of the Erosion and Sedimentation Control Plan, any further documentation, or if you have any questions. Feel free to contact me on my cell phone, 252-474-0033, office phone, 252-448-1888, or by e-mail, john@eddyengineering.com. Joyce Cantrell of Piedmont Natural Gas, is Piedmont's local contact for the project. She can be reached at 910-251-2805 or by e-mail, Joyce.Cantrell@piedmontng.com. tfff .,g�f SincereJ�Y``\1 EDD C. w M oh L. P *l 1�eq N.C. 4 Attachments 1 - 7 Check #1073243 \\Eepc1\nt\0-project\2008\034 ESCP PNG Southport\200M34-MAdjacent Properties\CAMA Transmittal\2010-06-24 cover letter.wpd RECEIVED VCINITY MAP SOUTHPORT NATURAL GAD DISTRIBUTION SYSTEM 78.03333° W 78.01667° W WGS84 78.000000 W Wile )/ Town ip 133 go MAIW o BM 32 • v . Street A .. Stete tiwy 526,@ I- • +. 1ST { , ,~f5�• • - • � /L' a f- - - q/ o o M _ 22 � ri7s Stuart soh®r Focta • • bout ' 2p9 -�• 1 'urL' Bbj9B ' st plot J—�•i�'N� ` i C- 8t�t �4_,�• � —• �o W. A /may �h o/ "Technic _ ` 4 Cl- ` 'Al, 11 Or, C' �4 vHamps \ Ha „ s 1pT Attachment 6 Brunswick County, NC 2PE051 a Er)F. Q 0 z 0 .Q z z n DRILL PIT -\ I 30' BUFFER WETLANDS CREEK WETLANDS 30' BUFFER J TYPICAL CREEK BED CROSSING DETAIL Piedmilt Natural Gas NATURAL GAS SYSTEM SOUTHPORT PROJECT HOSPITAL & SCHOOL NOT TO SCALE FDT)V FNCTNFFRING PC Fve" V\ y GA h AleaQbw Way Approximate Stream Crossing -_ I TERMINAL END OF DIRECTI1 OPEN PIT WORK AREA ONL' 20 FT X 5 FT WORK AREA. SPOIL PLACED ON EXISTINC CAN ��RU N cTjpN NOTES: 1. ALL DISTANCES ARE FOR OI SPECIFIED OTHERWISE. 2. AT EXISTING PIPELINE (LABI CONSTRUCTION") WORK AR JURISDICTIONAL WETLAND; LIMITED TO EXCAVATION OF RESTORATION OF ORIGINAL FILL SHALL BE TEMPORARIL PLACED WITHIN WETLAND P MAP 2 / / / 1X111///ii///////, Milli PiedmontNATURAL GAS SYSTEM SCALE 1"=100' . Natural (a$ SOUTHPORT PROJECT EDDY ENGINEERING, P,C, HOSPITAL & SCHOOL NOTES: 1. ALL DISTANCES ARE FOR OPEN CUT UNLESS SPECIFIED OTHERWISE. 2. AT EXISTING PIPELINE (LABELED "BEGIN CONSTRUCTION") WORK AREA IS PARTIALLY IN JURISDICTIONAL WETLANDS. IMPACT SHALL BE LIMITED TO EXCAVATION OF TRENCH AND RESTORATION OF ORIGINAL CONTOURS ONLY. NO FILL SHALL BE TEMPORARILY OR PERMANENTLY PLACED WITHIN WETLAND AREA. t � C3 O 0 Z Z n WA Flo' abbertown Rd \ \ t)Rop S \ G S Mq /At s D MAP 3 / Piedmont SCALE 1 "=100' 4 Wtural Gas 100' L'T%T%U L'ATrTAMP'nTILTr T) /r rv� 50' MIN NATURAL GAS SYSTEM SOUTHPORT PROJECT HOSPITAL & SCHOOL BEGIN DIRECT DRILL SEGMEI` UPLAND OF WI MACHINE AND WITHIN WORK STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BEvERLY EAVES PERDUE D1VISIONOFHIGHWAYS EuGENE A. Corm, JR. GOVERNOR SECRETARY June 11, 2010 Piedmont Natural Gas Attention: Dennis Urgento PO Box 4489 Wilmington, NC 28401 Dear Mr. Urgento: SUBJECT: Encroachment Agreement on SR 1527, NC 211 and SR 1209 in Brunswick County (Reference Number. E-010-10-042) Attached for your files is a copy of Right of Way Encroachment contract properly executed. This contract covers the following: Installation of natural gas distribution pressure main: 8" (PE-2406 SDR-11.5) directional drill 880 linear feet, open trench 63 linear feet; 6" (PE-2406 SDR-11.5) directional drill 781 linear feet, open trench 2,535 linear feet; 4" (PE-2406.SDR-11.5) directional drill 800 linear feet, open trench 90 linear feet; 2" (PE-2406 SDR-11.0) directional drill 1,225 linear feet, open trench 2,925 linear feet; 1-1/4" (PE-2406 SDR-7.0) directional drill 136 linear feet. No pavement cuts for the entire project. This approval is also subject to the attached Special Provisions. Very truly yours, 1.k. vcpE I IP.9, H. A. Pope, P.E. Division Engineer HAP/ARE/dlr Attachment cc: Robert Memory Anthony W. Law M. Alan Thornton, Manager of the City of Southport Ross Kimbro 124 Division Drive, Wilmington, NC 25401 (910) 251-5724 Fax (910) 251-5727 IIIIPiedmont , G/D- /D-D�fd Natural Gas March 31, 2010 DISTRICT 3 Mr. Anthony Law District Engineer APR 0 1: 2010 NC Department of Transportation 300 Division Drive RECEIVED Wilmington, North Carolina 28401 Dear Mr. Law: We are enclosing 10 signed copies of the Right of Way Encroachment Agreement (Form R/W 16.1, Rev. 7-1-77), along with 10 copies of a print showing the Piedmont Natural Gas distribution system in Southport, Brunswick County. This proposed extension will be 8-inch (PE2406-SDR=11.5) plastic natural gas distribution pressure main to commence from our existing facilities at a point 865 feet north of intersection of SR 1527 (E. Leonard Street) and SR 1526 (Jabbertown Road). The project will commence from the aforementioned location and proceed south for a distance of 843 feet and turn west for a distance of 100 feet. Total directional drill (880') and open trench (63') required. Next start construction of 6-inch (PE2406-SDR=11.5) natural gas main and proceed south along SR 1527 for a distance of 3155 feet and turn west for a distance of 55 feet. Total directional drill (705') and open trench (2505') required. The second phase will start construction of 6-inch (PE2406-SDR=11.5) natural gas main located 845 feet north of intersection NC 211 (N. Howe Street) and SR 1209 (W. 9" Street). The project will commence from that location and proceed south along NC 211 for a distance of 30 feet and turn east for a distance of 76 feet. Total directional drill (76') and open trench (30') required. Next start construction of 4-inch (PE2406- SDR=11.5) and proceed south along NC 211 for a distance of 890 feet. Total directional drill (800') and open trench (90') required. Finally, start construction of 2-inch (PE2406-SDR=11.0) and proceed west along SR 1209 for a distance of 4150 feet. Total directional drill (1225') and open trench (2925') required. Plus two natural gas services will be installed. The first service is 1-1/4" (PE2406- SDR=7.0) located 360 feet north of intersection of SR 1209 and NC 211 and proceed east for a distance of 81 feet. Directional drill (81') required. The second service is 1-1/4" (PE2406-SDR=7.0) located 4129 feet west of intersection of SR 1209 and NC 211 and proceed east for a distance of 55 feet. No pavement cuts for the entire project. Please see attached drawing labeled HED 201013. This proposed extension will be able to serve Dosher Hospital and Southport Elementary School with various other commercial and residential customers. This proposed extension will be installed in accordance with the provisions of the Policies and Procedures Manual for Accommodating Utilities on Highway Rights of Way and the Manual on Uniform Traffic Control Devices for Streets and Highways. PO Drawer 4489 . Wilmington, NC 28406-4489 . Phone 910.799.7185 . Fax 910.350.2263 DISTRICT 3 � _ � I � _ � � -0q2- APR RECEIVED All erosion control and sediment devices will be used on this encroachment. Please see attached forms for NPDES Certification and Verification of Compliance with Environmental Regulations. In accordance with the procedure, we will notify you when construction on this project has been completed. If you should have any questions or concerns, please feel free to contact Joyce Cantrell at 910-251-2805. Sincerely, D. u Dennis Urgento Operations Manager Piedmont Natural Gas PO Drawer 4489 . Wilmington, NC 28406-4489 . Phone 910.799.71B5 . Fax 910.350.2263 ROUTE SR 1527, NC 211, PROJECT 201013 SR 1209 STATE OF NORTH CAROLINA COUNTY OF Brunswick DEPARTMENT OF TRANSPORTATION DISTRICT $ RIGHT OF WAY ENCROACHMENT AGREEMENT -AND- PRIMARY AND SECONDARY HIGHWAYS Piedmont Natural Gas APR 01 20I v�o.io- 0(z? Po Box4489 Wilmington, NC 28406 ORIGINAL ,� (910) 251-2802 — Dennis Urgento — Ops Manager RECEIVED THIS AGREEMENT, made and entered Into this the day of JLWE 20 10 by and between the Department of Transportation, party of the first part; and Piedmont Natural Gas party of the second part, WITNESSETH THAT WHEREAS, the parry of the second part desires to encroach on the right of way of the public road designated as Route(s) SR 1527 (E. Leonard Street) , located Approximately 865 feet north of intersection SR 1527 (E Leonard Street) and SR 1526 (Jabbertown Road) with the construction and/or erection of: 8-Inch (PE2406-SDR=11.5) natural gas distribution pressure main. The project will Commence from the aforementioned location and proceed south for a distance of 843 feet and turn west for a distance of 100 feet. Total directional drill (880') and open trench (63') required. Next start construction of 6-inch (PE2406-SDR=11.5) natural Gas main and proceed south along SR 1527 for a distance of 3155 feet and turn west for a distance of 55 feet Total directional drill (705') and open trench (2505') required. The second phase will start construction of 6-inch (PE2406-SDR=11.5) natural gas main located 845 feet north of intersection NC 211 (N. Howe Street) and SR 1209 (W. 9"' Street). The project will commence from that location and proceed south along NC 211 for a distance of 30 feet and turn east for a distance of 76 feet. Total directional drill (76') and open trench (30') required. Next start construction of 4-Inch (PE2406-SDR=11.5) and proceed south along NC 211 for a distance of 890 feet. Total directional drill (800') and open trench (90') required. Finally, start construction of 2-inch (PE2406-SDR=11.0) and proceed west along SR 1209 for a distance of 4150 feet Total directional drill (1225') and open trench (2926) required. Plus two natural gas services will be Installed. The first service is 1-1/4" (PE2406-SDR=7.0) located 360 feet north of intersection of SR 1209 and NC 211 and proceed east for a distance of 81 feet Directional drill (81') required. The second service is 1-114" (PE2406-SDR=7.0) located 4129 feet west of intersection of SR 1209 and NC 211 and proceed east for a distance of 55 feet No pavement cuts for the entire project. WHEREAS, it is to the material advantage of the party of the second part to effect this encroachment, and the party of the first part in the exercise of authority conferred upon it by statute, Is willing to permit the encroachment within the limits of the right of way as indicated, subject to the conditions of this agreement; NOW, THEREFORE, IT IS AGREED that the party of the first part hereby grants to the party of the second part the right and privilege to make this encroachment as shown on attached plan sheet(s), specifications and special provisions which are made a part hereof upon the following conditions, to wit: That the installation, operation, and maintenance of the above described facility will be accomplished in accordance with the party of the first part's latest POLICIES AND PROCEDURES FOR ACCOMMODATING UTILITIES ON HIGHWAY RIGHTS -OF -WAY, and such revisions and amendments thereto as may be In effect at the date of this agreement Information as to these policies and procedures may be obtained from the Division Engineer or State Utility Agent of the party of the first part. That the said party of the second part binds and obligates himself to Install and maintain the encroaching facility In such safe and proper condition that it will not interfere with or endanger travel upon said highway, nor obstruct nor interfere with the proper maintenance thereof, to reimburse the party of the first part for the cost incurred for any repairs or maintenance to its roadways end structures. necessary due to the installation and existence of the facilities of the party of the second part, and If at any time the party of the first part shall require the removal of or changes in the location of the Bald facilities, that the said party of the second part binds himself, his successors and assigns, to promptly remove or alter the said facilities, in order to conform to the said requirement, without any cost to the party of the first part. That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs, signal lights, flagmen and other warning devices for the protection of traffic In conformance with the latest Manual on Uniform Traffic Control Devices for Streets and Highways and Amendments or Supplements thereto. Information as to the above rules and regulations may be obtained from the Division Engineer of the party of the first part. That the party of the second part hereby agrees to Indemnify and save harmless the party of the first part from all damages and claims for damage that may arise by reason of the Installation and maintenance of this encroachment. That the party of the second part agrees to restore all areas disturbed during installation and maintenance to the satisfaction of the Division Engineer of the party of the first part The party of the second part agrees to exercise every reasonable precaution during construction and maintenance to prevent eroding of soil; sliting or pollution or rivers, streams, lakes, reservoirs, other water Impoundments, ground surfaces or other property; or pollution of the air. There shall be compliance with applicable rules and regulations, of the North Carolina Division of Environmental Management, North Carolina Sedimentation Control Commission, and with ordinances and regulations of various counties, municipalities and other official agencies relating to pollution prevention and control. When any I& , Rio.... th' ,right to stop all work until the facility has been brought into compliance or removed from the right of way at no cost to the party of the first part. That it is agreed by both parties that this agreement shall become void If actual construction of the work contemplated herein is not begun within one (1) year from the date of authorization by the party of the first pad unless written waiver is secured by the party of the second part from the party of the first part. During the performance of this contract, the second party, for itself, Its assignees and successors in interest (hereinafter referred to as the *contractor"), agrees as follows: a. Compliance with Regulations: The contractor shall comply with the Regulations relative to nondiscrimination in Federally - assisted programs of the U. S. Department of Transportation, Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter referred to as the Regulations), which are herein Incorporated by reference and made a part of this contract. b. Nondiscrimination: The contractor, with regard to the work performed by It during the contract, shall not discriminate on the grounds of race, color, or national origin In the selection and retention of subcontractors, Including procurements of materials and leases of equipment. The contractor shall not participate either directly or Indirectly In the discrimination prohibited by Section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix 8 of the Regulations. c. Solicitations for Subcontracts, including Procurements of Materials and Equipment: In all solicitations either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, Including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractors obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin. d. Information and Reports: The contractor shall provide all Information and reports required by the Regulations, or directives Issued pursuant thereto, and shall permit access to Its books, records, accounts, other sources of Information, and its facilities as may be determined by the Department of Transportation or the Federal Highway Administration to be pertinent to ascertain compliance with such Regulations or directives. Where any information required of a contractor is In the exclusive possession of another who falls or refuses to furnish this information, the contractor shall so certify to the Department of Transportation, or the Federal Highway Administration as appropriate, and shall set forth what efforts It has made to obtain the information. e. Sanctions for Noncompliance: In the event of the contractors noncompliance with the nondiscrimination provisions of this contract, the Department of Transportation shall impose such contract sanctions as It or the Federal Highway Administration may determine to be appropriate, including, but not limited to, (1) withholding of payments to the contractor under the contract until the contractor complies, and/or (2) cancellation, termination or suspension of the contract, in whole or in part. f. Incorporation of Provisions: The contractor shall include the provisions of paragraphs 'a' through'P in every subcontract, Including procurements of materials and leases of equipment, unless exempt by the Regulations, or directives Issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the Department of Transportation or the Federal Highway Administration may direct as a means of enforcing such provisions Including sanctions for noncompliance: Provided, however, that, In the event a contractor becomes Involved In, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contractor may request the Department of Transportation to enter Into such litigation to protect the Interests of the State, and, in addition, the contractor may request the United States to enter Into such litigation to protect the Interests of the United States. RM (161) : Party of the Second Part certifies that this agreement is true and accurate copy of the form R!W (161) incorporating all revisions to date. IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to be executed the day and year first above written. DISTRICT $ DEPARTMENT OF TRA SPORTATION APR D 112clo BY: . k ATTEST OR WITNESS: RECEIVED DIVISION ENGINEER Joyce Cantrell, Drafter (910) 251-2805 Dennis Urgento, Ops Manager (910) 251-2802 Piedmont Natural Gas Piedmont Natural Gas PO Box 4489 Wilmington, NC 28406 PO Box 4489 Wilmington, NC 28406 Second Party INSTRUCTIONS When the applicant Is a corporation or a municipality, this agreement must have the corporate seal and be aftested by the corporation secretary or by the empowered city official, unless a waiver of corporate seal and attestation by the secretary or by the empowered City official is on file In the Raleigh office of the Manager of Right of Way. In the space provided In this agreement for execution, the name of the corporation or municipality shall be typed above the name, and title of all persons signing the agreement should be typed directly below their signature. When the applicant is not a corporation, then his signature must be witnessed by one person. The address should be included in this agreement and the names of all persons signing the agreement should be typed directly below their signature. This agreement must be accompanied, in the forth of an attachment. by plans or drawings showing the rolinviinn nnnu�hre rnf-finn- ENERAL REQUIREMENTS 1. Any attachment to a bridge or other drainage structure must be approved by the Head of Structure Design in Raleigh prior to submission of encroachment agreement to the Division Engineer. 2. All crossings should be as near as possible normal to the centerline of the highway. 3. Minimum vertical clearances of overhead wires and cables above all roadways must conform to clearances set out in the National Electric Safety Code. 4. Encasements shall extend from ditch line to ditch line In cut sections and S beyond toe of slopes In fill sections. 5. All vents should be extended to the right of way line or as otherwise required by the Department. 5. All pipe encasements as to material and strength shall meet the standards and specifications of the Department. 7. Any special provisions or specifications as to the performance of the work or the method of construction that may be required by the Department must be shown an a separate sheet attached to encroachment agreement provided that such Information cannot be shown on plans or drawings. a. The Department's Division Engineer should be given notice by the applicant prior to actual starting of Installation Included in this agreement. DISTRICT 3 APR 01 2010 RECEIVED E-010-2010-042 06/07/2010 ENCROACHMENT AGREEMENT SPECIAL PROVISIONS NCDOT WORK ZONE TRAFFIC CONTROL QUALIFICATIONS AND TRAINING PROGRAM The North Carolina Department of Transportation is in the process of developing a Work Zone Traffic Control Qualification and Training Program that will begin its implementation In 2010. This program will require qualified and trained Work Zone Flaggers in every flagging operation (July 2010), qualified and trained Work Zone Traffic Control Installers on every traffic control installation (January 2011) and qualified and trained Work Zone Traffic Control Supervisors on Significant Projects (July 2011). It is intended for the program to include anyone working within NCDOT Rights of Way including work associated with NCDOT construction and encroachment agreements as well as all NCDOT operations. Training for these certifications will be provided by NCDOT approved training sources and/or private entities that have been pre -approved to train themselves_ Additional information will be provided as this program progresses. Further information can be found on the NCDOT web site at www.ncdotoral wztc: SP 1 Notify the DOT Highway Maintenance Engineer prior to beginning work and/ or bacldlling pipe culvert for inspection of work and when work is satisfactorily completed. (910-754-6527) SP 2 A Pre -Construction conference is required prior to performing any work under this agreement Please contact The County Maintenance Office at (910-754-6527) to schedule the conference. SP 2-A This encroachment shall. havea.video taken of the, entireproject site showing all: drainage,. ditches, driveway pipes,. cross. pipes, NCDOT planting beds, control of access fencing, shoulders and condition of roadway to be given by the contractor or owner to the NCDOT inspector at the preconstruction conference. No work shall be aliowed.for this agreement until this provision has been fiilly complied with and a letter of receipt has been given by the NCDOT inspector. SP 3 An executed copy of this encroachment agreement shall be present at the construction site at all times during construction. NCDOT reserves the right to stop all work unless evidence of approval can be shown. If safety or traffic conditions warrant such action, NCDOT reserves the rights to further limit, restrict, or suspend operations within the right of way. SP 4 Materials and workmanship shall conform to the N. C. Department of Transportation's Standards and Specifications. SP 5 The encroaching party is required�to contact the appropriate Utility Companies involved and make satisfactory arrangementsto adjust the utilitiesin conflict with the proposed work prior to beginning construction. SP 5-A Any alteration or deviation concerning the location of this utility as proposed by the attached approved plans, shall not be allowed until written approval in the form of an approved revision, has been applied for, approved and is made a part of this agreement package and on site. Failure to comply with this special provision shall result in an immediate work stoppage and removal of the installed utility or appurtenances. E-010-2010-042 06/07/2010 SP 6 Proper temporary and pei nanentmean= shall be used to control erosion and sedimentabon in accordance with local, State and Federal regulations. If any area in excess of one (1) acre will be disturbed, the Encroachee shall submit to the District Engineer's Office a Sediment and Erosion Control Plan which has been approved by the appropriate regulatory agency or authority prior to beginning any work on the Right of Way. Failure to provide this information shall be grounds for suspension of operations. SP 6-A Work may not proceed on this project until all permits from The U.S. Army Corps of Engineers, Department of Water Quality (DWQ) and North Carolina Department of Environment and Natural Resources (NCDENR) have been approved, received and distributed by the NCDOT. SP 7 Please notify DOT Traffic Engineer one- (I) week prior to any excavation -within.- 1/1 mile -of a traffic interceptor. The telephone number is 910-341-0300. SP 8 Proper traffic control devices, signs, etc. shall be installed to insure public safety in accordance with the latest edition of the Manual on Uniform Traffic Control Devices and any supplements. The party of the second part shall provide traffic control devices, lane closures, road closures, positive protection and/or any other warning positive protection devices necessary for the safety of motorists and workers during construction and subsequent maintenance. This shall be performed in conformance with the latest NCDOT Roadway Standard Drawings and Standard Specifications for Road and Structures and Amendments or Supplements thereto. When there is no guidance provided in the Roadway Standard Drawings or Specifications, comply with the Manual on Uniform Traffic Control Devices for Streets and Highways and Amendment or Supplement thereto. Information as to the above rules and regulations may obtained from the Division Engineer of the party of the first part_ The needs and control of all road users (motorists, bicyclists, andpedestrians within the highway, including persons with disabilities in accordance with the Americans with Disabilities Act of 1990 (ADA), Title 11, Paragraph 35.130) through a TTC zone shall be an essential part of highway construction, utility work, maintenance operations, and the management of traffic incidents. SP 9 Since work will be performed within the City Limits (City of Southport), it will be your responsibility to notify the local Municipality prior to beginning wodc SP 10 The Continuing. Indemnity Bond posted with the North Carolina. Department of Transportation is hereby obligated to cover work under this encroachment agreement. Tile applicant shall notify 77re Department of Transportation at the above noted telephone number upon completion o! the work for a final inspection to be performed by NCDOT personnel. SP 14 Approval of this Encroachment does not include any portion of the work outside The North Carolina Department of Transportation's Rights of Way. E-010-2010-042. 06/07/2010 SP 15 Revisions shown in RED on attached plan(s). SP 16 No lane closures shall be allowed between the hours of 6:00 am to 9:00 am and 4:00 pm to 7:00 pm. (Peak hours restricted). Further restrictions may apply due to traffic conditions. SP 18 For work to be completed on NC 211: No lane closures shall take place prior to 7:00 pm and traffic shall .be resumed before 6:00 am from Memorial Day to Labor .Day, due to seasonal traffic.(Night work only). During off season times, no lane closures ;shall take place between the hours of 6:00 am to 9:00 am and 4:00 pm to 7:00 pm. (Pcak hours resstri�ictcd). SP 19 No lane closures or impediment to 1raffic shall be allowed on state holidays and local events. SP 19-A No lane closures or impediment to traffic shall be allowed on weekends without prior written approval from the District Engineer. SP 20 Any work requiring equipment or personnel within five (5) feet iten (10') on divided roadways] from the edge of pavement shall require a lane closure with appropriate tapers. SP 21 Open cut of pavement will not be allowed. SP 28 Only one. lane closure in each direction. SP 29 All excavations inside the theoretical 1:1 slope from the existing edge of pavement to the bottom of the nearest trench wall shall be made in apcordance with the following conditions: A. All trench excavation inside the limits of the theoretical 1:1 slope as defined by the policy, shall be completely backfilled and compacted at the end of each construction day. No portion of the trench shall be left open overnight. B. The length of parallel excavation shall be limited to the length necessary to install and backfill one (1) joint of pipe at a time. C. Traffic shall be moved to a travel lane outside the limits of a theoretical 1:1 slope from the bottom of the nearest trench wall to the pavement surface. D_ Installation of trench shoring shall be accomplished with minimal over -excavation. Trench boxes shall not be used as shoring. E. An NCDOT Inspector, the cost of which to be horse by the party of the second part, shall be assigned to this project if deemed necessary by the Division Engineer. E010-2010-042 06/07/2010 F. The trench backfill material shall meet the Statewide Borrow Criteria. The trench shall be backfilled, in accordance with Section 300-7 of the July 2006 Statewide Standard Specifications for Roads and Structures, which basically requires the backfill material to be placed in'layers not to exceed sir (6) inches loose and compacted to at least 95% of the densityobtained by compacting a sample in accordance with AASHTO T99, as modified by DOT. G. At the first sign of trench failure, a trench shall be immediately backfilled with materials consisting of A J, A-3, A,2-1 soils or A-4 soils having a maximum of 45% passing a No. 200 sieve and a maximum P.I. of 6. All work shall cease, -the Division Engineer shall be contacted The Party of the Second Part shall be required to repair any damagetothe pavement caused by the excavation. SP 29-A Any excavation encroaching upon the theoretical 1:1 slope from the edge of pavement of any NCDOT maintained road shall require temporary active shoring. No work shall be performed prior to a temporary active shoring submittal, which includes design, calculations, and a geotechnical report, being reviewed and approved by NCDOT. It should be noted the review time for this submittal will be a minimum of two months. SP 32 No pit of any part shall be within three (3) feet of edge of pavement or back of curb. SP 36 All equipment and materials shall be removed from the right of way when not in use. SP 37 This encroachment is approved with the understanding that the North Carolina Department of Transportation does not guarantee the right of way on this road, nor will it be responsible for any claim for damages brought by any property owner by reason of the installation. SP 40 Meter boxes, manholes and other appurtenances shall be located outside the Rights of Way or Control of Access right of way line. SP 41 All curb and gutter disturbed or damaged sball.be removed to the next joint and replaced SP 42 Private driveways disturbed as a result of this encroachment shall be restored to the satisfaction of the District Engineer_ SP 43 Ingress and egress shall be maintained to all businesses and dwellings affected by the project. Special attention shall be paid to police and fire stations, fire hydrants, and hospitals. SP 44 The :utility.shall be located.aminimum of five 0) feet from the nearest part of bridges and culverts, including the toe of wingwalls and scour apron and a minimum of two (2) feet below stroambed SP-46 If existing guardrail is disturbed, it shall be reset back to NCDOT Standards and as directed by the District Fri ncer. SP 47 Any drainage structure disturbed or damaged shall be restored to its original condition as directed by the Distrid, Engineer. E-010-2010-042 06/07/2010 SP 49 In bore areas, pavement settlement and pavement buckling, shall be repaired as directed by the District Engineer. This may include removal of pavement, patching a fifty feet (50') mechanical overlay, pavement markings etc. as directed by the District Engineer. SP 50 Directional dulling methods have not been given statewide approval for use on NCDOT right of way. Under no condition shall jetting alone or wet boring with water of utility pipelines be allowed_ Directional boring using jetting with a Bentonite (or equivalent material) slurry is approved at aminimum depth often (10')feet below thepavement surface [fifteen (IY) feet below the surface of partial and/or full control of access roads] and five (5') feet below any ditch line and/or creek bed. Any parallel installation utilizing the directional boring method shall be made at a minimum depth of four (4') feet (cover) below the ground surface and outside the theoretical 1:1 slope from the existing edge of pavement except where the. parallel installation crosses a paved roadway. All directional bores shall maintain ten (10') feet minimum (clear) horizontal distance from the nearest part of any structure, including but not limited to bridges, footings, pipe culverts or box culverts. All directional bores shall maintain ten (10') feet minimum (clear) vertical distance from the nearest part of pipe culverts or box culverts. Directional bores are not allowed beneath bridge footings, culvert wingwall footings or retaining walls. The tip of the drill string shall have a cutter head. Detection wire shall be installed with non-ferrous material. Any changes shall be subadded.to the District Engineer for approval prior. to construction. For multiple. conduit installations .(including perpendicular and parallel installations), install conduits with five (5') feet minimum horizontal separation between each couduitor install multiple conduits within a single duct. All directional bores shall maintain a minimum distance of five (5') feet from the nearest part of pipe culverts and box culverts and ten (lo') feet minimum horizontal clearance, including but not limited. to br dgq, and footings, All directional drilled piping for sewer force mains and waterlines shall be a minimum of SDR-9. An overbore shall not be more than two (2") inches greater than the diameter of the pipe or encasement An overbore exceeding two (2") inches greater than the diameter of the pipe or encasement will be considered if the encroachment agreement includes a statement signed and sealed by a North Carolina Registered Professional Engineer indicating that an overbore in excess of two (2") inches of the diameter of the vine or encasement win arch and no damage will be done to the pavement or sub -grade. HDPE Dive installed by directional boring shall not be connected to existing Dine or fittings for one (1) week from the time of installation to allow tensional stresses to relax. SP 53-A Should any plant in the NCDOT phnrted sites be destroyed or damaged as a result of this encroachment they shall be replaced with like kind plants of similar shape. Contact Mr. John Farrow, Division Roadside Environmental Unit, 910-259-4919. SP 55 The encroaching party shall comply with all applicable state and federal environmental regulations, and shall obtain all necessary state and federal environmental permits, including but not limited to, those related -to sediment control; stormwater, wetland, streams, endangered species, and historical sites. SP 56 Trenching, boring pits, and/or other excavations shall not be left open or unsafe overnight The contractor shall comply with all North Carolina Department of Transportation's and OSHA requirements and provide a competent person on site to supervise excavations at all times. Any part of excavations within the theoretical PI slope of the roadway shall have active sharing in place and the approved plans at the construction site E-010-2010-042 06/07/2010 SP 57 Any pavement damaged due to installation of this utility or damaged by equipment used to install this utility, shall be resurfaced to the satisfaction of District Engineer. SP 58 Right of way monuments disturbed during construction shall be referenced by a registered Land Surveyor and reset after construction. SP 59 All Roadway signs removed due to construction shall be reinstalled at the end of each day. SP 60 Excavation material shall not be placed on the pavement. Drainage structures shall not be blocked with excavation material. Any damage to the existing roadway including but not limited to the traffic markings and reflectors, shall be replaced to the satisfaction of the District Engineer. SP 61 The proposed coost action shall in no way impede or alter the drainage of the existing roadway. Reshape the shoulders and slopes to allow positive drainage. SP 62 Strict compliance with the Policies and Procedures for Accommodating Utilities on HiQbwav Rights of Way Manual shall be required. SP 63 Contact the City of Southport for copies of any and all environmental permits that have been obtained for this permit. SP 65 No construction shall be pennitted when shoulders are wet SP 66 Shoulders, ditch slopes, and ditches disturbed as a result of this encroachment, shall be seeded, mulched and restored to the satisfaction of the County Maintenance Engineer. SP 67 The issuance of this encroachment does not preclude the encroacber from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which have jurisdiction. SP 68 At no time will construction of any kind be performed within the rights of way on.a state holiday without prior approval. SP 69 No access, parking, or material storage shall be allowed along or inside the rights of way line. SP 74 E-010-2010-042 06/07/2010 All areas disturbed by this encroachment work shall be seeded per the below noted seed detail. SEED DETAIL After the installation of the utility is complete, the. area disturbed in a non-residential are shall be seeded as follows: 50 lbs./acre Tall Fescue 5lbs./acre Cenfipede- 501bsJacre PENSACOLA Bahiagrass 500lbsJacre Fertilizer 40001bs./acre Limestone All residential areas must be hand finished as directed by the Engineer to give a "lawn type appearance" and the following seed mix should be applied: 50 lbsJacre Tall Fescue Type I 50 lbs./acre Tall Fescue Type H 5lbs./acre Centipede 500lbs./acre Fertilizer 4000lbs./acre Limestone Type I and Type II Tall Fescue shall be separate varieties chosen from the list below: Adventure Adventure H Amigo Anthem Apache Apache 11 Arid Brookstone Bonanza Chesapeake Chieftain Coronado Crossfire 11 Debutante Duster Falcon Falcon U Fmelawn Petite Finelawn Fmelawn 1 Genesis Grande Guardian Hounddog Jaguar Jaguar III Kentucky 3I Kitty Hawk Monarch Montauk Mustang Olympic Pacer Pnrie Pyramid Rebel Rebel Jr. Rebel H Renegade Safari Shenandoah Titan Tomahawk Trailblazer Tribute Wrangler For all mixtures: May 1- August 31- add 10 lbs./acre Kobe or Korean Lespodeza September 1-April 30-add 10lbs./acre Rye Grain Crimping StrawMulch Crimping shall be required with -this agreement. adjacent to any section of roadway where traffic is to be maintained or allowed during construction. In arias within six (6') feet of the edge of pavement, straw is to be applied then crimped. After the crimping operation is complete, an additional application of straw shall be applied and immediately tacked with a sufficientamount of undiluted emulsified asphalt - Straw mulch shall be of sufficient length and quality to withstand the crimping operation. - Crimping equipment including power source shall be subject to the approval of the Engineer providing that maximum spacing of crimper blades shall not exceed 8". SP'TS Environmentally Sensitive_ Areas:_ E-010-2010=042 06/07/20I0 This project is located in an "Environmentally Sensitive Area". This designation requires special procedures to be used for clearing and grubbing, temporary stream crossings, and grading operations within the area identified on the plans. This also requires special procedures to be used for seeding and mulching and staged seeding within the project Clearing and mbbincr In areas identified on the erosion control plans as "Environmentally Sensitive Areas", clearing operations can be performed, but not grubbing operations until immediately prior to beginning grading operations as described in Section 200, Article 200-1, in the Standard Specifications. The "Environmentally Sensitive Area" shall be defined as a 50-foot buffer zone on both sides of the stream (or depression) measured from top of streambank (or center of depression.) Only clearing operations (not grubbing) shall be allowed in this buffer zone until immediately prior to beginning grading operations. Erosion control devices shall be installed immediately following the clearing operation. Grading: Once grading operations begin in identified "Environmentally Sensitive Areas", work will progress in a continuous manner until complete. All construction within these area must progress in a continuous manner such that each phase is complete and areas permanently stabilized prior to beginning of nextphase. Failure to complete any phase of construction in a continuous manner in "Environmentally Sensitive Areas" as specified will be just cause for the Engineer to direct the suspension of work, in accordance .with Section 108=7 of the Standard Specifications. Temporary Stream Crossings: Any:crossing of streams within the limits of this project must be accomplished in accordance with Section 107-13 (b) of -the Standard Specifications. Seeding and mulching: Seeding and mulching shall -be performed in accordance with Section 1660 ofthe Standard S.pedifications and -vegetative cover sufficient to restrain erosion shall be installed immediately following grade establishment Seeding and mulching shall be performed on the areas disturbed by construction immediately following final grade establishment. No appreciable time shall lapse into the contract time without stabilization of slopes, ditches and other areas within the "Environmentally Sensitive Areas" as indicated on the E.C. Plans, Stage Seeding: The work covered by this section shall consist of the establishment of a vegetative cover on cut and fill slopes as grading progresses. Seeding and mulching shall be done in stages on cut and fill slopes that are greater than 20 feet in height or greater than 2 acres in area. Each stage shall not exceed the limits stated above. _ptC-D-IU-L)4 DISTRICT 3 VERIFICATION OF COMPLIANCE WITH APR 0111010 ENVIRONMENTAL REGULATIONS RECEIVED (Check Appropriate Box) ElPermits from the N.C. Department of Environment and Natural Resources and the U.S. Army Corp of Engineers are not required for this project. However, all applicable federal and state regulations have been followed. ✓❑ The required permits from the N.C. Department of Environment and Natural Resources CAM.4 ptRM IT - and the U.S. Army Corp of Engineers have been obtained for this project. Copies of w PRoccss permits and Completion Certificates are attached. aAll applicable NPDES Stormwater Permit requirements have been met for this project. (The applicant should contact the N.C. Division of Water Quality in Raleigh to determine if a stormwater permit is required.) aThe project is in compliance with all applicable sedimentation and erosion control laws and regulations. Project Name: Township: Project Engineer: Project Contact: Southport - Hospital & School Southport Joyce Cantrell Dennis Urgento Applicant's Name: Piedmont Natural Gas Date Submitted: 3-31-10 Form VCER-1 June 1, 2006 County: Brunswick Phone No.: 910-251-2805 P.E. SEAL pl0-I�-c�+L 1STRlCT 3 APR 0 12010 National Pollutant Elimination System (NPDES) RECEIVED Stormwater Permit Compliance Certification Joyce Cantrell Piedmont Natural Gas a duly authorized representative of an industrial/commercial/residential facility requesting attachment to a North Carolina Department of Transportation highway drainage system at Southport In Brunswick County, do hereby certify the following: Check appropriate box and circle type of facility The Industrial / Commercial / Residential facility does not require an NPDES stormwater permit. The Industrial / Commercial / Residential facility does require an NPDES stormwater permit. The permit has been obtained and a Stormwater Pollution Prevention Plan (SPPP) is in place. Appropriate structural stormwater best management practices (BMP) are designed and installed as required by the Department of Environment and Natural Resources (DENR) and/or the local governing agency. All structural stormwater BNIP's are located outside of NCDOT right —of-way. I understand if the Department of Transportation determines the facility is not in compliance with NPDES stormwater requirements, the Department will report the noncompliance to the DENR Division of Water Quality. I also understand that falsification of this certification may result in penalty of law against the facility and me as prescribed in the North Carolina General Statutes. Signature: ��44t &/ Date: 3-31-10 Note: If the applicant has a question as to whether an NPDES stormwater permit is required, he or she may contact the N.C. Division of Water Quality in Raleigh at (919) 733-5083 (ask for Stormwater and General Permits Unit). Form NPDES-1 May 22, 2006 oo.,o. rya DISTRICT 3 T'.7. APR 01 2010 ICDEM RECEiVEP North Carolina Department of Environment and Natural Resources Division of Land Resources Land Quality Section James D. Simons, PG, PE Beverly Eaves Perdue, Governor Director and State Geologist Dee Freeman, Secretary March 1, 2010 LETTER OF APPROVAL WITH MODIFICATIONS AND PERFORMANCE RESERVATIONS Piedmont Natural Gas Company ATTN: Herb Jeans, Director — Engineering, Construction & System Design P.O. Box 33068 Charlotte, NC 28233-3068 RE: Project Name: Piedmont Natural Gas / Southport Project Project ID: BRUNS-2010-026 - Acres Approved: 2.40 County: Brunswick, Various Streets, Southport River Basin: Cape Fear Stream Classification: Other Submitted By: John L Eddy, P.E., Eddy Engineering, P.C. Date Received by LQS: February8, 2010 Plan Type: New Dear Mr. Jeans: This office has reviewed the subject erosion and sedimentation control plan and hereby issues this Letter of Approval with Modifications and Performance Reservations. A list of the modifications and reservations is attached. This plan approval shall expire three (3) years following the date of approval, if no land -disturbing activity has been undertaken, as is required by Title 15A NCAC 4B .0129. Should the plan not perform adequately, a revised planwill be required (G.S. 113A-54.1)(b). Please be advised that Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be on file at the job site..Also, you should consider this, letter.to• give the Notice-::.:. : • . required by G.S. 113A-61.1(a) of our right of periodic inspection to:insure. compliance with the approved plan. North Carolina's Sedimentation Pollution Control Program.is perforiimance-oriented, requiring protection of existing'natural resources and adjoining properties. Ifi following the commencement of this project, it is defermined that the erosion and sedimentation control plan is inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A=51 thru 66), this office may require revisions to the plan and implementation of the revisions to insure compliance with the Act. Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone:(910) 796-7215 / Fax (910) 350-2004 _ L /DISTRICT 3 Letter of Approval with Modifications and Performance Reservations APR 01 2010 Project: Piedmont Natural Gas / Southport Project_ March 1, 2010 RECEIVED Page 2 of 3 Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may also apply to this land -disturbing activity. This approval does not supersede any other permit or approval. Please be aware that your project will be covered by the enclosed NPDES General Storrnwater Permit NCGO10000 (Construction Activities). You should first become familiar with all of the requirements for compliance with the enclosed general permit. Please note that this approval is based in part on the accuracy of the information provided in the Financial Responsibility Form, which you have provided. You are requested to file an amended form if there is any change in the information included on the form. In addition, it would be helpful if you notify this office of the proposed starting date for this project. Please notify us if you plan to have a preconstruction conference. Your cooperation is appreciated. Sincerely, ` Daniel Sams, PE Regional Engineer Land Quality Section Enclosures: Certificate of Approval Modifications and Performance Reservations NPDES Permit cc: John L Eddy, P.E., Eddy Engineering, P.C. & /C - /o -c1q 2- Letter of Approval with Modifications and Performance Reservations Project: Piedmont Natural Gas / Southport Project DISTRICT 3 March 1, 2010 `APR 01 2010 Pace 3 of 3 MODIFICATIONS AND PERFORMANCE RESERVATIONS RECEIVED Project Name: Piedmont Natural Gas / Southport Project Project ID: BRUNS-2010-026 County: Brunswick 1. This plan approval shall on December 31, 2013, if no land disturbing activity has been undertaken, as is required by Title 15A NCAC 4B.0029. 2. The developer is responsible for the control of sediment on -site. If the approved erosion and sedimentation control measures prove insufficient, the developer must take those additional steps necessary to stop sediment from leaving this site. Each sediment storage device must be inspected after each storm event. Maintenance and/or clean out is necessary anytime the device is at 50% capacity. 3. Any and all existing ditches on this project site are assumed to be left undisturbed by the proposed development unless otherwise noted. The removal of vegetation within any existing ditch or channel is prohibited unless the ditch or channel is to be regarded with side slopes of 2 horizontal to 1 vertical or less steep. Bank slopes may be mowed, but stripping of vegetation is considered new earth work and is subject to the same erosion control requirements as new ditches. 4. The developer is responsible for obtaining any and all permits and approvals necessary for the development of this project prior to the commencement of this land disturbing activity. This could include agencies such as the Division of Water Quality's stormwater regulations, their enforcement requirements within Section 401 of the Clean Water Act, the U.S. Army Corps of Engineers' jurisdiction of Section 404 of the Clean Water Act, the Division of Coastal Management's CAMA requirements, the Division of Solid Waste Management's landfill regulations, the Environmental Protection Agency and/or The U.S. Army Corps of Engineers jurisdiction of the Clean Water Act, local County or Municipalities' ordinances, or others that may be required. This approval cannot supersede any other permit or approval; however, in the case of a Cease and Desist Order from the Corps of Engineers, that Order would only apply to wetland areas. All highland would still have to be in compliance with the N.C. Sedimentation Pollution Control Act. 5. If any area on site falls within the jurisdiction of Section 401 or 404 of the Clean Water Act, the developer is responsible for compliance with the requirements of the Division of Water Quality, the Corps of Engineers and the Environmental Protection Agency (EPA) respectively. Any erosion control measures that fall within jurisdictional wetland areas must be approved by the aforementioned agencies prior to installation. The Land Quality Section must be notified of a relocation of the measures in question to the transition point between the wetlands and the uplands to assure that the migration of sediment will not occur. • If that relocation presents a problem or contradicts any requirements of either DWQ, the Corps, or the EPA, it is the responsibility of the developer to inform the Land Quality Section regional office so that an adequate contingency plan can be made to assure sufficient erosion control remains on site. Failure to do so will be ... considered a violation of this approval.. . . . . 6. Any borrow material brought onto this site must be from a legally operated mine or other.approved souice::, .::; >;: .• Any soil waste that' leaves this site can be transported to a periritted mine or separately' pennitte&t- construction sites without addpermits. additional peits. Disposal at any other location would have•to be included-as•us::•. permit revision for this approval: 7. This permit allows for land disturbance, as called for on the application plan, not to exceed 2.4 acres. Exceeding that acreage will be a violation of this permit and would require a revised plan and additional application fee. As proposed the land disturbance width of the utility line should not exceed fifteen (15) feet 8. The North Carolina Sedimentation Pollution Control Act mandates a shortened time frame in which to re- establish vegetative groundcover. Slopes (including cuts, fills, and ditch banks) left exposed will, within 21 calendar days after completion of any phase of grading, be planted or otherwise provided with groundcover sufficient to permanently restrain erosion. CERTIFICATE OF PLAN APPROVAL The posting of this certificate certifies that an erosion and sedimentation control plan has been approved for this project by the North Carolina Department of Environment and Natural Resources in accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and North Carolina Administrative Code, Title 15A, Chapter 4B.0107 (c). This certificate must be posted at the primary entrance of the job site before construction begins and until establishment of permanent groundcover as required by North Carolina Administrative Code, Title 15A, Chapter 4B.0127 (b). - PIEEV'irlorlT f4,TUQVA8L GAs /SoJT�o� ?iWECT Project Name and 1, Zolo Date of Plan Approval��' NCDENR tion ` O DISTRICT 3 r �pR p 1 2010 Regional Engineer RECEIVED `F 'Nr NCDENR North Carolina Department of Environment and Natural ,Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Govemor Director Secretary DISTRICT 3 March 18, 2010 Ai'ft U 1201p Mr. Herb Jeans, Director RECEIVE[ Engineering, Construction & System Design P.O. Box 3306E Charlotte, NC 2B233-3D58 Subject: EXEMPTION from Stormwater Management Permit Regulations Southport Project Natural Gas Distribution System -Utility project Stormwater Project No. SWB 100218 Brunswick County Dear Mr. Jeans: The Wilmington Regional Office received a copy of your Soil and Erosion Control Plan for the subject utirty project Staff of the Wilmington Regional Office has reviewed your application for the applicability of the Stormwater Management rules to this project. Based on our review, you do not appear to be proposing development activities on this site at this point in time that would be subject to the stelmwater requirements as provided for in 15A NCAC 21-1.1000, However, be advised that other regulations will potentially apply to your proposed activities. In accordance with 15A NCAC 28.0231 and Division po'icy, new or continued ditching activities after March 1, 1999, may be a violation of state wetland standards, Violation of these s`andards may result in the assessment of civil penalties and other requirements to bring the project into compliance without additional wetlands impacts. In addition to the wetland standards, if your project disturbs one acre or more and has a point source discharge of stormwater runoff, then it is also subject to the National Pollutant Discharge Elimination System (NPDES) stormwater discharge requirements. You are required to have an NPDES permit for s`.ormwater discharge from projects meeting these criteria. If at any time in the future, development of any part of this site is planned, as defined in NCAC 2H.1000. or you do not develop the project in the manner Indicated in the application, you must apply for and receive a Stormwater Management Permit prior to construction. If you have any quesfcns conceming this matter, please do not hesitate to call me at (910) 796-7215. Sinc rely, o `5�--q eorgette Scott Stormwater Supervisor Division of Water Quality GSlad: S:IWQSISTORMWATIi EMPT120101100218.mar10 cc: John L. Eddy, P.E.; Eddy Engineering, P.C. .................................. Brunswick County Building Inspections VO4mington Regional Office Central Files VAHmlrxjinn Regional DlTku 127 Cambial Drive Eztenslon. WUmington, North Carurra 28405 Phono: 910-796-7M1 FAK- 910,15:.-20041 Co;InmerServim: 1$77Z73-6748 �,7ne Inlemat www.nmaJenquallly.org NaoorthCar-ohim An Equal oppa tangy I Arfim,alive Ac 6ca EmpkW �/ Vlll` ,rally DISTRICT 3 z North Carolina Department of Environmlnd Natural Resources abOVED NPDES Stormwater Discharge Permit for Cons'truction Acilvities Cover Sheet for NCGO I OODO Last Reybed 0 1 012010 O 7 Did you know? In North Carolina,'. excess stormwater volumes and blan- kets of sediment covering aquatic habitat cause more streams in the state to lose their ability to support aquatic life than any other pollution problem. What is it? This is your Stor.cawater Pe7,4t;--It is separate from your Erosion and Sedi- mentation Control (E&SC) Plan. Your project is bdbjeOt to this permit in addition to the approved R&SC Plan..*, because all construction activities dism turbibg I or m6te'acra of 14nd are sub- jggLk gtormwater Der6ittinir reauire- "I I -nts undir'the National Pollutant Dis- charge Elimination Systeni (NPDES). You have been given 6copy of General Permit No. NCG010009 (attached) and granted coverage under this General Stormwater Permit. Why is this permitr6quieedi and why Is it Important?, Federal regulations adopted by.the U.S. :'Environmental Protection Agency,(EPA) and North Carolina Divisi.cn of Water Quality (DWQ) requiri.an N PIJFS permit for your project. The EPA has, delegated DWQ authcrrity..to administer the NPDES program in North Carolina, You must comply withithe applicable terms and'canditions of this Stormwater Permit, and you are subject to enforce- ment by the Division of Water Quality for any violations. In just one rain event; po''o"r erosion &-sedi-': meat control practices ' can, contribute. nearly a ton of - sediment per 5.dkrm 4UW —4 down acre to a stream'. That can.cause long-term devastatioh to receiving . ivin . g . waters! 6iersi J So remember, complian'c a with tiii per- mit helps protect our lakesist.kea me,. riv-.. era, and coastal waters. 'From FafturantExport frm Voriaw Lard Uses in the UpperNcaseMvviBWia (Line, Dmidel E,'efaL) and DWQ staff emmmunicaflon with authors ab6t the study. ; . . .. . . . What does,this permit require me to do? You should read and become familiar 9 You must inspect all eroaionand . any affected stream. ' with the provisions andconditi6xis of sedimentation control measures at If sediment is being deposited in a this permit. Here are highlights: least once a week and within 24 stream or wetland, you must can - hours after any storm event tact DWQ within 24 hours. See greater than a�half:incb:(duiing "Reporting" on the following p'age.- R Z4,11r period). If any device fail -munt.kbeprecordBoftheP& You... Yoijmust implement the Erosion. and sure in seen, immediate corrective inspections. Sedimentation Control Plan approved action must be. taken. -foeyciur project by the N.C. Division of You must inspect all outlets ' where to Lind Resources (DLR) or by an ap- storm*ater runoff is leaving YUW prayed local program. Adherence to.. site and evaluate the effect on that E&SC Plan is an enforceable nearby streams or wetlands. Car-. . You must provide the operation and. component of the Stormwater Permit. rective action must he taken (and maintenance, (OM necessary to, recorded) if sediment is beingde— maintain optimal performance of. posited off site or in a stream or stormwater controls.. This means. P You must keep a rein gauge on watfund, or in causing-a'visible in- crease in turbidity (cloudiness) of take corrective action if E&SC facilities are not operating properly! site. PAGE WOES STORMWATER DISCHARGE PERMIT COVER SHEET FOR NCG010000 What does this permit require me to do? (cont.) ✓ Regularly cleaning out sedi- mentation basins - £ ; ✓ Stabilizing eroded banks or spillway structures ✓ Repairing/clearing out inlets and outlate ✓ Repairing piping, seepage, me- chanical damage ✓. Repairng,eilt fence damage, . Silt fence m,dnw—. . Regular inspections area chance check•impactatto: gearby waters. 1E herbicides, pesticides, and. fertiliz- era. : You must properly dispose of - demolition debris and other build- ing materiaL. You must properly manage dis- posal of litter and sanitary waste. Take compliance seriouslyl Projects that violate Stormwater'Permit con- ditions and/or have unauthorized water quality impacts are subject to vbit'bbaerv`e er¢nificent amour You must preyent stormWater con- fines: Civil penalties o up to �edsmen£ i th a"itiedm. notify tamrnatlou from equipmeni used $25,000.00 per flay for each viola- tt-9- by"itQ regional bffice within dd-fig con9tNct<on ; Tlue, iiicludee' iibp• may ba aAeesBed 24 hods and tfrfiytt99 written no-' preventing'epills gf.oil, fuels, cool- .. _•, h zgith S:ddyijSee Part 11, 5ec- ' ante, oeingnt, hydraulic fluids etc, _: _. ' : • :. - " tiori E of,,t1 a iaiolt)i Please copy ' You must follow federal gnidelinea corraepoudenpe'fA DLR ' andlaiiel reetiictigns wiienilelag : ' • Whatrrecgi'd' ' do 1.*- ;.... Who inspect,. rare ;�::., form inspections as well: •These ' in.na-: inspection6maybe roatine j need to have for what#"° � ' `' `;; : , " finite, ortheresult of public eom ` . I plaints or ppobleme reported by I available?' " ; DWQ coo;. tea with the Divisian of Laad'12eeouroee Lana Quality ' PLR ;ANC DLR (ar:a delegated -local pro- , Section to ensure compliance with' . gram) will inspect the site for "lationa Compliance with your, approved `! Copy of the. approved E&SC regar NC Rules and Regud= F E&SC Plan.':. Plan, including;sny revisions...: ing construction activities i d'tligir ✓ NC DWQ investigates,complainte i ✓ Records of rainfall amounts ✓ Records of inspections impact oil water quality.' Tliid means youi'olieration is subject'td and inspects for adverse impacts ✓ Records of stormwater dia- enforcement b both Diyisione. to water quality and stream Stan - rlard yiolations,(euch as sediment charge outfall and stream in- ,aY s cr - 'M tht stream);' ' spections/observations. (See "Inspection Record" attached to In general, DLR staff will be in- specting your site •on a regular ba -1NC DWQ may inspect, the site for Permit-) sis: However; DWQ staff may per- compliance with tliie Siormwater Dol need to file a• .• Who -can..-help me with-quest.b. Notice -of lntent'(NOI)?` Questions about•Stormwater Permit requiremente•caii be aid - questions Once your E&SC Plan is. dressed to the Division of Water Quality Regional Offic6s: a e you are automatically, AshevMc,Office......... .• (828) 296.4500 Washington 011ice........ ..(252) 946.6481 . covered under NCG010000, and you- Fa ettevdle Office......' (910 433-3300 WOtnington Office......... (910) 796-7215' do not need to file. an NOI for a Cer- Y ) tifi6ate•of Coverage (CDC) from Mooresville Office.:.... (704) 663-1699 Winston-Salem Office..., . (336) 771-5000 DWQ. -However, if you. do not wish to be coversdby this' General Rat. s ( 4200 Central Office (919) 807 6300• .: �. 91 79.1 Permit, 'you must apply to DWQ for daft an individual NPDES Stbrmwater ' Permit. Fur more fefotoiation about the Cotismution NPAFS Stormwater Pennit, see htta•//vortal ncdertr org/wcb/wG/ws/su/construction J Permit No. NCG010000 12-29.09 DISTRICT 3 STATE OF NORTH CAROLINA APR 1 �Q�() DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY RECEIVED GENERAL PERMIT -= NCG 010000 TO DISCHARGE ST.ORMWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMUNATION SYSTEM For CONSTRUCTION ACTIVITIES In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated -and adopted by North Carolina Environmental Management Commission and the Federal Water Pollution Control Act as amended: All owners or operators of stormwater point source discharges. associated with construction activities including clearing, grading and excavation activities resulting in the disturbance of land are hereby authorized to discharge stormwater to the surface waters of North Carolina or to a separate storm sewer system conveying stormwater to the surface waters in accordance with the terms and conditions set forth herein. Failure'to receive coverage under this permit or violations of any of the conditions listed may result in assessment of civil penalties of up to $25,000 per day per violation. The General Permit shall become effective on January 1, 2010, The General Permit shall expire at midnight on August 2, 2011. Signed this day December 29, 2009 Coleen H. Sullins, DireO6r Division of Water Quality By the Authority of the Ervironmental Management Commission Page 1 of 15 Pages Permit No. NCGO10000 12-2M PERMITTED ACTIVTITES Until this State of North Carolina General Permit expires or is modified or revoked, the permittee is authorized to. discharge stormwater in accordance with the terms and conditions of this permit and in accordance with an approved Erosion and Sedimentation Control Plan by the North Carolina Division of Land Resources, Land .Quality Section, or a delegated local program under the provisions and requirements of North Carolina General Statute 113A - 54.1 to the surface waters of North Carolina or to a separate storm sewer.system. The permit, along with state statues (N.C.G.S. 143-215.1) and rules (NCAC 2H .0100) relating to stormwater permitting are designed to work together to assure compliance with the NPDES requirements of the Clean Water Act Furthermore, North Carolina rules in Title 15A NCAC 2H .0126 adopt by reference the federal stormwater permitting requirements. Any other point source discharge to surface waters of the state is prohibited unless covered by another permit, authorization or approval. The discharges allowed by this General Permit shall not cause or contribute to violations of North Carolina Water Quality Standards for surface waters and wetlands (15A NCAC 2B .0200). Discharges allowed by this permit must meet all applicable water quality certification or permit requirements as outlined in 15A NCAC 2H .0500 and 2H .1300. This permit does not relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. General Permit Coverage This General -Permit is applicable to point source discharges from construction activities disturbing one or more acres of land. The submission of a proposed Erosion and Sedimentation Control Plan to the Division of Land Resources or delegated local program shall be considered to take the place of a Notice of Intent for coverage under this General Permit for those projects requiring this Permit coverage. Coverage under this General Permit shall become effective upon issuance of an approval for the Erosion and Sedimentation Control Plan by the Land Quality Section of the Division of Land Resources or delegated local program. Prior to the commencement of construction and land disturbing activities approval of the Erosion and Sedimentation Control Plan shall be obtained. Any owner or operator not wishing to be covered or limited by this General Permit may make application for an individual NPDES permit in accordance with NPDES procedures in 15A NCAC 2H .0100, stating the reasons supporting the request. Any application for an individual permit should be made at least 180 days prior to the time the permit is needed. This General Permit does not cover activities or discharges covered by an individual NPDES permit until the individual permit has expired or has been rescinded. Any person conducting an activity covered by an individual permit but which could be covered by this General Permit may request that the individual permit be rescinded and coverage under this General Permit be provided, Although the previous edition of this General Permit will expire with the acceptance of this updated version, activities permitted under the previous edition will be responsible for meeting those agreed -upon conditions until the individual project is completed or terminated. Page 2 of 15 Pages DISTRICT 3 APR 01 2010 Permit No. NCG010000 12-29-09 RECEIVED PART MONITORING, CONTROLS, AND LIMITATIONS FOR PERMITTED DISCHARGES SECiiON A: FINAL LRyi1TATIONS AND CONTROLS FOR STOWALWATER DISCHARGES During the period beginning on the effective date of the permit and lasting until expiration, the Permitter: is authorized to discharge stormwater associated with construction activity including clearing, grading and excavation activities resulting in the disturbance of land and related support activities. Such discharges shall be controlled, limited and monitored as specified below. 1. Erosion and Sedimentation Control Plan Approval: Prior to the commencement of land disturbing activity, the permittee shall submit for approval an Erosion and Sedimentation Control Plan (hereafter referred to as `plan') to the Department of Environment, and Natural Resources, Division of Land Resources, Land Quality Section, or a delegated local program, pursuant to the requirements of NC G.S. 113A-54.1 and in conformity with rules adopted by the North Carolina Sedimentation Control Commission. 2. Implementation of the Plan: a, The Permittee must implement the plan, which has been approved by the approval authority. b. The approved plan is considered a requirement or condition of this general permit. c. Deviation from the approved plan, or approved amendment to the plan, shall constitute a violation of the terms and conditions of this general permit except that deviation from the approved plan will be allowed: i. to correct an emergency situation where sediments are being discharged off the site, or ii. when minor modifications have been made for the purpose of improving the performance of the erosion and sedimentation control measures and notification of the minor modification has been made to the Division of Land Resources or approved local Prof Allowed deviations from the approved plan must be noted on the approved plan maintained at the job site. d. Once land disturbance has begun onsite, a copy of the approved erosion and sediment control plan and this NPDES construction permit shall be maintained on the site. Permittee must manage activities on the site such that no adverse impacts to water quality occur from site activities or allowed discharges. In addition to stream pollution from sediment discharge, other activities on construction and development sites can result in pollutants reaching the state's waters. The permittee must manage activities on the site such that no adverse impacts to water quality occur from any of these activities. EPA has prepared guidance documents that provide best management practices that address many activities: (See httn:/lcf�ub.epe.Aov/nodcs/stormwater/menuotbmps/mdex.cf n?action—min measure&min measure id-4) - The following activities, and others on a site specific basis, require oversight throughout the construction and development process to assure that all water quality standards are protected: Equipment Operation and Maintenance: Equipment utilized during the construction activity on a site must be operated and maintained in such a manner as to prevent the potential or actual pollution of the surface or ground waters of the state. Fuels, lubricants, coolants, and hydraulic fluids, or any other petroleum products, shall not be discharged onto the ground or into surface waters. Spent fluids shall be disposed of in a manner so as not to enter the waters, surface or ground, of the state and in accordance with applicable state and federal disposal regulations. Any spilled fluids shall be cleaned up to the extent practicable and disposed of in a manner so as not to allow their entry into the waters, surface or ground, of the state. Page 3 of 15 Pages Permit No. NCG010000 12-29-09 b. Material Handling: Herbicide, pesticide, and fertilizer usage during the construction activity shall be consistent with the Federal Insecticide, Fungicide, and Rodenticide Act and shall be in accordance with label restrictions. c. Building Material Waste Handling_ All wastes composed of building materials shall be disposed of in accordance with North Carolina General Statutes, Chapter 130A, Article 9 - Solid Waste Management, and rules governing the disposal of solid waste (North Carolina Administrative Code Section 15ANCAC 13B). d. Litter and Sanitary Waste: The permittee shall control the management and disposal of litter and sanitary waste from the site. e. Concrete Handling: Concrete materials onsite, including excess concrete, must be controlled and managed to avoid contact with surface waters, wetlands or buffers. (note that discharges from onsite concrete plants may require coverage under a separate NPDES permit—NCG140000) The permittee must select, install, implement and maintain best management practices (BMPs) and control measures that minimize pollutants in the discharge to meet the requirements of this permit - If there is evidence indicating that the stormwater discharges from the site are impacting or have the potential to impact surface waters or wetlands, the Division of Water Quality may take appropriate _ actions including any or all of the following. a. take compliance and enforcement action, b. require the permittee to include and implement appropriate control and restoration measures, c. require the permittee to develop and implement a site specific stormwater pollution prevention plan, d. require the permittee to obtain an individual permit. Disturbed areas in watersheds where available information indicates that federally -listed threatened or endangered aquatic species are present shall be limited at any time to a maximum total area within the boundaries of the tract of 20 acres. These project shall also use control measures that are designed, installed and maintained in accordance with criteria set forth in 15A NCAC 04B .0124 — Design Standards in Sensitive Watersheds. The permittee may propose alternative protection measures and seek coverage under an individual Construction NPDES Stormwater permit. SECTION B: MINIMUM MONUORING AND REPORTING REOUIREMENTS Minimum monitoring and reporting requirements are as follows unless otherwise approved in writing by the Director of the Division of Water Quality. 1. A rain gauge shall be maintained in good working order an the site. 2. A written record of the daily rainfall amounts shall be retained and all records shall be made available to DWQ or authorized agent upon request (note: if no rainfall occurred, the permittee must record 3. The control measures shall be inspected to ensure that they are operating correctly. Inspection records must be maintained for each inspection event and for each measure. Paragraph 6 of this Section outlines additional inspection record requirements. At a minimum inspection of measures must occur at the frequency indicated below. a. All erosion and sedimentation control. measures must be inspected by or under the direction of the permittee at least once every seven calendar days, and b. All erosion and sediment control measures must be inspected by or under the direction of the permittee within 24 hours after any storm event of greater than 0.50 inches of rain oer 24 hour period Once land disturbance has begun on the site, stormwater runoff discharge outfalls shall be inspected by observation for erosion, sedimentation and other stormwater discharge characteristics such as clarity, floating solids, and oil sheens. Inspections of the outfalls shall be made at least once every seven Page 4 of 15 Pages DISTRICT 3 C _ 0 / 0 _ 10 -0q 2 APR 01 2019 Permit No. NCG010000 � RECEIVED 2-29.09 calendar days and within 24 hours after any storm event of greater than 0.50 inches of rain per 24 hour period. Inspection records must be maintained for each inspection event and for each dischareelocation. If any visible sedimentation is leaving the site or entering waters of the state, corrective on -site action shall be taken immediately to control the discharge of sediments. Where visible deposition of sediment has occurred in surface waters or wetlands, the permittee must contact the Division within 24 hours of becoming aware of the deposition. (See Section I of this permit for contact information.) The permittee must keep a record of inspections and ail records shall be made available to DWQ or authorized agent upon request The records must provide the details of each inspection including observations, and actions taken in accordance with this permit. The permittee shall record the required rainfall and monitoring observations on the "Inspection Record for Activities Under Stormwater General Permit NCG010000" form provided by the Division or a similar inspection form that is inclusive of all of the elements contained in the Division's form. (See attached "Inspection Record" form.) Inspection records must include, at a minimum, the following: a) Control Measure Inspections: Inspection records must include at a minimum: 1) identification of the measures inspected, 2) date and time of the inspection, 3) name of the person performing the inspection, 4) indication of whether the measures were operating properly, 5) description of maintenance needs for the measure, 6) corrective actions taken and (7) date of actions taken. b) Stormwater Discharge Inspections: Inspection records must include at a minimum: 1) identification of the discharge outfall inspected, 2) date and time of the inspection, 3) name of the person performing the inspection, 4) evidence of indicators of stormwater pollution such as oil sheen, floating or suspended solids or discoloration, 5) indication of visible sediment leaving the site, 6) actions taken to correct/prevent sedimentation and 7) date of actions taken. c) Visible Sedimentation Found Outside the Site Limits: Inspection records must include 1) an explanation as to the actions taken to control future releases, 2) actions taken to clean up or stabilize the sediment that has left the site limits and 3) the date of actions taken. d) Visible Sedimentation Found in Streams or Wetlands: All inspections should include evaluation of streams or wetlands onsite or offsite (where accessible) to determine if visible sedimentation has occurred e) Visible Stream Turbidity: If the discharge from a site results in visible stream turbidity, inspection records must record that evidence and actions taken to reduce sediment contributions. 1. Sites discharging to streams named on the state's 303(d) list as impaired for sediment -related causes may be required to perform additional monitoring, inspections or application of more -stringent management practices if it is determined that the additional requirements are needed to assure compliance with the federal or state impaired -waters conditions. If a discharge covered by this permit enters a stream segment that is listed on the Impaired Stream List for sediment -related causes, and a Total Maximum Daily Load (TMDL) has been prepared for those pollutants, the permittee must implement measures to ensure that the discharge of pollutants from the site is consistent with the assumptions and meets the requirements of the approved TMDL. The DWQ 303(d) list can be found at: hn://h2o.enr.state.nc.us/tmdl/General 303d.htm/ SECTION C: SCHEDULE OF COMPLIANCE 1. The permittee shall comply with Final Limitations and Controls specified for stormwater discharges once disturbance has begun on the site and until completion of construction or development and the establishment of a permanent ground cover. Documentation from the Division of Land Resources or a locally -delegated program can be used to signify the completion of the project. Page 5 of 15 Pages Permit No. NCGO10000 12-29.09 During construction and until the completion of construction or development and the establishment of permanent ground cover, the permittee shall provide the operation and maintenance necessary to operate the storm water control measures and all erosion and sedimentation control measures at optimum efficiency. (note: Completion of construction may be signified by the Division of Land Resources or approved local program closing the site or certifying that the site is complete). If inspections required by the Minimum Monitoring and Reporting Requirements in Section B identify a need for maintenance of control measures, modifications or additions to control measures, or corrective actions to control sediment or other pollutants these actions must be performed as soon as possible and before the next storm event to maintain the effectiveness of the control measures. PART H STANDARD CONDITIONS SECTION A: DEFINITIONS 1. Act or "the Act" or CWF,, -.The Federal Water Pollution Control Act, also known as the Clean Water Act, as amended, 33 USC 1251, et. seq. 2. Best Management Practices tBMPs1 - Schedules of activities, prohibitions of practices, maintenance procedures, and other management practices to prevent or reduce the pollution of waters of the United States. BMPs also include treatment requirements, operation procedures, and practices to control plant site runoff, spillage or leaks, sludge or waste disposal, or drainage from raw material storage. 3. Control Measures - Refers to any BMP or other structural or non-structural practices and procedures used to prevent or reduce the discharge of pollutants including practices to control erosion and. sedimentation. 4. DWO or Division - The Division of Water Quality, Department of Environment, and Natural Resources. 5. Director - The Director of the Division of Water Quality, the permit issuing authority. 6. EMC -The North Carolina Environmental Management Commission. 7. Permittee - The person, firm or organizational entity that signed as the financially responsible party on the Erosion and Sedimentation Control Plan. S. Point Source Discharge - Any discernible, confined and discrete conveyance, including but specifically not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure, container, rolling stock, or concentrated animal feeding operation from which pollutants are or may be discharged to waters of the state. 9. Administrator - The Administrator of the U. S. Environmental Protection Agency. 10. Stormwater Pollution Prevention Plan — A document which describes the best management practices and control measures and activities to be implemented by a person or business to identify sources of pollution or contamination at a site and the actions to eliminate or reduce pollutant discharges to stormwater, stormwater conveyance systems, and/or receiving waters. Where sites exist that involve multiple or complex sources of pollution or sensitive environmental conditions that may not be addressed in the standard sediment and erosion control plan, the Division may require that an individual Stormwater Pollution Prevention Plan be prepared for that site. This plan would include all standard and additional control measures necessary to assure that water quality is protected. 11. Erosion and Sediment Control Plan - A plan developed in compliance with the North Carolina Sediment Pollution Control Act of 1973 to prevent the erosion and deposition of sediment and other materials into the waters of the State from construction or other land -disturbing activities that disturb Page 6 of 15 Pages E - CIO - /o -0yz APR 0 12010 RECEIVED Permit No. NCG010000 12-29-09 one or more acres of land. Each plan must be approved by the NC Sedimentation Control Commission or a program delegated by the Commission to a local government. SECTION B: GENERAL CONDITIONS Duty to COMRIy. The permittee must comply with all conditions of this general permit. Any permit noncompliance constitutes a violation of the Clean Water Act and is grounds for. enforcement action; certificate of coverage termination, revocation and reissuance, or modification; or denial of a certificate of coverage upon renewal application. (a) The permittee shall comply with effluent standards or prohibitions established under section 307(a) of the Clean Water Act for toxic pollutants and with standards for sewage sludge use or disposal established under section 405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the requirement. (b) The Clean Water Act provides that any person who violates section 301, 302, 306, 307, 308, 318 or 405 of the Act, or any permit condition or limitation implementing any such sections in a permit issued under section 402, or any requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is subject to a civil penalty not to exceed $27,000 per day for each violation. The Clean Water Act provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by imprisonment of not more than 2 years, or both. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and who knows at that time that he thereby places another person in imminent danger of death or serious bodily injury, shall, upon conviction, be subject.to a fine of not more than $250,000 or imprisonment of not more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or both. An organization, as defined in section 309(c)(3)(13)(iii) of the CWA, shall, upon conviction of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to $2,000,000 for second or subsequent convictions. (c) Under state Iaw, a daily civil penalty of not more than ten thousand dollars ($10,000) per violation may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [Ref: NC General Statute 143-215.6A]. (d) Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302, 306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not to exceed $11,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed $27,500. Penalties for Class H violations are not to exceed $11,000 Page 7 of 15 Pages Permit No. NCGO10000 12-2949 per day for each day during which the violation continues, with the maximum amount of any Class II penalty not to exceed $137,500. 2. Duty to Nlitieate The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this general permit that has a reasonable likelihood of adversely affecting human health or the environment. 3. Civil and Criminal Liability Except as provided in Section C. of this permit regarding bypassing of stormwater control facilities, nothing in this general permit shall be construed to relieve the permittee from any responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6A, 143-215.6B, 143- 215.6C or Section 309 of the Federal Act, 33 USC 1319. Furthermore, the permittee is responsible for consequential damages, such as fish kills, even though the responsibility for effective compliance may be temporarily suspended 4. Oil and Hazardous Substance Liability Nothing in this general permit shall be construed to preclude the institution of any legal action or relieve the permittee from any responsibilities, liabilities, or penalties to which the permittee is or may be subject to underNCGS 143-215.75 et seq. or Section 311 of the Federal.Act, 33 USC 1321. Furthermore, the permittee is responsible for consequential damages, such as fish kills, even though the responsibility for effective compliance may be temporarily suspended 5. Property Rights The issuance of this general permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any infringement of Federal, State or local laws or regulations. 6. Severability The provisions of this general permit are severable, and if any provision of this general permit, or the application of any.provision of this general permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the remainder of this general permit, shall not be affected thereby. 7. Duty to Provide Information The permittee shall fiunish to the Director, within a reasonable time, any information which the Director may request to determine whether cause exists for modifying, revoking and reissuing, or terminating the certificate of coverage issued pursuant to this general permit or to determine compliance with this general permit The permittee shall also furnish to the Director upon request, copies of records required to be kept by this general permit. 8. When an Individual Permit may be Required The Director may require any owner/operator authorized to discharge under a certificate of coverage issued pursuant to this general permit to apply for and obtain an individual permit or an alternative general permit. Any interested person may petition the Director to require an individual permit pursuant to 15A NCAC 2H .0127. Cases where an individual permit may be required include, but are not limited to, the following. a. The discharger is a significant contributor of pollutants; b. Conditions at the permitted site change; altering the constituents and/or characteristics of the discharge such that the discharge no longer qualifies for a General Permit; C. The discharge violates the terms or conditions of this general permit; Page 8 of 15 Pages DISTRICT 3 �' _ O /D - J0 - OqZ APR 01 2010 Permit No. NCG010000 12-29-09 RECEIVED d. A change has occurred in the availability of demonstrated technology or practices for the control or abatement of pollutants applicable to the point source; e. Effluent limitations are promulgated for the point sources covered by this general permit; f. A water quality management plan containing requirements applicable to such point sources is approved after the.issuance of this general permit. g. The Director determines at his own discretion that an individual permit is required. When an Individual Permit may be Requested Any permittee operating under this general permit may request to be excluded from the coverage of this general permit by applying for an individual permit. When an individual permit is issued to an owner/operator the applicability of this general permit is automatically terminated on the effective date of the individual permit. 10. Signatory Requirements a. All applications, reports, or information submitted to the Director shall be signed and certified as follows: p) For a corporation: by a responsible corporate officer, For the purpose of this Section, a responsible corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities provided the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. (2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or (3) For a municipality, State, Federal, or other public agency. by either a principal executive officer or ranking elected official. b. All reports required by the general permit and other information requested by the Director shall be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: (1) The authorization is made in writing by a person described above; (2) The authorization specified either an individual or a position having responsibility for the overall operation of the regulated facility or activity, such as the position of plant manager, operator of a well or well field, superintendent, a position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position.); and (3) The written authorization is submitted to the Director. c. Any person signing a document under paragraphs a. orb. of this section shall make the following certification "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Page 9 of 15 Pages Permit No. NCGOI 0000 12.29.09 I I. General Permit Modification. Revocation and Reissuance. or Termination The issuance of this general permit does not prohibit the Director from reopening and modifying the general permit, revoking and reissuing the general permit, or terminating the general permit as allowed by the laws, rules, and regulations contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina Administrative Code, Subchapter 2H .0100; and North Carolina General Statute 143-215.1 et seq. 12 Continuation of Previously Permitted Proiects Projects and their corresponding activities permitted under the previous version of the NC general permit for construction activities are covered under this general permit The requirements for these projects are the same as those previously required in the general permit until the project is completed or terminated. SECTION C: OPERATION AND MAINTENANCE OF POLLUTION CONTROLS Proper Oneration and Maintenance The permittee shall at all times properly operate and maintain all control measures and systems of treatment and control (and related appurtenances) which are installed or used by the permittee to achieve compliance with the conditions of this general permit. Need to Halt or Reduce not a Defense It shall not be a defense for a permittee in an enforcement action that it would have been necessary to halt or reduce the permitted activity in order to maintain compliance with the condition of this general permit Bypassing of Stormwater Control Facilities a. Definitions (1) "Bypass" means the intentional diversion of stormwater from any portion of a stormwater control facility including the collection system, which is not a designed or established or operating mode for the facility. (2) "Severe property damage' means substantial physical damage to property, damage to the control measures that cause them to become inoperable, or substantial and permanent loss of natural resources that can reasonably be expected to occur in the absence of a bypass. Severe property damage does not mean economic loss caused by delays in production. b. Bypass Not Exceeding Limitations. The permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the provisions of Paragraphs c. and d. of this section. c. Notice (1) Anticipated bypass. If the permittee knows in advance of the need for a bypass, it shall submit prior notice, if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality and effect of the bypass. (2) Unanticipated bypass. The permittee shall submit notice within 24 hours of an unanticipated bypass as required in Part II, E. 3.(b)(1) of this general permit (24-hour notice). Prohibition of Bypass Bypass is prohibited and the Director may take enforcement action against a permittee for bypass, unless: Page 10 of 15 Pages DISTRICT 3 E - C to _ ,C,_ Cwz APR 01 2010 Permit No. NCG010000 12-29-M RECEIVED (1) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage; (2) There were no feasible alternatives to the bypass, such as the use of auxiliary control facilities, retention of stormwater or maintenance during normal periods of equipment downtime or dry weather. This condition is not satisfied if adequate backup controls should have been installed in the exercise of reasonable engineering judgment to prevent a bypass which occurred during normal periods of equipment downtime or preventive maintenance; and (3) The permittee submitted notices as required under Paragraph c. of this section. The Director may approve an anticipated bypass, after considering its adverse effects, if the Director determines that it will meet the three conditions listed above in Paragraph d. of this section. Upsets a. Definition - "Upset "means an exceptional incident in which there is unintentional and temporary noncompliance with -technology based permit effluent limitations because of factors beyond the reasonable control of the permittee. An upset does not include noncompliance to the extent caused by operational error, improperly designed treatment or control facilities, inadequate treatment or control facilities, lack of preventive maintenance, or careless or improper operation. b. Effect of an Upset. An upset constitutes an affirmative defense to an action brought for noncompliance with technology based permit effluent limitations if the requirements of paragraph c. of this condition are met. No determination made during administrative review of claims that noncompliance was caused by upset, and before an action for noncompliance, is final administrative action subject to judicial review. C. Conditions Necessary for a Demonstration of Upset A permittee who wishes to establish the affirmative defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant evidence that: (1) An upset occurred and that the permittee can identify the cause(s) of the upset; (2) The permitted facility was at the time being properly operated; and (3) The permittee submitted notice of the upset as required in Part A E.3.(b)(2) of this general permit. (4) The permittee complied with any remedial measures required under Part E, A.2.of this general permit. d. Burden of Proof In any enforcement proceeding, the permittee seeking to establish the occurrence of an upset has the burden of proof. SECTION D: MONITORING AND RECORDS Representative Samalins Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of the permitted discharge. Samples shall be taken on a day and time that is characteristic of the discharge. 2. Penalties for Tampering The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring device or method required to be maintained under this general permit shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a conviction of a person is for a violation committed after a first conviction of such person under this paragraph, punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years, or both. Records Retention The permittee shall retain records of all monitoring information and copies of all reports required by this general permit for a period of at least one year from the date of the final inspection by the Division Page 11 of 15 Pages Permit No. NCGO10000 12-29-W of Land Resources, or the designated permitting agency, determining that the site is in compliance and has been stabilized with permanent ground cover. This period may be extended by request of the Director at any time. Recording Results For each measurement, sample, inspection or maintenance activity performed or taken pursuant to the requirements of this general permit, the permittee shall record the following information: a. The date, exact place, and time of sampling, measurements, inspection or maintenance activity, b. The individual(s) who performed the sampling, measurements, inspection or maintenance activity; C. The date(s) analyses were performed; d. The individual(s) who performed the analyses; e. The analytical techniques or methods used; and f. The results of such analyses. hismection and Entry The permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as a representative of the Director); or in the case of a facility which discharges through a municipal separate storm sewer system, an authorized representative of a municipal operator or the separate storm sewer system receiving the discharge, upon the presentation of credentials and other documents as may be required by law, to; a. Enter upon the permittee's premises where a regulated facility or activity is located or conducted, or where records must be kept under the conditions of this general permit; b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this general permit; C. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices, or operations regulated or required under this general permit; and d. Sample or monitor at reasonable times, for the purposes of assuring general permit compliance or as otherwise authorized by the Clean Water Act, any substances or parameters at any location. SECTION E: REPORTING REQUIREMENTS Planned Changes The permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions to the permitted facility. Notice is required only when: a. The alteration or addition to a permitted facility may meet one of the criteria for determining whether a facility is a new source in 40 CFR Part 122.29 (b); or b. The alteration or addition could significantly change the nature or increase the quantity of pollutants discharged. This notification applies to pollutants that are subject neither to effluent limitations in the general permit, nor to notification requirements under 40 CFR Part 122.42 (a) 0)• Anticipated Noncompliance The permittee shall give advance notice to the Director of any planned changes in the permitted facility or activity that may result in noncompliance with the general permit requirements. Twenty-four Hour Reporting a. . The permittee shall report to the central office or the appropriate regional office any discharge of stormwater that has resulted in visible sediment being deposited in any stream or wetland or Page 12 of 15 Pages APR 01 2010 , - o' o - r o - c47- Permit No. NCGO10000 RECEIVED 12-2" any noncompliance which may endanger health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. (See Section I for contact info.u.ation.) The written submission shall contain a description of the sediment deposition or the noncompliance, and its causes; the period of noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The Director may waive the written report on a case -by -case basis for reports under paragraph b. above of this condition if the oral report has been received within 24 hours. Other Information Where the permittee becomes aware that it failed to submit any relevant facts in any report to the Director, it shall promptly submit such facts or information. Availability of Resorts Except for data determined to be confidential under NCGS 143-215.3(a)(2) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices of the Division of Water Quality. As required by the Act, discharge data shall not be considered confidential. Knowingly making any false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-215.613 or in Section 309 of the Federal Act Penalties for Falsification of Reports The Clean Water Act provides that any person who knowingly makes any false statement, representation, or certification in any record or other document submitted or required to be maintained under this general permit, including monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. SECTION F: LIIv11TATIONS REOPENER This general permit shall be modified or alternatively, revoked and reissued, to comply with any applicable effluent guideline or water quality standard issued or approved under Sections 302(b) (2) (c), and (d), 304(b) (2) and 307(a) of the Clean Water Act, if the effluent guideline or water quality standard so issued or approved: a. contains different conditions or is otherwise more stringent than any effluent limitation in the general permit; or b. controls any pollutant not limited in the general permit. The general permit as modified or reissued under this paragraph shall also contain any other requirements in the Act then applicable. SECTION G: EROSION AND SEDIIdENTATION CONTROL PLAN The Clean Water Act requirements mandate that stormwater runoff from various industrial activities are regulated by the EPA's designated state NPDES agency. The Division of Water Quality has been delegated responsibility for implementing this program in North Carolina. One area covered is construction site stormwater runoff for project disturbing one or more acres of land. North Carolina has had a statewide sediment control program since 1974. This program is implemented by the Division of Land Resources. The Division of Water Quality partners with the Division of Land Page 13 of 15 Pages Permit No. NCGO10000 12-29-09 Resources to implement a complete program for construction site coverage that includes state sedimentation control and NPDES stormwater control. The Division of Land Resources implements their control programs through an Erosion and Sedimentation Control Plan (the Plan) issued for each construction site in the state disturbing one of more acres of land. A plan is required for each site by the Division of Land Resources or a delegated local government program. The NPDES Construction Stormwater permit (NCGO10000) is attached to erosion and sedimentation control plan approvals. The permittee is responsible for abiding by the conditions of both of these documents. The Erosion and Sedimentation Control Plan serves as a blueprint for the location, installation, and maintenance of practices to controls erosion and sedimentation. Erosion and Sedimentation Control Plans are designed to meet the following basic objectives: 1) limit exposed areas, 2) limit time of exposure, 3) limit runoff originating upgrade, 4) identify critical areas that need additional protection 5) control sedimentation to prevent off -site sedimentation, and 6) manage stormwater runoff to prevent accelerated erosion of the receiving watercourse. The Sedimentation Pollution Control Act of 1973 places a duty upon the Sedimentation Control Commission to "develop recommended methods of control of sedimentation and prepare and make available for distribution publications and other materials dealing with sedimentation control techniques appropriate for use by persons engaged in land -disturbing activities." The Sedimentation Control Commission and the Division of Land Resources have adopted the North Carolina Erosion and Sediment Control Planning and Design Manual as the document to provide that guidance for use at all constructions sites is the state. The individual Erosion and Sedimentation Control Plans are developed based on this guidance and become a condition of the Division of Water Quality's Construction Stormwater General Permit. As provided in this permit, "Deviation from the approved plan, or approved amendment to the plan, shall constitute a violation of the terms and conditions of this general permit." Please note that this construction NPDES Stormwater permit contains controls and requirements similar to the erosion and sediment control plan, but also contains additional requirements. The permittee is responsible for all requirements. SECTION H NUMERIC EFFLUENT LII%QTATIONS: This General Permit does not include requirements for numeric limits for discharges from construction sites. However, as specified in the Effluent Limitations Guidelines (ELG) published in the December 1, 2009, Federal Register, any general permit for construction issued after the February 2, 2010 implementation date must include the numeric effluent limitations provided in those Guidelines. Those Guidelines require effluent lia►its of 280 NTUs for construction sites with 20 or more acres by August 2, 2011 and for sites with 10 or more acres by February 2, 2014. (Those guidelines also require immediate application of soil stabilization measures where activity on a site is not resumed for a period exceeding 14 days.) When this permit expires on August 2, 2011, the new construction general permit developed must contain these effluent limitations as established in the EPA ELG. Page 14 of 15 Pages DISTRICT 3 APR 0 12010 RECEIVED SECTION I: NC DIVISION OF WATER QUALITY CONTACTS Asheville Regional Office Raleigh Regional Office 2090 U.S. Mghway 70 Mall to: Swannanoa, NC 28778 1628 Mall Service Center' 828/296A500 Raleigh, NC 27699-1628 FAX 828/299-7043 Location: 3800 Barrett Drive 27609 Fayetteville Regional Office 91gRaleigh, 4200 S tel Building, Ys 9 FAX 919/571-4718 FAX 91 /571- 225 Green St, Suite714 Fayetteville, NC 28301-5094 91014333300 Washington Regional Office FAX 910/48M707 943 Washington Square'Mall Washington. NC 27869 Mooresville Regional Office 252/946-Ml 610 East Center Ave. FAX 252/9753716 Mooresville, NC 28115 704/663-1699 FAX 104/663-6040 ATTACtRAENT. "INSPECTION RECORD" FORM Page 15 of 15 Pages _©io- IC —U4JL, Permit No. NCG010000 12-29-09 Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 2B405 910/796-7215 FAX 910/350-2004 Winston-Salem Regional Office 585 Waughtown Streal Winston-Salem, NC 27107 336f771-5000 FAX 336/7714630 (Water Quality) PROJECT: INSPECTION RECORD FOR ACTIVITIES UNDER STORMWATER GENENERAL PERMIT NCG010000 R (I2/29/09) MONITORING FOR THE WEEK BEGINNING: RAINFALL: A rain gauge shall be maintained onsite and a record of the daily rainfall amounts shall be t. Day or Date: Rainfall Amount ekes : Initials: ASSESSMENT OF CONTROL MEASURES: All control measures must be inspected at least once per seven calendar days and within 24 hours after any storm Measure Identification (Le., silt fence, sediment pond, sediment trap, ground cover Date of Inspection Initials of Inspector Operating Properly (Y/N) Corrective Actions Taken Date Corrective Action Taken S7'URMWATER DISCHARGE OUTFALLS: Ali stormwater discharge outfalls must be inspected at least once per seven calendar days and within 24 hours After — ct— —t of o..�se.. �6 s.. n e :....te., ..c_:_ _� n. i _--_ _ __ _ , Stormwater Discharge Outfall Identification Date of Inspection Initials of Inspector Is Erosion SeenV� Near Outfall? Describe evidence of other pollutants discharging from the site such as all sheen, discoloration, cement wastes, sanitary waste, fertilizers, or fuel or material storage leakage. VISIBLE SEDIMENTATION AND/OR STREAM TURBIDITY: Record corrective actions taken in "ASSESSMENT OF CONTROL MEASURES" above. • Is there any visible sediment deposited in a stream, wetland or buffer? Yes No _ Date(s) DwQ contacted? • Is there any visible sediment deposited on adjacent property(ies)? Yes _ No Date (s) • IS there tinya�jsible decrease is stream ;clarity {increased turbidity-clo�idy) tiecau5e.of.g discharge? . Yes ^ No _. Date(s) Has all land disturbing aci3vity been completed? - - .. . 11M she final permapent grouad,cover been completed & established? (YIN) By this signature, I certify, in accordance with Part II Sec. B(10) of the NCG010000 permit, that this report is accurate and complete to the best of my knowledge Signature ofPermittee or Designee: Date: r-- - �• 6••••• FY W A— a — uuU&u UUu auuuL tu� t,onsuucuon venerat rermtt, see: littu://portal.ncdenr.orgZweb/w4/ws/su/construction a 1528 1527 1528 r Chu.a, 1 —� P ` 78 1852 � Browns CNIW 1526 1527 / 1542 / 1528 1 r� Do we Po! / 1209 1527 1209 97 CNaU, � / en,sm / V Cegew / Sd d $oAport St Imes church 211 Pop. 2,562 5^ / i 1194 0 i► / 1194 0 IV � - NCDENR North Carolina Department of Environment and Natural Resources Division of Land Resources Land Quality Section James D. Simons, PG, PE Beverly Eaves Perdue, Governor Director and State Geologist Dee Freeman, Secretary March 1, 2010 LETTER OF APPROVAL WITH MODIFICATIONS AND PERFORMANCE RESERVATIONS Piedmont Natural Gas Company ATTN: Herb Jeans, Director — Engineering, Construction & System Design P.O. Box 33068 Charlotte, NC 28233-3068 RE: Project Name: Piedmont Natural Gas / Southport Project Project ID: BRUNS-2010-026 Acres Approved: 2.40 County: Brunswick, Various Streets, Southport River Basin: Cape Fear Stream Classification: Other Submitted By: John L Eddy, P.E., Eddy Engineering, P.C. Date Received by LQS: February 8, 2010 Plan Type: New Dear Mr. Jeans: This office has reviewed the subject erosion and sedimentation control plan and hereby issues this Letter of Approval with Modifications and Performance Reservations. A list of the modifications and reservations is attached. This plan approval shall expire three (3) years following the date of approval, if no land -disturbing activity has been undertaken, as is required by Title 15A NCAC 4B .0129. Should the plan not perform adequately, a revised plan will be required (G.S. 113A-54.1)(b). Please be advised that Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be on file at the job site. Also, you should consider this letter to give the Notice . required by G.S. 113A-61.1(a) of our right of periodic inspection to: insure compliance with the approved plan. North Carolina's Sedimentation Pollution Control Program is performance -oriented, requiring. protection of existing natural resources and adjoining properties. If, following the commencement of this project, it is determined that the erosion and sedimentation control plan is inadequate to meet Letter of Approval with Modifications and Performance Reservations Project: Piedmont Natural Gas / Southport Project March 1, 2010 Pav,e 2 of 3 Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may also apply to this land -disturbing activity. This approval does not supersede any other permit or approval. Please be aware that your project will be covered by the enclosed NPDES General Stormwater Permit NCGO10000 (Construction Activities). You should first become familiar with all of the requirements for compliance with the enclosed general permit. Please note that this approval is based in part on the accuracy of the information provided in the Financial Responsibility Form, which you have provided. You are requested to file an amended form if there is any change in the information included on the form. In addition, it would be helpful if you notify this office of the proposed starting date for this project. Please notify us if you plan to have a preconstruction conference. Your cooperation is appreciated. Sincerely, Daniel Sams, PE Regional Engineer Land Quality Section Enclosures: Certificate of Approval Modifications and Performance Reservations NPDES Permit cc: John L Eddy, P.E., Eddy Engineering, P.C. Letter of Approval with Modifications and Performance Reservations Project: Piedmont Natural Gas / Southport Project March 1, 2010 Pace 3 of 3 MODIFICATIONS AND PERFORMANCE RESERVATIONS Project Name: Piedmont Natural Gas / Southport Project Project ID: BRUNS-2010-026 County: Brunswick 1. This plan approval shall on December 31, 2013, if no land disturbing activity has been undertaken, as is required by Title 15A NCAC 4B.0029. 2. The developer is responsible for the control of sediment on -site. If the approved erosion and sedimentation control measures prove insufficient, the developer must take those additional steps necessary to stop sediment from leaving this site. Each sediment storage device must be inspected after each storm event. Maintenance and/or clean out is necessary anytime the device is at 50% capacity. 3. Any and all existing ditches on this project site are assumed to be left undisturbed by the proposed development unless otherwise noted. The removal of vegetation within any existing ditch or channel is prohibited unless the ditch or channel is to be regarded with side slopes of 2 horizontal to 1 vertical or less steep. Bank slopes may be mowed, but stripping of vegetation is considered new earth work and is subject to the same erosion control requirements as new ditches. 4. The developer is responsible for obtaining any and all permits and approvals necessary for the development of this project prior to the commencement of this land disturbing activity. This could include agencies such as the Division of Water Quality's stotmwater regulations, their enforcement requirements within Section 401 of the Clean Water Act, the U.S. Army Corps of Engineers' jurisdiction of Section 404 of the Clean Water Act, the Division of Coastal Management's CAMA requirements, the Division of Solid Waste Management's landfill regulations, the Environmental Protection Agency and/or The U.S. Army Corps of Engineers jurisdiction of the Clean Water Act, local County or Municipalities' ordinances, or others that may be required. This approval cannot supersede any other permit or approval; however, in the case of a Cease and Desist Order from the Corps of Engineers, that Order would only apply to wetland areas. All highland would still have to be in compliance with the N.C. Sedimentation Pollution Control Act. 5. If any area on site falls within the jurisdiction of Section 401 or 404 of the Clean Water Act, the developer is responsible for compliance with the requirements of the Division of Water Quality, the Corps of Engineers and the Environmental Protection Agency (EPA) respectively. Any erosion control measures that fall within jurisdictional wetland areas must be approved by the aforementioned agencies prior to installation. The Land Quality Section must be notified of a relocation of the measures in question to the transition point between the wetlands and the uplands to assure that the migration of sediment will not occur. If that relocation presents a problem or contradicts any requirements of either DWQ, the Corps, or the EPA, it is the responsibility of the developer to inform the Land Quality Section regional office so that an adequate contingency plan can be made to assure sufficient erosion control remains on site. Failure to do so will be considered a violation of this approval. 6. Any borrow material brought onto this site must be from a legally operated mine or other approved souim-. Any soil waste that leaves this site can be transported to a permitted mine or separately permitted construction sites without additional permits. Disposal at any other location would have- to be included as- a:. ; permit revision for this approval. 7 . This hermit alinws for a land disturbance_ as called for on the anolication Plan. not to exceed 2.4 acres. MU" 1dCDEPIR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor March 18, 2010 Mr. Herb ,leans, Director Engineering, Construction &System Design P.O. Box 33068 Charlotte, NC 28233-3068 Division of Water Quality Coleen H. Sullins Director Subject: EXEMPTION from Stormwater Management Permit Regulations Southport Project Natural Gas Distribution System -Utility Project Stormwater Project No. SW8100218 Brunswick County Dear Mr. Jeans: Dee Freemar Secretary The Wilmington Regional Office received a copy of your Soil and Erosion Control Plan for the subject utility project. Staff of the Wilmington Regional Office has reviewed your application for the applicability of the Stormwater Management rules to this project. Based on our review, you do not appear to be proposing development activities on this site at this point in time that would be subject to the stormwater requirements as provided for in 15A NCAC 2H.1000. However, be advised that other regulations will potentially apply to your proposed activities. In accordance with 15A NCAC 26.0231 and Division policy, new or continued ditching activities after March 1, 1999, may be a violation of state wetland standards. Violation of these standards may result in the assessment of civil penalties and other requirements to bring the project into compliance without additional wetlands impacts. In addition to the wetland standards, if your project disturbs one acre or more and has a point source discharge of stormwater runoff, then it is also subject to the National Pollutant Discharge Elimination System (NPDES) stormwater discharge requirements. You are required to have an NPDES permit for stormwater discharge from projects meeting these criteria. If at any time in the future, development of any part of this site is planned, as defined in NCAC 2H.1000, or you do not develop the project in the manner indicated in the application, you must apply for and receive a Stormwater Management Permit prior tc construction. If you have any questions concerning this matter, please do not hesitate to call me at (910) 796-7215. Sinc rely, 'Georgette Scott Stormwater Supervisor Division of Water Quality GS/ad.- S:1WQSISTORMWATIEXEMPT12010\100218.mar10 cc: John L. Eddy, F.E.; Eddy Engineering, P.C. Brunswick County Building Inspections Wilmington Regional Office Central Files RE"C, E I V E D Price Creek Crossing Tax Parcel Green Return Tract Number Property Owner Property Description Receipt Receive Arroyas & Associates 1.66 acres Cottages of Price's Creek Notification return 1 222PC00104 Inc Deed Book 2343 Page 0029 as undeliverable .05 acres Southport 2 2220000609 City of Southport Deed Book 2470 Page 0288 Yes Smith Camerson L Sr 40.06 acres Southport Notification return 3 2220000604 etals Deed Book 2723 Page 1031 as undeliverablE Smith Camerson L Sr 6.03 acres Southport Notification return 4 2220000611 etals Deed Book 2723 Page 1031 as undeliverablE Harbor Oaks Property 6.47 acres Smithville 5 222PB00105 Owners Assoc. Deed Book 2603 Page 0341 Yes Turtlewood 13.77 acres Smithville 6 2221B00110 Development LLC Deed Book 1932 Page 1214 Yes Tract: Tax Parcel Number: 222PC00104 Property Owner: Arroyas & Associates Inc RECEI iFn II' Piedmont � Natural Gas Piedmont Natural Gas PO Box 4489 Wilmington, NC 28406 Arroyas & Associates c/o Phillippe Arroyas 6294 Cattail Court Southport, NC 28461 CERTIFIED MAILIA. NI9IIIU,V�IVI�II�IIIIIII�UII� 7009 1680 0000 34.35 3957 A 0 INSUFFICIENT ADDRESS C 0 ATTEMPTED NOT - t.4 0 SUCH UMBER KNOWN AEET OTHER Drc '��lfi�ifif�f'l�if`full,Iliijllfilfli"iillli'Ifllil�lfi � Natural ,Gas hont Natural Gas 7039 1680 0000 3435 4596 Sox 4489 mington, NC 28406 � N 2nd KOtM_ --- CO o 0 Arroyas & Associates a PO Box 10116 °Q``o���``oo�S PO �4SPSQ0 w Southport, NC ? I w Ln On'�aO.aP Ln Q' a February 23, 2010 Project: Piedmont Natural Gas System - Southport Arroyas & Associates, Inc PO Box 10116 Southport, NC 28461 Re: Adjacent Riparian Property Owner Statement Dear Sirs: We are proposing to construct a natural gas pipeline in the right-of-way of E. Leonard Street adjacent to your property. This project requires us to apply for a CAMA permit. As part of that process, we are required to notify all adjacent riparian property owners. Your property described as 1.66 in the Cottages of Price's Creek on Green Meadow Way is adjacent to E. Leonard Street in this area. The project consists of installing a gas pipeline 5 feet inside the right-of-way. No disturbance to your property, nearby wetlands, or to Price Creek will occur. The entire Price Creek crossing will be completed using horizontal directional drilling, which will cause no surface disturbance in the riparian area. Piedmont is required to notify you of the proposed work in order to obtain the CAMA permit. We ask that you complete the attached Riparian Own Notification Form. Any concerns you may have regarding the proposed pipeline project should be provided in writing to the Division of Coastal Management at: N. C. Division of Coastal Management Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 Thank you for your assistance in this matter. Sincerely, Joyce Cantrell Piedmont Natural Gas �1ew� http://gis.brunsco.net/printPreview.aspx?PrintOptData-Bruns Brunswick County, NC r I� IEa42 _22000060a 22216043� 222PpD0104 ?221600110 �� r 22218044 W 222000060'.� I ---7— -N 222PC00101 2220000.:11 Parcel Number 222PCO0104 Plat Date 3/1/2006 Account Number 30030090 Land Value $100 PIN 209720906359 Building Value $0 Owner ARROYAS & ASSOCIATES INC Other Value $0 Owner Address 1 Deferred Value $0 Owner Address 2 PO BOX 10116 Total Taxable Value $100 City SOUTHPORT Heated Sq Ft State NC; Year Built Zip 28461 Bedrooms Legal Description Full Baths Parcel Street Number Stories Parcel Street Ext. Wall 1 Street Type Ext. Wall 2 Street Dir Neighborhood 404C Subdivision COTTAGES OF PRICE'S CREEK Municipality SOUTHPORT Deed Book 2343 Fire Tax District SOUTHPORT nee.a Cl--- nnoa r..,.--,:, L`LAIri nni 1 r Tract: 2 Tax Parcel Number: 2220000609 Property Owner: City of Southport ■ Complete items 1, 2, and 3. Also complete Item 4 If Restricted Delivery is desired. A. Signat • - ❑ Addr ■ Print your name and address on the reverse, Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. g (pd ) C. Dat '*I Deli t 1i. Is delivery address different from item 17 If YES, enter delivery address below: ❑ yew ❑ No 1. Article Addressed to: 61-i O� s<Vf'7porf old ( E, Moore st• 3. Service Type SDt i h �, NC, a H 6 l c pof V Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchanoise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1680 (Transter from service label) 0000 3435 4602 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 February 23, 2010 Project: Piedmont Natural Gas System - Southport City of Southport 201 E. Moore Street Southport, NC 28461 Re: Adjacent Riparian Property Owner Statement Dear Sirs: We are proposing to construct a natural gas pipeline in the right-of-way of E. Leonard Street adjacent to your property. This project requires us to apply for a CAMA permit. As part of that process, we are required to notify all adjacent riparian property owners. Your property described as .05 acre at the corner of E. Leonard Street and Green Meadow Way is adjacent to E. Leonard Street in this area. The project consists of installing a gas pipeline 5 feet inside the right-of-way. No disturbance to your property, nearby wetlands, or to Price Creek will occur. The entire Price Creek crossing will be completed using horizontal directional drilling, which will cause no surface disturbance in the riparian area. Piedmont is required to notify you of the proposed work in order to obtain the CAMA permit. We ask that you complete the attached Riparian Own Notification Form. Any concerns you may have regarding the proposed pipeline project should be provided in writing to the Division of Coastal Management at: N. C. Division of Coastal Management Wilmington District 127 Cardinal Drive Ext_ Wilmington, NC 28405-3845 Thank you for your assistance in this matter. Sincerely, Joyce Cantrell pigAmnnt I\lnti irni r-'nc review http: //gis.bnmsco.net/printPreview.aspVPrintDptData=Brumw4 Brunswick County, NC 222POD0104 2221 W =18044 =IW45 2220000804 Z 105 2221WO110 2P 800105 / 222P80+'19 222PBO90 222PBW Parcel Number 2220000609 Plat Date 1/24/2005 Account Number 30223810 Land Value $100 PIN 209720908149 Building Value $0 Owner CITY OF SOUThPORT Other Value $0 Owner Address 1 Defemsd Value $0 Owner Addrew 2 201 E MOORE STREET Total Taxable Value $100 City SOUTI•PORT Heabd Sq Ft Stab NC Year Built Zip 28461 Bedrooms Legal Description Full Baths Parcel Street Number Stories Parcel Street Ext. Wall 1 Street Type Ext Wall 2 Street Dir Neighba ftod 4004 Subdivision Municipality SOUTFPORT Deed Bode 2470 Fire Tax District SOUTFPORT Deed Page 0288 Township SMITFMLLE Tract: Tax Parcel Number: 2220000604 Property Owner: Smith Camerson L Sr etals Tract: Tax Parcel Number: 2220000611 Property Owner: Smith Camerson L Sr etals Camerson L Smith Sr 5120 Fernwood Dr Southport, NC 28461 1Uff1C1ENT ApORESS OTHER p 13 NOT KNOWN SllCH ItUMBEftl STREET pAgLETeR O fORWAR0O0RESSED { t,kfc C :Nx. C� 7009 1680 GOOD 3435 4589 Ferro Joao � �� 28461 00106059-12 F„ D� Ir O o ? Sv o su X A o ❑ ❑ a Ln En of o a n ❑ ❑0 ❑o February 23, 2010 Project: Piedmont Natural Gas System - Southport Camerson L Smith Sr. 5120 Femwood Drive Southport, NC 28461 Re: Adjacent Riparian Property Owner Statement Dear Sirs: We are proposing to construct a natural gas pipeline in the right-of-way of E. Leonard Street adjacent to your properties. This project requires us to apply for a CAMA permit. As part of that process, we are required to notify all adjacent riparian property owners. Your properties legally described as 40.06 acres Plat 25/405 Southport and 6.03 acres Plat 25/405 Southport are adjacent to E. Leonard Street in this area. The project consists of installing a gas pipeline 5 feet inside the right-of-way. No disturbance to your property, nearby wetlands, or to Price Creek will occur. The entire Price Creek crossing will be completed using horizontal directional drilling, which will cause no surface disturbance in the riparian area. Piedmont is required to notify you of the proposed work in order to obtain the CAMA permit. We ask that you complete the attached Riparian Own Notification Form. Any concerns you may have regarding the proposed pipeline project should be provided in writing to the Division of Coastal Management at: N. C. Division of Coastal Management Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 Thank you for your assistance in this matter. Sincerely, Joyce Cantrell 'revicu http �p �..brunsco.net, printPrevie%% aspx'?PrintOptauta-Bruns%%K Brunswick Countv, NC Parcel Number 222C000604 Plat Date 2/1/2002 Account Number 39105260 Land Value $420,63C PIN 209720808860 Building Value $0 Owner SMITH CAMERSON L SR ETALS Other Value $0 Owner Address 1 Deferred Value $0 Owner Address 2 512C FCRNWOOD DRIVE Total Taxable Value $420,630 city SOUTHPORT Heated Sq Ft State NC: Year Built Zip 28461 Bedrooms Legal Description 40.06 ACRES PLAT 25/405 Full Baths Parcel Street Number Stories Parcel Street Ext. Wall 1 Street Type Ext. Wall 2 Street Dir Neighborhood 4004 Subdivision Municipality SOUTHPORT Deed Book 2723 Fire Tax District SOUTHPORT Deed Page 1031 Township SMITI NILLC http:.', Iis.brrnlsco.netiprintPreview.aspz'Prird)ptDaM-Bruns%k it Brunswick Countv, NC / �� _2200000Ua F!PE.. Fi64, .__PC.OUIU4 22ZPGD40 --- _ 4�p G04T - i 222PG049 -J-222POD48 2__PuU50 r �f 005� u __2PC051 222P �04 _ g„ Y2ZYUWt, 222P0003 222P/ I �- ^^: P 0002 _:1MGO_101 221MG024 R 1 221MCO2!0; r _21MC,02102 r __1AAGO_103 4TPEET 2221800110 222POM 222POM 222PO091 Y IiUS1Z Parcel Number 2220000611 Plat Date 2/1/2002 Account Number 3910526C Land Value $153,770 PIN 209608994835 Building Value $0 Owner SMITH CAMERSON L SR ETALS Other Value $0 Owner Address 1 Deferred Value $0 Owner Address 2 512C FERNWOOD DRIVE Total Taxable Value $153,770 City SOUTHPORT Heated Sq Ft State NC; Year Built Zip 28461 Bedrooms Legal Description Full Baths Parcel Street Number Stories Parcel Street Ext. Wall 1 Street Type Ext. Wall 2 Street Dir Neighborhood 40C4 Subdivision Municipality SOUTHPORT Deed Book 2723 Fire Tax District SOUTHPORT Deed Page 1031 Township SMITE IVILLE Tract: 5 Tax Parcel Number: 222PB00105 Property Owner: Harbor Oaks Property Owners Assoc. ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back Of the mailpiece, or on the front if space permits. 1. Article Addressed to: 6(bor oaks Rupe'r� 0g'NV(S'&'1 (V Cox )Wv5 <OAexlj N� n l�w A. X ❑ Agent 13. by I C. Date of Delivery D. Is delivery address different from IWn 1? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type ,Certified Mail ❑ Express Mail n Ranmtnrwl Ii Rati irn RarYint fnr MarrhaM is ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ P%rbor Doks Prorx,rdv ou nen t3,ssoc. (Name of Property Owner) property located at parre-1-* aaaP300►o6 / F, Leonartr C±MS t(SR )5�17� (Lot, Block, Road, etc.) on , in 5ocrt-Apvrt I ErLnnsu»2k COHnT N.C. (Waterbody) -(Town and/or County) Applicant's phone #: Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) PrUPOsed C,0s rr,a1;i wifhlh NcDor ^� SR 1 say i h Sau,po•t }� Bruns,+zk (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Pe41fworr}-YUUM I Gus Mailing Address Signature po aox 14'189 W) Mn I n4 on A NC- ggN06 r ;tv/.RtntP/%- , D..:,..* .,.. T...�s 1.T.,.�.. Lew http://gis.brunsco.net/printPreview.aspx?PrintOptData=Bru Plat Page Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 403 feet appraisal, survey, or for zoning verification. Tract: C Tax Parcel Number: 2221B00110 Property Owner: Turtlewood Development LLC RECEIVED JUN 15 1010 DCAjj WILMINGTON kte- ■ Complete Items 1, 2, and 3. Aiso Complete Rem 4 if Restricted Delivery is desired. : -7 �1LLE +, ABent ■' Print your name and address on the reverse x c:�y so that we can return the card to you. g, by (Prfn ) C. Dem ■ Attach this card to the back of the mailpiece, or on the front if space permits. Is delivery 7 1. Article Addressed to'. if YES, enter del address Wow: ❑ No -- — Ci_ IAM� iew http://gis.brunsco.net/printPreview.aspx?PrintOptData--Bnmsm Brunswick County, NC Parcel Number 2221BOO 110 Plat Date 7/18/2005 Account Number 31157410 Land Value $1,380 PIN 300700004030 Building Value $0 Owner TURTLEWOOD DEVELOPMENT LLC Other Value $0 Owner Address 1 Deferred Value $0 Owner Address 2 15621 TURTLE POINT DR Total Taxable Value $1,380 City GAI NESVI LLE Heated Sq Ft State VA Year Built Zip 20155 Bedrooms Legal Description Full Baths Parcel Street Number Stories Parcel Street Ext. Wall 1 Street Type Ext. Wall 2 Street Dir Neighborhood 4041 Subdivision TURTLEWOOD Municipality SOUTHPORT Deed Book 1932 Fire Tax District SOUTHPORT Deed Page 1214 Township I SMITHVILLE ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to rrf)ewood Development LLL. 's (Name of Property Owner) property located at e 1 f3DotiD Parcel # Z E. Leonard S-Weet (Lot, Block, Road, etc.) on , in Soufhoor+Z flrunsrui'ck Coun4 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) pmpoSec) Gas f M fen wr`fh;nNGDOr R/� h f-o F- Wci y a lon y E. Leortowd S47;eJ- "rSR 15.17 /;1 Svuthpof+, Srurnsw12—k Co LA n+y, We- cl (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) E%lf mpr?t'./VGt Mailing Address po G0)( 1-rti9,q W, 7 m, ; l a -fn r, . IfIr. ;!�QutY, Signature Gv,z�•� B_ (.t1ail�r NS &v t'itv/Ctnt4-/7i JSPS - Track & Confirm Page 1 of aUNITED STATES POSTAL S'ERVKE, Track & Confirm Search Results Label/Receipt Number: 7009 1410 0000 0568 5882 Class: First -Class Mail® Service(s): Certified Mail" Return Receipt Status: Delivered Your item was delivered at 12:39 pm on February 18, 2010 in SOUTHPORT, NC 28461. Home I Help I Sign I J Track & Confirm FAQs Information on this item has been restored from offline files and will be available online for 30 days from 08124/2010. Detailed Results: • Delivered, February 18, 2010, 12:39 pm, SOUTHPORT, NC 28461 • Notice Left, February 17, 2010, 9:46 am, SOUTHPORT, NC 28461 • Arrival at Unit, February 17, 2010, 9:17 am, SOUTHPORT, NC 28461 • Acceptance, February 16, 2010, 10:34 am, CASTLE HAYNE, NC 28429 Track & Confirm Enter Label/Receipt Number. Cp 1 FA Site Map Customer Service Forms Gov't Services Careers Privacy Policy Terms of Use Business Customer Gateway ISPi1A 6rizvAwn I1c-Iv)As.1 1IcV Copyright© 2010 LISPS. All Rights Reserved. No FEAR Act EEO Data FOIA 11:*c1-4;lisi tn,rs ti�•rcaigy lreer'n ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ��►�,rcrs i�ss�;�c.�� o�� �o t3Qx Ivac�S �jc A. SignatO X 19 ` �4 Agent _ '7 ❑ Addne B. Receiod (PrkKeGrName) .. C. POW of W D. Is deWery address different from item i V ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ® Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C,O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 2820 0000 8003 2281 (Transfer from service laben PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 i11107324311' 1:LLL0000L21: 3750009GL71i' 'heck Date: 03/03/2010 Vendor Number: 0000945854 Check No. 1073243 Number Invoice Date Voucher ID Gross Amount Discount Taken Late Charge Paic ERMITFEE-022310 02/23/2010 01057941 400.00 0.00 0.00 P54091, (W.) ,, ,;, , f nn4.: