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HomeMy WebLinkAboutSW8981121_COMPLIANCE_19981116STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW��G� I DOC TYPE ❑CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE COMPLIANCE EVALUATION INSPECTION DOC DATE j YYYYMMDD Date Design Andrew and Kuske Sheet CONSULTING ENGINEERS, INC. / d / % � � G s 202 N. Fifth Ave. Wilmington, N.C. 28401 Of 3 Check Job ;,a ; c For Job No. S -rd R.\k\-VA-7-C It CA C_ r -A PO rr, i a L cr %%/ ? 813 ,� =�c CL15-VA 110FJ5 orQ I-1_r}n!s �rZ� 160� Ffi[WErZ I 7P Aa 1 A 5 r- Ac SI C AP -CA Y7 ll'\r'ErZv, o V s 13LOC. I1, :9 00 0.-Z7 �,r►.rsrrir+ri�r PA fZ ICr ti � Z ! ! 2 vU O , 4q ����`� F1 CA Ro \vn L1 <s 21 Sp u 0. 06 z�; �FE$Slp�; QQ, SE AL ' 10972 r32A �.s� A� :,ly`i••Ff►'CryF� ��,,. ya''. p c7+J t7 ro G S ! (:7 of s� tzr-qGa_ S A/ DA S, / 50 9a S- 3.S A56P , 52 so /MI' SA = G 8! 40 o s'F e 3-57 Sr` "TLE Q'D Y1Lu,n = 3, 9 vp SF 7 3s00 SF 0K c STo2RGc voLu��4 0,45-) 1 (32, 600"0.70 x r' x Iya.- '337v Cr 1Z' Q U \/0LVrKG 'P"Xov+Oc.a C—PLC✓1 oVoI- Vow -3 1 '3 v ¢300 37,r 4-700 43oo Tor srerr_ C' 77.3 s Asa 39.5- 5600 9 4-Sc) t SE � T0 P OF 57oRA<5 6 e 3�-3 STORMWATER VsO CF + O'V"(¢3ou cF�vF1 3400 c1= 7 337o cF: o, K Q E C E l V E NOV 61998 t ���� # D E lizi Date Design Andrew and Kuske Sheet p ! C g G I-- s 202 N, Fifth Ave. CONSULTING ENGINEERS, INC. Wilmington, N.C. 28401 Of 3 Check Job S -A 76 For Job No, 5T6K^'w"7Glc 4el L- I --Ar-oti-/-1Lc- 'Ti ` &134 vu7L�r s-rrcvc��Rr_. O R 11= lac: -340o C.F 2 'PAYS 24 Ht r1q ), r 36.0L) Sic/H�+ o.3S a,4' 0, o 2= f p- Ca A . z U. S = I.o I IQ, 7T r z. 0 r l^j /-rr z r - 0.57�� P,Pe -F-OrLi�-.13A`/ \/0L.Vp,C CQELaw N�vL� Fo rLG-r3 A 7' E41/ ArLEr1 4 Von -E VOL s 4o 0 I�aDP 36.S 77 0 l o U powo -3z v ZOoO Z000 37 oo 3 G s� 25'ao S7 00 VOL !(p docF - 73.00 cr- to FoKG$Ar = 160o1r-7.3.o.a = 22 sO v IC - SAN,E p& r-rP As homo } /- 3 Date Design Andrew and Kuske [�Sheet `CONSULTING ENGINEERS, INC. 61119 �? G �T 202 N. Fifth Ave. Wilmington, N.C. 28401 Ot 3 Check Job ►�y/Cau-,,-Y For Job No. STa1�M��n'r K CA�r cAnonAL67r1 `)Sr34r j�RC- Kfs-rrZcl4Tta►J 12uNorff i � + i Q = �O. 2S}�+a • 3 Irv/N�� Cl,s7 A,1 C,� = 2, 47 cFs C ^ Ca • 2 s~ S= �o.:? Irv�NR 4 = 1.57 Ac 9A51&/ # A1ZLA C- I A- f�,SNa t,j,6.f3L17.< O,r3 O.S 1v, 13Lv< ,. 3 5u v'r H L'u-r ¢ 0•S6 O , rr_Un t7 J- Or4� U,S 1 J 57 PI SSIrA-offs C ,' S• �2 or. f �� g, 06 A c? = ks.3 cFs L" = G' V = sr FPi 1V 7.s' O S` 5� d G, 6 Combined Pipe & Node Report 10 YEAR Upstream Downstream Pipe Length inlet Inlet Section Capacity Total Average Constructed Upstream Rim Node Node (ft) Area Discharge Size (cfs) Watershed Velocity Slope Invert Elevation (acres) (cfs) (CIA) (ftls) (ft/ft) Elevation (ft) (cfs) (It) INLET-5 Outlet FLUME-5 38.00 0.48 3.15 12 inch 8.76 3.15 4.46 0,060526 38.30 41.00 C13-4 C13-3 P-4 168.00 0.56 3.67 15 inch 4.57 3.67 3.38 0.005000 37.70 40.20 C13-3 C13-2 P-3 60.00 0.16 0.93 15 inch 4.57 4.51 3.70 0.005000 36.86 39.50 CB-2 Outlet P-2 18.00 0.13 0.85 15 inch 4.57 5.30 5.07 0.005000 36.56 39.00 NIA NIA NIA NIA NIA NIA NIA 8.35 NIA NIA NIA 36.00 Combined Pipe & Node Report so var-qx Upstream Downstream Pipe Length Inlet Inlet Section Capacity Total Average Constructed Upstream Rim Node Node (ft) Area Discharge Size (cfs) Watershed Velocity Slope Invert Elevation (acres) (cfs) (CIA) (ftls) (ftlft) Elevation (ft) (cfs) (ft) INLET-5 Outlet FLUME-5 38.00 0.48 3.86 12 inch 8.76 3.86 5.51 0,060526 38.30 41.00 CB-4 CB-3 P-4 168.00 0.56 4.51 15 inch 4.57 4.51 3.67 0.005000 37.70 40.20 C13-3 CB-2 P-3 60.00 0.16 1.14 15 inch 4.57 5.55 4.52 0.005000 36.86 39.50 C13-2 Outlet P-2 18.00 0.13 1.05 15 inch 4.57 6.54 5.70 0.005000 36.56 39.00 NIA N/A NIA NIA NIA NIA N/A. 10.29 NIA NIA NIA 36.00 Project Title: CAPORALETTI COLLECTION SYSTEM Project Engineer: LARRY SNEEDEN c:1... lstmclprojects198134caporalettilcoliecti.stm SITEWORKS DESIGN GROUP StormCAD v1.0 10/05/98 04:22:02 PM m Haestad Methods, Inc. 37 Brookside Road Waterbury, CT 06708 USA (203) 755-1666 Page 1 of 1 CAPORALETTI FLUME #5 Worksheet for Trapezoidal Channel Project Description Project File c:Ihaestadlfmw198134.fm2 Worksheet FLUME #5 - CAPORALETTI Flow Element Trapezoidal Channel Method Manning's Formula Solve For Channel Depth Input Data Mannings Coefficient 0.013 Channel Slope 0.110000 ft/ft Left Side Slope Right Side Slope Bottom Width Discharge 2.000000 H : V 2.000000 H : V 2.00 ft 3.86 cfs Results Depth 0.16 ft Flow Area 0.38 ft2 Wetted Perimeter 2.73 ft Top Width 2.65 ft Critical Depth 0.42 ft Critical Slope 0.003844 ft/ft Velocity 10.17 ft/s Velocity Head 1.61 ft Specific Energy 1.77 ft Froude Number 4.74 Flow is supercritical. 10/05198 FlowMaster v5.13 04:29:16 PM Haestad Methods, Inc. 37 Brookside Road Waterbury, CT 06708 (203) 755-1666 Page 1 of 1 Data for 98134 CAPORALETTI SITE DETENTION POND Page 1 TEN YEAR 24-HOUR RAINFALL_ 7.00 IN Prepared by ANDREW & KUSKE CONSULTING ENGINEERS, INC. 5 Oct 98 H droCAD 5.01 000474 c 1986-1998 A2plied Microcomputer Systems SUBCATCHMENT 1 OVERALL SITE PEAK= 5.44 CFS O 12.07 HRS, VOLUME= .28 AF ACRES CN SCS TR-20 METHOD .80 95 PAVEMENT & BUILDINGS TYPE III 24-HOUR .77 30 OPEN AREA RAINFALL= 7.00 IN 1.57 63 SPAN= 11-15 HRS, dt=..02 HRS Method _ Comment _ Tc (min) DIRECT ENTRY Segment ID: 5.0 SUBCATCHMENT 1 RUNOFF OVERALL SITE 5.0 AREA= 1.57 AC 4 5 Tc= 5 MIN CN= 63 4.0 r, SCS TR-20 METHOD ,n 3.5 TYPE III 24-HOUR u 3.0 RAINFALL= 7.03 IN 2.5 PEAK= 5.44 CF5 0 2 0 8 12.07 HR5 UOLUME= .28 AF LL 1.5 1.0 5 0.0m �n m in CS) in m is, CS) N fV rn f*7 V V lP TIME (hours) Data for 98134 CAPORALETTI SITE DETENTION POND Page 2 TEN YEAR 24-HOUR RAINFALL= 7.00 IN Prepared by ANDREW & KUSKE CONSULTING ENGINEERS, INC. 5 Oct 98 HydroCAD 5.01 000479 (c) 1986-1998 Applied Microcomputer Systems POND 1 DETENTION POND Qin = 5.44 CFS Q 12.07 HRS, VOLUME= Qout= 2.20 CFS @ 12.32 HRS, VOLUME= ELEVATION AREA INC.STOR CUM.STOR (FT) (SF) (CF) (CF) 36.5 3900 0 0 37.5 4700 4300 4300 38.5 5600 5150 9450 28 AF 1.9 AF, ATTEN= 60$, LAG= 15.2 MIN STOR-IND METHOD PEAK STORAGE = 5173 CF PEAK ELEVATION= 37.7 FT FLOOD ELEVATION= 38.5 FT START ELEVATION= 36.5 FT SPAN= 11-15 HRS, dt=.02 HRS Tdet= 56.5 MIN (.19 AF) ROUTE INVERT OUTLET DEVICES 1 P 36.5' 1" ORIFICE/GRATE Q=.6 PI r-2 SQR(2g) SQR(H-r) 2 -P 37.3' 3' x .4' ORIFICE/GRATE Q=.6 Width 2/3 SQR(2g) (H-1.5 - LH-Height]"1.5) 3 P 37.8' 10' SHARP -CRESTED RECTANGULAR WEIR Q=C L H-1.5 C=3.27+.4 H/2 L=Length-0(.1 H) POND 1 INFLOW & OUTFLOW DETENTION POND 5.0ND METHOD 4.5= 5173 CF = 37.7 FT 4.0 3 5 5.44 CF5 ,+ 2.20 CFS u 3.0 15.2 MIN 2.5 3 0 2.0JLPEAK LL 1.5 .5 0.0C Ln m Ln m in m in m N fV rn m V V Ln TIME (hour5) Data for 98134 CAPORALETTI SITE DETENTION POND Page 3 FIFTY YEAR 24-HOUR RAINFALL= 9.00 IN Prepared by ANDREW & KUSKE CONSULTING ENGINEERS, INC. 5 Oct 98 HydroCAD 5.01 000479 (c) 1986-1998 Applied Microcomputer Systems SUBCATCHMENT 1 OVERALL SITE PEAK= 8.50 CFS @ 12.07 HRS, VOLUME= .43 AF ACRES CN SCS TR-20 METHOD .80 95 PAVEMENT & BUILDINGS TYPE III 24-HOUR .77 30 OPEN AREA RAINFALL= 9.00 IN 1.57 63 SPAN= 11-15 HRS, dt=.02 HRS Method Comment Tc (min) DIRECT ENTRY Segment ID: 5.0 8.5 8.0 7.$ 7.0 6.5 6.0 5.5 '+ 5.0 4.$ 4.0 3 3.5 O 3.0 2.5 2.e 1.5 1.0 .5 SUBCATCHMENT 1 RUNOFF OVERALL SITE AREA= 1.57 AC Tc= 5 MIN CN= 63 SCS TR-20 METHOD TYPE III 24-HOUR RAINFALL= 9.00 IN PEAK= 6.50 CFS e 12.07 HRS VOLUME= .A3 AF N N r'7 M eT' It 111 TIME (hours) Data for 98134 CAPORALETTI SITE DETENTION POND Page 4 FIFTY YEAR 24-HOUR RAINFALL= 9.00 IN Prepared by ANDREW & KUSKE CONSULTING ENGINEERS, INC. 5 Oct 98 HVdroCAD 5.01 000479 (c) 1966-1998 Applied Microcomputer Systems POND 1 DETENTION POND Qin = 8.50 CFS 0 12.07 HRS, VOLUME= Qout= 5.32 CFS @ 12.16 HRS, VOLUME= ELEVATION AREA INC.STOR CUM.STOR (FT) (SF) (CF) (CF) 36.5 3900 0 0 37.5 4700 4300 4300 38.5 5600 5150 9450 43 AF 34 AF, ATTEN= 37%, LAG= 5.8 MIN STOR-IND METHOD PEAK STORAGE = 6498 CF PEAK ELEVATION= 37.9 FT FLOOD ELEVATION= 38.5 FT START ELEVATION 36.5 FT SPAN= 11-15 HRS, dt=.02 HRS Tdet= 43.2 MIN (.34 AF) ## ROUTE INVERT _ OUTLET _DEVICES 1 P 36.5' 1" ORIFICE/GRATE Q=.6 PI r-2 SQR(2g) SQR(H-r) 2 P 37.3' 3' x .4' ORIFICE/GRATE Q=.6 Width 2/3 SQR(2g) W 1.5 - [H-Height]^1.5) 3 P 37.8' 10' SHARP -CRESTED RECTANGULAR WEIR Q=C L H-1.5 C=3.27+.4 H/2 L=Length-O(.1 H) POND 1 INFLOW & OUTFLOW DETENTION POND 8.5 8.0 STOR-IND METHOD 7.5 PEAK STOR= 6498 CF 7.0 PEAK ELEU= 37.9 FT 6.5 6.0 Din= 8.50 CFS j 5.5 bout= 5.32 CFS L- 5.0 LAG= 5,8 MIN W 4.5 4.0 ` :3 3.5 i O 3.0 � 2.5 + ` 2.0 r t.5 1.0 i .5 r 0.0m m ui m in m in m TIME (hours) �5� A&K#98134 Permit No. 51,7) R-9 (in be provided bvD6N()) State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATEIt MANAGEMENT PERMIT APPLICATION FORM WET DETENTION BASIN SUPPLEMENT this form Inav be pholocopied,fvr use as an originol DWQ.Stormwater Management Plan Review: A complete stormwater management plan submittal includes a wet detention basin supplement for each basin, design calculations, plans and specifications showing all basin and outlet structure details, and a signed and notarized operation and maintenance agreement. 1. PROJECTINFORMATION (please complete the following information): Project Name: _Caporaletti Office Building Contact Person: Larry Sneeden Phone Number; ( 910 ) 343-9653 For projects with multiple basins, specify which basin this worksheet applies to: n/a Basin Bottom Elevation 132.0 11. (average elevation of the floor of the basin) Permanent Pool Elevation 136.5 fi. (elevation of the orifice) Temporary Pool Elevation 137.3 ft. (Elevation of the discharge structure overflow) Permanent Pool Surface Area 3900 sq. ft. (water surface area at the orifice elevation) Drainage Area 1.57 ac. (on -site and off -site drainage to the basin) Impervious Area 0.82 ac. (on -site and off -site drainage to the basin) Permanent Pool Volume 7300 cu. ft. (combined volume of main basin and forebay) Temporary Pool Volume 3400 cu. fl. (volume detained above the permanent pool) Forebay Volume 1600 cu. ft. SA/DA t used 5.1 (surface area to drainage area ratio) Diameter of Orifice 1.0 in. Design TSS Removal 90 % (85% TSS removal required, see item k below) ii. REQUIRED ITEMS CHECKLIST The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N.C. Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section: 15 A NCAC 2H .1008. Initial in the space provided to indicate the following design requirements have been met and supporting documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not been met, attach ,justification. Form SWU-102 Rev 1/August 1998 Page I of 3 The tcntpor-ary tool controls runot)'trom the I inch storm event. b. The basin length to width ratio is ereater than 3:1. c. The basin side clones above the nerrnanent pool are no steener than 3:1. d. A submeraed and vegetated perimeter shelf at less than 6:1 is provided (show detail). Veuetation above the permanent pool elevation is snecified. An emeraencv drain is provided to ernnty the basin. u. The nerrnanent pool death is between 3 and 6 feet (reauired minimum of 3 feet). h. The teninorary pool draws down in 2 to 5 days. i. A trash rack is provided for both the overflow and orifice. i. The forebav volume is annroximately caual to 20% of the total basin volume. k. Sediment storage is provided in the permanent nooi. i A 'in-fnot vetJetative filter is nrnvirirri at the. nntlpt2 (inr.h�riP Prncivp tines ca10,11atinnc) m. Recorded drainaue casement for each basin including access to nearest riaht-of-way. n. A site specific operation and maintenance (O&M) plan is provided. o. A veuetation manauement/mowinu schedule is provided in the O&M elan. D. Semi-annual inspections are snecified in the O&M plan. o. A debris check to be performed after every storm event is snecified in the O&M Dian. r. SD8CiftC clean -out benchmarks are snecified in the O&M nlan (elevation or denth). a A 1poally recnnncih1e narty is riec1onater1 in the. OkM nlnn3 (innlnrip name, And title) t. If the basin is used for sediment and erosion control durinu construction_ clean out of the. basin is snecified to be Derformed prior to use as a wet detention basin. Footnotes: 1 Wlicn using the Division SA/DA table, the correct SA/DA ratio for permanent pool siring; should be computed based upon the actual impervious'%o and permanent pool depth. Linear interpolation should be employed to determine (Ire correct value for non- standard table entries. 2'1'he requirement for a vegetative filter may be waived if the wet detention basin is designed to meet 90%TSS removal. 3'Flie legally responsible party should not be a homeowners association unless more than 50% of (lie lots have been sold and a resident of the subdivision has been named the president. ill. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT The wet detention basin system is defined as the wet detention basin, forebay, non-integrated pretreatment systems (pretreatment other than forebays), and the vegetated filter if one is provided. This system (check one) ❑ does ® does not incorporate a vegetated filter. This system (check (me) ❑ does ® does not incorporate non-integrated pretreatment. Maintenance activities shall be perform as follows: After every significant runoff producing rainfall event and at least monthly: roan SWU-102 Rev 1/August 1998 Page 2 of 3 a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation, grass cover, and general condition. b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within 2 to 5 days. 2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative cover to maintain a maximum height of six inches, and remove trash as needed. 3. Inspect and repair the collection system (Le. catch basins, piping, swales, riprap, etc.) quarterly to maintain proper functioning• 4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is reduced to 75% of the original design depth. Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will adversely impact water quality (i.e. stockpiling near a wet detention basin or stream, etc.). The original design depth is: 3.5' The sediment removal benchmark depth is: 2.6" 5. Remove cattails and other indigenous wetland plants when they cover 75% of the basin surface. These plants shall be encouraged to grow along the basin perimeter. 6. if the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the emergency drain shall be minimized to the maximum extent practical. 7. All components of the wet detention basin system shall be maintained in good working order. 8• Remove sediment to design depths upon completion of construction and establishment of vegetative cover, I acknowledge and agree by my signature below that I am responsible for the performance of the above maintenance procedures. I agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address. Print name: Address: Phone: Title: Signature: Anthony S. Caporaletti 1727 Verrazzano Drive 910-256-5013 Date: November 10, 1998 1, Jeria M. Coleman , a Notary Public for the State of North Carolina County of New Hanover personally appeared before me this 10th do hereby certify that day of November due execution of the forgoing infiltration system maintenance requi My c(fmmission expires July 26, 2002 Form SWU-lot Rev 1/August 1998 Page 3 of 3 Anthony S. Caporaletti , 19 98 , and acknowledge the rern nV ss my hand and official seal, P Ei1. col F��y vVA RY. 9y i . PUBLIC i �A `" ""YER Gfl�_,���� STORMWATER MANAGEMENT NARRATIVE MOTS CAPORALETTI OFFICE SITE WILMINGTON, NORTH CAROLINA DEVELOPED BY CAPORALETTI DEVELOPMENT, LLC 1727 VERRAZANO DRIVE WILMINGTON, NORTH CAROLINA 28405 (910) 256-5013 NOVEMBER 9, 1998 A&K#98134 `ti�11 f i Frylfif CARP''. SEAL c� 10972 r f CF S N genz� STU02"RMWATER ANDREW & KUSKE CONSULTING ENGINEERS, INC. 902 MARKET STREET WILMINGTON, NORTH CAROLINA 28401 (910) 343-9653 E C E I V E NOV 161998 FRO.i # D E M STORMWATER MANAGEMENT NARRATIVE CAPORALETTI OFFICE SITE DESCRIPTION The site is a 1.57 acre tract on the east side of Racine Drive south of the entrance to Ashton Place. The tract is bounded by road rights -of -way to the north and west, residential uses to the south, and nonresidential uses to the east. The site is vacant with medium sized trees and moderately dense vegetation. The tract is gently sloping from a ridge in the southeast corner to a low, wetland area in the north west corner. The isolated wetland is less than one -tenth of an acre and does not require notification or permitting prior to placing fill. There is no expected runoff from off -site draining to this project. The project is new development consisting of clearing, grading, and construction of an office building, parking area, stormwater management system and utilities. Design impervious for the entire site is computed at 52%. Approximately 1.4 acres will be disturbed by the construction work. STORMWATER MANAGEMENT MEASURES Runoff will be collected in curb inlets and roof drains and piped to a new detention pond. The pond is designed for 90% TSS removal in accordance with state regulations. Discharge from the pond will flow to the NCDOT owned piped drainage system in Racine Drive. Maintenance will be provided by the grading contractor and developer during construction. The Owner or his property manager will provide maintenance after occupancy. F4 WYATT E. BLA\'CHARD, P.E. Counry Engineer MEMORANDUM NEW NANO VER COUNTY ENGINEERING DEPARTMENT 414 CHESTNUT STREET WILMINGTON, NORTH CAROLINA 28401 TELEPHONE (919) 341-7139 0(� �XV TO: LINDA LEWIS DEM FROM: BETH EASLEY EROSION CONTROL SPECIALIST RE: SEDIMENTATION AND EROSION CONTROL PLAN r rtir[+t� C�-p l `? � g 7 CamR[ _ n � OE�U!- Please review the attached plan. If you have any questions, please contact this office. BE/aj Attachment L,L- Mr ENGINEERING & FACUrIES CO& APPLICATION FOR PERMIT FOR A LAND -DISTURBING ACTIVITY IleUNDER THE CONDITIONS SET FORTH BY THE NEW HANOVER COUNTY SOIL EROSION AND SEDIMENTATION CONTROL ORDINANCE A&K#98134 Fie Number 50 o ro Fee Paid Date Applicant: Ca oraletti Development, LLC Applicant's Agent: Andrew & Kuske Consulting Eng. Inc. Address: 1727 Verrazzano Drive Address: 902 Market Street Wilmington, NC 28405 Wilmington, NC 28403 Telephone Number: 910-256-5013 Telephone Number: 910-343-9653 Total Acres of Land Disturbance: 1.57 Purpose of Development: Office Building Location and Description of Land Disturbance: Clearing and grading for construction of an office building, parking lot, and stormwater detention located on the east side of Racine Drive south of Ashton Place. Land owner(s) of Record STATEMENT OF FINANCIAL RESPONSIBILITY Person or firm(s) financially responsible for the land -disturbing activity. If not a North Carolina resident you must have a N.C. agent (List Below) Name: Caporaletti Development, LLC Name: Ca oraletti Development, LLC Address: 1727 Verrazzano Drive Address: 1727 Verrazzano Drive Wilmington, NC 28405 Telephone Number: 910-256-5013 Location of deed(s) or instrument(s) Wilmington, NC 28405 Telephone Number: 910-256-5013 County New Hanover., ___Book 2418 Page 0458 The above information is true and correct to the best of my knowledge and belief and was provided by me while under oath. (This form must be signed by the financially responsible person if an individual and by an officer, director, partner, attorney -in -fact, or other person of authority to execute instruments for the financially responsible person if not an individual.) I agree to provide corrected information should there be any change in the information provided herein. Date: _ November 10, 1998 Name (Type or Print) AnthonyS. Ca oraletti Title: Manager Signature: _ u TS aI � Pt18l,1 G a y� A Coe, . % a Notary Public of the County of New Hanover State of North that --Anthony S .C'apnralPtti _ appeared personally before me this day and Nledged that the above form was executed by him. Witness my hand and notarial seal, this 10th _day of Nrlvealber--, 1998 Notary My commission expires