SW7130606_HISTORICAL FILE_20160106

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

I4•
viver s ENGINEERS PLANNERS
` & ASSOCIATES. INC.
January 6, 2016
Mr. Samir Dumpor
NCDENR— Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
SUBJECT: Pronamic Industries Facility BMP
STATE STORMWATBR PERMIT
SURVEYORS LANDSCAPE ARCHITECTS
RECEIVED/NCDENR/DWR
JAN 0 6 2016
Water Quality Regional
Operations Section
Washington Regional Office
Dear Mr. Dumpor:
As discussed in our telephone conversation yesterday, attached is a revised We
Detention Basin
Supplement for the subject project with the following revisions:
• "fhe 1-yr, 24-hr rainfall depth has been corrected to 3.16 inches per NOAA' Precipitation
Frequency Data Server as likewise been revised to 0. 132
• The 1-yr, 24-hr rainfall intensity
In at 25 90 Ct elevation has been corrected inches/hour
13,180
• The area of the temporary pool
square feet.
sia,k you dtoolai�hlpn call
if �questions or if we can
uPP YYad�nfomatiothamay help ireaching favorable review.
Sincerely,
James "Dan" Withers, PE
Project Manager
Enclosures
cc: Dan Butler, Flanders Solutions (w/o enclosures)
Rivers File 2015085-D (w/ enclosures)
107 E. Second Street, Greenville, NC 27858
NCBELS Lic. No. F-0334
Po Box 929, Greenville, NC 27835 o Phone: [phone] • Fax: 237
NCBOLA 9No. C
www. riv ersandassoc iates.co m

WET DETENTION POND ANALYSIS - ALL RULES
FILE NAME:
S:\WQS\STORMWATER\EXCELSPREADSHEETS\POND\130606MOD
PROJECT#: SW7
1130606MOD
REVIEWER:
�Samir
Initial Run Dale
Janul ary5, 2016
PROJECT NAME:
jPronamics
-� Last modified
Receiving Stream:
Mitchell Branch
Class:
1C Sw, NSWI
Drainage Basin:
ITar Pam
Within 1/2 mile S
N� Y or N
Index No.
1*28-103-15 1
6ne Area 1
@Drainage Area
7.31
jacres
square feet DA Area 7.31 acres
318424.00
Rules- "2008"or"Ph2" 1
1 2008
IMPERVIOUS AREAS - BUA
Runoff C
Buildings
square feet 1 user input rec
50965.00
Street
58370.00
square feet 0.98 formula
SW
square feet 0.95
Future
square feet
Offsite
Other
square feet F 97
square feet 1
square feet
square feet
'BUAiff:'.DS® ,
TOTAL
1 109335.00
SURFACE AREA CALCULATION (with added DA and BUA at different design storm)
Overall % Impervious 34.34% SA/DA Ratio 2.76%
Average Design Depth 4.5 feet Req. SA 8789 sf
TSS, 85 or 90: • 90 % Prov. SA 8778 sf
TEMPORARY POOL AND FOREBAY VOLUME CALCULATIONS
Drainage Area®
.318424.00
sf
BUA
109335.00
0.00 sf
Post development Rv=
0.359
#DIV/0! unitless
Old BUA Design Storm
inches
Old BUA Design Volume
0
1.5" New BUA Design Storm Volume
14289
1 yr. 24 hour precipitation depth (inches)
120
from NOAA chart
Predevelopment Rv value
0.05
Use 0.05 if no existing BUA
1 yr. 24 hr. Pre -development volume
4246
cubic feet
1 yr. 24 hr. Post -development volume
30484
cubic feet
2008 Design Volume 14289
cubic feet
Phase 2 Design Volume 14289
cubic feet
Required Volume 14289
cf
Area• sf Inc. vol
Top of Sediment 18.36
msl ........
292.00 0.01
Bottom of Shelf 23.36
msl.........
5192.00 1371C
Permanent Pool - 23.86
msl... ......
8778.00 3492
Top of Shelf 24.36
msl.........
11051.00 4957.
Temporary Pool 25.90
msl.........
13180.00 18657
Volume met at elev 25.42
msl
FOREBAY
Vol. Prov. at TP 23615.12
of
Penn. Pool Volume=
Req. Forebay Volume=
Provided Volume=
Percent=
Calculated Average Depth. feet 13.04
it Max Pumo HP
ORIFICE CALCULATIO
Average Head
Flow Q2, cfs
Flow Q5, cfs
No. of Orifices
Diameter, inches
Drawdown =
1 yr 24 hr intensity, in/hr
Runoff Coefficient
1 yr 24 hr peak Q
Orifice Flow<lyr24hr?
Q2 Area
Q5 Area
Orifice Area
Ava. Flow Q=
. 3.05
sq. inches
sq. inches
sq. inches
cfs
1.22
.77
61.048 1
or weir H x
'# of end contractions, N =
chart @ discharge coefficient, C = 3.33
s Effective weir length, L = 0.00

J
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: C, 5 Al 130 ee 0 &
2. Project Name:
3. Current Permit Holder's Company Name/Organization:
4. Signing Official's Name:
5. Mailing Address:
City:
6. Phone: ( )
Title:
State: Zip:
Fax:)
(&PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: f't-AND
2. Proposed permittee's signing official's name: �>Go-iT k:D RawI4
3. Proposed permittee's title: 6 t4 f E t= r l VlWcif( j- 0E-Fi GGR
4. Mailing Address: 53 ( /-c.AND E IZ'S
City: W,0,5H /n/C,T d State: /\(L Zip: 27gjl`
Phone: (252) _q-el& — ?O,?/ Fax: (25Z Qj�?-,3001p
5. New Project Name to be placed on permit:
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
❑ The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
age 4)
Lvj purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

i
III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This corholeted and sianed.form. Thiscerfificadon oihahe
Legai aocumentation of the property transter to a new owner.
A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
❑ Check here if the current permittee is only changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
U Check ere if currentwumza is tr nsferring the property to a new owner and will not retain
ownershi of the ermit
I, the current permittee, am submitting this application
for ansfer of owners ip f ermit-# CA0, I hereby notify DWQ of the sale or
er legal transfer of the st ater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot bg approved bBW less and until the facility is in compliance with the
permit. / \
Signature:
a Notary Public for the State of
tom` A -VC C.o�00k4it. County of do hereby certify that
Vi personally appeared before me this the
014�__ day of �.Pct- tc� 20�, and acknowledge the due execution of the
for oing instru nt. Witness my hand and official seal, (Notary"5RP`3���
.••••OEM... M
Sq
Nota ig ature �••�q�y'Ssoa��•;
S IV: "..nTADv O.!f'
PUBLIC
SSW N/O Change Rev24Se t2012 Page 2 of 4

a
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CQrr1� ,rsi
briRric `
t�'•.<HOltl1lA
�f :?
� h• rzrON
tr

PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
ropose ermittee for all transfers of ownership)
l 40 i T Roin//v hereby notify the DWQ that I have acquired
thro ale, lease or legal transfer, the responsibility for operating and maintaining the permittec
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
the most recent permit
the designer's certification for each BMP
[zany recorded deed restrictions, covenants, or easements
[;'fhe DWQ approved plans and/or approved as -built plans
Ripe approved operation and maintenance agreement
ast maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurat a cl complete to the best of my knowledge. I understand that if all required parts
of this application re not c pleted r if all required supporting information an attach ents listed
above are not incl ded, a� li atj n p�agebe returned as incomplet L/ j
Signature: _ U Date:
I,-- , l L .1D(i O1�e- 4 LL— a Notary Public for the State of
_No r`" erxa (-I j a , County of !)-�L4-1 / or t , do hereby certify that
day of f� ✓`^^A
ins(um�e,Int. Witness my hand
-^'- E� -ca--,j
iqnature
&`om m ti SS, cv\, o t yet
personally appeared before me this the
20/ (o , and acknowledge the due execution of the
official seal,
(Notary Seal)
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/,her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address: _
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser f4day,
y. I understand that failure to operate and maintain the
stormwater treatment facility in aith the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may resriat forcement action including the as essme t of
civil penalties of up to $25,000 pan t NCS 1 3-215.6.Signature of the property ownert "" " Date:
r1
a Notary Public for the State of
Nor:
^ ro i I for County of e Gt i l r t do hereby certify that
"J personally appeared before me this the
I _day of 20 lO ,and acknowledge the due execution of the
forgoi g insIt ment. Witness(Notary Seal)
hand and official seal,
Notary Signature
C'.orn ry�'rSS f o r .R-1K F, / o S'
SSW N/O Change Rev24Sept2012 Page 4 of 4

V
BFAUIFORT COUNTY // LAND RRCORDS
ROUTING FORM _ 4
Lend Records Official Date
Excise Tax: -� 2, O L!_
BK 1866PG976
FOR REGISTRATION REGISTER OF DEEDS
Jennifer Leggett Whitehurst
Beaufort County. NC
March 16, 2015 11:49:59 AM
Book 1866 Page 976-980
FEE: $26.00
NC REVENUE STAMP: $2,696.00
INSTRUMENT # 2015001140
NORTH CAROLINA SPECIAL WARRANTY DEED
DEC —42015
a-
Parcel Identifier Nos. 15021974, verified by Beaufort County on the day of 12015.
By:
MailBox to: Hunton & Williams LLP, Riverfront Plaza, East Tower, 951 E. Byrd Street, Richmond, VA
23219, Attn: J. C. Chenault, V
This instrument was prepared by: J. C. Chenault, V, Esq.
Brief description for the Index: a 6.656 acre parcel, more or less, located in Beaufort County, NC
THIS DEED made this' -day of March, 2015, by and between
GRANTOR
BLUE GOOSE, LLC,
a North Carolina limited liability company
P.O. Box 637
Washington, NC 27889
GRANTEE
LANDERS SOLUTIONS LLC,
Delaware limited liability company
o Insight Equity, 1400 Civic Place, Suite 250, Southlake,
exas 76092, Attn: Brad Buser
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for valuable consideration paid by the Grantee, the receipt and sufficiency of
which are hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee all that certain lot or parcel of land situated in Beaufort County, North Carolina and more particularly
described as follows:

BK 1866PG977
BEND all of the real estate, including, without limitation, all improvements located thereon and appurtenances
thereto; all fixtures affixed thereto; all mineral, oil and gas rights, water rights, sewer rights and other utility
rights allocated to the real property; and all easements, licenses, privileges and other property interests
belonging or appurtenant to the real property; all and singular the hereditaments and appurtenances thereunto
belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues
and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of Grantor, either in
law or equity, of, in and to the above conveyed premises, set forth on Exhibit A attached hereto and
incorporated herein by reference (the "Property").
The Property hereinabove described was acquired by Grantor by the instrument recorded in Book 1811, Page
0777 as Instrument No. 2013001697 in the Office of the Register of Deeds of Beaufort County, North Carolina.
All or a portion of the Property herein conveyed does not include the primary residence of Grantor. .
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple, subject to the exceptions set forth herein.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to
convey the same in fee simple, and that Grantor warrants and will defend the title to the above described
Property against the lawful claims of all persons claiming by, through or under Grantor other than the following
exceptions:
1. Ad valorem taxes for 2015 and subsequent years for amounts not yet due and payable; and
2. Rights of way, easements, covenants, restrictions and any other matters of record set forth on Exhibit
B attached hereto.
[Signature Page to Follow]
2

OKI866PG978
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first
above written.
GRANTOR:
BLUE GOOSE, LLC,
a North Carolina limited liability company
By:
Name:' I-�, .�. i S._, l._
STATE OF or' l_, 01 � )
+�- ) couNTYof )
day of March, 2015, before me, personally appeared 4ee L I - t�,;
./ of BLUE GOOSE, LLC, a North Carolina limited ability company, known
who exerted the foregoing instrument on behalf of the company.
My commission expires: of 4 A0!
IE 1
�—
PUBLIC
Aid�aC\\\:
/0/111111 \ 0

Exhibit A
BK 1866PG979
Parcel ID No.: 15021974
BEING Lot No. Nine (9) containing 6.656 acres as the same is shown on map entitled "Beaufort County
Industrial Park", dated June 20, 2002, revised through fifth revision dated March 19, 2005, prepared by Mayo &
Associates, P.A., of record in Plat Cabinet G, Slides 51-8, 51-9 and 51-10, Beaufort County Registry, to which
map is incorporated herein by reference for a more complete and detailed description.
A-1

8K ( 866PG980
Exhibit B
Permitted Encumbrances
1. Covenants, conditions, restrictions and easements as set forth in Declaration of Covenants, Conditions and
Restrictions dated March 10, 2000 and recorded November 30, 2001 in Book 1230, Page 61, but omitting
any covenant or restriction based on race, color, religion, sex, sexual orientation, familial status, marital
status, disability, handicap, national origin, ancestry, or source of income as set forth in applicable state or
federal laws, except to the extent that said covenant or restriction is permitted by applicable law.
2. Matters shown on plat recorded in Plat Cabinet G, Slides 51-8, 51-9 and 51-10, including:
a. 20' utility easement along road right-of-way;
b. 20' easement centered on all lot lines; and
c. 20' drainage utility easement along outside property line.
3. Deed of Trust from Blue Goose, LLC to William P. Mayo, Trustee for the County of Beaufort, dated March
22, 2013 and recorded on March 22, 2013 in Book 1811, Page 790.
4. The following matters shown on the survey by Ernest C. Drake for GRS Republic National dated March 3,
2015 and last revised March 12, 2015, having Job Number 150235:
a. Overhead utility lines.
��be� Hu n-bn W,'�jCQp B 1 `� C

To whom it
concern:
This letter s all provide confirmation that Blue Goose, LLC, owner of Lot 8 of the Beaufort County
Industrial Pdrk hereby authorizes Flanders Solutions, LLC, owner of Lot 9 of the Beaufort County
Industrial P rk, to apply for and obtain permits to construct stormwater control measures, drainage,
and other grilding improvements shown on Rivers & Associates, Inc. Drawing No. W 3627.
This letter does not grant permission to construct these improvements unless purchase of the fifty
foot wide portion of Lot 8 by Flanders Solutions, LLC is complete and the revised deed has been
recorded with the Beaufort County Register of Deeds, at which point the entire limits1of the project
will be wholi y owned by Flanders Solutions, LLC. . . Approved by: t .. >. �' d E D
fin.
Blue Goose, LLC
DEC - 4 2015
By: 7
Title: i9 i1V�QtuG.n a �^
State of
appeared
was exec
Witness my
a Notary Public of the County of ` 3jVAMI6V(
rth Carolina, hereby certify that YVq\a "�,7 -15WAV
ovally before me this day and being duly sworn acknowledged that the above form
by him.
and and notarial seal, this day of OOICv�, -46\S
i
. ��.•`�E1H a M''�`''%
�` 9510N T �i Wota/
Seal W tkOTARY �<
PUBLIC D My commission expires
. S

SURVEYORS LANDSCAPEARCRITECTS
I� y � TQY� C ENGINEERS
` & ASS 50!vATF IINJC.
PLANNERS
December 2, 2015
Mr NLDENR— SaW p hington Regional Office
NC
943 Washington Square Mall
Washington, Norih Carolina 27989
Pronamic Industries Facility BMI'
STATE &FORM W ATER P ERMIT
SUBJEC'f:
Dear Mr. Dumpor: , application for the
Enclosed for the above -referenced project is the State Stormwater I rn. I
proposed improvements to Pronamic Industries Facility Stormwater system. Items included in this
propo.
submittal are:
1 check for the application fee in the amount of $505.00
One O of the application form
One (1) original and one (1) copy of the supplement and O&M forms
l and one (1) copy
One (1 I original
One (1) copy of the stormwater narrative and as
calculations
Two (2) copies of the project plans
eriy proceed with
One (1) copy of the most current deeds for the.property
from Lot 8 authoriprosing Flanders
One (1) copy of a letter Solutions to
• permittingg uestions or if we can
application. Please call if you have any q
hel in reaching a favorable review.
Thank you for consideration of this
supply any additional infom'iation that may P
incerely,
JanTes "Dan" Withers, PE
project Manager
Enclosures
Dan Butler, Flanders Solutions (w1° enclosures)
Rivers File 2015085-D (w/enclosures)
cc:
107 E. Second Street, Greenville, NC 2765E
DEC-42015
o ra 7
V J,.
Greenville, NC 27835 • Phone: [phone] a Fax: [phone],
PO Box 929, Green
NCBOIA Lic.
www. riv efsandassoll ates. co m
NCBELS Lic. No. F-0334

t FINANCIAL RESPONSIBILITY/OWNERSHIP FORM 1
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name Pronamic Industries Facility BMP
2. Location of land -disturbing activity: County Beaufort City or Township Washington
Highway/Street Page Road Latitude 35036'13.75"N Longitude -770 5'15.44"W
3. Approximate date land -disturbing activity will commence: October 2015
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Industrial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 3 AC
6. Amount of fee enclosed: $ 195 . The application fee of $65.00 per acre (rounded up to the
next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes_ No_ Enclosed X
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Dan Withers E-mail Address [e-mail]
Telephone [phone] Cell # [phone] Fax # [phone]
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Flanders Solutions. LLC [phone]
Name Telephone Fax Number
1151 Page Road 1151 Page Road
Current Mailing Address Current Street Address _ —
Washington NC 27889 Washington �f i NC 2 27889.
City State Zip City I) U I rState — Zip
Deed Book No._Jsee attachedl Page No._see attachedl Provide copy offteJmtpt cur}lerht d ied
0
Part B.
..,;a>v,r+ •=cT"
U
1. Person(s) or firm(s) who are
comprehensive list of all responsible
financially responsible for the land-disturbinJ activity` (P ov
on an
parties attached sheet):
O
0)
Flanders Solutions. LLC
[e-mail]
Name
E-mail Address
/11%�7
(f
I+
1151 Page Road
1151 Page Road
U J
Current Mailing Address
Current Street Address
c�\
Washington
NC
27889
Washington NC
27889 J
City
State
Zip
City State
Zip
Telephone (_252) 946-8081
Sco1/�S
Fax Number (252)
�am srf In -3/M '
�roPe��Y
1-21�.> a /Pe.i owr�r. C-J rii S
pec S %
7evC=r bcx--n 12 errl,i
ted
�h�n^
- be-1n3 pe_ri /`jed
�fl} 40- ("-hO eGr l�
/VuW
l'1�✓E
:I1
.h.�
�� il�j u��"o �m�✓;n� 2 Buis%, S/o
-fvn c�j` .-� m.:in;n���d, 0.Wne/`l' e•n.%.re
ani✓/5-. Rvr -u- JI,

l�2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
Name
E-mail Address
Current Mailing Address
Current Street Address
City State
Zip City State Zip
Telephone
Fax Number
(b) If the Financially Responsible Party
is a Partnership or other person engaging in business under an
assumed name, attach a copy of the
Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent
E-mail Address
Current Mailing Address
Current Street Address
City State
Zip City State Zip
Telephone_
Fax Number
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath (This form must be signed by the Financially Responsible Person if an individual
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Person). I agree to provide
corrected information should there be any change in the information provided herein.
V1of f f'cc.c� Stk.RkUe'lZ \)ItE ft4E:S'jOS C of PrtoLpSS jpfuqucT
Type or print name Title or Authority to Ce
Signature Date
I, l nst_G" A (.0 , a Notary Public of the County of
State of North Carolina, hereby certify that ° JA D f�� r appeared
personally before me this day and being duly sworn acknowledged that the above form was
executed by him. L
Witness my hand and notarial seal, this /0� day of (" ham= , 20 l
Notary q
Seal l� � 0
My commission expires ON

BEAUPORT COUNTY LAND RYCORDS
ROUTING FORM �7ciT �3
Lend Records officinl Date
Excise Tax: 2, b96.m
BK 1866PG976
FOR REGISTRATION REGISTER OF DEEDS
Jennifer Leggett Whitehurst
Beaufort County, NC
March 16, 2015 11:49:59 AM
Book 1866 Page 916-980
FEE: $26,00
NC REVENUE STAMP: $2,696.00
INSTRUMENT # 2015001140
NORTH CAROLINA SPECIAL WARRANTY DEED
Parcel Identifier Nos. 15021974, verified by Beaufort County on the day of 12015.
By:
Ma11Box to: Hunton & Williams LLP, Riverfront Plaza, East Tower,1,95,1 E. Byrd Streetphchrriodd', VA
23219, Attn: J. C. Chenault, V �. NOV 10
This instrument was prepared by: J. C. Chenault, V, Esq. �,;� fjt,.,ry gF�rio�
,',C,ygi_ OFFIC_
Brief description for the Index: a 6.656 acre parcel, more or less, located in Beaufort County, NC
b
THIS DEED made this0day of March, 2015, by and between
GRANTOR GRANTEE
BLUE GOOSE, LLC, FLANDERS SOLUTIONS LLC,
a North Carolina limited liability company a Delaware limited liability company
P.O. Box 637 c/o Insight Equity, 1400 Civic Place, Suite 250, Southlake,
Washington, NC 27889 Texas 76092, Attn: Brad Buser
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for valuable consideration paid by the Grantee, the receipt and sufficiency of
which are hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee all that certain lot or parcel of land situated in Beaufort County, North Carolina and more particularly
,described as follows:
1

BK 1866PG977
BEING all of the real estate, including, without limitation, all improvements located thereon and appurtenances
thereto; all fixtures affixed thereto; all mineral, oil and gas rights, water rights, sewer rights and other utility
rights allocated to the real property; and all easements, licenses, privileges and other property interests
belonging or appurtenant to the real property; all and singular the hereditaments and appurtenances thereunto
belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues
and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of Grantor, either in
law or equity, of, in and to the above conveyed premises, set forth on Exhibit A attached hereto and
incorporated herein by reference (the "Property").
The Property hereinabove described was acquired by Grantor by the instrument recorded in Book 1811, Page
0777 as Instrument No. 2013001697 in the Office of the Register of Deeds of Beaufort County, North Carolina.
All or a portion of the Property herein conveyed does not include the primary residence of Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple, subject to the exceptions set forth herein.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to
convey the same in fee simple, and that Grantor warrants and will defend the title to the above described
Property against the lawful claims of all persons claiming by, through or under Grantor other than the following
exceptions:
1. Ad valorem taxes for 2015 and subsequent years for amounts not yet due and payable; and
2. Rights of way, easements, covenants, restrictions and any other matters of record set forth on Exhibit
B attached hereto.
[Signature Page to Follow]

8K 1866PG978
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first
above written.
GRANTOR:
BLUE GOOSE, LLC,
a North Carolina limited liability company
By:
Title:
STATE OF w-
COUNTYJ- ilk '
-t—c day of March, 2015, before me, personally appeared Ore-L,
My_ of BLUE GOOSE, LLC, a North Carolina limited Kability company, known
on who exerted the foregoing instrument on behalf of the company.
My commission expires: 02 16 dOl
400 IE Ip�p�
i
_C) NOTARV _
PUBLIC
%"'o

Exhibit A
BK 1866PG979
Parcel ID No.: 15021974
BEING Lot No. Nine (9) containing 6.656 acres as the same is shown on map entitled `Beaufort County
Industrial Park", dated June 20, 2002, revised through fifth revision dated March 19, 2005, prepared by Mayo &
Associates, P.A., of record in Plat Cabinet G, Slides 51-8, 51-9 and 51-10, Beaufort County Registry, to which
map is incorporated herein by reference for a more complete and detailed description.
A-1

BK 1866PG980
Exhibit B
Permitted Encumbrances
Covenants, conditions, restrictions and easements as set forth in Declaration of Covenants, Conditions and
Restrictions dated March 10, 2000 and recorded November 30, 2001 in Book 1230, Page 61, but omitting
any covenant or restriction based on race, color, religion, sex, sexual orientation, familial status, marital
status, disability, handicap, national origin, ancestry, or source of income as set forth in applicable state or
federal laws, except to the extent that said covenant or restriction is permitted by applicable law.
2. Matters shown on plat recorded in Plat Cabinet G, Slides 51-8, 51-9 and 51-10, including:
a. 20' utility easement along road right-of-way;
b. 20' easement centered on all lot lines; and
c. 20' drainage utility easement along outside property line.
3. Deed of Trust from Blue Goose, LLC to William P. Mayo, Trustee for the County of Beaufort, dated March
22, 2013 and recorded on March 22, 2013 in Book 1811, Page 790.
4. The following matters shown on the survey by Ernest C. Drake for GRS Republic National dated March 3,
2015 and last revised March 12, 2015, having Job Number 150235:
a. Overhead utility lines.
Hu n-F--)n �- Wj-)lLQp B 1 D- C

To whom
This letter
Industrial.
Industrial
and others
ay Concern:
it provide confirmation that Blue Goose, LLC, owner of Lot 8 of the Beaufort County
c hereby authorizes Flanders Solutions, LLC, owner of Lot 9 of the Beaufort County
to apply for and obtain permits to construct stormwater control measures, drainage,
ing improvements shown on Rivers & Associates, Inc. Drawing No. W 3627.
This letter does not grant permission to construct these improvements unless purchase of the fifty
foot wide pgrtion of Lot 8 by Flanders Solutions, LLC is complete and the revised deed has been
recorded with the Beaufort County Register of Deeds, at which point the entire limits!of the project
will be wholly owned by Flanders Solutions, LLC.
Approved by:
Blue Goose,LLC
Title:
State of
appeared
was exec
Witness my
V
�` 4 �02015
a Notary Public of the County of '�jFb�( l
firth Carolina, hereby certify that 4I\t, 'V'- sbyo
tonally before me this day and being duly sworn acknowledged that the above form
by him.
rand and notarial seat, this day of 001r-�, ?A\6
i
•`•��`gS10N M� ,,
i• / 4
•
V
Seal g �' NOTARY
• :My commission expires
PUBLIC
COIN••`••

Pat McCrory
Governor
w=
KUM
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Thomas A. Reeder John E. Skvarla, III
Mr. Kevin Boyd, Member/Manager
Blue Goose, LLC
1151 Page Road
Washington, NC 27889
Dear Mr. Boyd:
Acting Director
June 25, 2013
Secretary
Mic-�CuA"'A C-)n
l- z / - I-G
Subject: Stormwater Permit No. SW7130606
Pronamics
High Density Commercial Wet Pond Project
Beaufort County
The Washington Regional Office received a complete Stormwater Management Permit
Application for Pronamics on June 14, 2013. Staff review of the plans and specifications has
determined that the project, as proposed, will comply with the Stormwater Regulations set forth
in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No.
SW7130606 dated June 25, 2013, for the construction of the subject project.
This permit shall be effective from the date of issuance until June 25, 2021, and shall be subject
to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, INC 27611-7447. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Scott Vinson at [phone].
Sincerely,
C`zw
for
Thomas` . Reeder
AA/sv: K:\WQS\STORMWATER\PERMIT\SW7130606
cc: Stephen Janowski,PE
✓Beaufort County Planning
✓Washington Regional Office
North Carolina Division of Water Duality
943 Washington Square Mall One
Washington, North Carolina 27889 North Carolina
Phone: [phone] FAX: [phone] F�Na //�
Internet: w .mmaterouality.om �/ Va%'a [ (`
An Equal opportunity 1 Affirmative Acton Employer

State Stormwater Management Systems
A Permit No. SW7130606
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations .
PERMISSION IS HEREBY GRANTED TO
Blue Goose, LLC
Pronamics
Lots 8 & 9 Beaufort County Industrial Park, Beaufort County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until June 25, 2021, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 379,626 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section I. of
this permit, and per approved plans. The built -upon area for the future
development is limited to 275,953 square feet. Plans for any future built -upon
area that are not currently shown on the approved plans must be submitted and
approved by the Division prior to the start of construction of those future plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 50 feet
landward of all perennial and intermittent surface waters.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW7130606
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, acres:
b. Total Impervious Surfaces, ftZ:
C. Design Storm, inches:
d. Pond Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMS�:
g. Permanent Pool Surface Area, ft
h. Permitted Storage Volume, ft :
i. Temporary Storage Elevation, FMSL:
j. Controlling Orifice:
k. Permitted Forebay Volume, ft3:
I. Fountain Horsepower, HP.
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
542,322
379,626
1.50
5.86 average
90
23.50
24,000
90,825 at temporary pool elev.
26.43
4.00"0 pipe
23,625
1/2 hp pump limit
Mitchell Branch / Tam -Pamlico
28-103-16
"C; Sw, NSW"
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, level
spreader, filter strip, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
records will indicate the date, activity, name of person performing the work and
what actions were taken.
5. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
6. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the
deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away
from the shoreline.
d. The maximum horsepower for a fountain in this pond is 1/2 horsepower.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW7130606
7. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
8. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
9. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
12. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
13. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. The approval of this request will be considered on its merits and may or
may not be approved.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW7130606
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2008-
211, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. This permit shall be effective from the date of issuance until June 25, 2021.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
Permit issued this the 25th day of June, 2013
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
( IV for
Thomas A. Weder, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Stormwater Permit No. SW7130606
Page 5 of 7

0.
State Stormwater Management Systems
Permit No. SW7130606
Pronamics
Stormwater Permit No. SW7130606
Beaufort County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW7130606
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
_10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
.11. The permitted amounts of surface area and/or volume have been
provided.
.12. Required drawdown devices are correctly sized per the approved plans.
.13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Beaufort County Plannning
Page 7 of 7

50 DWQUSE ONLY
ate ecery d
Pee Paid
Permit Number
JUN ]
Ta'lSr- -% d
S -713� nh
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - Y008 ❑ Ph II - Post Construction
(select all w"on-Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
ther WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form ntay he photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
Lot 8 and 9 Beaufort County Industrial Park Page Road
City: W ash ington County: Beau fort Zip:27889
3. Directions to project (from nearest major intersection):
At the intersection of Cherry Run Road and Page Road
4. Latitude:35* 36' 13.75" N Longitude:-77° 05' 15.44" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major
®Sedimentation/Erosion Control: 2.0 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
Form SWU-101 Version 07Jun2010 Page 1 of

c.
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Blue Goose, LLC
Signing Official & Title:Kevin E. Boyd, Member/ Manager
b.Contact information for person listed in item I above:
Street Address:1151 Page Road
City: W ashington
Mailing Address (if
City:
Phone: ( )
Email:
State:NC Zip:27889
State: Zip:
Fax: ( )
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization: Blue Goose, LLC
Signing Official & Title:Kevin E. Boyd, Member/ Manager
b.Contact information for person listed in item 2a above:
Street Add
City: W ashington
Mailing Address (if
City:
Phone: (252 ) 833-4515
State:NC Zip:27889
Fax: (252 )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/ Organization: Stephen lanowski, PE
Signing Official & Title:I. S. Janowski Engineering, PA
b.Contact information for person listed in item 3a above:
Mailing Address:PO Box 30906
City:Greenville State:NC Zip:27833-0906
Phone: (252 ) 714-3002 Fax: ( )
Email:jstephenjanowskiQjsjen ing eeriny.com
4. Local jurisdiction for building permits: City of Washington
Point of Contact:lohn Rodman Phone #: (252 ) 944-4971
Form S WU-101 Version 07Jun2010 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The storm water will be collected and transported via closed storm drainage piping system
The storm water will be treated in a Wet Detention pond design for 90 % TSS removal
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph 11 - Post Construction
3. Stormwater runoff from this project drains to the "Car River River basin.
4. Total Property Area: 12.45 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) = Total Project
Area':12.45 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, tyre area
between the banks of streams and rivers, the area below the Nornml High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward front the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 70.00 %
9. How many drainage areas does the project have?2 (For high densihli, count I for each proposed engineered
storrwater BMP. For low densihj and other projects, use I for tine whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Mitchell Branch
Stream Class *
C;Sw,NSW
Stream Index Number *
28-1 -16
Total Drainage Area (so
542,322
On -site Drainage Area (sf)
542,322
Off -site Drainage Area (so
0
Proposed Impervious Area*' (so
379,626
Impervious Area** total
70.00
Impervious— Surface Area
Drainage Area _
Drainage Area _
Draina e Area _
Drainage Area _
On -site Buildings/Lots (so
50,000
(, L r(C,
On -site Streets (so
0
On -site Parking (so
53,673
I w�
On -site Sidewalks (so
Other on -site (so
0
Future (so
275,953
Off -site (so
Existing BUA*** (so
Total (so:
379,626
" Stream Class and Index Number can be determined at: lit tp://portal.nedenr.rrr web/urq(ps/csu/classi rcatioru
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version 07Jun2010 Page 3 of 6

'Report only that anmunt of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Survey and
Computer calculations
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered .Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wg/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from ht ://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. Thecomplete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://porta1mcclenr.org/web/w(l/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initiated in blue ink. Download the latest versions
for each submitted application package from hap://porta l.ncdenr.org/web/wq/ws/so/statesw/forms dots.
_LpAials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants N�A
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations. .5222!�
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MI-IW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
Form SWU-101 Version 07Jun2010 Page 4 of 6

n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1811 Page No: 0777 and 0798
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
littp://www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web/wq/ws/so/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer.l. Stephen Janowski, PE
Consulting Firm: 1. S. Janowski Engineering, PA
Mailing Address:PO Box 30906
City:Greenville
Phone: (252 ) 714-3002
Email:jstephenjanowskiQjsjen ing eering.com
State:NC Zip:27833-0906
Fax: ( )
IX PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or hype name of person listed in Contact Information, item 2a) KE141,I certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item ::6 ln) 11 E 10`(2 with (print or hype name of organization listed in
Contact Information, item la) 5LUS CqOOScr LI.G to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Jun2010 Page 5 of

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 newpursuant to NCGS 143-215.6.
WA
Date: C/t 2-1/ b
Yonne , a Notary_I ublic for the State of County of
p: lY do hereby certify that V,GNI a F—r- ,?X>1(D personally appeared
before me this 1141 day of TUXL , 101*5 , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, ck� oCT d
SEAL
My commission expires n 3�jh?o /)�
X- APPLICANT'S CERTIFICATION
I, (print or type name of person Listed in Contact Information, item la) V6,41 d c—;,
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 1S�AC 2Q.1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-211.
Date: & Itzlt3
L , {'o,p_G44: x`�' a Notary Public for the State of L County of
P� ki do hereby certify that E • 6: ' personally appeared
before me this V day of Tu t-e- Lbt-5 , and acknowledge the ue execution of the application for
a stormwater permit. Witness my hand and official seal, ,Q�'
P OA
........
apSARy
PU
coo
N `���•
SEAL
My commission expires ig 31!LR'/ p,V
Form SWU-101 Version 07Jun2010 Page 6 of 6

AV.
0

e EXPRESS
JUN 14 2013
Permit No. SVJ 1 13C%(,, le>
(to be provided by OM)
7154MA110
AY�
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all of the required information,
I. PROJECT INFORMATION
Project name Pmnamics
Contact person J. Stephen Janowski, PE
Phone number 252-714-3002
Date 5 I2013
Drainage area number 1
II, DESIGN INFORMATION
Site Characteristics
Dminage area 542,322 ft
Impervious area, post -development 379,626 rye
%impervious 70.00 %
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: $A Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr. 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the lyr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Predevelopmed 1-yr. 24-hr peak Row,
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the pens. pool elevation)
Top of 1 Oft vegetated shelf elevation
Bottom of 10ft vegetated shelf elevation
Sediment deanouL top elevation (bottom of pond)
Sediment deanouL bottom elevation
Sediment storage provided
Is there addd'onal volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
1.5 in
0 It
0 it
46,096 it'
0 ft3
90,825 ft3
90,825 R3
90,825 ft3
r,4 NATb'q
f�
O`er
o
Insufficient required volume.
Do NOT fill out BOTH Non -SR and SR data.
OK, volume provided is equal to or in excess of volume required.
Do NOT fill out BOTH Non -SA and SA data.
y (Y or N)
1.5 in 3, 1q
0.20 (unidess)
0.73 (unkless)
4.20 iNhr OA3 OK
6.06 ft3lsec
12.13 43/sec
6.07 ft3/sec
26.43 fmsl
23.50 fmsl
25.00 fmsl
24.00 fmsl
23.00 fmsl
16.00 fmsl
15.00 fmsl
1.00 It
n (Y or N)
264 fmsl OK
kt11
�, i}/ �v
y.
F.on SW401-Wet Detention B.SIn R.v.8-9/17M9 Pens I. E II, Design Summary, Peg. 1 of 2

<�.
Permit No.
(fobepr 0o&dby DWO)
Ill. DESIGN INFORMATION
Surface Areas
Area, temporary pool
36,070 ft2
Area REQUIRED, permanent pool
22.452 fl2
SAIDA ratio
4.14 (unilless)
Area PROVIDED, permanent pool, A.-,,
24,000 ft
OK
Area, bottom of 1011 vegetated shelf, A� v�u
20,300 It`
Area, sediment deanoul. top elevation (bottom of pond), A..
11.004 ft
Volumes
Volume, temporary pool
90,825 ft'
OK
Volume, permanent pool, Vp,, .
131,124 ft'
Volume, forebay (sum of forebays 8 more than one forebay)
23.625 ft'
Forebay % of permanent pool volume
18.0% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
y (Y or N)
Mountain/Piedmont SAIDA Table Used?
n (Y or N)
SAIDA ratio
4.14 (unilless)
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-21g)
n (Y or N)
Volume, permanent pool. V,,u
131.124 ft'
Area provided, permanent pool, A,,. _,w
24,000 W
Average depth calculated
5.86 If
OK
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
6.0 If
OK
Calculation option 2 used? (See Figure 10-2b)
y (Y or N)
Area provided, permanent pool, Ate,,,.
24,000 ft`
Area, bottom of IN vegetated shelf, A.-.
20,300 ft
Area, sediment cleanout, top elevation (bottom of pond), A,_.
11,004 ft2
'Depth' (distance blw bottom of 10ft shelf and lop of sediment)
7.00 If
Average depth calculated
5.86 It
OK
Average depth used in SAIDA, d., (Round to nearest 0.5ft)
6.0 It
OK
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if-mn-circular)
Coefficient of discharge (Co)
Driving head (He)
Drawdown through weiR
Weir type
Coefficient of discharge (C„)
Length of weir (L)
Driving head (H)
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge onfce or weir)
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow 8. orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
y (Y or N)
4.00 in
in?
0.60 (unilless)
1.10 it
n (Y or N)
(unilless)
(unilless)
It
ft
6.06 ft"/sec
12.13 fl1/sec
0.58 ft'/sec
w tt;ltV fIFF
�\LJ
��rrrfir t17 Pv11
3.15 days
OK, draws down in 2-5 days.
4 A
OK
10 :1
OK
10.0 If
OK
4:1
OK
3.8 :1
OK
y (Y or N)
OK
2.OIt
OK
n (Y or N)
OK
y (Y or N)
OK
y (Y or N)
OK
Pump out
Form SW4e1-Wet Detention Basin-Rev.6.9/17M Pens 1. a II. Design Summary. Page 2 of 2

: EXPRESS
JUN 14 2013
Permit Number: S W 1 l so(o0G
(Io be provided by DWQ)
Drainage Area Number: /
Wet MQUAPflasin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ® does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4

Permit Number:
fro be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate the probleay.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 7___5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 77:5 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blankv)
Permanent Pool Elevation 23.5
16 1 Pe manes Pool
--------------- -- VDlume Sediment Removal Elevation 16
15 ft Min. - - - ----------
Sediment Bottom Elevation 15
Storage
FOREBAY MAIN POND
1-ft
Storage
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:
BMP drainage area number:
Print name:Blue Goose LLC , Kevin E. Boyd -
Title: Member/Manager
Address: 1151 Pager Road, Washington, NC 27889
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, liQt L . -QZ_lnAkk , a Notary Public for the State of
C- , County of R 4 , do hereby certify that
VJV,h E. 63- of personally appeared before me this I 21'�'
day of 'IU41L , 'Zpi 3 , and acknowledge the due execution of the
forgoing wet detention basin
maintenance requirements. Witness my hand and official
seal, (/!- e-2_&_r7z
\\\��nurr/i /
`\\\ POq•4
`fie �r�••.. ..
p; �pTARY S
= eom
f
i PUBUG /
SEAL
My commission expires_ 464
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

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IL
o�C?INA .- ..
North Carolina
Elaine F. Marshal! AIR IV E NT orr -rl-Ic
JUN` St. ECRETARYof::-STAT'
`2 Secretary
,,;pp- •y "s' PO Box 29622 Raleigh, NC 27626-0622 [phone]
Acci�'��`` c initlAPte ister
Date: 6/12/2013
Click here to:�
View Document Filings I File an Annual Report I
JPrint a Pre -populated Annual Report Fillable PDF Form I Amended A Previous Annual Report I
Corporation, Names
Name Name Type
NC BLUE GOOSE, LLC LEGAL
Limited Liability Company Information
SOSID: 1280615'
Status: Current-ActNe
Effective Date: 10/1/2012' {'
Citizenship: DOMESTIC
State of Inc:: NC
Duration: PERPETUAL
Annual Report Status:, CURRENT
Registered Agent
%Agent Name: PORTER, CHRISTIAN E.
office Address: 1698 EARLINGTON BLVD.
.I
GREENVILLE NC 27858
Mailing Address:' 1698 E. ARLINGTON BLVD,.
GREENVILLE NC 27858
Principal Office
Office Address: NO ADDRESS
Mailing Address: NO ADDRESS
Officers
This website is pro�Aded to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version
744

Baldwin Design
Consultants, Pa
SFE & SUBOWSON DEsiav • euavEYM PLt NNNG.
3740-B Evans Street Greenville, NC 27834
252-756-1390 252-321-1412(fax)
To: NCDENR
943 Washington Square Mall
Washington, NC 27889
Date: Job No:
6/13/13 13-026
Attention:
Scott Vinson
Re:
Pronamics Industries, LLC
We are sending you: R Attached ❑ Under separate cover via
❑ Drawings ❑ Plans 0 Prints
❑ Letter ❑ Package 0 Other
❑ Pay Request/
Invoice
the following:
0 Specifications
2
5/30/13
Stormwater Application
2
5/30/13
Wet Detention Basin Supplement
2
5/30/13
Operation & Maintenance Agreement
2
5/30/13
Narrative & Calculations
2
Soils Reports
2
�q
Quad Map EXPRESS
2
Soils Map (Sheet 6 of 20) JUN 14 2013
1
5/22/13
Copy of Deed NC ®EHR
!i �U�9
2
6/12/13
Prints of Plan
1
1 5/20/13
1076
Check for $2000.00
Transmitted as checked below:
FX]For approval ❑ Approved as noted Resubmit copies for approval
❑ For your use ❑ Approved as submitted Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected copies
❑ For review ❑ Other
Remarks:
Signed: Ageirkilidwht Copyto:

For DENR Use ONLY
North Carolina Department of Environment and Reviewer:
APA Natural Resources Submit
NCDENR Request for Express Permit Review Time.
Confirm:
FILL-IN all the information below and CHECK the Permit(s) you are requesting for express review. FAX or Email the completes corm to express
Coordinator along with a completed DETAILED narrative, site plan (PDF file) and vicinity map (same items expected in the application package
of the project location. Please include this form in the application package.
• Asheville Region -Alison Davidson 828-296-4698;alison.davidson(a),ncmail.net S �.`1 ❑ i 3bG D (,
• Fayetteville or Raleigh Region -David Lee 919-791-4203; david.lee a(,ncmail.net
• Mooresville & -Patrick Grogan 704-663-3772 or patrick.grogan(a,)ncmail.net
• Washington Region -Lyn Hardison 252.946.9215 or lyn.hardison(Wricmail.net
• Wilmington Region -Janet Russell 910.350.2004 or janet.russella(_ncmaiLnet
NOTE: Project application received after 12 noon will be stamped in the following work day. EXPRESS
Project Name: PRONAMICS INDUSTRIES, LLC— County: BEAUFORT JUN 14 2013
Applicant: MICHAEL W. BALDWIN PLS Company: BALDWIN DESIGN CONSULTANTS. PA �g �p
Address: 3740-B EVANS STREET City: GREENVILLE , State: NC Zip: 27834- NC DENR
Phone: [phone] Fax::[phone] Email: [e-mail]
Physical Location:1151 PAGE ROAD, WASHINGTON, NC 27889
Project Drains into MITCHELL BRANCH waters —Water classification C:SW,NSW (for classification see-
http://h2o.enr.state.nc.us/bims/reports/reportsWB.html)
Project Located in TAR RIVER River Basin. Is project draining to class ORW waters? N , within Y2 mile and draining to class SA waters N or within 1 mile
and draining to class HQW waters? N
Engineer/Consultant: J.S. JANOWSKI, PE Company: J.S. JANOWSKI ENGINEERING, PA
Address: P.O. BOX 30906 City: GREENVILLE, State: NC Zip 27833-906
Phone: [phone] Fax:: Email: [e-mail]—
SECTION ONE: REQUESTING A SCOPING MEETING ONLY
❑ Scoping Meeting ONLY ❑ DWQ, ❑ DCM, -❑ DLR, ❑ OTHER: _
SECTION TWO: CHECK ONLY THE PROGRAM IS) YOU ARE REQUESTING FOR EXPRESS PERMITTING
❑ 401 Unit ❑ Stream Origin Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ Intermittent/Perennial Determination: _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ 401 Water Quality Certification ❑ Isolated Wetland (_linear ft or _acres)
❑ Riparian Buffer Authorization ❑ Minor Variance ❑ Major General Variance
® State Stormwater ® General ❑ SFR, ❑Bkhd & BI Rmp, ❑ Clear & Grub, []Utility
❑ Low Density ❑ Low Density -Curb & Gutter _ # Curb Outlet Swales ❑ Off -site [SW _ (Provide permit #)j
® High Density -Detention Pond 1 # Treatment Systems ❑ High Density -Infiltration _ #Treatment Systems
High Density -Bio-Retention _ # Treatment Systems ❑ High Density—Stormwater Wetlands _ # Treatment Systems[]High Density -
Other _# Treatment Systems /❑ MODIFICATION: ElMajor ❑ Minor ❑ Revision SW_(Providepermit#)
❑ Coastal Management • ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
(� Land Quality ® Erosion and Sedimentation Control Plan with 5_0 acres to be disturbed.(CK # (for DENR use))
3:
SECTION THREE — PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT (for both scoping and express meeting reque
Wetlands on Site ❑ Yes ® No Buffer Impacts: ® No ❑ YES: _acre(s)
Wetlands Delineation has been completed: ❑ Yes ❑ No Isolated wetland on Property ❑ Yes ❑ No
US ACOE Approval of Delineation completed: ❑ Yes ❑ No 404 Application in Process w/ US ACOE: ❑ Yes ❑ No Permit
Received from US ACOE ❑ Yes ❑ No
- to 7 For DF-NR use only Fee Split for multiplepermits: Check# e1e 1 Total Fee Amount$ 00
SUBMITTAL DATES
Fee
SUBMITTAL DATES
Fee
CAMA
$
Variance (❑ Maj; ❑ Min)
$
SW to HD, ❑ LD, ❑ Gen)
$ D
401:
$
Los
$ ' ' r t)
I Stream Deter—
$
NCDENR EXPRESS September 2008

vp
PRONAMIC INDUSTRIES, LLC BB kT 6/7/2013 1090
11 PAGE ROAD BRANCH BANKING AND TRUST COMPANY
WASHINGTON, NC 27889 1-800.8ANK BBT eeT.com
6rr112/531
0
PAYTOTHE NCDENR $ "2,000.00 -
ORDER OF
Two Thousand and 00/100«««",«««,,,,,,,,«.«,,,,,,,,««,,.,,,,,,,««,,,,,,,,,,«««,,,,,,,,,,«,«,,.,,,,.,._«,,,,,,,,,,,,,,«,«, DOLLARS 8
NCDENR _
MEMO
Express Fee for erosion
11111001090v r:05310112D:0005200218479II0
AUrHORIZED SIGNATURE
PRONAMIC INDUSTRIES, LLC 1090
NCDENR 5/7/2013
2,000.00
EXPRESS
JUN 14 2013
BB&T Checking 8479 Express Fee for erosion 2,000.00

PRONAMIC INDUSTRIES, LLC BBaT 1076
1151 PAGE ROAD BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.mm
WASHINGTON, NC 27889 66-112/531
5/20/2013
PAYTO THE NCDENR $ "2,000.00 4
ORDER OF
o`
Two Thousand and 00/100,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,«.....,......,,,,,,,,,,
DOLLARS L
L
NCDENR
d
MEMO
i Stormwater permits
AVTHGBRED SIl31VAT� `G N
fl
11900i076110 1:0531011211:00052002i847911■
a I
PRONAMIC INDUSTRIES, LLC
NCDENR
5/20/2013
1
JUN 14 2013
1076
2,000.00
BB&T Checking 8479 Stormwater permits 2,000.00

a�0 ■E%�
JUN 14 202
NC ®ENR
BEAUFORT COUMY LAM RECORDS
ROUTING FORM
o�-ra-i3
Land Records Official Date
BE 1811Po798
NO REAL ESTATE
TAX PAID
FOR REGISTRATION REGISTER OF DEEDS
Jennifer Leggett Whitehurst
Beaufort County. NC
March 22, 2013 01:40:04 PM
Book 1811 Page 798-801
FEE: S26.00
INSTRUMENT # 2013001700
PREPARED eY; MAYO 6 MAYO ATTORNEYS AT LAW 102 WEST 2ND STREET WASHINGTON. N C 27889
NORTH CAROLINA
BEAUFORT COUNTY
THIS DEED, Made and entered into this the oZai AS —day of
hLtwc1\ , 2013 by and between THE COUNTY OF BEAUFORT, a body
politic and corporate of the State of North Carolina with offices
located at 121 West Third Street, Washington, North Carolina
hereinafter referred to as party of the first part; to BLUE GOOSE,
LLC, a North Carolina Limited Liability Company of 1151 Page Road,
Washington, North Carolina 27889, hereinafter referred to as party
of the second part;
W I T N E S S E T H:
Pursuant to the provisions of Chapter 158A, Section 7.1
et seq of the General Statutes of North Carolina, the County of
Beaufort is authorized to convey to said party of the second part,
pursuant to Resolution adopted February 25, 2013, certain real
property which is hereinafter described;
Now, therefore pursuant to the provisions of Chapter
158A, Section 157.1 et seq of the General Statutes of North
Carolina, said party of the first part in consideration of the sum
of Ten Dollars and other good and valuable consideration to it
paid by said party of the second part; the receipt of which is
hereby acknowledged, has bargained and sold and by these presents,
does bargain, sell and convey the lands hereinafter described unto

sZi 1811PG799
PREPARED BY: MAYOI& MAYO ATTORNEYS AT LAW 102 WEST 2ND STREET WASHINGTON, N C 27889
the said party of the second part, its successors and assigns,
that certain parcel or tract of land in Washington Township,
Beaufort County, North Carolina, described as follows;
It being all of Lot No. 8 containing 5.79 acres as the same
is shown on,map entitled, "Survey for Beaufort County Industrial
Park" dated January 5, 2005, revised through fifth revision dated
March 19, 2005, prepared by Mayo & Associates, P.A., of record in
Plat Cabinet G, Slides 51-8, 51-9 and 51-10, Beaufort County
Registry, to which map is incorporated herein by reference for a
more complete and detailed description.
TO HAVE AND TO HOLD the aforesaid tract or parcel of
land and all privileges and appurtenances thereunto belonging unto
them the said party of the second part and its successors and
assigns forever, but subject to the following restrictions:
1. Declaration of Covenants, Conditions and Restrictions
dated March 10, 2000 of record in Book 1230, Page 61, Beaufort
County Registry as herein adopted and ratified by party of the
first part.
2. That the lands herein conveyed are subject to the
reservation and restriction that such shall not be conveyed by
party of the second part to any other party or entity without
consent of the County of Beaufort for a period not less than ten
(10) years from date of this conveyance.
3. Such easements, rights of way and restrictions of record
in Beaufort, County Registry.
4. Non-compliance with any local, county, state or federal
governmental laws, ordinances or regulations relative to zoning,

1811PC800
PREPARED BY: MAYO 6 MAYO ATTORNEYS AT LAW 102 WEST 2ND STREET WASHINGTON. N C 27889
subdivision, occupancy, use, construction or development of the
subject property.
And the said party of the first part does covenant that
it is seized of said premises in fee and has the right to convey
the same in.fee simple, that the same is free from incumbrances,
but SUBJECT to those matters set forth above, and that, subject
thereto, it will warrant and defend the title to the same against
the lawful claims of all persons whomever.
IN TESTIMONY WHEREOF, the said party of the first part
has caused this instrument to be executed in its official name by
its Chairman, attested by its Clerk, and its official seal to be
hereunto affixed, all pursuant to proper authority duly given.
THE COUNTY OF BEAUFORT
By: (SEAL)
RR! GLEY, C
ATTEST:
� �
SHARON SINGLET CLERK

�1811PC 801
PREPARED BY: MAYO 6 MAYO ATTORNEYS AT LAW 102 WEST 2NO STREET WASHINGTON, N C 27889
NORTH CAROLINA mahl�rl
COUNTY OF 9ZA4F4=RT //
I, RQ�Ii 11� Ib e-f'j-CZ a Notary Public
in and for the County and State aforesaiG, do hereby certify that
SHARON SINGLETON personally appeared before me this day and
acknowledged that she is the Clerk of THE COUNTY OF BEAUFORT, and
that by authority duly given and as the act of the body politic,
the foregoing instrument was signed in its name by its Chairman,
and attested by herself as its Clerk. //BB
m Witness my hand and Notarial Seal, this the day of
'�1Rrc� , 2013.
N 0 T A R
My Commission expires:
lakol—ecle».hn +- K;'1clJr I..NJ
P `DC?r L I C
�OTq,fl�
9OUN•�
2 ,-IF 2

EXPRESS
JUN 14 2013
RK1811PG772
FOR REGISTRATION REGISTER OF DEEDS
Jennifer Leggett Whileh�,st
Beaufort County. NC
March 22, 2013 01:40:04 PM
Book 1811 Page 777-7B0
FEE: $28.00
INSTRUMENT # 2013001697
BF.AUFORT COUNTY LAM RECORDS
ROUTING FORM �� -�3
03 'y / NQ REAL ESTATE 1NSiRUI1ENi >f 29130171691
Land Records Official Data TAX PAID
PREPARED BY: MAYO 6 MAYO ATTORNEYS AT LAW 102 WEST 2NO STREET WASHINGTON, N C 27999
NORTH CAROLINA
BEAUFORT COUNTY
THIS DEED, Made and entered into this the e-.=4day of
—, 2013 by and between THE COUNTY OF BEAUFORT, a body
politic and corporate of the State of North Carolina hereinafter
referred to as party of the first part; to BLUE GOOSE, LLC, a
North Carolina Limited Liability Company of 1151 Page Road,
Washington, NC 27889, hereinafter referred to as party of the
second part;
W I T N E S S E T H:
That the said party of the first part pursuant to the
provisions of Chapter 160A, Section 694, of the General Statutes
of North Carolina the County of Beaufort is authorized to convey
to said party of the second part, as the qualified bidder in the
sum of $1,050,000.00, certain real property which is hereinafter
described; and
WHEREAS, pursuant to the provisions of Chapter 160A,
Section 269 of the General Statutes of North Carolina as by
Resolution adopted September 25, 2012, the party of the first part
proposed to accept the offer to purchase by party of the second
part lands hereinafter described; that notice of such Resolution
as adopted by the County of Beaufort was published in the
Washington Daily News, October 13, 2012 that this conveyance could,

C.
91811Pc778
PREPARED SY: MAYO & MAYO ATTORNEYS AT LAW 102 WEST 2ND STREET WASHINGTON, N C 27889
commence no less than ten days thereafter upon acceptance by party
of the first part following such publication, and as now accepted
by the County of Beaufort by resolution adopted November 2, 2012;
Now, therefore, pursuant to the provisions of Chapter
160A et seq of the General Statutes of North Carolina, said party
of the first part in consideration of the sum of Ten Dollars and
other good and valuable consideration to it paid by said party of
the second part, the receipt of which is hereby acknowledged, has
bargained and sold and by these presents, does bargain, sell and
convey the lands hereinafter described unto the said party of the
second part, its successors and assigns, the following parcel or
tract of land in Washington Township, Beaufort County, North
Carolina, more particularly described as follows:
IT BEING all of Lot No. NINE (9) containing 6.656 acres
as the same is shown on map entitled "Survey for Beaufort County
Industrial Park" dated January 5, 2005, revised through fifth
revision dated March 19, 2005, prepared by Mayo & Associates,
P.A., of record in Plat Cabinet G, Slides 51-8, 51-9 and 51-10,
Beaufort County Registry, to which map is incorporated herein by
reference for a more complete and detailed description.
TO HAVE AND TO HOLD the aforesaid parcel or tract of
land and all privileges and appurtenances thereunto belonging unto
the said party of the second part and its successors and assigns
in fee simple, forever, SUBJECT HOWEVER, to the following:
1. Declaration of Covenants, Conditions and Restrictions
dated March 10, 2000 of record in Deed Book 1230, Page 61,
Beaufort County Registry as herein adopted and ratified by party

�Tc1811Pc779
PREPARED BY: MAYO16 MAYO ATTORNEYS AT LAW 102 WEST 2ND STREET WASHINGTON, N C 27889
of the first part.
I
2. Such easements, rights of way and restrictions of record
in Beaufort County Registry.
3. Non-compliance with any local, county, state and federal
i
governmental laws, ordinances or regulations relative to zoning,
subdivision; occupancy, use, construction or the development of
the subjectiproperty.
it is sei
the same in
SUBJECT to
thereto, it
the lawful
I!
the said party of the first part does covenant that
i of said premises in fee and has the right to convey
fee simple, that the same is free from incumbrances,,
those matters set forth above, and that, subject
will warrant and defend the title to the same against
:laims of all persons whomsoever.
d TESTIMONY WHEREOF, the said party of the first part
has caused this Deed to be executed in its official name by its
Chairman, attested by its Clerk, and its official seal to be
hereunto affixed, all by authority of its Board of Commissioners
duly given
THE COUNTY OF BEAUFORT
BY: (SEAL)
CHAIRMAN
SHARON

P', 1Pc780
PREPARED BY: MAYO'& MAYO ATTORNEYS AT LAW 102 WEST 2NO STREET WASHINGTON, N C 27889
NORTH CAROLINA fY)ar1ln Rgp
COUNTY OF
I,n�a I 1�LP Y rl/ a Notary
Public in and for the County and State aforesaid, do hereby
certify thatiSHARON SINGLETON personally appeared before me this
day and acknowledged that she is the Clerk of THE COUNTY OF
BEAUFORT, and that by authority duly given and as the act of the
body politic, the foregoing instrument was signed in its name by
its Chairman, and attested by herself as its Clerk. yh I
Witness my hand and Notarial Seal, this the day of
' ICI Y 1 2013. e 12 Rau
N O T A R Y
My Commission expires
P U B L
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