SW8960404_CURRENT PERMIT_20220311

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 0�1()Li
DOC TYPE
® CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 0111
YYYYMMDD

ROY COOPER
Govmtor
EUZABETH S.'BISER
secs .y
BRIAN WRENN
birector ' .
March 11, 2022
The Islander Inn, Inc.
Attic: Dr. Odell DeCarol
2618 New Village Way
Wilmington, NC 28405
Williamson, President
NORTH CAROLINA
Env4vnmental Quaa[y
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 960404
The Islander Inn
Brunswick County
Dear Dr. Williamson:
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on March 9, 2022. The Division is hereby notifying you that permit SW8960404 has been
renewed, updated, and re -issued on March 11, 2022, as attached. As requested, a copy of the current operation
and maintenance agreement is also enclosed. Please be aware that the renewal and re -issuance of this stormwater
permit does not imply that the site is currently in compliance.
This permit shall be effective until October 17, 2030 and does not supersede any other agency permit that may be
required. The project shall be subject to the conditions and limitations as specified therein. This permit does not
impose new or increased stormwater control requirements; it clarifies the rules and requirements of this program
to provide you with a better understanding of your obligations under this permit. Failure to comply with these
requirements will result in future compliance problems. Please note that this permit is not transferable except
after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or [e-mail].
Sincerely, ((��
.; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/ams: \\\Stormwater\Permits & Projects\1996\960404 HD\2022 03 permit 960404
cc: Wilmington Regional Office Stormwater File
D 1� North Carolina Department of Environmental Quality I Division of.Eneryy, tdineral and Land Resources
Wimmgton Regional office I. IZ7 Cardmal Drive Extension I wlhnington. North Carolina 28405
910.7%.7215

Post -Construction Stormwater Management
Permit No. SW8 960404
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION 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
The Islander Inn, Inc.
The Islander Inn
57 West First Street, Ocean Isle Beach, Brunswick County
FOR THE
construction, operation and maintenance of two (2) infiltration trenches and one (1) natural dune area
acting as an infiltration basin (hereafter referred to as infiltration system or stormwater control
measures) in compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and as outlined in the application, approved stormwater management plans,
supplement, calculations, operation and maintenance agreement, recorded documents,
specifications, and other supporting data (the "approved plans and specifications") as attached and/or
on file with and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR"). The project shall be constructed, operated and maintained in accordance with these
approved plans and specifications. The approved plans and specifications are incorporated by
reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until October 17, 2030 and shall be subject to
the following specified conditions and limitations. The permit issued shall continue in force and effect
until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.7 and 1.8 of this permit. The runoff from all built -upon area within the
permitted drainage areas of this project must be directed into the permitted stormwater control
measures. The stormwater controls identified as Area 1-8, 10; Area 9; and Area 12 have been
designed to handle the runoff from 32,981, 1,594. and 1,584 square feet of impervious area,
respectively.
3. The maximum built -upon area allowed for the entire project is 36,159 square feet.
4. The drainage areas will be limited to the amounts of built -upon area indicated in Sections 1.2,
1.7, and 1.8 of this permit, and per approved plans.
Page 1 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
5. The excess design storm overflow from the infiltration system labeled Area 1-8,10 must be
directed into a 50 foot vegetated filter strip and level spreader, designed per Section .1008 (f)
of the stormwater rules.
6. The infiltration systems labeled Area 9 and Area 12 are permitted per the Alternative Design
Criteria under Section .1008 (h). These proposed systems provides equal or better control,
equal or better protection of surface waters and results in no increased potential for nuisance
conditions. The infiltration systems has been designed to handle the 25 year storm without
discharging therefore neither an LSNFS nor an offline bypass are required.
7. The following design criteria have been permitted for the two (2) infiltration trenches and it
must be provided and maintained at the design condition:
Areas 1-8,10
Area 9
a. Drainage Area, acres:
Onsite, ft2:
Offsite, ftz:
38,334
38,334
0
1,741
1,741
0
b. Total Impervious Surfaces, ft2:
Onsite, ft2:
Offsite, ft2:
32,981
32,981
0
1,594
1,594
0
c. Design Storm, inches:
1.5
1.5
d. Trench Length. feet:
313
40
e. Trench Width, feet:
&0
6.0
f. Trench Depth, feet:
3.0
3.0
g. Perforated Pipe Diameter, in.:
2 x 24"
2 x 24"
h. Perforated Pipe Length, ft:
313
40
i. Bottom Elevation, FMSL:
8.5
8.5
I. Bottom Surface Area, ft2:
1,878
240
k. Bypass Weir Elevation, FMSL:
11.5'
n/a
I. Permitted Storage Volume, ft3:
3,434
439.25
m. Exfiltration Volume, ft3:
1,033
585.5
n. Total Volume, ft3:
4.467
1024.75
o. Type of Soil:
Sand
Sand
P. Expected Infiltration Rate, al/sf/hr:
11.2
11.2
Seasonal Hi h Water Table, FMSL:
6.5
6.5
r. Time to Draw Down, hours:
1.22
1.22
s. Receiving Stream/River Basin:
Eastern Channel / Lumber
t. Stream Index Number:
15-25-6
u. Classification of Water Body:
SA, HQW
'this elevation is unclear from the plans
Page 2 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
8. The following design criteria have been permitted for the natural dune area acting as an
infiltration basin and it must be provided and maintained at the design condition:
Area 12
a.
Drainage Area, acres:
Onsite, ftz:
Offsite, ft2:
6,711
6,711
0
b.
Total Impervious Surfaces, ftz:
Onsite, ftz:
Offsite, ftz:
1,584
1,584
0
c.
Design Storm, inches:
1.5
d.
Basin Depth. feet:
unknown
e.
Bottom Elevation, FMSL:
12.0
f.
Bottom Surface Area, ftz:
2,099
g.
Bypass Weir Elevation, FMSL:
n/a
h.
Permitted Storage Volume, W:
1,533
i.
Type of Soil:
Sand
I.
Expected Infiltration Rate, al/sf/hr:
11.2
k.
Seasonal High Water Table, FMSL:
6.5
1.
Time to Draw Down, hours:
0.49
m.
Recgvin Stream/River Basin:
Eastern Channel / Lumber
n.
Stream Index Number:
15-25-6
o.
Classification of Water Body:
SA, HQW
II. SCHEDULE OF COMPLIANCE
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.
During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary to assure
that all components of the permitted stormwater system function at design condition. The
approved Operation and Maintenance Agreement is incorporated by reference into this permit
and must be followed in its entirety and maintenance must occur at the scheduled intervals.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
5. The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division.
6. 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.
7. 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.
Page 3 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
8. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications.
g. Other modifications as determined by the Director.
III. GENERAL CONDITIONS
CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems. These additional or replacement measures shall receive a permit from
the Division prior to construction.
2. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
4. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This
request must be submitted within 90 days of the permit holder meeting one or more of
the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur.
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions
have been met and that the project and the on -site stormwater system complies with
the permit conditions. Records of maintenance activities performed to date may be
requested. Projects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met.
Page 4 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
C. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements. The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made.
f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction. Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Permit renewed, updated and reissued this the 11 th day of March 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�� 2W
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 960404
Page 5 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
Ocean Isle Beach Motel
Stormwater Permit No. SW8 960404
Brunswick County
Attachment A
Engineer's Certification
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction
of the project,
ect)
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.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
Page 6 of 7

Post -Construction Stormwater Management
Permit No. SW8 960404
Certification Requirements: Page 2 of 2
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, a forebay, and
the vegetated filter.
15. The required dimensions of the system are provided, per the approved plan.
cc: NCDEQ-DEMLR Wilmington Regional Office
Page 7 of 7

Attachment C - Permitting History
The Islander Inn
Permit No. SW8 960404
Approval
Permit
BIMS
Description of the Changes
Date
Action
Version
10/17/1996
Original
10
Approval
3/7/2016
Renewal
1.1
Double Renewal
Transfer: the provisions of SL 2013-121
Correction: to correct the receiving waters, correct the total
amount of built -upon area approved for this project and correct
the number of approved stormwater control measures. The
receiving waters has been corrected to the Eastern Channel
with an index of 15-25-6 and a classification of SA, HQW.
Correction/
The previously issued permit listed 34,575 square feet of built -
Transfer
2'0
upon area to be treated in a single infiltration trench. However
this permit clarifies that there are 3 approved stormwater
control measures: two (2) infiltration trenches and one (1)
infiltration basin treating the runoff from a total of 36,159
square feet of built -upon area as documented in the
calculations from East Coast Engineering dated August 6,
1996.
3/8/2016
Renewal
3.0
3/11/2022
Renewal
4.0
JExpires October 17, 2030

UNDERGROUND INFILTRATION TRENCH MAINTENANCE REQUIREMENTS
Project Name: Ocean Isle Beach Motel Project No. -<&us (coo ¢--¢-
Ocean Isle Development Co.
Responsible Party:' Odell Williamson " Phone No.: 5 7 9_ 7 7 7 0
Address: 2 Causeway Drive, Ocean Isle Beach, N.C. 28469
1. The trenches will be constructed in accordance with the approved stormwater plans and
- specifications, including traffic bearing piping, and compacted void ratio verification.
2. Inlet catch basins and piping will be inspected monthly or after every runoff producing
rainfall event, whichever comes first. The basins, grates, and piping will be cleared of
accumulated trash.
3. Swales and vegetated filters will be inspected monthly or after every runoff producing
rainfall event, whichever occurs fast. Eroded areas will be repaired before the next storm
event.
4. The water level in the monitoring wells will be recorded once a month. Chronic high
water table elevations (within V for a period of 3 months) must be reported to DEM, 395-
3900.
5. If the system is failing, as determined by DEM, the system will be immediately repaired
or replaced to original design specifications. Repair may include the necessity of removing
existing pavement to reach the underlying trench.
6. Annual testing/cleaning of the system will be performed by an approved method.
Bymy signature below, I acknowledge that I am responsible for performing the maintenance as
outlined above. �Y��n r�p��n ��R
Signature: !N D�a1Gtte11:lUv 111'lll(�UUU�-Z 3
STATE OF NORTH CAROLINA E C E I V E
COUNTY OF BRUNNSWI K E APR 0 31996 D
INotary Public for
said (/ounty and s to do hereby certify that Odell WillP mlonsW ��o4p¢
personally appeared before � me this day and executed the €ae ing
instrument. This the j day of�, 1996. mavneiva.
DA/arl: S:\WQS\ST0RMWAT\F0RMS\0&M-INF
My commissio
�cao.p
,G U
tiwa
70 COV `
too __. .

11 _1 . . _-. ._ _ ..-- 1)FMI rl I]XF I INI"Y
Date
ved
Fee Pai
Numbe
PermiRV
3
a
0
st�� o v
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3) the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 80. (c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number:
2. Project name:
3. Project street address: -) 1 W f_`rt J`it; '-Ykn�
City: (-r 7 Y� 1 ��e . f LX_C,V-\ County:
4. What, if any, changes have been made to the project as permitted? V\Of\Z
ZIP:
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at. https /Ideg nc.gov/about/divisions/enerqv-
mineral-land-resources/energy-mineral-land-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https //deg nc gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do nWP . automatically transfer with the sale of the property. I
1. Current Permit Holder's Company Name/Organization: �� Z5\QYY�p f Inn Inc
2. Signing Official's Name: VK- UC>all VC UQ COk YV% IU lt..l Tllu it
3. Signing Official's Title: ) Ce `iia e 'Rt
4. Mailing Address: n1 N&V Ay 1 O0.C1Q: w0.0
City: State: �3C, ZIP : �5
5. StreetAddress: h w e-'s-15-� triamk
City: OCLAr -:r,S\e. State: NC. ZIP:
6. Phone: tg t o )a51- 65K3Email: I . ow
MAR 0 9 2022
BY.-
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

J
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Once (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each Item below to indicate that the required information is provided in the application package:
"••✓J 1. A permit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
I. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
W v 3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
—.) "' 4. O&M Agreements, Please select one:
❑ 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
Edkeep this on file with the permit; or
I do not have a copy of the current recorded O&M Agreement for all SCMs and am
,�9 /r requesting a copy be sent to me. I agree to keep this on file with the permit.
`� 5. Designer Certifications, Please select one:
K A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online sosnc gov/online services/search/by title/ Business Registration
a-- �
MAR 0 9 2022
BY:
Slormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
(Z.. Oc LLIL 'PP_C&rol W � �It Q11 bathe person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information ] rovided on this permit renewal application is, to the best of my
knowledge, z
d c t`�'/
Signature: _ Date: 3`9 "o2Oa9,
a Notary Public for the State of
A)V'UA , County of 1n'eA-,L) OG.✓rutw¢,� , do hereby certify
that Dr Dcl�211 ao_G ✓-ol b4J ickoAsa^ personally appeared before me
this the LA day of M0,' 6AA 20 91 L , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
/1 O NOTARY
Notary Signature: Ll i�ii�( ITS/YC2z AVBDtG
My commission expires P> - �G ` Joa 0,
MAR 0 9 2022
Bye
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

•''`•'1 H51.1.'Ai'

State Stormwater Management Systems
Permit No. SW8 960404
Ocean Isle Beach Motel
Stormwater Permit No. SW8 960404
Brunswick County
Engineer's Certification
1, 1-5AP yi0 8 9D& M , as a duly,'Q„ m
registered Professional Engineer in the State of North
Carolina, having been authorized to observe (period ically/� -,.�e the construction of the project,
4-f>C,5A,41 /5GE BE.4C11 (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.
Noted deviations from approved plans and specification:
GTP,g7�p /.VG61-J i4006D BBTc✓EF�V Br//GO/N<v S Z I'3 r CFEo j,,V 1Z P 41.,
AAP," ELEYATo.2 - rvm CNA6YaG /N QUNoFi .4 d�r7s. Cct/fK.eE7� PAt��'/.�/6 S
rW57241v of A%-19AIi4L7- /1s IAWle-14-7E.0 oit/ PZ-AWS. ALL 44A e,riN6 -0X6WS s7244
pR.91v #5 P1-r4A1Ao1ao
Registration Number 1,,C
Date owl
3