SW8970921_CURRENT PERMIT_20220601

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 C1-10921'
DOC TYPE
T CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 0 2.2 O�,D o l
YYYYMMDD
i

ROY COOPER
Governor
EUZABETH S. BISER
Secretary
BRIAN WRENN
Dhecfor
June 1, 2022
Stepan Company
Attn: David G. Kabbes, Vice President
4600 Highway 421 North
Wilmington, NC 28401
NORTH CAROLINA
fnvbonmentaf Quuaty
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW970921
WWTP Expansion
New Hanover County
Dear Mr. Kabbes:
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on May 31, 2022. The Division is hereby notifying you that permit SW8970921 has been
renewed, updated, and re -issued on June 1, 2022, as attached. Please be aware that the renewal and re -issuance of
this stormwater permit does not imply that the site is currently in compliance.
This permit shall be effective until November 6, 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 919431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional Office,
at [phone] or [e-mail].
Sincerely,
CR�t� I
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C — Permitting History
Renewal Application Documents
970921
DES/ams: \\\Stomtwater\Permits & Projects\ 1995\950921 HD\2022 06 permit 970921
cc: Wilmington Regional Office Stormwater File
rnAm D E\.QrZ� North Carolina Department of Environmental Quality I Division of Energy, Mineral and lard Resources
wdmington Regional Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 2a405
"� V 910.7%.7215

Post -Construction Stormwater Management
Permit No. SW8 970921
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
Stepan Company
WWTP Expansion
4600 US HWY 421 N, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the provisions of
15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and as outlined in the
application, approved stormwater management plans, supplement, calculations, operation and
maintenance agreement, recorded documents, specifications, and other supporting data (the
"approved plans and specifications") as attached and/or on file with and approved by the Division of
Energy, Mineral and Land Resources (the "Division" or "DEMLR"). The project shall be constructed,
operated and maintained in accordance with these approved plans and specifications. The approved
plans and specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until November 6, 2030 and shall be subject to
the following specified conditions and limitations. The permit issued shall continue in force and effect
until the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described on page 2 of this permit. The stormwater control has been designed to handle the
runoff from a 3.5-inch storm event.
3. The project proposes 55,757 square feet of impervious area. The tract will be limited to the
amount of built -upon area indicated on the Project Design Data Sheet of this permit, and per
approved plans.
Page 1 of 5

Post -Construction Stormwater Management
Permit No. SW8 970921
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
PROJECT DESIGN DATA SHEET
Project Name:
Permit Number:
Water Body Receiving Stormwater Runoff:
Classification of Water Body:
Control System:
Design Storm, inches:
Basin Depth, feet:
Bottom Elevation, FMSL:
Total Impervious Surfaces, sqft:
Offsite Area entering Pond, sqft:
Required Storage Volume, ft:
Provided Storage Volume, ft:
Temporary Storage Elevation, FMSL:
Seasonal High Water Table Elevation:
Type of Soil:
Expected Infiltration Rate:
Drawdown Time:
II. SCHEDULE OF COMPLIANCE
WWTP Expansion
SW8 970921
Cape Fear River (CFR 18-71)
"C; Sw"
Infiltration Basin
3.5
1
16
55,757
none, per Engineer
16,078 (The system infiltrates faster than it rains.)
3.730
17
4 FMSL
Leon Sands
20 inch per hour
0.7 hours
A copy of the final deed listing Stepan Company ("Purchaser") as the property owner must be
submitted within 30 days of the property being purchased.
2. It is the responsibility of the permit holder, the Purchaser, to notify the Division of any changes
in ownership and request an ownership/name change for the stormwater permit. However, if
the purchase agreement or contract between the Purchaser and INV Performance Surfaces,
LLC ("Property Owner') is dissolved, cancelled or defaults, and the Division is not notified by
the Purchaser to transfer the permit, then the responsibility for permit compliance reverts to
the Property Owner. A completed Permit Transfer Application form and supporting
documentation and fee must be submitted to the Division within 30 days otherwise the
Property Owner will be operating a stormwater treatment facility without a valid permit which is
a violation of NC General Statue 143-215.1. Failure to transfer the permit may result in
appropriate enforcement action in accordance with North Carolina General Statute §143-
215.6A through §143-215.6C being taken against the Property Owner.
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 except
roads.
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 times provide the operation and maintenance necessary to assure the
permitted stormwater system functions at the design condition. 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 side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins and
piping.
a. Access to the outlet structure must be available at all times.
Page 2 of 5

Post -Construction Stormwater Management
Permit No. SW8 970921
Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
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.
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. Prior to the sale of any portion of the property, an access/maintenance easement to the
stormwater facilities shall be granted in favor of the permittee if access to the stormwater
facilities will be restricted by the sale of any portion of the property.
10. The permittee is responsible for verifying that the proposed built -upon area does not exceed
the allowable built -upon area.
11. The runoff from all built -upon area on the project must be directed into the permitted
stormwater control system.
12. 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.
13. 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.
14. 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 5

Post -Construction Stormwater Management
Permit No. SW8 970921
III. GENERAL CONDITIONS
1. 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.
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.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
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.
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
Page 4 of 5

Post -Construction Stormwater Management
Permit No. SW8 970921
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements. The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made.
OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction. Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Permit renewed, updated and reissued this the 1 st day of June 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,cjr,Brian Wrenn, Director
Division of Energy. Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 970921
Page 5 of 5

Attachment C - Permitting History
WWTP Expansion
Permit No. SW8 970921
Approval
Permit Action
Description of the Changes
DateOriginal
Version
This original issuance approved the construction of
5/5/1999
1.0
55,757 square feet of impervious area draining to an
Approval
infiltration basin.
This issuance approved the transfer of the permit from
1 1/6/2008
Transfer
1.1
KoSa to INISTA S.a.r.l. (later becoming INV
Performance Surfaces, LLC).
This issuance approved the construction of above
6/24/2013
Plan Revision
1.2
ground pipe support slabs on existing gravel surfaces.
This issuance approved the transfer of the permit from
6/22/2021
Transfer
1.3
INV Performance Surfaces, LLC to Stepan Company.
6/1/2022
Renewal
2.0
Expires November 6, 2030
Page 1 of 1

Infiltration Basin Maintenance Requirements
SW8-970921
Infiltration Basin Maintenance Requirements SW8-970921
Important operation and maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the infiltration basin.
- No portion of the infiltration basin will be fertilized after the initial fertilization that is required to establish the
- The vegetation in and around the basin will be maintained at a height of four to six inches.
After the infiltration basin is established, it will be inspected quarterly 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 shall be kept in a known set
location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate theproblem:
e entire Infiltration
Trash/debris is present.
Remove the trash/debris.
basin
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have formed.
cover and water until it is established. Provide lime and a one-time
The grass filter strip or
fertilizer application.
Sediment has accumulated
Search for the source of the sediment and remedy the problem if
other pretreatment area
to a depth of greater than
possible. Remove the sediment and dispose of it in a location
three inches.
where it will not cause impacts to streams or the SCM.
The structure is clogged.
Unclog the conveyance and dispose of any sediment in a location
The flow diversion
where it will not cause impacts to streams or the SCM.
structure (if applicable)
Make any necessary repairs or replace if damage is too much for
The structure is damaged.
repair.
The inlet pipe is clogged (if
Unclog the pipe and dispose of any sediment in a location where it
applicable).
will not cause impacts to streams or the SCM.
The inlet pipe is cracked or
otherwise damaged (if
Repair or replace the pipe.
applicable).
The inlet device
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
erosion problems.
Stone verge is clogged or
covered in sediment (if
Remove sediment and clogged stone and replace with clean stone.
applicable).
More than four inches of
Search for the source of the sediment and remedy the problem if
sediment has accumulated.
possible. Remove the sediment and dispose of it in a location
where it will not cause impacts to streams or the SCM.
The basin
Erosion of the basin surface
has occurred or riprap is
provide additional erosion protection such as reinforced turf
displaced.
matting or riprap if needed to prevent future erosion problems.
Water is standing more than
Replace the top few inches of soil to see if this corrects the
three days after a storm
standing water problem. If not, consult an appropriate professional
event.
for a more extensive repair.
Shrubs or trees are growing
Remove shrubs and trees immediately.
The embankment
on the embankment.
An annual inspection by an
Make needed repairs immediately.
appropriate professional
Pagel of 2

Infiltration Basin Maintenance Requirements
SW8-970921
The outlet device
Clogging has occurred.
gg g
Clean out the outlet device and dispose of sediment in a location
where it will not cause impacts to streams or the SCM.
The outlet device is
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Repair the damage and improve the Flow dissipation structure.
Discharges from the
Contact the local NCDEQ Regional Office.
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures
listed for each SCM and the related 0&M table. I agree to notify NCDEQ of any problems with the system or prior to any
changes to the system or responsible parry.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
I,
County of
personally appeared before me this
acknowledge the due execution of t
Witness my hand and official seal,.
�f0 <i •.
i2 MY
Z i COMMISSION
EXPIRES i
I •'•• 6I16I2025
%.. ._ ...... _.\14
c, 1
Phillip Cline
Authorized Signatory
4600 US HWY 421 N
Wilmington, NC, 28401
910-341-3194
p h it I io. cl ineCdsteoa n.com
Date:
a Notary Public for the State /°�fA/ AliND incL
do hereby certify that
day of hply r �JO �► and
Ay commission expires to- ki4&AI,
Page 2 of 2

State Slormwater Management Systems
Penn it No. S W8 970921
W W"rP Expansion
Stormwater Permit No. SW8 970921
New Hanover County
Engineer's Certification
11 P k'144 r / /t° T;c tj , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized o observe Eiodhca weekly/full time) the construction of the project,
(Project)
for t�fd GA (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 �� ,,,0uurCAR
Registration Number % Z76
SEAL
Date Zoo U - 7390
SEAL
FEB p 2 2021

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
1�1 20,10L
135b 505°O
q'1Oc12\
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 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 970921
2. Project name: WWTP Expansion
3. Project street address: 4600 Highway 421 North
City: Wilmington County: New Hanover ZIP
4. What, if any, changes have been made to the project as permitted? none
28401
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://deg.nc.gov/about/divisions/energy-
mi neral-la nd-resources/energy-mineral-land-rules/stormwater-orog ram/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 Transferform available at: https://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: Stepan Company
2. Signing Official's Name: Phillip Cline Sj9nMir%AYT akrmc,ri-he bw Dmici KdbbeS,vP
3. Signing Official's Title: Site Manager
4. Mailing Address: 4600 Highway 421 North
City: Wilmington State: NC Zip : 28401
5. Street Address: same
City: State: ZIP: _
6. Phone: ( 910 ) 341-3194 Email: [e-mail]
ZZOZ L E XVK
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial clach item below to indicate that the required information is provided in the application package:
Previously
provided 1. A permit application processing fee of $505.00 payable to NCDEQ.
Owe.- 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner,
e. Sole proprietor, or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
Previously signature of another entity.
provided 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. 0&M Agreements, Please select one:
❑x I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit, or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
Pao 5. Designer Certifications, Please select one:
A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ 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,
not yet
rqquired 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
/n/ inspected, and that they have been built and maintained in accordance with the permit.
v £� 7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
MAY 3 12022
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
1, Phillip Cline , the 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 provided on this permit renewal application is, to the best of my
knowledge, correct andcomplete. /
Signature: __ Date: S! Z V/Z Z
that
this the
of
County of
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
I C
Notary Signature: J_
My commission expires
NICOLE C. MASCO
Notary Public
New Hanover Co., North Carolina
My Commission Expires May 23, 2026
a Notary Public for the State of
do hereby certify
"�>> personally appeared before me
2lyi�, and acknowledge the due
Mp`I 31 2p22 �:
gY�
Stormwater Permit Renewal Application Form Page 3 of 3
May 11, 2018

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