SW8980719_CURRENT PERMIT_20240315

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8ggD Zly
DOC TYPE 2- CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE 63 IS
YYYYMMDD

✓ 1 Pybnrvy'.
ROY COOPER 5
Governor
ELIZABETH S.BISER u
Secretary
WILLIAM E.TOBY VINSON,JR NORTH CAROLINA
lnteran Dueclor Environmental Quality
March 1511, 2024
Attn: Douglas Heffernan, Owner
1205 Wind Soft Ct.
Leland,NC 28451
Subject: Permit Renewal
Post-Construction Stormwater Management Permit No. SW8980719
Hampstead Printing and Spring Branch Junction
Pender County
Dear Mr. Heffernan:
Effective August 1, 2013, the Post-Construction Stormwater Management Program has been transferred from the
Division of Water Quality("DWQ")to the Division of Energy,Mineral and Land Resources("DEMLR"). All
previous references to DWQ will remain in older permits issued prior to August 1,,2013, until they are modified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
On August 5,2009,the Governor signed Session Law 2009406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes,which
was current and valid at any point between January 1, 2008, and December 31, 2010.The law extended the
effective period of any permit that was set to expire during this time frame to three (3)years from its current
expiration date. On August 2,2010,the Governor signed Session Law 2010-177,which granted an extra year for
a total of four(4)years extension.
The Division of Energy,Mineral and Land Resources received a complete 8-year.Permit Renewal Application for
the subject permit on March 6'", 2024. The Division is hereby notifying you that permit SW8980719 has been
renewed, updated, and re-issued on March 15", 2024, 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 April 20m,2031, which includes all available extensions, 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 receiptof 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 Logan Inman in the Wilmington Regional Office,
at(910)796-7215 or [e-mail].
Sincerely,
�
5�;William E. Toby Vinson, Jr., PE,CPM, Interim Director
Division of Energy, Mineral and Land Resources
D W&AoftM NorthCaroltna Department of Environmental Quality I Division of Energy.Mineral and Land Resources
Wilmington Regional Office 1127 Cardinal Drive:Extension I Wilmington,North Carolina 28405
910.7%.7215

2 State Stormwater Permit No. SW8 980701
Page 2 of 2
Enclosures: Attachment C—Permitting History
copy of the Renewal Application Docutnents
Copy of the current operation and maintenance agreement
DES/Iwi: \\\Stormwater\Permits&Projects\1998\980719 HD\2024 03 permit 980719
cc: Wilmington Regional Office Stormwater File
r
AM ,� North Carolina Department of ErnironmentalQuality I Division of Energy.MneFal and Land Resources
Wilmington Regional Office l 127 Cardinal Drive Extension I [e-mail] Carolina 28405
wamcruKuru,
910.7967215

Post-Construction Stormwater Management
Permit No. SW8 980719
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
Mr. Doug Heffernan, Owner
Hampstead Printing and Spring Branch Junction
16881 Hwy 17, Hampstead, Fender County
FOR THE
construction, operation, and maintenance of a detention pond in compliance with the provisions
of 15A NCAC 2H A000 (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 April 20t�, 2031, 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 67,262 square feet of impervious area.
3. The tract will be limited to the amount of built-upon area indicated on page 2 of this permit,
and per approved plans.
Page 1 of 5

Post-Construction Stormwater Management
Permit No. SW8 980719
1999 2009
Permitted Permitted
Impervious Impervious
(ftz) (ft2)
Phase 1
Buildings 10,100 10,100
Asphalt 25,077 25,077
Concrete 1,591 1,591
Future 30,494 7,147
Phase 1 Total: 67,262 43,915
Phase 2
Buildings 0 8,300
Asphalt 0 14,217
Concrete 0 830
Phase 2 Total: 0 23,347
Project Total: 67,262 67,262
DEPARTMENT OF ENVIRONMENTAL QUALITY
Project Name: Hampstead Printing
Permit Number: SW8 980719
Location: Fender County
Applicant: Mr. Douglas P. Heffernan, Owner
Mailing Address: 1205 Wind Soft Ct.
Leland, NC 28451
Original Application Date: November 6, 1998
Water Body Receiving Stormwater Runoff: Old Topsail Creek (CFR 87-12)
Classification of Water Body: "SA"
If Class SA, chloride sampling results: 158 ppm
Pond Depth, feet: 6
Permanent Pool Elevation, FMSL: 38
Total Impervious Surfaces, ftz: 67,262
Offsite Area entering Pond, ftz: None, per Engineer
Required Surface Area, ftz: 3,663
Provided Surface Area, ftz: 6,144
Required Storage Volume, ft': 5,589
Provided Storage Volume, ft': 12,613
Temporary Storage Elevation, FMSL: 39.75
Controlling Orifice: 1.5" pipe
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in it's entirety, vegetated and
operational for its intended use prior to the construction of any built-upon surface except
roads.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
Page 2 of 5

Post-Construction Stormwater Management
Permit No. SW8 980719
3. 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 revegetation 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.
g. Access to the outlet structure must be available at all times.
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. Decorative spray fountains will not be allowed in the stormwater treatment system, as the
permanent pool volume is less than 30,000 cubic feet.
6. 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.
7. 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.
8. The permittee is responsible for verifying that the proposed built-upon area does not
exceed the allowable built-upon area.
9. The runoff from all built-upon area on the project must be directed into the permitted
stormwater control system.
10. 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.
Page 3 of 5

Post-Construction Stormwater Management
Permit No. SW8 980719
11. 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
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.
V. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2),
Page 4 of 5

Post-Construction Stormwater Management
Permit No. SW8 980719
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.
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 project's 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 updated, renewed, and reissued this the 15th day of March 2024.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Will�oby�on, Jr., PE, CPM, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 980719
Page 5 of 5

Attachment C- Permitting History
Hampstead Printing and Spring Branch Junction
Permit No.SW8 980719
Approval Permit Action Verson Description of the Changes
DateOriginal Construction, operation and maintenance of a detention pond in compliance with the
4/20/1999 Approval 1'0 provisions of 15A NCAC 2H .1000. The stormwater control has been designed to
handle the runoff from 67,262 square feet of impervious area.
10/16/2009 2.0
Renewal/Plan Expires 4/20/2019(2023 from 4 yr extension). Reallocated impervious surface
Revision areas.
3/15/2024 Renewal 3.0 Expires 4/20/2031
Page 1 of 1

Permit Number:
Swepy?D 71�7
(to be provided by DFVQ)
Drainage Area Number:
Wet Detention Basin Inspection 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. /1
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided. N
ao
This syste check one):
v
❑ m does does not incorporate a vegetated filter at the outlet.
This system check one): Q7
❑ does [A 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 inspection 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 time 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 I&M-Rev.2

Permit Number: �J-(N �/0 0 7y
(to be provided by DIVQ)
Drainage Area Number:
BMP element: Potentialproblem: How 1 will remediate theproblem:
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.
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 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads feet in the forebay, the sediment
shall be removed.
BASIN DIAGRAM
(fill in the blanks)
V Permanent Pool Elevation
Sediment Removal Pe anen Pool
----------------- Volume Sediment Removal Elevation_ Volume
Bottom Elevatio -ft Min.
---------- -- - ----------- -----
Sediment Bottom Elevation_ 1-ft ❑.
Storage Sediment
FOREBA Y Storage
MAIN POND
Form SW401-Wet Detention Basin I&M-Rev.2

Permit Number: 0 O O
(to be provided by D[VQ)
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 I&M-Rev.2

Permit NumberSk/ 0 2/ /
(to be provided by DlVQ)
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: /✓lf/7/
Title:
Address: )61, 17
Phone: 7
Signature:
Date:
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.
`Sal ; a Notary Public for the State of
1 County of tom' do hereby certify that
Gov S(ct to personally appeared before me this
day of JUL 2 8 2009 and acknowledge the due execution of the
forgoing wet detention ba in maintenance requirements. Witness my hand and official
seal,
oEPIClAl.SEdl.
� _3 Namn R�blie.Nar�h Cnrolirm
Coun(}of Ponder
_ : SHELLEYBE kSt
MV Commission Expires
SEAL Fj��
JUG- c° � 20p9
My commission expires w l'i3
Form S W 401-Wet Detention Basin I&M-Rev.2

DEMLR USE ONLY
Date eceiv Fee Paid Permit Number
o (7
STATE STORMWATER:
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permittee information.
This form is to only to be used by the current permittee to notify the Division of.
1) changes to the Point of Contact(signing official) for the current permittee (LLC, Corporation, HOA or POA);
2) changes to the mailing address,phone number or email address of the current permittee;
3) changes to the name of the project;and
4) changes to the legal corporate name as documented by a Name Change or Merger riled with the NCSOS.
A. NEW PERMIT INFORMATION
State Stormwater Permit Number. S UJ 5 9,FO 71 9
Are you updating(check all that apply): If so, please provide the updated information:
❑ Project name r�ioTih' �/yrYe-4 �C
❑Corporation Name'
❑ Permit Contact Name2.3
❑ Permit Contact Title
Mailing Address;
❑ Phone number p L1 ,�2 y
❑ Email address ,0 `
' Provide documentation such as a Name Cher1ge/Merger filed with the NCSOS.
z Provide supporting documentation such as NCSOS filing. The permit contact's position must be in accordance
with 15A NCAC 021-1 .10400).
3 If more than one point of contact or mailing address is being changed,please attach a separate sheet.
B. CERTIFICATION OF PERMITTEE
I, JJ��il*9 /��`�/ZN/b>/ , the current permittee, hereby notify DEMLR that I am making the changes as listed
in Section A abov er attest that this application for an update to the permit information currently on file is accurate
and complet the bes of my kr
Signature: (yJv Date: �O _
a Notary Public for the State of Nq d--1 CA"to)),44
County of /VGti Yfy,n 0✓c/- do hereby certify thhatr fleu,/w% a t- eri4ctn
personally appeared before me this the��day of /�r ^A 20 El
7, and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
„pHN111IIrp ,
a� tt��
(Notary Seal) !E C E I V
MAR 0 6 2024 %�O?ARy';�p=�
Notary Signature080
BY
My commission expires to-2 $ L C7 2
�-'4;4%JVER CO,y�
Stormwater Permit Information Update Form Page 1 of 1 May 11,2017

DEMLR USE ONLY
Date R ce ed Fee Pa Permit Number
z 50 ft:- cJ8 G 7/
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: .w EY R 0 7 9
2. Project name: I/ /)94 S�/��'/�c��v7iil/G i7/Y� f gley t /✓/�IIwalll 1-0
3. Project strlejt address: Ili�i �7r/ _ g /7
City: AmA6/��/7C� County: P,/5 ZIP
4. What, if any, changes have been made to the project as permitted?
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/abouVdivisions/energv-
mi n eral-land-resources/energy-m inera I-land-rules/sto rmwate r-prog ra m/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/abouVdivisions/energy-mineral-land-
resources/energv-mineral-land-rules/stormwater-program/postconstruction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Compa a/Or n' tion: 2woillft
2. Signing Official's Name: In
3. Signing Official's Title: /9G✓NEP
4. Mailing Address: _1;�kOl
city: Gf.Gm9001 State: VC� ZIP :
5. Street Address: S17blz
City: State: ZIP : _
6. Phone: ( 9/0 ) y?7/ V�7& Email:
�EGERVE
MAR 0 6 2024
By:
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)orDEMLR
Central Office(Urbanizing Areas Ph 2, USMP, Non-Coastal HQW/ORK9. 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:
L 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
f. Letter of authorization signed by one of the signatories noted in a—e above authorizing the
signature of another entity.
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:
❑ 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.
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.
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).
httos://www.sosnc.gov/online services/search/by title/ Business Registration
ECEIV
MAR 0 6 2024
BY:��_
Stormwater Permit Renewal Application Form Page 2 of 3 May 1 J;2018

�D. PERMITTEE'S CERTIFICATION
I, Vi'ICW Ste^bL`D" 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 1 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, c can compl
Signature: Date:
NOTARIZATION:, I
1, 1/;nct'f- a Notary Public for the State of
/ c •v�r1�`"l County of tit�.� uwv l� do hereby certify
that Dseg//4P I ✓I JA% personally appeared before me
this the (D day of 2011--, and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
00pgU1"FRI"n' .
(Notary Seal) ••r.•�N( HEl/ye
Notary Signature:
� A s
My commission expires
ER COS
'V41y11 Y114r��•`
ECEI W E
MAR 0 6 2024
Stormwater Permit Renewal Application Form Page 3 of 3 May 11,2018

� ..
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J
TE 09028
State Stormwater Management Systems
Permit No. SW8 980719
Hampstead Printing
Stormwater Project No. SW8 980719
Pender County
Engineer's Certification
I, Phillip G. Tripp 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,
Hampstead Printing
(Project)
for_Mr. Doug Heffernan (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 specifications:
SEAL
Signature 0���`-NN 1CAR��i,�
............
'FESsj
Registration Number 17374
SEAL s
Date OC( =S 17374 Via =
���i,�OREGO?, ;%%%�•

r
State Stormwater Management Systems
Permit No. SW8 980719
Certification Requirements: Page 2 of 2
A-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.
—9-13. All the built-upon area associated with the project is graded such that the
runoff drains to the system.
_4. The outlet/bypass structure elevations are per the approved plan.
@:;;n 5. The outlet structure is located per the approved plans.
I6. Trash rack is provided on the outlet/bypass structure.
�7. All slopes are grassed with permanent vegetation.
_9118. Vegetated slopes are no steeper than 3:1.
�9. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
A10. The permitted amounts of surface area and/or volume have been
provided.
�11. Required drawdown devices are correctly sized per the approved plans.
D12. All required design depths are provided.
13. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
�14. The dimensions of the system, as shown on the approved plans, are
provided.