SW8980915_HISTORICAL FILE_20091208

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8 C(EQC4 S
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
LJ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE d6al I pt
YYYYMMDD

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
December 8, 2009
Mr. Jeffery Zimmer, Manager Member
Z-1 Properties, LLC
P.O. Box 2628
Wilmington, NC 28401
Subject: Stormwater Permit No. SW8 980915 Renewal
CVS Pharmacy , Shipyard Blvd
High Density Subdivision Project
New Hanover County
Dear Mr. Zimmer:
The Wilmington Regional Office received a complete Stormwater Management Permit Renewal
Application for CVS Pharmacy, Shipyard Blvd on December 4, 2009. The Division is hereby
notifying you that permit SW8 980915 has been renewed on December 8, 2009, and shall be
effective until March 5, 2019. The plans previously approved on March 5, 1999, in accordance
with the regulations set forth in Title 15A NCAC 2H.1000 effective September 1, 1995, remain in
full force and effect.
This site was inspected on December 8, 2009 All deficiencies noted in the inspection report sry r*11
r
have been addressed and the site is currently in compliance with the terms and conditions of �,
this renewed state stormwater permit. '^'F
Please pay special attention to the Operation and Maintenance requirements in this permit.
Failure to establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150E of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final and binding.
if you have any questions, or need additional information concerning this matter, please contact
David Cox, or me at [phone].
Sincerely,
G orgett Scott 6S 6-0
Stormwater Supervisor
Division of Water Quality
GDS/dwc:
S:\WQS\STORMWATER\PERMIT\980915
cc: Phil Tripp
David Cox
Wilmington Regional Office
Central Files
Wilmington Regional Office
127 Cardinal Drive Extension,Wilmington,North Carolina 28405 One
Phone:[phone]\FAX:[phone]\Customer service:1-877-623-6748 NorthCarolt.na
Internet www.ncwaterqualiherg Naturally
An Equal Opportmily\Affirmative Action Employer (/ {r L

December 8, 2009
CVS Pharmacy Shipyard
Permit # SW 980915
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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. Jeffery Zimmer& Z-1 Properties, LLC
CVS Pharmacy, Shipyard Blvd
2607 Carolina Beach Rd., Wilmington, New Hanover County
FOR THE
operation and maintenance of 2 underground infiltration trenches in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit.
The permit is hereby renewed subject to the following addendums, clarifications,
conditions and limitations:
1. The original permit conditions contained in the permit issued on March 5,
1995 remain in full force and effect, except as amended herein. (An additional
copy of this original permit can be obtained from the Division of Water
Quality, Wilmington Regional Office.)
2. This permit shall be effective from the date of issuance until March 5, 2019.
3. The permittee shall submit a permit renewal application request at least 180
days prior to the expiration date of this permit. The renewal request must
include the applicable documentation and the processing fee.
4. If the use of permeable pavement is desired, this permit must be modified to
add the permeable pavement conditions.
2

DWQzeceil
Y
Date Received Permit Number
5o ,oo loq,,7a
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This fonn may be photocopied for use as an original
DEC 0 4 2009
I. GENERAL INFORMATION
BY:
1. Stormwater Management Permit Number: SW980915
2. Permit Holder's name (specify the name of the corporation,individual,etc.):
/Commercial
Z-1 Pro erties LLC
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Mr. Jeffrey Zimmer Manager/Member
4. Mailing Address for person listed in item 2 above:
P.O.Box 2628
City:Wilmington State:NC Zip:28401
Phone: (910 ) 763-4669 Fax: ( )
Email:
5. Project Name:CVS Pharmacy,Shipyard Boulevard
6. Location of Project(street address):
2607 Carolina Beach Road
City:Wilmington County:NewHanover Zip:28412
7. Directions to project(from nearest major intersection):
Approx. 50 If east from the intersection of US HLAT 421 and SR 1101
II. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention ❑Wet Detention Basin
[]Dry Detention Basin ❑Infiltration Basin ®Infiltration Trench ❑Sand Filter ❑Other:
2. List any changes from project that was originally approved (attach additional pages if needed):
b
NA
Form SWU-102(Renewal Form) Rev 16Nov2009 Page 1 of 3

3. Do you have a copy of the original Operation and Maintenance Agreement? (check one)
®Yes (If yes, submit the attached (page 3) Operations and Maintenance verification sheet.)
❑No (If no, then submit a new Operations and Maintenance Agreement that can be located on the
Division of Water Quality Home Page under the BMP Manual link:
http://h2o.enr.state.nc.us/sufbmp_forms.htm)
III. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at http://h2o.enr.state.nc.us/su/msi maps hun
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
IJ'i!tials
• Original&1 copy of the Stormwater Management Permit Renewal Application Form —
• Application fee of$505.00 (made payable to NCDENR)
• Operation&Maintenance Verification or a new O&M Agreement
• SWU-101 Application Form (if requesting a nwdification to the permit)
2. If you are also requesting a permit transfer or a ownership name change then also submit the"State
Stormwater Name Ownership change Form" available at: http://h2o.enr.state.nc.us/su/bmp forms htm.
When requesting a permit transfer please make sure that all signatures and initials for both parties are filled in
on this form or the transfer cannot be completed and the original owner will remain as the permit holder.
VI. APPLICANT'S CERTIFICATION
I, (print or hype name of person listed in General Inforntntion, item 3) Iefreu Zoning
certify that I have a copy of the P mit and O&M Agreement on-site and that the information included on this
permit renewal application is, e best of my knowledge,correct and complete. tt p
Signature: Date:��—�o /
V V
Note:Additional copies of the original permit can be obtained from the appropriate Regional Office of the
Division of Water Quality.
Fonn SWU-102(Renewal Form) Rev 16Nov2009 Page 2 of 3

Operations and Maintenance Verification
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed in the original Operations and Maintenance Agreement. I agree to notify
D WQ of any problems with the system or prior to any changes to the system or responsible party.
Print name:Jeffrey Zimmer
Title:Manager/Member
Address:P.O. Box 2628, Wilmington, NC 28401
Phone:[phone]
Signature:
Date: �,f - �- D°I
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.
I, Donna Dickens a Notary Public for the State of NOrth Carolina
County of New Hanover , do hereby certify that Jeffrey L. Zimmer, as Manager of
Z-1 Commercial Properties, LLC
personally appeared before me this day of December 1, 200p , and acknowledge the due
o execution of the forgoing stormwater BMP maintenance requirements. Witness my hand and official
seat, this the 1st day of December, 200�. /
Notary Sig re. _
Donna Dickens
. .•+a�aNp DIC,{F�s,s+
p
a x S>�h4TARy
j,rysv. <ti�`a.
My commission expires: 06/24/2013
DEC 4 "L009
Form SWU-102(Renewal Form) Rev 16Nov2009 Page 3 of 3

\O��F W ATF9QG Michael F.Easley,Governor
William G.Ross Jr,Secretary
North Carolina Department of Environment and Natural Resources
Uj r
-i Alan W.Klimek,P.E.Director
_ t Dvision of Water Qmdity
,
September 5, 2008
Mr. Jeffrey Zimmer, Manager/Member
Z-1 Properties, LLC
P. O. Box 2628
Wilmington, NC 28401
Subject Stormwater Permit No. SW8980915
CVS Pharmacy, Shipyard Boulevard
New Hanover County
Dear Mr. Zimmer.
The Division of Water Quality issued a Coastal Stormwater Management Permit, Number SW8980915
to Z-1 Properties, LLC for a High Density Stormwater Project on March 5, 1999. This permit expires on
March 5, 2009. Section .1003(h) of 15 A NCAC 2H .1000(the stormwaterrules) requires that
applications for permit renewals shall be submitted 180 days prior to the expiration of a permit and must
be accompanied by a processing fee, which is currently set at$505.00. If this is still an active project
please complete and submit the enclosed renewal application in a timely manner. If this project has not
been constructed and a permit is no longer needed, please submit a request to have the permit
rescinded. If you have sold the project, or are no longer the pennittee, please provide the name, mailing
address and phone number of the person or entity that is now responsible for this permit. Enclosed is a
form for change of ownership, which should be completed and submitted if the property has changed
hands.
Your permit requires that upon completion of construction and prior to operation of the permitted
treatment units a certification of completion be submitted to the Division from an appropriate designer
for the system installed. This is to certify that the permitted facility has been installed in accordance with
the permit, the approved plans, specifications and supporting documentation. Please include a copy of
the certification with your permit renewal request and processing fee. Enclosed is a copy of a sample
certification. Also enclosed is a new Operation and Maintenance agreement that should be completed
and submitted along with your renewal application.
You should be aware that failure to provide the Designer's Certification and the operation of a
stormwater treatment facility without a valid permit, are violations of NC General Statute 143-215.1 and
may result in appropriate enforcement action including the assessment of civil penalties of up to
$10,000 per day.
If you have any questions, please feel free to contact us at 910-796-7215.
Sincerely,
0'401y-;6& E6'tr�
Georgette Scott, Stormwater Supervisor
Surface Water Protection Section
Wilmington Regional Office
Enclosures
cc: Wilmington Regional Office
North Caroa dive F-oeasion of Water Quality Phone(: t0)79ncw'atemualit�'.me
e
127 Cardinal wive Extension .Phone(910)79rr7217 ,�o,'�'�}`�Carolina
Wilmington,NC 2W3 Fax [phone] A/awrally