SW7051026_CURRENT PERMIT_20200427

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW '%i2vOo�(o
DOC TYPECURRENT
PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
SeCl'erary
BRIAN WRENN
el cring Director
NORTH CAROLINA
Environmental Quality
April 27, 2020
Lynnwood Highlands Community Association, Inc.
Attention: Mr. Lance Clark, President
308 Greenville Blvd SE B2
Greenville, NC 27858
Subject: Stormwater Permit No. SW7051026 Renewal/Ownership Change
Lynnwood Highlands
High Density Stormwater Project
Craven County
Dear Mr. Clark:
The Washington Regional Office received a Stormwater Management Permit Renewal
Application and Ownership Change application for Lynnwood Highlands on July 12,
2019. After staff review of the submittal and an on -site inspection on April 24, 2020 it
has been determined that the permit can be renewed. We are forwarding Permit No.
SW7051026, dated April 27, 2020, for the construction and operation of the subject
project.
This permit shall be effective from the date of issuance until April 26, 2028, and shall be
subject to the conditions and limitations as specified therein. Please pay special
attention to the Operation and Maintenance requirements in this permit. Failure to
establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714.
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 me at [phone].
Sincerely,
Roger K. Thorpe
Environmental Engineer
North Carolina Department of Environmental Quality ; Division of Energy, Mineral and Land Resources
EQ9 Washington Regional Office i, 9+3 Washington Square Mall Washington. North Carolina 27889
owutf 252.946,6481

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE STORMINATER 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
Lynnwood Highlands Community Association, Inc.
Lynnwood Highlands
Located at 100 Lynden Ln., New Bern, NC
Craven County
FOR THE
construction, operation and maintenance of a wet detention pond and six curb outlet
swales 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 Energy, Mineral, and Land Resources (Division) and considered a part of
this permit.
This permit shall be effective from the date of issuance until April 26, 2028 and shall be
subject to the following specified conditions and limitations:
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. The overall tract
built -upon area percentage for the project must be maintained at 30%, per the
requirements of Section .1005 of the stormwater rules.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.8 of this permit. The stormwater controls have
been designed to handle the runoff from 22.64 acres of impervious area within a
project area of 75.64 acres.
3. The project proposes the use of one (1) wet detention basin and six (6) curb
outlet swales. Each designated curb outlet swale shown on the approved plans
must be maintained at a minimum of 100' long, maintain 5:1 (H:V) side slopes or
flatter, have a longitudinal slope no steeper than 5%, carry the flow from a 10
year storm in a non -erosive manner, maintain a dense vegetated cover, and be
located in either a dedicated common area or a recorded drainage easement.

4. No piping shall be allowed except those minimum amounts necessary to direct
runoff beneath an impervious surface such as a road or under driveways to
provide access to lots and the piping that is shown on the approved plans
directing stormwater to the wet detention basin.
5. Runoff conveyances other than the curb outlet system swales, such as perimeter
ditches, must be vegetated with side slopes no steeper than 3:1 (H:V).
6. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
7. The runoff from all built -upon area within the permitted drainage areas of this
project must be directed into the permitted stormwater control system designed
for each drainage area.
8. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
Drainage Area: To Wet Pond
a. Drainage Area, acres: 30.43
b. Total Impervious Surfaces, acres: 11.72
C. Design Storm, inches: 1
d. Pond Depth, feet: 6.50
e. TSS removal efficiency: 90%
f. Permanent Pool Elevation, FMSL: 16.00
g. Permanent Pool Surface Area, ft2: 24,164
h. Permanent Storage Volume, ft3: 90,623
i. Permitted Forebay Volume, ft3: 17,506
j. Temporary Storage Elevation, FMSL: 18.50
k. Temporary Storage Volume, ft3: 67,560
I. Controlling Orifice: 2.5" � pipe
M. Receiving Stream/River Basin: Crooked Run
n. Stream Index Number: 27 — 108 — 1
o. Classification of Water Body: "SC; Sw, NSW'

II. SCHEDULE OF COMPLIANCE
1. The stormwater management systems shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface, per the approved plans.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the systems will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, 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. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
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. 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.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any

modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
12. 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.
13. This permit shall be effective from the date of issuance until April 26, 2028.
Application for permit renewal shall be submitted 180 days prior to the expiration
date of this permit and must be accompanied by the processing fee.
14. Each lot in the subdivision covered by this permit will maintain a minimum 30 foot
wide vegetative buffer between all impervious areas and surface waters. All roof
drains must terminate at least 30' from the Mean High Water mark.
15. Deed restrictions are incorporated into this permit by reference and must be
recorded with the Office of the Register of Deeds prior to the sale of any lot.
16. Recorded deed restrictions must include, at a minimum, the following statements
related to stormwater management:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW7051026, as issued by
the Division under NCAC 2H.1000.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.

d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina, Division
of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division.
f. The maximum built -upon area per lot is 3,200 square feet for Lots 104-173
and 4,300 square feet for Lots 201-308. These allotted amounts include
any built -upon area constructed within the lot property boundaries, and
that portion of the right-of-way between the front lot line and the edge of
the pavement. Built upon area includes, but is not limited to, structures,
asphalt, concrete, gravel, brick, stone, slate, coquina, driveways, and
parking areas, but does not include raised, open wood decking, or the
water surface of swimming pools.
g. Filling in, piping or altering any 3:1 vegetated conveyances (ditches,
swales, etc.) associated with the development except for average
driveway crossings, is prohibited by any persons.
h. Filling in, piping or altering any designated 5:1 curb outlet swale or
vegetated area associated with the development is prohibited by any
persons.
i. A 30' vegetated buffer must be maintained between all built -upon area and
the Mean High Water line of surface waters. All roof drains shall terminate
at least 30' from the Mean High Water mark.
j. Each designated curb outlet swale shown on the approved plan must be
maintained at a minimum of 100' long, maintain 5:1 (H:V) side slopes or
flatter, have a longitudinal slope no steeper than 5%, carry the flow from a
10 year storm in a non -erosive manner, maintain a dense vegetated
cover, and be located in either a dedicated common area or a recorded
drainage easement.
17. The plans approved on December 13, 2005 remain in full force and
effect along with the plan addendum approved on January 27, 2009,
Ill. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a formal permit transfer request to the Division, accompanied by a
completed name/ownership change form, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of
this request will be considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
2. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division, in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.

3. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
5. The permittee grants DEQ Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division of any name, ownership or mailing
address changes within 30 days.
Permit issued this the 27th day of April 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for
Brian Wrenn, Acting Director
Division of Energy, Mineral, and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7060520

UtMLH USt UNLY
. Date Received
Fee Paid
Permit Number
2—lt
57�_'6---v
Ste% c5' v'x-4
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
BECEII717' 242
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: SW7051026MOD
2. Project
name: Lynnwood Highlands_ _
3
street address: 100 Lynden Ln
City: New
28560
Project
County: Craven ZIP:
4. What, if
any, changes have been made to the project as permitted? None
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:l/dect.nc.gov/about/divisionslenergy-
mineral-land-resourceslenergy-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 httpsa/deg.nc.aov/about/divisions/energ y-mineral-land-
resources/energy_-mineral-land-rztlds/stormwater-_progr_am/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: Lynnwood Highlands Community Association
2. Signing Official's Name: Lance Clark
3. Signing Official's Title: President
4. Mailing Address 308 Greenvillle Blvd
City: Greenville State: NC ZIP: 27858
5. Street Address: 308 Greenville Blvd
City'. Greenville _ _ _ _ _ _ _ State: NC ZIP
27858
6. Phone: [phone] Email: Lisa(7a..kpml.com
Stormwater Permit Renewal Form Page 1 of 3 A1}a,t in9f2

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 each item below to indicate that the required information is provided in the application package:
X_ 1. A permit application processing fee of $505.00 payable to NCDEQ.
K 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.
X 5. Designer Certifications, Please select one:
C A copy ofthe 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.
Y 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
Stormwater Permit Renewal Application Form Page 2 of 3 - Mav 11. ?1018

D. PERMITTEE'S CERTIFICATION
I, LAC- 0."-L , 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 and complete.
��' c�__�� -ill � • ,
Signatu�e' _ _`` _ _ Date: 1112 /170 J 9
NOTARIZATION:
a Notary Public for the State of
` "-L '� n , County of �y�� do hereby certify
that _ e personally appeared before me
this the 2'� day of , 20_�, and acknowledge the due
execution of the forgoing instrument. VVIltness my hand and official seal,
(Notary Seal)
Notary Signature: ��
41"
My commission expires _ ,r 4a g07 3
O'k%J1fllf11"I�''
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Storrnwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

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ktii

ULMLK USt ONLY
Date Received
Fee Paid
Permit Number
el . �_
5 r.i �? 05 O
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER: RECEIVED JU14 U 1t11�
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: htt .//de .nc. ov/contacbre Tonal -offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to th
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permi
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G. S. 143-214.7 c2 (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager,, (Documentation from the NC Secretary
of State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee, -
Partnership or limited partnership - the general partner;
• Sole proprietor;
• The signature of the consultant or other agent shall be accepted on this permit transfer application
only if accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
Srr � C State
stormwater Permit Number: w 70J D to`��
2. name: Z y o w.l A
3.
Is this an updated project name from
for the permit transsffe'r re est: �
( rav�` �O
Project
e current permit? ❑ Yes No
�} Reason
1 Stormwater Permit Transfer Application Form
Page 1 of
April 27, 2018

B. PERSON(S) WHO HAVE SIGNED THIS FORM (select only one response below)
❑ 1. Both the current and proposed permittees
2. Only the current permittee of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143-214.7 c2 (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
® The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
© The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
❑ 3. Only the proposed permittee (skip Part D below).
In accordance with G. S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ a. The proposed permittee is either (select one of the following):
❑ The successor -owner who holds title to the property on which the permitted activity is
occurring or will occur,
❑ The successor -owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other (please explain):
❑ c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
Stormwater Permit Transfer Application Form Page 2 of 8 April 27, 2018

C. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark W" if previously provided. If not
applicable or not available, please mark N/A.:
YY 1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143-215.3D(e)(21.
l� 2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(sl, from the proposed permittee, as required by the permit.
5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built -upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
8. If transferring under G.S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
_4 9. If transferring under G. S. 143-214. 7(c5) (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
10. A copy of the lease agreement if the proposed permittee is the lessee.
11. A copy of the pending sales agreement if the proposed permittee is the purchaser,
12. A copy of the development agreement if the proposed permittee is the developer.
Stormwater Permit Transfer Application Form Page 3 of 8 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
Cur
rent Permit Holder's Company Name/Organization: �� i C �G�✓�c is rCi��,
2. Ct� L Sig
Wing Official's Name: �
3. Sig
ning Official's Title:a.1Rr ¢ - - - - - _ _
4. f Mai
ling Address:
City: flp State: ZIP
5. Str
eet Address:
City: State: ZIP:
fi PhonEmail.- (Gc.1)re�;lrClcu'�Ufir�•� G
k—i-VLt,e current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
�cJ the most recent permit;
the designer's certification for each SCM;
any recorded deed restrictions, covenants, common areas, drainage easements or plats,
® the approved plans and/or approved as -built plans, -
the approved operation and maintenance agreement;
0 past maintenance records from the previous permittee (where required);
a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signat
that
this the
day of
County of
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Date: 5ze l
a Notary Public for the State of
do hereby certify
personally appeared before me
20 , and acknowledge the due
Stormwater Permit Transfer Application Form Page 4 of 8 April 27, 2018

Notary Signature:
My commission expires
Stormwater Permit Transfer Application Form Page 5 of 8 April 27, 2018

E.. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
❑ Property owner (Also complete Part F.)
rvl Home Owners Association (HOA), Property Owners Association (POA), or Unit Owner Association
(UOA) (Also complete Part F.)
❑ Lessee - Attach a copy of the tease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser - Attach a copy of the pending sales agreemenf. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F & G.)
❑ Developer - Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co-pormittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F & G.)
2. Proposed permittee name (check one of the following and provide the name):
❑ Corporation, LLC, Partnership, Municipality name: Woj
HOA I POA I UOA name:
Sole Proprietor
3. Proposed permittee contact information:
Please be sure to provide Email.
a. Signing Official's Name.-
b. Signing Official's Title:
c. Mailing Address: ff~
City: G rr, ,A IN t�
SE 9 2
State: /VL ZIP :
d. Street Address:
City: State: ZIP
e. Phone: (_)
Email:
4. If there is a Management Entity that manages the property for an HOA, POA or UOA, please provide:
Please be sure to provide Email. Lt l( I , N 1,
a. Management Company or Business name.-
b. Contact Name: & ,. rowl �.`_ {l,.dS Title:
c
eJ
e
Mailing Address: _ 3DP 9 .t t,d,1(,.-- h5 Ids fit'_ CV
City: � re t%)I ! e State
Phone: (} _ 3S5 �� Email:
r,
be ZIP:
Stormwater Permit Transfer Application Form Page 6 of 8 April 27, 20,18

C
State Stormwata%lAanagement Systems
rermit No. SW7051026
Lynnwood Highlands
Stormwater Permit No. SVV7051026
Craven Coun
Designer's Certification
JAN 2 7 tong
{, o rJ . 4awj,, -S , as a duly registered in
the State of North Carolina, having been authorized to obsery period nVl-Wr-
.time) the construction of the project,
9 1 C � k� C rS'FriI�usJ4-1 l?
(P
for C r4� N��,w� ��Gr ee�+u�llo� 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. Ce, q I A —J
0,, Y GS Na�QC�.
Noted deviations from approved plans and specification:
�. ram• ••.,
Signature
Registration Number CAL
Date
SEAL
Page 7 of 8

i
i6l

t" State Stormwa "� Management Systems
Permit No. SW7051026
Certification Requirements: S,` f ►ti. A-•/� �(� d `' `� S .��
I 7 Q-. C
✓ 1. The drainage area to the system contains approximately the permitted
acreage.
xlof2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
�►13. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
All roof drains are located such that the runoff is directed into the system.
V 5. The outlet/bypass structure elevations are per the approved plan.
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.
_ Lef i0. 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.
✓ l2. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
✓ 14. All required parts of the system are provided, such as a vegetated shelf, and
a forebay.
15 The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Washington Regional Office
Craven County Building Inspections
Page 8of8

W,
fi
Lynnwood Highlands
Stormwater Permit No. SW7051026
Craven County
Designer's Certification
State StormwaPN%Management Systems
rermit No. SW7051026
as a duly registered el- in
the State of North Carolina, having been authorized to obsery (p`eri dlcal eeklyl-full-
.time) the construction of the project,
f�%N — L --� 0 U _ T`�l ` Ci h ��-n r K t �w� 'J o t�l
(Project)
for 3 + ` C (cc, 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. Co-, 4 I —J
6--- C-S N(34Q(�.
Noted deviations from approved plans and specification:
SEAL
Signature r'
Registration Number 6 . L
Date
Page 7 of 8

Certification Requirements:
State StormweO*, Management Systems
Permit No. SW7051026
C_J
d� t y �, 4 5,*b
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.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
.lo �uh fla4;-
All roof drains are located such that the runoff is directed into the system.
V 5.
The outlet/bypass structure elevations are per the approved plan.
_Ze•
The outlet structure is located per the approved plans.
:7�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.
�. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
�11The permitted amounts of surface area and/or volume have been provided.
7-- 12- Required drawdown devices are correctly sized per the approved plans.
✓ 13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and
a forebay.
✓ 15. The required system dimensions are provided per the approved plans.
q Y R P Pp
CC.' NCDENR-DWQ Washington Regional Office
Craven County Building Inspections
Page 8 of 8