SW8121102_HISTORICAL FILE_20121108 (2)

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
�11HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

MEMORY TRANSMISSION REPORT
FILE NO.
782
DATE
11.08 16:19
TO
R 919104553441
DOCUMENT PAGES
6
START TIME
11.08 16:19
END TIME
11,08 16:20
PAGES SENT
6
STATUS
OK
SUCCESSFUL TX NOTICE
TIME
FAX NO.1
NAME
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:11-08-'12 16:20
:910-350-2004
:DENR Wilmington
J7ee Frrsriaan. 9�cretwry
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0-2004
127 Cr 4-1 01— Extam i— Wllml�gton. NC 28405 • (9l 0) 796-7235 � A C-g-1 Opp—i[y tiP( —ei— ^a"— E3. plvyar

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Beverly Eaves Perdue, Governor FAX COVER SHEET Dee Freeman, Secretary
Date: .,.� �l_ No. Pages (excl. cover): S
To: /� " CFrom. Jo Casmer
Co: C Phone: 9 t 0 796-7336
Fax: / /� —S'S ' `7111 Fax: [phone]
Re
/Gt�� Waal
127 Cardinal Drive Extension, Wilmington, NC 28405 • [phone] . An Equal Opportunity Affirmative Action Fmployer

"MEM)'RY TRANSMISSION REPORT
TIME :11-08-'12 16:22
FAX NO.1 :910-350-2004
NAME :DENR Wilmington
FILE NO.
783
DATE
11.08 16:19
TO
R 912526383989
DOCUMENT PAGES
6
START TIME
11.08 16:20
END TIME
11.08 16:22
PAGES SENT
6
STATUS
OK
*** SUCCESSFUL TX NOTICE ***
state orrq—ta. Cnrolloa
U.mp—c—c al.X-6--t and Natural Raaou rcw
Wflmlowcou 1iCw:... I O/M7Ce
Brwr{y E'as•�r P'eMar, Governor 11'J_x 4 t"N? E12 slimET
�� irrfewlwa�r. SaCrernry
Apra: Nc1_ Pagea (excl_ cover):
7•n: .. ��` �� �� `'�c �� 17—: Jn Casnler .
Ph -no: C9 f O) 79b-7336
Ito: "T^i �_r i C ��/oo r✓ __� 1--� �.-� I s�
127 C—diva[ Dri.. NC ZB<OS — [phone] — As. Hq—i ovv--i. r E—P].Y—

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Beverly Eaves Perdue, Governor FAX COVER SHEET Dee Freeman, Secretary
Date: ..._„ �� ��__ � No. Pages (exel. cover):
To: ✓ / ��✓ %�% �C OFrom: Jo Casmer
Co: �� �" / lGr Phone: [phone]__
Fax: _ �� ���� Fax: [phone]
Re:
min. /SS���� hair'
127 Cardinal Drive Extension, Witmintnon, NC 28405 9 [phone] • An Equal Opportunity Affirmative Action Employer

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select all that apply)❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
777is form maybe photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.).
Trailwoods Section IV
2. Location of Project (street address):
Lee Roizers Rd.
City: Hubert County:Onslow Zip:28539
3. Directions to project (from nearest major intersection):
Heading West from Swansboro on NC Hwy 24 towards Jacksonville, turn right onto Hubert Boulevard.
Go 0.71 miles, turn right onto Parkertown Road, go 0.61 miles, turn left onto Lee Rogers Road, project
entrance is approximatly 0.5 miles on the right,
4. Latitude:34° 43' 56" N Longitude:77* 13' 20" W of the main entrance to the project.
H. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ElCompleted* 'provide a designer's
certifca tion
2. Specify the type of project (check one):
®Low Density ❑High Density ❑Drains to an Offsite Stormwater System ❑Other
If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
®Sedimentation/Erosion Control: 2.92 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit
Number, issue date and the type of each permit:
NOV o 5 2012
Form SWU-101 Version 07.iun2010 Page 1 of 6 1BY:

III. CONTACT INFORMATION
1.a.Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Trianele Plaza, Inc.
Signing Official & Title3irnmy McCotter, President`_
b.Contact information for person listed in item 1a above:
Street Address:4503 West Fairway Drive
City:New Bern State:NC Zip:28562
Mailing Address (if applicable):P.O. Box 12951
City:New Bern State:NC Zip:28561
Phone: (252 ) 671-3333 Fax: (252 ) 638-3989
Email:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a
and 2b below)
❑ Developer" (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & T
b.Contact information for person listed in item 2a above:
Street Address:
City: State:
Mailing Address (if applicable):_
City:
Phone:
Email:
Zip:
State: Zip:
Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:_
b.Contact information for person listed in item 3a above:
Mailing Address:
city:
Phone:
Email:
4. Local jurisdiction for building permits:
Point of Contact:
State:
Fa x:
Phone #:
Zip:
Form SWU-101 Version 07Jun2010 Page 2 of 7
�.tD
Nov a 5 2012
BY-

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater treatment is provided under the low densitv option of the Coastal Stormwater Rules for "Other
CoastalDevelopment". The project does not exceed the allowable 12% impervious area and stormwater
runoff is transported by roadside ditches that outlet to an existing road side ditch on Lee Rogers Rd.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development flan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the White Oak River basin.
4. Total Property Area: 3.97 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project
Area':3.97 acres
Total pro'ect area shall be calculated to exclude the following.- the normal pool of impounded structures,
the area between the banks of streams and rivers, the area below the Normal High Water (NHW) line or
Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The
resultant pro ect area is used to calculate overall percent built upon area (BUA). Non -coastal wetlands
land ward of the NHW (or MHW) line maybe included in the total project area.
S. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 12
9. How many drainage areas does the project have? 1 (For high density, count 1 for each proposed engineered
storm water BMP. For low density and other projects, use I for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. if there
are more than four drainage areas in the project, attach an additional sheet with the information for each
area provided in the same format as below,
NOV 0 5 2012
BY:
Form SWU-101 Version 07Jun2010 Page 3 of 7

Basin Information
Drain e Area 1
Drain e Area 2 .
Drain e ATea 3
.Draina_ e Area 4
Receiving Stream Name
UT to Queens
Creek
Stream Class *
SA; HQW
Stream Index Number *
19-41-16
Total Drainage Area (sf)
173,096
On -site Drainage Area (sf)
173,096
Off -site Drainage Area (sf)
0
Proposed Impervious Area**
(sf)
20,768
Impervious Area** (total)
12
Im ervi6us*",Surface°Area
Zra is e Area 1
;Drain' e Area:2_
'DTainage Area 3_-�
� Drainage Area 4
On -site Buildings/Lots (so
16,910
On -site Streets (so
3,858
On -site Parking (so
On -site Sidewalks (so
Other on -site (sf)
Future (sf)
Off -site (so
Existing BUA*** (so
Total (so:
20,768
Stream Class and Index Number can be determined at:
http://portal.ncdenr. org/web/wg/ps/cstr/classlfrcations
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking
areas, sidewalks, gra vel areas, etc.
*'Report only that amount of existing BUA that will remain after development. Do not report any existing
BUA that is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation.
Proiects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from litty://PortaI.ncdenr.or�l-/web/wcl/ws/su/bmo-manual.
�1ill;i�li•I�I��1:
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. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdeiir.org/wqb/wq/ws/su/statesw/­forms does. Thecomplete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found
by locating project on the interactive online map at http://portal.ncdenr.org/ web/wq/ws/su ma s.)
Please indicate that the fallowing required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does.
Original and one copyof the Stormwater Management Permit Application Form.
Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VIl below)
Originalof the applicable Supplement Form(s) (sealed, signed and dated) an6Q&MC JV]E.
agreement(s) for each BMP.
I NOV 0 5 2012
Form SWU-101 Version 07Jun2010 Page 4 of 7
BY:

I
Permit application processing fee of $505 payable to NCDBNR, (For an Express review, refer k(
htip://www.envhelp.org/pagees/onestopexpress.htmi for information on the Express prograrr
and the associated fees. Contact the appropriate regional office Express Permit Coordinator fo
additional information and to schedule the required application meeting.)
A detailed narrative (one to two pages) describing the stormwaker treatment/management
A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within lh mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.
Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW limes.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k, Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
f-
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 3642 Page No: 837
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC _
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://www.secretaEy.state.nc.us/Cofporations/CSearch.aspx
Form SWU-101 Version 07Jun2010 Page 5 of 7
NOV 0 5 201Z
:3y:

VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from
!IM.Z/portal.ncdenr.org/web/wq/ws/`sit/statesw/forms-docs. Download the latest versions for each
submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed on
the forms available on the website, that the covenants will be binding on all parties and persons claiming under
them, that they will run with the land, that the required covenants cannot be changed or deleted without
concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Athan M. Parker El
Consulting Firm: Parker & Associates Inc.
Mailing Address:306 New Bridge Street
CityJacksonville
State:NC
Zip:28540
Phone: (910 ) 455-2414 Fax: (910 ) 455-3441
Email:l?aitext@bizec,rr.com
DC. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
],(print or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name ofperson
listed in Contact Information, item 1a) with (print or type name of organization listed
in Contactlnformation, item 1a) to develop the project as currently proposed. A copy
of the lease agreement or pending property sales contract has been provided with the submittal, which indicates
the party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 07Jun2010 Page 6 of 7
CEDV D
NOV o 5 2012
BY:

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my
designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or
defaults on their lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater
permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ
immediately and submit a completed Name/Ownership Change Form within 30 days; otherwise I will be
operating a stormwater treatment facility without a valid permit. I understand that the operation of a
stormwater treatment facility without a valid permit is a violation of NC General Statue 143-215.1 and may
result in appropriate enforcement action including the assessment of civil penalties of up to $25,000 per day,
pursuant to NCGS 143-215.6.
Signature:
I,
a Notary Public for the State of
do hereby certify that
before me this _— day of
Date:
County of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Kathy Carter
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2H .1000, SL 2006-246 (Ph. II - Past Construction) or SL 2008-211.
Signature:
Date: 0 ~ -_/ Z
1, _� k2 1411 tf"✓�i vll" __ , a [Votary Public for the State of /yu -A-�1 (' A-rdl(ul . County of
O fi do hereby certify that Ka f ih personally appeared
before me this day of a2C �0 h e- 10 . and cknowled a the due amwu#on
/aof the application for
a stormwater permit. Witness my hand and official seal,
NpTARy, Gar
MY
COMMISSION EXPIRES
112412017
C' PUBLIC ?Q�
-9
SEAL
My commission expires f) '2- �l /,----`0)7
Form S WU-101 Version 07Jun2010 Page 7 of 7
NOV 0 5 2012
Y:

(Page 1` of 2)
N
r
r
NORTH CAROLINA
` Department of The Secretary of State
Doe 10: 0042g126DO02 Type: CRP
Recorded: 03/28/20041 at 03:40:17 PM
Fes Amt: $17,00 Page 1 of 2
narylend K.
Ons,ow County,Washington Rep. of Deeds NC
To all whom these presents shall come, Greetings: aK3040 Pc49Q-491
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify the following and hereto attached to be a true copy of
ARTICLES OF AMENDMENT
OF
MCCOTTER-BORDEAUX LAND COMPANY, LLC
WHICH CHANGED ITS NAME TO
J.E. MCCOTTER LAND COMPANY, LLC
the original of which was filed in this office on the. 20th day of March, 2008.
IN WITNESS WHEREOF, I have hereunto
set my hand and affixed my official seal at the
City of Raleigh, this 20th day of March, 2008
Secretary of State
Document Id: C2DOM04164
4
NOV o 6 2012

(Page 2` of 2) 1
F
a.'cuwreru���o+.
SOSID. 0404162
Date Filed: 3l2012008 1:54:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C200808001644
ARTICLES OF AMENDMENT TO THE ARTICLES OF ORGANIZATION
1 OF
MCCO'PTER-BORDEAUX LAND COMPANY, LLC
Pursuant to Section 57C-2-22 of the General Statutes of North Carolina, the
undersigned limited liability company hereby submits these Articles of Amendment for the
pugxm of amending its Articles of Organization:
I - The name of the limited liability company is McCotter-Bordeaux Land
Company. LLC.
2 MW text of the arnendment to the Aiticks of Organization is as follows:
The Articles of Organization of the limited liability
company hereby am amended by deleting Paragraphs I
thereof in its entirety and inserting in lieu thefeof the
following new Paragraph l:
"I. The name of the limited liability company is J.E.
McCotter Land Company. LLC,"
3. The Amendment was adopted by the unanimous vote of the member of the
limited liability compact' or was adopted as otherwise provided in the limited liability company's
Articks of Organization or a written Operating Agreement.
4. These Articles of Amendment shall be effective upon filing.
This the 17th day of Match, 20M.
Prepared by and return to:
C. H. Pope, Jr.
For the f irm of
Ward and Smith. P.A.
1001 College Court
PO Box 867
New Bem, NC 28563-M7
Telephone: [phone]
Facsimile: [phone]
NBMAIM74496711
MCCOITER-BORDFAUX LAND COMPANY. LLC
By: ! - A �f ��
)aps E. lvcC tter. Memba/Manager
NOV 0 5 202

BUSINESS CORPORATION
a
_ ANNUAL REPORT
NAME OF BUSINESS CORPORATION: Triangle I'laza, Inc.
FISCAL YEAR ENDING: 121.3112011
SECRETARY OF STATE CORPORATE. ID NUMBER: 0151319
NATURE OF BUSINESS: Commercial Real Estate
REGISTERED AGENT: MCCOTTER, JAMESE
REGISTERED OFFICE MAILING ADDRESS: P.O. Box 12951
New Bern, NC 28561
E-Filed Annual Report
-1-0-484 7407
Do not data enter manually.
STATE OF INCORPORATION: NC
REGISTERED OFFICE STREET ADDRESS: 4503 West Fairway Drive
New Bern, NC 28562 All County
PRINCIPAL OFFICE T ELEPHONE NUMBER: 252-671-3333
PRINCIPAL OFFICE MAILING ADDRESS
PRINCIPAL OFFICE STREET ADDRESS
PRINCIPAL OFFICERS:
Y.O. Box 12951
New Bern, NC 28561
4503 West Fairway Drive
New Bern, NC 28562
Name: Kathryn M. Carter Name: James E. Mc Cotter
Title: Vice President Title: President
Address: Address:
P.O. Box 12951 P.O. Rox 12951
New Bern, NC 28561-0000 New Bern, NC 28561-0000
CERTIFICATION OF ANNUAL REPORT' MUST 13E COMPLETED BY ALL BUSINESS CORPORATIONS
Kathryn M. Carter
FORM MUST BE SIGNED BY AN OFFICER OF THE CORPORATION
Kathryn M. Carter
01/04/2012
DATE
Vice President
TYPE, OR PRINT NAME TYPE OR PRINT TITLE
ANNUAL REPORT FEE: $18 MAIL TO: Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh. NC 27626-0525
NOV U 5 2012
L v-