SW8150508_HISTORICAL FILE_20170303

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
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DOC TYPE
El CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
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Lewis,Linda
From:
Lewis,Linda
Sent:
Thursday, September 17, 2015 5:07 PM
To:
'Garry Pape'
Subject:
RE: Belle Meade Mixed Use SW8 150508
Thanks Garry.
Do you have any documentation regarding Mr. Sosne's title as a member/manager of Bell Meade Development Partners
LLC? The corporation was formed in February 2015 and has not filed an annual report yet. The only folks listed on the
creation filing are Mr. Jeff Zimmer as the organizer and a Mr. Michael Lee as the registered agent. Before I can issue the
permit, I need verification of Mr. Sosne's status as a manager in that LLC.
Thanks.
From: Garry Pape [mailto:[e-mail]]
Sent: Thursday, September 17, 2015 12:53 PM
To: Lewis,Linda <[e-mail]>
Subject: RE: Belle Meade Mixed Use SW8 150508
Yes, I will bring you 2 copies within the next 30 minutes. Thanks. - Garry
From: Lewis,Linda [mailto:[e-mail]]
Sent: Thursday, September 17, 2015 12:49 PM
To: Garry Pape
Subject: RE: Belle Meade Mixed Use SW8 150508
Thanks Garry.
Will you also add the offsite drainage area amount to the DA map? It only reports the offsite BUA amount (4.66 acres)
not the drainage area amount.
Thanks,
Linda
From: Garry Pape [mailto:[e-mail]
Sent: Thursday, September 17, 2015 12:23 PM
To: Lewis,Linda <[e-mail]>
Subject: RE: Belle Meade Mixed Use SW8 150508
I think I understand but not sure. Attached is the revised SA/DA talc sheet and revised application sheets where I broke
up the Onsite and Offsite #'s, did it 2 ways, hopefully 1 of them was what you are looking for. Let me know if this
addresses your concerns. Thanks. - Garry
From: Lewis,Linda[maiito:linda.lewis@ncdenr.c�ov]
Sent: Wednesday, September 16, 2015 5:45 PM
To: Garry Pape
Subject: RE: Belle Meade Mixed Use SW8 150508

1
Lewis,Linda
From:
Lewis,Linda
Sent:
Wednesday, September 16, 2015 5:45 PM
To:
'Garry Pape'
Subject:
RE: Belle Meade Mixed Use SW8 150508
I'm out in the field first thing tomorrow. I should be back around 9.30 or 10 at the latest. I'll call you then unless this
email will help explain.
I don't mean to confuse you. I was simply letting you know that I found the offsite drainage area amount that needs to
be reported on the 150508 application. The 19.15 acre drainage area for Pond #1 is comprised of anon -site component
(i.e., the part being developed by Belle Meade Development Partners) and an offsite component, i.e., the part being
developed by SHP Bellemeade, LLC. I just need you to confirm.
Then, I also provided a bit more explanation in the way of the SA/DA ratio calculation for Pond #1. 1 initially thought that
the 2.4% you reported was an error held over from the previous versions of the 050214 permit where Pond #1 used to
reside, but a check of the file indicates that the SA/DA ratio used in all previous calculations is 2.8%. In addition, the
wet pond supplement form for the May 5, 2014 permit modification that was done by David Luke Menius, PE with
Stroud Engineering, shows an SA/DA of 2.8%. Pond #1 has been removed from the 050214 permit and will be placed
onto the 150508 permit, but nothing about the design of the pond has changed. It's still 7 feet deep, 67.9% impervious
and being designed for 90% TSS. So, the 2.4% SA/DA ratio you report in your May 7, 2015 calculations and on the May
7, 2015 wet pond supplement form needs to be corrected to 2.8%.
Linda
From: Garry Pape [mailto:[e-mail]]
Sent: Wednesday, September 16, 2015 5:20 PM
To: Lewis,Linda <[e-mail]>
Subject: RE: Belle Meade Mixed Use SW8 150508
I'm confused, will you be around so I can call you in the morning?
From: Lewis,Linda Lmailto:[e-mail]
Sent: Wednesday, September 16, 2015 5:17 PM_
To: Garry Pape
Subject: FW: Belle Meade Mixed Use SW8 150508
Garry- I found the offsite DA on the 050214 application -- 254,903 sf? Please confirm and if that is the number,
then, you can report that number in the upper half of Section IV.10 on the application, where it asks for offsite drainage
area. Then you would reduce the 834,113 on -site drainage area down to 579,210 sf. The total drainage area remains
unchanged at 834,113 sf.
In regards to the SA/DA ratio, the 2.4% currently reported on the supplement corresponds to a 7 foot deep, 60%
impervious site at 90% TSS.
Thanks,
Linda

From: Lewis,Linda
Sent: Wednesday, September 16, 2015 4:31 PM
To:'Garry Pape' <[e-mail]>
Subject: Belle Meade Mixed Use SW8 150508
Garry:
Just a few comments on the above application received on July 24, 2015, for you to verify:
1. The SW8 050214 permit was written earlier today and will go out tomorrow.
2. The calculations for the 150508 pond use an SA/DA ratio of 2.4%. Based on the 90% TSS chart in Chapter 10 of
the BMP Manual, at 7.0 feet of depth, and 67.9% impervious, the SA/DA ratio is 2.79%.
3. Since a portion of the 19.15 acre drainage area to Pond #1 is now considered "offsite", please breakdown the
19.15 acre drainage area into its onsite and offsite conponents. The drainage area map submitted on July 24,
2015 only references the 19.15 acre total drainage area; the 12.99 acre total BUA; and the 4.66 acre offsite BUA
to Pond #1. Please add the offsite DA acreage for Pond #1 to that map.
4. On the application, please split the 19.15 acre drainage area into its onsite acreage and its offsite acreage. Based
on the site data table shown on the proposed site development plan cover sheet, the "onsite" tract appears to
be 629,853 square feet, leaving 204,260 square feet for the offsite drainage area. Please confirm.
Please provide the requested information by October 16, 2015.
Thanks,
Linda Lewis, E, I.
Environmental Engineer III
Division of Energy, Mineral and Land Resources
Wilmington Regional Office
127 Cardinal Drive Ext. -
Wilmington, NC 28405
Main Office — 910-796-7215
Direct Line — 910-796-7343
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

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Lewis,Linda
From: Lewis,Linda
Sent: Wednesday, September 16, 2015 4:31 PM
To: 'Garry Pape'
Subject: Belle Meade Mixed Use SW8 150508
Garry
Just a few comments on the above application received on July 24, 2015, for you to verify:
1. The SW8 050214 permit was written earlier today and will go out tomorrow.
2. The calculations for the 150508 pond use an SA/DA ratio of 2.4%. Based on the 90% TSS chart in Chapter 10 of
the BMP Manual, at 7.0 feet of depth, and 67.9% impervious, the SA/DA ratio is 2.79%.
3. Since a portion of the 19.15 acre drainage area to Pond #1 is now considered "offsite", please breakdown the
19.15 acre drainage area into its onsite and offsite conponents. The drainage area map submitted on July 24,
2015 only references the 19.15 acre total drainage area; the 12.99 acre total BUA; and the 4.66 acre offsite BUA
to Pond #1. Please add the offsite DA acreage for Pond #1 to that map.
4. On the application, please split the 19.15 acre drainage area into its onsite acreage and its offsite acreage. Based
on the site data table shown on the proposed site development plan cover sheet, the "onsite" tract appears to
be 629,853 square feet, leaving 204,260 square feet for the offsite drainage area. Please confirm.
Please provide the requested information by October 16, 2015.
Thanks,
Linda Lewis, E.I.
Environmental Engineer III
Division of Energy, Mineral and Land Resources
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Main Office - 910-796-7215
Direct Line - 910-796-7343
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

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GSP CONSULTING
LETTER OF TRI�NS�IIITT/�L
6626 Gordon Road, Unit C
WILMINGTON, NORTH CAROLINA, 28411
[phone]
FAX [phone]
To. Linda Lewis
NC Division of Water Quality
127 Cardinal Drive Ext.
Wilmington, NC 28405
DATE o '2 '1
los No. 201 -0006
ATTENTION
PHONE#
RE: Belle Meade Mixed Use
a
SW8 i5o5o8IU
C
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via
® Fee Check ® Permit Applications ® Plans ® Calculations
❑ Copy of Letter ❑ Change order ❑ Diskette ❑
the following items:
❑ Specifications
COPIES
IDESCRIPTION
2
Revised Stormwater Management Permit Application Forms (one original, one copy)
2
Drainage Area Map
1
Property Deed
1
Stormwater Declaration
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPYTo: File
BY:
SIGNED:
- Garry S. Paoe. P.E.
If enclosures are not as noted, kindly notify us at once

Corporations Division
Page 1 of 2 ti
Click Here To:
Elaine F Marshall DEPARTMENT ofrTHE
Seiaetary SECR1E"iUWOFSTATE
PO Box 29M Raleigh NC 276' 6.O M M9)WT-2000 Account Login
Register
View Document Filings File an Annual Report Print a Pre -Populated Annual Report form
Amend a Previous Annual Report
Corporate Names
Legal: Belle Meade Development Partners, LLC
Limited Liability Company Information
Sosld: 1428111
Status: =:Current -Active
Annual Report Status: Current
,Citizenship: 1 Domestic
Date Formed: 2/13/2015
Fiscal Month:
State of Incorporation:
,egistered Agent— ]� ee, Michae Rl V'
Corporate Addresses
Principal Office: 111 Princess Street
Wilmington, NC 28401
Reg Office: W�{1427 Military Cutoff Road Suite 208
Wilmington, NC 28403
Mailing:
P O Box 2628
Wilmington, NC 28402
Reg Mailing:
O Box 4548
l-
kP
Wilmington, NC 28406
http-//www.secretary.state.nc.us/Search/profcorp/10695564 9/ 17/2015

State of North Carolina
Department of the Secretary of State
Limited Liability Company
ARTICLES OF ORGANIZATION
SOS I D: 1428111
Date Filed: 2/13/2015 2:20:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C2015 042 01154
Pursuant to §57D-2-20 of the General Statutes of North Carolina, the undersigned does hereby submit these
Articles of Organization for the purpose of forming a limited liability company.
The name of the limited liability company is: Belle Meade Development Partners, LLC
(See Item lof the Instructions for appropriate entity designation)
The name and address of each person executing these articles of organization is as follows: (State whether
each person is executing these articles of organization in the capacity of member, organizer or both.
Note: This document must be signed by all persons listed.)
Jeffrey L. Zimmer, Organizer
l 11 Princess Street
Wilmington, New Hanover County, North Carolina 28401
3. The name of the initial registered agent is: Michael V. Lee Es ,
The street address and county of the initial registered agent office of the limited liability company is:
Number and Street 1427 Military Cutoff Road, Suite 208 -
City: Wilmin on State: NC Zip Code: 28403 County: New Hanover
5. The mailing address, if different from the street address, of the initial registered agent office is:
Number and Street P.Q. Box 4548
City: Wilmington State: NC Zip Code: 28406 County: New Hanover
6. Principal office information: (Select either a or b.)
a. X The limited liability company has a principal office.
The principal office telephone number:
The street address and county of the principal office of the limited liability company is:
Number and Street: I l l Princess Street
City: Wilmington State: NC Zip Code: 28401 County: New Hanover
CORPORATIONS DIVISION P.O. Box 29622
(Revised January 2014) 1
r
RALEIGH, NC 27626-0622
(Form L-01)

The mailin a, ddress, if different from the street address, of the principal office of the company is:
.
Number and Street: P.O. Box 2628
City: Wilmin on State: NC Zip Code: 28402 County: New Hanover
b. ❑ The limited liability company does not have a principal office.
7. Any other provisions which the limited liability company elects to include (e.g., the purpose of the entity)
are attached.
8. (Optional): Please provide a business e-mail address: I
Privacy Redaction
The Secretary of State's Office will e-mail the business automatically at the address provided above at no
cost when a document is filed. The e-mail provided will not be viewable on the website. For more
information on why this service is offered, please see the instructions for this document.
9. These articles will be effective upon filing, unless a future date is specified:
This is the day of_February, 2015.
Type or Print Name and Title
The below space to be used if more than one organizer or member is listed in Item #2 above,
Signature
Type and Print Name and Title
Signature
S4gnature
ype an Print Name and Title
Signature
Type and Print Name and Title Type and Print Name and Title—
NOTES:
1. Filing fee is $125. This document must be fled with the Secretary of State.
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626-0622
(Revised January 2014) 2 (Form L-01)

Lewis,Linda
From: Lewis,Linda
Sent: Thursday, June 25, 2015 3:51 PM
To: 'Garry Pape'
Cc: [e-mail]
Subject: Belle Meade Mixed Use SW8 150508
Garry:
Here are my review comments for SW8 150508 and SW8 050214:
First for SW8 150508 (the Mixed Use site)
1. This'permit application is just high density. None of the BUA affiliated with this property to be permitted under
SW8 150508 drains to anybody else's pond, so there is no offsite permit component here.
2. The proposed impervious area listed on the application should be 566,013 sf. I don't understand where the
495,471 sf number comes from. Pond #1 will treat 566,013 sf, so that is the "proposed" BUA. Instead of saying
"Proposed Impervious Area" on the application, it would probably make better sense to you if it said, "Total
Impervious area to be treated in the BMP". Your client is proposing to construct the old SW8 050214 future
BUA allocation of 363,000 sf broken down as 281,649 sf now and 81,351 sf of future, and account for the offsite
BUA from SW8 050214 of 203,013 sf that will still be treated in Pond #1 .
3. Please provide 2 copies of new drainage area map that depicts and labels the onsite DA and what is now
offsite DA. A portion of the total 834,113 drainage area to Pond #1 is now "offsite" drainage area containing 18
of the 23 lots fronting on Sikes Drive and Atwater Court.
For the not yet submitted modification to Belle Meade Village under SW8 050214 as discussed at our meeting:
1. Since SHP Bellmeade, LLC no longer owns the project, it may be best to go ahead and transfer the permit to the
current project owner first and then process the modification. I hesitate to issue a modified permit to someone
who no longer owns any property there, even though the modified permit will be transferred to the HOA
pending a compliance inspection.
2. There must be 2 drainage area columns completed on this application. One column will be for the DA to Pond #2
which is unchanged from the current application. The second column will be for the "Offsite" drainage area and
BUA breakdown draining to Pond #1. This is not for the entire DA of Pond #1— it's just for the offsite DA/BUA
from this permit that Pond #1 will treat. That 203,013 of offsite BUA will now be broken down into its more
specific parts - 95,798 sf of existing BUA (covers Matteo Drive, Sikes Drive and adjacent sidewalks) plus 107,215
sf associated with the subdivision streets (12,402 sf), sidewalks (4813 sf) and 18 lots at 5,000 sf each (90,000 sf).
3. Please provide an offsite supplement form for SW8 050214. In Section I of the supplement form, the project
name is Belle Meade Village. in Section II, the permit number of the offsite system that will treat this runoff is
SW8 150508. That offsite project name is Belle Meade Mixed Use and the type of system is Wet Pond #1. The
total BUA allocated to this offsite drainage area under SW8 150508 is 203,013 sf.
4. I'm still looking for a copy of the recorded deed restrictions which limit the BUA on each subdivision lot to a
maximum of 5,000 sf. The required language to be recorded can be found in Section 11.14 of the May 5, 2014
renewed permit.
Your responses to this request for additional information for SW8 050214 and SW8 150508 are due in this Office by July
25, 2015.
Linda

2015013838
FOR REGISTRATION REGISTER OF DEEDS
TRNNY THEUSCH BERSLEY
NEW HANOVER COUNTY, WC
2015 MAY 14 12:06:57 PM
BK : 5888 PG :1734-1739 FEE : $26.00
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 0.00
Parcel Identifier: R07000-004-001-000, R07012-003-OOS-000 & R07100-003-007-000
Verified by New Hanover County on the day of
By:
2015
Mail/Box to: Lee Law Firm, PLLC
This instrument was prepared WITHOUT TITLE EXAMINATION by: Lee Law Firm, PLLC
Brief description for the Index:
THIS DEED is made this 126h day of May, 2015, by and between
GRANTOR
JAM BELLEMEADE, LLC
a North Carolina limited liability company
2920-C Martinsville Road
Greensboro, NC 27408
GRANTEE
BELLE MEADE DEVELOPMENT
PARTNERS, LLC
a North Carolina limited liability company
111 Princess Street
Wilmington, NC 28401
The designations Grantor and Grantee as used herein shall include the patties, and their successors and assigns
WITNESSETH:
Grantor, for valuable consideration paid by Grantee, the receipt of which is hereby acknowledged, has and by these
presents does grant, bargain, sell and convey unto Grantee in fee simple all those certain lots or parcels of land situated in
New Hanover County, North Carolina and more particularly described as follows:
M
See "Exhibit A"
All or a portion of the property herein conveyed( ) includes or (X) does not include the primary residence of Grantor.

TO I -LAVE AND TO HOLD the above described property and all privileges and appurtenances thereto belonging to
Grantee in fee simple.
And Grantor covenants with Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple; that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the
title against the lawful claims of all persons whomsoever except for the exceptions stated, if any:
Ad valorem taxes for 2015 and for subsequent years not yet due and payable;
All other Easements, restrictions and rights of way of record; and
All applicable zoning and land use ordinances.
[SIGNATURE APPEARS ON FOLLOWING PAGE]

IN WITNESS WHEREOF, Grantor has duly executed the foregoing as of the day and year first above written.
JAM BELLEMEADE, LLC,
a North Carolina limited liability company
�" By: f t
Name: J eph cKinney
Title: Manager
STATE OF kAr�� UW
COUNTY OF Nesy ,4MIQ,r
I certify that the following person, 3n.M Rlapu personally appeared before me this
day, acknowledging to me that she signed t e foregoing docuiAent for the purpose stated therein and in the capacity
indicated.
This day of M 2015.
...........
,,R�f- a.
oT Ay
a� = o
(SEAL)
Q_
bER CflV'�'`�.
My Commission Expires: U

EXHIBIT `°A"
Legal Description
Tract One:
Commence at an existing concrete monument in the centerline of St Andrews Drive at its intersection with the
north right-of-way line of U S 421 (Carolina Beach Road) as shown on map of Echo East Map No. 1 Lots 1- 35
and 100- 154 recorded in Map Book 18 Page 107 of the New Hanover County Registry; thence along and with
the north line of Carolina Beach Road South 39 degrees, 30 minutes, 53 seconds East a distance of 501.00 feet to
an existing iron pipe, said pipe being the Point of Beginning; thence North 50 degrees, 25 minutes, 51 seconds
East a distance of 200.00 feet to a point, thence North 39 degrees, 30 minutes, 53 seconds West a distance of
49.88 feet to an existing iron pipe, thence North 50 degrees, 29 minutes, 05 seconds East a distance of 730.37
feet to a point located in the southwest right-of-way line of Sikes Drive(Publie R/W Varies) as shown on map of
Belle Meade Village Phase 1 recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry;
thence along and with southwest right-of-way line of aforementioned Sikes Drive(Public R/W Varies) following
along a curve to the left (Arc=55.05', Radius=64.50') a chord which bears South 63 degrees 58 minutes 02
seconds East a chord distance of 53.40 feet to a point, thence following along a curve to the right (Arc=33.80',
Radius=40.50') a chord which bears South 64 degrees 30 minutes 27 seconds East a chord distance of 32.83 feet
to a point, said point being located 30.00 feet from center line of aforementioned Sikes Drive; thence South 40
degrees, 35 minutes, 46 seconds East a distance of 176.35 feet to a point; thence following along a curve to the
right (Arc=47.72', Radius=45.50') a chord which bears South 10 degrees 33 minutes 00 seconds East a chord
distance of 45.56 feet to a point; thence South 50 degrees, 30 minutes, 00 seconds West a distance of 23.89 feet
to a point; thence South 39 degrees, 30 minutes, 00 seconds East a distance of 80.00 feet to a point; thence North
50 degrees, 30 minutes, 00 seconds East a distance of 24.07 feet to a point; thence following along a curve to the
right (Arc= 51.15', Radius=49.50') a chord which bears South 70 degrees 12 minutes 07 seconds East a chord
distance of 48.91 feet to a point, said point being located 30.00 feet from center line of aforementioned Sikes
Drive; thence South 40 degrees, 35 minutes, 46 seconds East a distance of 147.31 feet to a point; thence leaving
said southwest right-of-way line of Sikes Drive(Public R/W Varies) South 50 degrees, 23 minutes, 58 seconds
West a distance of 975.52 feet to a point located in the north right-of-way line of U S 421 (Carolina Beach
Road); thence along and with said north right-of-way line of U S 421 (Carolina Beach Road) North 39 degrees,
30 minutes, 53 seconds West a distance of 515.27 feet to the Point of Beginning; containing 12.21 acres, more
or less.
Tracts One is conveyed together with that certain 25' Drainage and Utility Easement recorded in Book 5033,
Page 1014 of the New Hanover County Registry.
Tract Two:
(comprising two parcels)
St. Andrews Pond 2.10 Acres, more or less
Commence at a point located in the east right-of-way line of St. Andrews Drive (100' Public R/W) at its
intersection with the center line of Sikes Drive(Public R/W Varies) as shown on reap of Belle Meade Village
Phase 1 recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry; thence along and
with east right-of-way line of St. Andrews Drive (100' Public R/W) South 12 degrees, 27 minutes, 31 seconds
West a distance of 30.06 feet to a point a point located in the south right-of-way line of Sikes Drive, thence along
and with south right-of-way line of aforementioned Sikes Drive (Public R/W Varies) following along a curve to
the left (Arc=11.57', Radius=340.00') a chord which bears South 82 degrees, 01 minutes, 06 seconds East a chord

distance of 11.57 feet to the Point of Beginning, thence following along a curve to the left (Arc=67.49',
Radius=340.00') a chord which bears South 88 degrees, 40 minutes, 49 seconds East a chord distance of 67.38
feet to a point, said point being located 30.00 feet from center line of aforementioned Sikes Drive; thence North
85 degrees, 38 minutes, 00 seconds East a distance of 144.03 feet to a point, thence leaving said south right-of-
way line of Sikes Drive(Public R/W Varies) South 03 degrees, 37 minutes, 27 seconds West a distance of
101.50' feet to a point, thence North 50 degrees, 23 minutes, 26 seconds East a distance of 172.48 feet to a point
located in south right-of-way line of Sikes Drive(Public R/W Varies), thence along and with south right-of-way
line of Sikes Drive(Public R/W Varies) following along a curve to the right (Arc=116.01', Radius=280.00') a
chord which bears South 77 degrees, 41 minutes, 56 seconds East a chord distance of I I5.18,feet to a point;
thence leaving said south right-of-way line of Sikes Drive(Public RIW Varies) South 50 degrees, 29 minutes, 21
seconds West a distance of 627.41 feet to a point, thence North 03 degrees, 34 minutes, 31 seconds East a
distance of 398,81 feet to a point, thence North 50 degrees, 28 minutes, 31 seconds East a distance of 11.96 feet
to a point located in the south right-of-way line of Sikes Drive, said point being located 30.00 feet from center
line of aforementioned Sikes Drive as shown on map of Belle Meade Village Phase I recorded in Map Book 59
Pages 249 and 250 of the New Hanover County Registry the Point of Beginning; containing 2.10 acres, more or
less.
St. Andrews Triangle 0.19 Acres, more or less
Commence at a point located in the east right-of-way line of St. Andrews Drive (100' Public R/W) at its
intersection with the center line of Sikes Drive(Public.R/W Varies) as shown on map of Belle Meade Village
Phase 1 recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry; thence along and
with east right-of-way line of St. Andrews Drive (100' Public R/W) North 12 degrees, 27 minutes, 31 seconds
East a distance of 30.07 feet to a point a point located in the north right-of-way line of Sikes Drive(Public R/W
Varies); thence along and with north right-of-way line of aforementioned Sikes Drive(Public R/W Varies)
following along a curve to the left (Arc=61.44', Radius=280 00') a chord which bears South 88 degrees 04
minutes 51 seconds East a chord distance of 61.31 feet to a point, said point being located 30.00 feet from center
line of aforementioned Sikes Drive(Public R/W Varies); thence North 85 degrees, 38 minutes, 00 seconds East a
distance of 8.66 feet to the Point of Beginning; thence leaving aforementioned north right-of-way line of Sikes
Drive North 50 degrees, 28 minutes, 31 seconds East a distance of 195.17 feet to a point; thence South 03
degrees, 37 minutes, 27 seconds West a distance of 113.49 feet to a point located in the north right-of-way line of
Sikes Drive(Public R/W Varies); thence along and with said north right-of-way line South 85 degrees, 38
minutes, 00 seconds West a distance of 143.79 feet to the Point of Beginning; containing 0.19 acres, more or
less.

GSP CONSULTING
LETTEi? OF TR��SNIITT�IL
To:
6626 Gordon Road, Unit C
WILMINGTON, NORTH CAROLINA, 28411
[phone]
FAX [phone]
NC Division of Water Quality
127 Cardinal Drive Ext.
Wilmington, NC 28405
WE ARE SENDING YOU
® Fee Check
❑ Copy of Letter
DATE o /07/1
loBNo. 2o1 -0006
ATTENTION
PHONE#
kE: Belle Meade
Stormwater permit (Modification)
❑ Attached ❑ Under separate cover via
® Permit Applications ® Plans ® Calculations
❑ Change order ❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DESCRIPTION
2
Sets of plans & calculations for state stormwater permit modification
2
Stormwater Management Permit Application Forms (one original, one copy)
1
Application fee for $505.00 for conventional review
1
0&M Agreement
1
Offsite Supplement
Letter from permit holder
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
or:
COPYTO: File SIGNED:
- Garry S. Pape, P.E.
If enclosures are not as noted, kindly notify us at once.

Ij It

Lewis,Linda
From: Lewis,Linda
Sent: Monday, May 11, 2015 6:12 PM
To: 'Garry Pape'
Subject: Belle Meade Mixed Use tract
Garry
Please note that my notes from our meeting on March 10, 2015 indicate that we needed:
1. A "modification" from SHP to remove Pond #1 from their permit;
2. An allocation of BUA to the subdivided tract out of the 363000 sf future allocation;
3. A completed offsite supplement for the modified project.
I'm not sure how you came up with the idea that a signed letter from Mr. Burnham was all that we needed to process
that modification. We might be able to do it as a plan revision, but due to all the deficiencies that I found, I feel that a
modification is best. My notes further say that the new permit application for Belle Meade Development Partners
needed a new wet pond supplement if something about the pond was changing, and a signed 0&M agreement for Pond
#1.
A couple of concerns about this new application:
1. Please submit a copy of the recorded deed wherein the property was sold / conveyed to Belle Meade
Development Partners.
2. You do not need an offsite supplement form since the pond that is treating this runoff is located on property
allegedly now owned by Belle Meade Development Partners and will be permitted under the new Mixed Use
tract permit. You should include the Offsite supplement form in Mr. Burnham's modified permit application for
SW8 050214.
3. Pond #1 will now be treating a total of 203,013 sf of "Offsite" BUA from Belle Meade Village under SW8 050214.
This amount is currently listed on the new application as Existing BUA. Please place that 203,013 sf into the
"Offsite" box on your application.
In addition, this permit can't be issued until the SW8 050214 permit is modified to remove Pond #1. A letter requesting
this modification is on its way to Mr. Burnham. As part of the modification, Mr. Burnham will need to submit a copy of
the recorded deed restrictions for the permitted lots. As we discussed on the phone earlier today, Mr. Burnham's permit
prohibited the subdivision and sale of the project area without the prior approval of the Division. Mr. Burnham failed to
comply with his permit, so we are now left to clean up the mess, make sure everyone has a recorded maximum BUA
limit and straighten out the permits.
Thanks.
Linda Lewis, E.I.
Environmental Engineer III
Division of Energy, Mineral and Land Resources
Wilmington Regional Office
127 Cardinal Drive Ext,
Wilmington, NC 28405
Main Office - 910-796-7215
Direct Line - 910-796-7343

New Hanover County Page 1 of i
PARID:R07000-004-001-000
AJELM INVESTMENTS LLC
606 SAINT ANDREWS
DR
Sales
Sale Date Sale Price
Grantee
Grantor
Book
Page
Sale Key
29-DEC-14 $1,400,000
AJELM INVESTMENTS LLC
SHP BELLEMEADE LLC
5859
1756
506573
04-NOV-14
AJELM INVESTMENTS, LLC
SHP BELLEMEADE LLC
5849
0830
504311
05-FEB-14
SHP BELLEMEADE LLC
SHP BELLEMEADE LLC
5796
1637
494917
15-NOV-12 $1,500,000
SHP BELLEMEADE LLC
ATLANTIS HOLDINGS LLC
5688
2044
478995
19-DEC-03 $260.000
ATLANTIS HOLDINGS LLC
$IKE$ MARIE PENNY
4137
0536
282939
04-FEB-97 $0
SIKES MARIE PENNY
TRASK ALEX M HRS ETAL
2136
0271
282941
01-SEP-74 $0
TRASK ALEX M ETUX ETAL
' NOT IN SYSTEM '
1013
0841
282940
Sale Details
1 of 7
Sale Date
29-DEC-14
Sale Key
506573
Sale Price
$1,400,000.00
Grantee
AJELM INVESTMENTS LLC
Grantor
SHP BELLEMEADE LLC
Sale Source
-
Book
5859
Page
1756
Sale Validity
-
Sale Type
IMPROVED
Sale Flag
STEB
Instrument #
Instrument Type
Deed
Adj. Reason
Adj, Price
1400000
Adj. Amount
http:lletax.nhcgov.com/Datalets/PrintDatalet.aspx?pin=R07000-004-001-000&gsp=SALES&taxyeat---2015&jur=NH... 5/ 11 /20 l 5

SOS I D: 1177444
Date Filed: 5/6/2015 11:52:00 ANI
Elaine F. Marshall
North Carolina Secretary of State
State of North Carolina
Department of the Secretary of State C2015 126 00298
ARTICLES OF MERGER
DOMESTIC LIMITED LIABILITY COMPANY
Pursuant to § 57D-9-42 of the General Statutes of North Carolina, the undersigned limited liability
company does hereby submit the following Articles of Merger as the surviving limited liability company
in a merger between domestic limited liability companies.
1. The merging limited liability companies are AJELM_ loyestments, LLC, a limited liability
company organized under the laws of North Carolina with a mailing address of 2920-C
Martinsville Road, Greensboro, NC 27408; and AJHP Investments, LLC, a limited liability
company organized under the laws of North Carolina with a mailing address of 2920-C
Martinsville Road, Greensboro, NC 27408.
2. The surviving limited liability company is:
AJHP Investments, LLC
2920-C Martinsville Road
Greensboro, NC 27408
The Plan of Merger for the merger effected hereby was duly approved in the manner prescribed
by law by each of the limited liability companies participating in the merger.
4. The surviving limited liability company's Articles of Organization are hereby amended (in
accordance with the Plan of Merger) as follows:
1. Article I of the Articles of Organization is hereby deleted in its entirety and replaced with
the following:
"ARTICLE I
The name of the Company shall be JAM Bellemeade, LLC."
5. These articles will be effective as of the date of filing in the Office of the North Carolina
Secretary of State.
This the 41h day of May, 2015.
[SIGNATURE BEGINS ON NEXT PAGE]
Page 1 of 2

AJHP Investme ts, LLC
By:
Its: algr
N e: Joseph A. McKinney, Jr.
Page 2 of 2

LIMITED LIABILITY COMPANY
ANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY: A.1111' hrvestmerrts, LLC
Rl"PORT FOR TI IE YEAR: 2015
SECRETARY 01, STATE L.L.C. Ill NUM131FR: 1177444
NATURE OF BUSINLSS: Real Estate Holding
REGISTERED AGENT: Sheridan, l)esmond G.
REGISTERED OFFICE MAILING ADDRESS: 2920-C Martinsville Road
Greensboro, NC 27408-2778
E-Filed Annual Report
9643550
Do not data cnlcr manually.
STATE OF INCORPORATION: NC
REGIS"!'F,REI� OFl ICI: S'1'RIi1F"I' AD[)REti5: 2920-C Martinsville Road
Greensboro, NC 2 7408-2 778 Guilford Courtly
PRINCIPAL OFFICETELEPHONE HONE NUMBER: (_330) 389-9992
PRINCIPAL OFFICE MAILING ADDRESS: 2920-C Martinsville Road
Greensboro, NC 27408-2778
PRINCIPAL OFFICE STREET ADDRESS: 2920-C Martinsville Road
Greensboro, A'C 27408-2778
Company Officials:
Name: Joseph A McKinney Jr
Title: Manager
Address:
2920-C Martinsville Rd
Greensboro, NC 27408
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLI FIFD 13Y ALL LIMITED LIABILITY COMPANIES
Joseph A McKinney Jr
FORM MUSTBF SIGNED BY A MANAGFR/MF,MRI3R
411 G12015
DATE
Joseph A McKinney Jr Manager
TYPE OR PRINT NAME TYPE Olt PRINT TITLF
ANNUAL REPORT FEE: E-Paid MAIL TO: Secretary of State - Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525

Corporations Division
Page 1 of 1
Norm Gard lira
Elafnq F jWgrsha11 DEPARTMENTOFTH1E
Secretary SECRETARYOFSTATE
Pd BW 29M Raleigh, NC 2i6284= S919j80Y-2000 Account
Login
Click Here To: Register
View Document Filings File an Annual Report Print a Pre -Populated Annual Report form
Amend a Previous Annual Report
Corporate Names
Legal: AJElm Investments, LLC
Limited Liability Company Information
Sosld:
Status:
Annual Report Status:
Citizenship:
Date Formed:
Fiscal Month:
State of Incorporation:
Registered Agent:
Corporate Addresses
1184389
Merged
Current
Domestic
1/18/2011
December
NC
Sheridan, Desmond G
Mailing:
1551 West Lee St.
Greensboro, NC 27403
Principal Office:
1551 West Lee St.
Greensboro, NC 27403
Reg Office:
1551 West Lee St.
Greensboro, NC 27403
Reg Mailing:
1551 West Lee St.
Greensboro, NC 27403
Company Officials
All LLCs. are manager -managed pursuant to N.C.G.S. 57D-3-20.
http://www.secretary.state.nc.us/Search/profcorp/9669436 5/ 11 /2015

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-
DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
// -/j
�. o _5 0
.S O
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 Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form ruay be 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.):
Belle Meade Mixed -Use
2. Location of Project (street address):
4703 Carolina Beach Road
City:Wihnington County:New Hanover Zip:28412
3. Directions to project (from nearest major intersection):
Heading north on Carolina Beach Road, site is approximately 1.5 mile on the right from the intersection of
Carolina Beach Road and S. College Road
4. Latitude:34° 09' 28" N Longitude:77° 54' 30" W of the main entrance to the project.
11, PERMIT INFORMATION:
1. a. Specify whether project is (check one): 2 e , ❑ Renewal w/ Modification'
'Rene7vals troth modifications also requires S WU-IO2 — Rcneruat Application Forrrr
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW4.85ff�3,4 _ , its issue date (if known)Ma 5 2014 and the status of
construction: ❑Not Started ®Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of oJect (check one):
❑Low Density o an Offsite Stormwater System ❑Other
3. if this application is being subs ed aTII,,,It of a previously returned application or a letter from
DEMLR 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: 10.93 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:
5. Is the project located within 5 miles of a public airport? ®No Yess�
If yes, see S.L. 2012-200, Part VI: htt ortal.ncdenr.or web ]r rules -and -re u � +a �rEIVE
MAY 0 l 2015
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6
BY:

III. CONTACT INFORMATION
i
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: Belle Meade Development Partners, LLC .
Signing Official & Title:Adam Sosne - Member/Manager
b.Contact information for person listed in item la above:
Street Address:6626-C Gordon Road
City:Wilmington State:NC Zip:28411
Mailing Address (if applicable):
City:
Phone: [phone]
Email:[e-mail]
State: Zip:
Fax: (910 ) 799-6659
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 & Title:
b.Contact information for person listed in item 2a above:
Street Add
City:
Mailing Address (if applicable):
City:
Phone: { )
Email:
State: 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: State: Zip:
Phone: { ) Fax:
Email:
4. Local jurisdiction for building permits:
Point of Contact: Phone #:
0 l 2015
Form SWU-101 Version Oct. 31.2013 Page 2 of 6
BY.-

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The storm water for this 1roiect will be treated by an existing wet detention basin
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan 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 I1— Post Construction
3. Stormwater runoff from this project drains to the Barnards Creek River basin.
4. Total Property Area: 19.15 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':
19.15 acres
Total project area shall he calculated to exclude the following: the normal pool of impounded structures, the area
betzneen the banks of strcarns and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) litre, and coastal Wetlands landzoard from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Nan -coastal Wetlands landward of the NHW (or MHW) line pray
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 59.4 %
9. How many drainage areas does the project have?1 (For high density, count I for each proposed engineered
stormwater BMP. For low density and other projects, use 1 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. /90,10(1
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Barnards Creek
Stream Class *
18-80
Stream Index Number *
C; SW
Total Drainage Area (sf)
834,113
On -site Drainage Area (sf)
834,113
Off -site Drainage Area (sf)
?
Proposed Impervious Area** (sf)
% Impervious Area** (total)
-5q'^4(RC/0
Impervious— Surface Area
Drainage Area 1
Draina e Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
105,800
On -site Streets (so
On -site Parking (sf)
147,227
On -site Sidewalks (sf)
28,622
Other on -site (sf)
MAY 0
Iq
Future (sf)
81,351
Off -site (sf)
2030,
BY:
Existing BUA*** (sf)
_293A43
Total (sf):
566,013
* Stream Class and Index Nunhber can be determined at: http.,Z�)ortal.ncdenr.org/zt)eb/zocl[ps/cshr/classifications
** Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
* Report only that amount of existing BUA that will remain after developnhent. Do not report any existing BUA that
is to be renhoved and Which will be replaced by new BUA.
Farm SWU-101 Version Oct. 31, 2013 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DEMLR 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 15A NCAC 02B .0000.
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 http://2ortil.ncdenr.org/webZwqZws/­`su/bml2-manual,
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://12ortal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office maybe found by locating project on the
interactive online map at httl2://12ortal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following 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 htip://portal.ncdenr.org/­greb/wq/ws/su/statesw/forms flocs.
Init�s
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 beloto)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
htti2://www.envheII2.orgZpages/onestopexpress,html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA graters within 1h mile of the site boundary, include the'/z
mile radius on the map.
7.
8.
Sealed, signed and dated calculations (one copy).
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 lines.
• 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 tbue ner ho,N
made the determination on the plans. 5 I V
n. Existing drainage (including off -site), drainage easements, pipe sizes, ru f calculations.
o. Drainage areas delineated (included in the main set of plans, not as a se ateWuBTA15
p. Vegetated buffers (where required),
BY:
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

9.. Copy of any applicable soils report with the associated SHWT elevations (Please identify +' 14-
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"x1I" 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 DEMLR to verify the SHWT prior
to submittal, [phone]J
10, A copy of the most current property deed. Deed book: Page No:
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 1a, 2a, and/or 3a per 15A 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.secretary.state-nc.us/Corporations/­CSearch.aspx
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 httl2:(Iportal.ncdenr.orzZweb/Ir/state-
stormwater- forms does. 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 rudwith the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
Vill. 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:Garr S. Page, P.E.
Consulting Firm: GSP Consulting, PLLC
Mailing Address:6626 Gordon Road, Unit C
City:Wilmington State:NC Zip:28411
Phone: (910 ) 442-7870
Ernaii:[e-mail]
Fax: (910 ) 799-6659
1X. PROPERTY OWNER AUTHORIZATION (if Contact Informal ion, item 2 has been filled out, coniplete this
section)
I, (print or type naaaae 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 of person
listed in Contract Information, item 1a) with (print or type name of organization listed in
Contact Information, item Ia) 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.
r=%r-%.EIVE
MAY 0 7 2015
l
BY:
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

As the legal property owner 1 acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact hlformation, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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 , County of
do hereby certify that
before me this day of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission exp
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Inforniation, item 1a) Adani Sosyze
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 c yena is will be recorded, and that the proposed project complies with the requirements of the
applicable stoAvyptf f rples under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Signature:
Date: S - i - I
I, Gm ir! S •? -,a Notary Public for the State of IY O -A 64-fw 11^, County of
•I e W 0+1"n'- do hereby certify that A fry Jo 2 '"Z personally appeared
before me thisj�day of r , and acknowledge thl due execution of the application for
a stormwater permit. Witness my hand and official seal,
OW)%Jit1$11 u�4a
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My commission expires
ECEIVED
MAY 012015
BY:
Form SWU-101 Version Ocl. 31, 2013 Page 6 of 6

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Casmer, Jo
From: Casmer, Jo
Sent: Wednesday, May 13, 2015 3:40 PM
To: '[e-mail]'; Garry Pape ([e-mail])
Subject: Belle Meade Mixed -Use; Stormwater Permit SW8 150508
The Wilmington Regional Office of the Division of Energy, Mineral, and Land Resources (Stormwater Section)
received the Stormwater Permit Application and $505.00 tee on May 11, 2015. The project will be assigned to a
staff member and you will be notified if additional information is needed. Please be advised that the construction
of built --upon area may not commence until the Stormwater Permit is issued.
Jo 4ormer
Administrative Assistant for DEMLR/Stormwater Section
NC Department of Environment & Natural Resources
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Email correspondence to and from this address may be sub)act to the North Carolina Public Records law and may be disclosed to third
parties

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V
2NCY50A38IY38YIWtNIVYIMll���Wi
FOR REGISTRATION REGISTER OF DEEDS
TommY THEUSCH BEASLEY
NEW HANOVER COUNTY, WC
������ 2015 MAY 14 12:06:51 PM
BK:5898 P0134-1139 fEE426.00
11L 2 4 2111 MEN � N150ON
BY: -
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 0.00
Parcel Identifier: R07000-004-001-000, R07012-003-005-000 & R07100-003-007-000
Verified by New Hanover County on the day of , 2015
By:
Mail/Box to: Lee Law Firm, PLLC
This instrument was prepared WITHOUT TITLE EXAMINATION by: Lee Law Firm, PLLC
Brief description for the Index:
THIS DEED is made this ih day of May, 2015, by and between
GRANTOR
JAM .BELLEMEADE, LLC
a North Carolina limited liability company
2920-C Martinsville Road
Greensboro, NC 27408
GRANTEE
BELLE MEADE DEVELOPMENT
PARTNERS, LLC
a North Carolina limited liability company
111 Princess Street
Wilmington, NC 28401
The designations Grantor and Grantee as used herein shall include the parties, and their successors and assigns
WITNESSETH:
Grantor, for valuable consideration paid by Grantee, the receipt of which is hereby acknowledged, has and by these
presents does grant, bargain, sell and convey unto Grantee in fee simple all those certain lots or parcels of land situated in
New Hanover County, North Carolina and more particularly described as follows:
See "Exhibit A"
All or a portion of the property herein conveyed ( ) includes or (X) does not include the primary residence of Grantor.

TO HAVE AND TO HOLD the above described property and all privileges and appurtenances thereto belonging to
Grantee in fee simple.
And Grantor covenants with Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple; that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the
title against the lawful claims of all persons whomsoever except for the exceptions stated, if any:
Ad valorem taxes for 2015 and for subsequent years not yet due and payable;
All other Easements, restrictions and rights of way of record; and
All applicable zoning and land use ordinances.
[SIGNATURE APPEARS ON FOLLOWING PAGE]

IN WITNESS WHEREOF, Grantor has duly executed the foregoing as of the day and year first above written.
JAM BELLEMEADE, LLC,
a North Carolina limited liability company
By.
Name: JoephticKinney
Title: Manager
STATE OF II�U'{ 0 �MY Jn
COUNTY OF N�I,v NQLDuPf
I certify that the following person, l , personally appeared before me this
day, acknowledging to me that she signed t e foregoing docurAent for the purpose stated therein and in the capacity
indicated.
This day of i l 2015
��INE 11 "'''•.
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My Commission Expires: 4LPIZ611

EXHIBIT "A"
Legal Description
Tract One:
Commence at an existing concrete monument in the centerline of St Andrews Drive at its intersection with the
north right-of-way line of U S 421 (Carolina Beach Road) as shown on map of Echo East Map No. 1 Lots 1- 35
and 100- 154 recorded in Map Book 18 Page 107 of the New Hanover County Registry; thence along and with
the north line of Carolina Beach Road South 39 degrees, 30 minutes, 53 seconds East a distance of 501.00 feet to
an existing iron pipe, said pipe being the Point of Beginning; thence North 50 degrees, 25 minutes, 51 seconds
East a distance of 200.00 feet to a point, thence North 39 degrees, 30 minutes, 53 seconds West a distance of
49.88 feet to an existing iron pipe, thence North 50 degrees, 29 minutes, 05 seconds East a distance of 730.37
feet to a point located in the southwest right-of-way line of Sikes Drive(Public R/W Varies) as shown on map of
Belle Meade Village Phase 1 recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry;
thence along and with southwest right-of-way line of aforementioned Sikes Drive(Public R/W Varies) following
along a curve to the left (Arc=55.05', Radius=64.50') a chord which bears South 63 degrees 58 minutes 02
seconds East a chord distance of 53.40 feet to a point, thence following along a curve to the right (Arc=33.80',
Radius=40.50') a chord which bears South 64 degrees 30 minutes 27 seconds East a chord distance of 32.83 feet
to a point, said point being located 30.00 feet from center line of aforementioned Sikes Drive; thence South 40
degrees, 35 minutes, 46 seconds East a distance of 176.35 feet to a point; thence following along a curve to the
right (Arc=47.72', Radius-45.50') a chord which bears South 10 degrees 33 minutes 00 seconds East a chord
distance of 45.56 feet to a point; thence South 50 degrees, 30 minutes, 00 seconds West a distance of 23.89 feet
to a point; thence South 39 degrees, 30 minutes, 00 seconds East a distance of 80.00 feet to a point; thence North
50 degrees, 30 minutes, 00 seconds East a distance of 24.07 feet to a point; thence following along a curve to the
right (Arc=51.15', Radius=49.50') a chord which bears South 70 degrees 12 minutes 07 seconds East a chord
distance of 48.91 feet to a point, said point being located 30.00 feet from center line of aforementioned Sikes
Drive; thence South 40 degrees, 35 minutes, 46 seconds East a distance of 147.31 feet to a point; thence leaving
said southwest right-of-way line of Sikes Drive(Public R/W Varies) South 50 degrees, 23 minutes, 58 seconds
West a distance of 975.52 feet to a point located in the north right-of-way line of U S 421 (Carolina Beach
Road); thence along and with said north right-of-way line of U S 421 (Carolina Beach Road) North 39 degrees,
30 minutes, 53 seconds West a distance of 515.27 feet to the Point of Beginning; containing 12.21 acres, more
or less.
Tracts One is conveyed together with that certain 25' Drainage and Utility Easement recorded in Book 5033,
Page 1014 of the New Hanover County Registry.
Tract Two:
(comprising two parcels)
St. Andrews Ponca 2.10 Acres, more or less
Commence at a point located in the east right-of-way line of St. Andrews Drive (100' Public R/W) at its
intersection with the center line of Sikes Drive(Public R/W Varies) as shown on map of Belle Meade Village
Phase 1 recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry; thence along and
with cast right-of-way line of St. Andrews Drive (100' Public R/W) South 12 degrees, 27 minutes, 31 seconds
West a distance of 30.06 feet to a point a point located in the south right-of-way line of Sikes Drive, thence along
and with south right-of-way line of aforementioned Sikes Drive (Public R/W Varies) following along a curve to
the left (Arc=11.57', Radius=340.00') a chord which bears South 82 degrees, 01 minutes, 06 seconds East a chord

distance of 11.57 feet to the Point of Beginning, thence following along a curve to the left (Arc=67.49',
Radius=340.00') a chord which bears South 88 degrees, 40 minutes, 49 seconds East a chord distance of 67.38
feet to a point, said point being located 30.00 feet from center line of aforementioned Sikes Drive; thence North
85 degrees, 38 minutes, 00 seconds East a distance of 144.03 feet to a point, thence leaving said south right-of-
way line of Sikes Drive(Public R/W Varies) South 03 degrees, 37 minutes, 27 seconds West a distance of
101.50' feet to a point, thence North 50 degrees, 23 minutes, 26 seconds East a distance of 172.48 feet to a paint
located in south right-of-way line of Sikes Drive(Public R/W Varies), thence along and with south right-of-way
line of Sikes Drive(Public R/W Varies) following along a curve to the right (Arc=116.01', Radius=280.00') a
chord which bears South 77 degrees, 41 minutes, 56 seconds East a chord distance of 115.18 feet to a point;
thence leaving said south right -of --way line of Sikes Drive(Public R/W Varies) South 50 degrees, 29 minutes, 21
seconds West a distance of 627.41 feet to a point, thence North 03 degrees, 34 minutes, 31 seconds East a
distance of 398.81 feet to a point, thence North 50 degrees, 28 minutes, 31 seconds East a distance of 11.96 feet
to a point Iocated in the south right-of-way line of Sikes Drive, said point being located 30.00 feet from center
line of aforementioned Sikes Drive as shown on map of Belle Meade Village Phase 1 recorded in Map Book 59
Pages 249 and 250 of the New Hanover County Registry the Point of Beginning; containing 2.10 acres, more or
less.
St. Andrews Triangle 0.19 Acres, more or less
Commence at a point located in the east right-of-way line of St. Andrews Drive (100' Public R/W) at its
intersection with the center line of Sikes Drive(Public R/W Varies) as shown on map of Belle Meade Village
Phase l recorded in Map Book 59 Pages 249 and 250 of the New Hanover County Registry; thence along and
with east right-of-way line of St. Andrews Drive (100' Public R/W) North 12 degrees, 27 minutes, 31 seconds
East a distance of 30.07 feet to a point a point located in the north right-of-way line of Sikes Drive(Public R/W
Varies); thence along and with north right-of-way line of aforementioned Sikes Drive(Public R1W Varies)
following along a curve to the left (Arc=61.44', Radius=280 00') a chord which bears South 88 degrees 04
minutes 51 seconds East a chord distance of 61.31 feet to a point, said point being located 30.00 feet from center
line of aforementioned Sikes Drive(Public R/W Varies); thence North 85 degrees, 3 8 minutes, 00 seconds East a
distance of 8.66 feet to the Point of Beginning; thence leaving aforementioned north right-of-way line of Sikes
Drive North 50 degrees, 28 minutes, 31 seconds East a distance of 195.17 feet to a point; thence South 03
degrees, 37 minutes, 27 seconds West a distance of 113.49 feet to a point located in the north right-of-way line of
Sikes Drive(Public R/W Varies); thence along and with said north right-of-way line South 85 degrees, 38
minutes, 00 seconds West a distance of 143.79 feet to the Point of Beginning; containing 0.19 acres, more or
less.

1�
EOUVE
JUL 2 4 2015
rgx:_..
Prepared By & Return to: Lee Law Firm, PLLC
DECLARATION OF STORMWATER RESTRICTIVE COVENANTS
THIS DECLARATION OF RESTRICTIVE COVENANTS (the
"Declaration") is made and entered into as of this _ day of , 2015, by SHP
BELLEMEADE, LLC, a North Carolina limited liability company ("SHP"), BELLE
MEADE DEVELOPMENT PARTNERS, LLC, a North Carolina limited liability
company ("BMDP"), BILL CLARK HOMES OF WILMINGTON, LLC, a North
Carolina limited liability company ("BCH"), and BELLE MEADE VILLAGE
HOMEOWNER'S ASSOCIATION, INC., a North Carolina non-profit corporation
("HOA" ). For the purposes of this Declaration, capitalized terms, unless otherwise
defined herein, shall have the meanings ascribed to them in the Drainage Agreement,
defined below.
WITNESSETH:
WHEREAS, SHP and HOA entered into that certain Drainage Easement and
Maintenance Agreement dated October 30, 2014 and recorded in Book 5849 at Page 830
of the New Hanover County Registry ("Drainage Agreement") which provided for,
among other things, the right of the Phase 2 Lots, to discharge stormwater through the
Drainage Easement into the Stormwater Management Area located on the SHP Drainage
Property; and
WHEREAS, BCH is now the fee simple owner of the Phase 2 Lots and
improvements, as described in that certain deed recorded in Book 5848 at Page 1482 of
the New Hanover County Registry; and
WHEREAS, BMDP is now the fee simple owner of the SHP Drainage Property
and SHP Future Development Property and improvements, as described in that certain
deed recorded in Book 5888 at Page 1734 of the New Hanover County Registry; and

WHEREAS, SHP is the Permittee, pursuant to that certain State Stormwater
Management Permit No. SW8050214 (the "Permit"), the North Carolina Department of
Environment and Natural Resources Division of Water Quality ("NCDENR"); and
WHEREAS, NCDENR requires certain covenants to burden the SHP Future
Development Property and the Phase 2 Lots (SHP Future Development Property and
Phase 2 Lots, sometimes collectively referred to as the "Property").
NOW, THEREFORE, SHP, BMDP, BCH and HOA hereby declares that
Property be held, sold, and conveyed subject to the following restrictions, covenants, and
conditions, all of which shall run with the Property, shall be binding upon all parties
having or acquiring any right, title or interest in the Property, or any part thereof.
1. This Declaration is intended to ensure ongoing compliance with the Permit
and shall enure to the benefit of the State of North Carolina, as beneficiary, to the extent
necessary to maintain compliance with the Permit.
2. The terms of this Declaration associated with the Permit and the drainage
system provided in the approved plans subject to the Permit (the "Drainage System")
shall not be altered or rescinded without the express written consent of the State of North
Carolina, Division of Water Quality or any successor agency thereof.
3. The maximum built -upon area of the SHP Future Development Property
(as defined under the Permit) shall not exceed the built upon area of 363,000 square feet
as more particularly described in the Permit and all runoff from the Property shall drain
into the Drainage System. Any built -upon area of the SHP Future Development Property
in excess of the foregoing restrictions shall require modification of the Permit.
4. The maximum built -upon area of the Phase 2 Lots (as defined under the
Permit) shall not exceed the built upon area of 90,000 square feet as more particularly
described in the Permit and all runoff from the Property shall drain into the Drainage
System. Any built -upon area of the Phase 2 Lots in excess of the foregoing restrictions
shall require modification of the Permit.
5. Each owner of the Property, other than SHP, shall submit an Offsite
Stormwater Management Permit application package to the North Carolina Division of
Water Quality and receive a stormwater permit prior to any construction on the Property.
In the event permeable pavement credit is requested, the Property owner shall submit a
request for the same, with supporting documentation, to the permittee under the Permit
and receive approval prior to construction of any built upon area on the property.
6. The provision of this Declaration shall run with the land and continue to
burden the Property as provided herein until such time as the Permit expires.
(SIGNATURE PAGES TO FOLLOW)

IN TESTIMONY WHEREOF, SHP, BMDP and HOA has caused this
Declaration to be executed as of the day and year first above written.
SHP BELLEMEADE, LLC
By:
Michael S. Burnham, Manager
STATE OF
COUNTY OF
I certify that the following person, ,
personally appeared before me this day, acknowledging to me that she signed the
foregoing document for the purpose stated therein and in the capacity indicated.
This day of 2015.
Notary's Signature
Print/Type Notary's Name
(SEAL) My Commission Expires:

BELLE MEADE DEVELOPMENT
PARTNERS, LLC
ME
Adam Sosne, Manager
STATE OF
COUNTY OF
1 certify that the following person, ,
personally appeared before me this day, acknowledging to me that she signed the
foregoing document for the purpose stated therein and in the capacity indicated.
This day of 2015.
Notary's Signature
Print/Type Notary's Name
(SEAL) My Commission Expires:

BILL CLARK HOMES OF
WILMINGTON, LLC
By:
William H. Clark, Manager
STATE OF
COUNTY OF
I certify that the following person, ,
personally appeared before me this day, acknowledging to me that she signed the
foregoing document for the purpose stated therein and in the capacity indicated.
This day of 2015.
Notary's Signature
Print/Type Notary's Name
(SEAL) My Commission Expires:

BELLE MEADE VILLAGE
HOMEOWNER'S ASSOCIATION, INC.
in
Edward H. Clark, President
STATE OF
COUNTY OF
I certify that the following person, ,
personally appeared before me this day, acknowledging to me that she signed the
foregoing document for the purpose stated therein and in the capacity indicated.
This day of 2015.
Notary's Signature
Print/Type Notary's Name
(SEAL) My Commission Expires:

3
JOINDER AND SUBORDINATION BY LENDER
Bank of North Carolina, a North Carolina corporation, (the "Lender"), is the
beneficiary under (i) that certain Deed of Trust, Assignment of Leases and Rents,
Security Agreement and Fixture Filing from BMDP, recorded in the Office of the
Register of Deeds for New Hanover County, North Carolina Records, in Deed Book
5888, page 1740 ("Deed of Trust") and (i) that certain Assignment of Leases and Rents
from BMDP to Lender recorded in the Office of the Register of Deeds for New Hanover
County, North Carolina Records, in Deed Book 5888, page 1781 ("Assignment of Rents"
together with the Deed of Trust, collectively, the "Mortgage").
Grantor has requested that the Lender join in the execution of the foregoing
Declaration for the purpose of subordinating the lien of the Mortgage to the Declaration.
The Lender has consented to such subordination as evidenced by its execution of this
Joinder.
NOW THEREFORE, for and in consideration of the premises and the sum of Ten
Dollars ($10.00) to them in hand paid, the receipt and sufficiency of which are hereby
acknowledged, the Lender hereby subordinates the lien of the Mortgage to the
Declaration.
The Lender further joins in the execution of this Joinder and becomes a party
hereto for the purpose of certifying, and it does hereby certify (a) that it is the sole holder
and legal owner of the note secured by the Mortgage and (b) that it consents to the
provisions hereof.
[Signature Page to Follow]

IN WITNESS WHEREOF, the Lender has caused this Joinder to be
executed pursuant to due authorization.
LENDER:
BANK OF NORTH CAROLINA
Name:
Title:
STATE OF
COUNTY OF
1 certify that the following person, ,
personally appeared before me this day, acknowledging to me that she signed the
foregoing document for the purpose stated therein and in the capacity indicated.
This day of 2015.
(SEAL)
Notary's Signature
Print/Type Notary's Name
My Commission Expires:

DEMLR•USE ONLY
Date Received Fee Paid
Permit Number
Applicable Rules:
(select all that apply)
❑ Coastal SW —1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
❑ 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 Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
1. 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.):
Belle Meade Mixed -Use
2. Location of Project (street address):
4703 Carolina Beach Road
City:Wilmin gton County:New Hanover Zip:28412
3. Directions to project (from nearest major intersection):
Heading north on Carolina Beach Road., site is approximately 1.5 mile on the right from the intersection of
Carolina Beach Road and S. College
4. Latitude:34° 09' 28" N Longitude:77° 54' 30" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ew ❑ Renewal w/ Modification'
tRcrreurals with rnodrficatiorrs also requires SWU-102 — Renezoal Application Forrtt
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW8 050214 , its issue date (if known)May 5, 2014 , and the status of
construction: ❑Not Started ®Partially Completed* ❑ Completed* *provide a designer's certification
Specify the type of project (check one):
❑Low Density — PgHigh4De"ity rains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously. returned application or a letter from
DEMLR 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,
a. Additional Project Requirements (check applicable blanks; information on required state permits
obtained by contacting the Customer Service Center at 1-877-623-6748); E C E I�
❑CAMA Major ®Sedimentation/Erosion Control: 10.93 ac of Disturb c
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts MAY 0 7
b.If any of these permits have already been acquired please provide the Project N9ft, Pm'ect/Fermi nber,
issue date and the type of each permit:
Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/ireb/Ir/rink s-arid-reat�tions

III. CONTACT INFORMATION
I. 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: Belle Meade Development_ Partners, LLC
Signing Official & Title:Adam Sosne - Member/Manager
b. Contact information for person listed in item la above:
Street Address:6626-C Gordon Road
City:Wilmington State:NC Zip:28411
Mailing Address (if applicable):
City:
Phone: (910 ) 799-3006
Email: ad [e-mail]
State:
Zip:
Fax: (910 ) 799-6659
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 & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City:_ State: Zip:
Phone: { } Fax:
Email:
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:_ State: Zip:
Phone: { } Fax:
Email:
MAY a 7 2015
4. Local jurisdiction for building permits: New Hanover H I
Point of Contact: Phone #: f } BY:

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The storm water for this project will be treated by an existing wet detention basin
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan 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 11-- Post Construction
3. Stormwater runoff from this project drains to the Barnards Creek River basin.
4. Total Property Area: 19.15 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':
19.15 _ acres
Total project area shall be calculated to exclude the follozwbi the normal pool of impounded structures, the area
between the batiks of streams and rivers, the area below the Normal High Water (NHW) Iine or Mean High Water
(MHW) line, and coastal Twetlatids landward from the NHW (or MHW) tine. The resultant project area is used to
calculate overall percent built upon area (BUA). Nora -coastal wetlands landward of the NHW (or MHW) Iine pray
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 59.4 %
9. How many drainage areas does the project have?1 (For high density, count I for each proposed engnieered
stormrwater BMP. For low density and other projects, use I for the zwhole 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.
Basin Information
Drainage Area 11
Drainage Area
Drainage Area
Drainage Area _
Receiving Stream Name
Barnards Creek
Stream Class *
18-80
Stream Index Number *
C; Sw
Total Drainage Area (sf)
834,113
On -site Drainage Area (sf)
834,113
Off -site Drainage Area (sf)
Pro used Impervious Area** (sf)
495,471
% Impervious Area** (total)
59.4
Impervious— Surface Area
Drainage Area 1
Drainage Area
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
105,800
On -site Streets (sf)
On -site Parking (sf)
147,227
On -site Sidewalks (sf)
28,622
Other on -site (sf)
Future (sf)
81,351
Off -site (sf)
Existing BUA*** (sf)
203,013
Total (sf):
566,013
* Stream Class and Index Number catr be determined at: hftT:{( �nrtal.ncdc°�rr.nrg/zr eI/zr, �s{rsu/classif�crrti��irs
** Iiti 7e]'vlous area is d(fined as the built upon area including, but trot limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report oul y that arrrount of existhig BUA that will remain after development. Do riot report any existing BUA that
is to be removed and which will be replaced by )tell) BUA.

11. How was the off -site impervious area listed above determined? Provide documentation.
Projects in Union County: Contact DEMLR 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 I5A 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 http://portal.ncdenr.org/iN,eb/ivq/ws/su/binp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://v�. ortal.ncdenr.org/web/wq/ws/su/statesNv/forms does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office maybe found by locating project on the
interactive online map at httl2:////portal.ncdennorg/web/wq/ws/su/maps.)
Please indicate that the following 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 httl / /portal.ncdennorg/web/wq/ws/su/statesw/fortns_docs.
Init' s
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII belazv) �n
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCOENR. (For an Express review, refer to
htip:l_lwww.en_vhelp.orgj12a,es/onestol2exl2ress_.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for, r
6. 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'h mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. 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 ivetlands landward of the MHW or NHW lines.
• 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. E f""!� E I Y E
k. Existing contours, proposed contours, spot elevations, finished floor elevatio s **��
1. Details of roads, drainage features, collection systems, and stormwater contr, neWsO
72015
m. Wetlands delineated, or a note on the plans that none exist. (Must be delinea b
qualified person. Provide documentation of qualifications and identify the p r on who ,
made the determination on the plans. BY:
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).

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify V i
elevations in addition to depths) as well as a snap of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" 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 DEMLR to ver� the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No:
1L 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 15A 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.secretary.state.nc.us/Corporations/CSearch.asl2x
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 littl2:Hl2ortal.ncdenr.org/web/1rLstate-
stormwater-forms dots. 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 DEMLR, 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:Garry S. Pape, P.E. _
Consulting Firm: GSP Consulting, PLLC
Mailing Address:6626 Gordon Road, Unit C
City:Wilmington _ State:NC Zip:28411
Phone: (910 ) 442-7870 Fax: (910_ ) 799-6659
Email:gpape@gsp-consulting_com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, iteiii 2 has been filled out, complete this
sectioat)
I, (p),int or type naine of person listed in Contact Information, item 2a) T , certify that 1
own the property identified in this permit application, and thus give permission to (print or type name of persot7
listed in Contact Inforiiratim, item 1a) with (pj-hit or type name of organization listed in
Contact Inforiiiation, itelii 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
part), responsible for the operation and maintenance of the stormwater system.
ECEIVE
MAY 0 7 2015

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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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: Date:
I, a Notary Public for the State of _. , County of
do hereby certify that personally appeared
before me this _ day of , 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 Conact Information, itoll 1a) Adalaz Sosne
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 c vena is will be recorded, and that the proposed project complies with the requirements of the
1t applicable sto pt#Jrules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Signature:
Date: 5-7- I S
I Ga { f S •� -,a Notary Public for the State of 10A (Gram ! t , County of
0.rww,( do h''eAAreby certify that la GGM > +-
50 t-_ personally appeared
before me this��day of and acknowledge th due execution of the application for
a stormwater permit. Witness my hand and official seal,
t .
Al
b�
..,t�+! tTt:Fllftt =Akt,Et
SEAL
My commission expires�{�1r i� r� 13,1070
FECEIVEM
MAY 0 l 2015
BY: