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HomeMy WebLinkAboutSW8990236_CURRENT PERMIT_19990811STORMWATER DIVISION CODING SHEET (POST -CONSTRUCTION PERMITS PERMIT NO. I SW q��,Y�2 DOC TYPECURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD State, of North Carolina 4 • Department of Environment and Natural Resources Wilmington Regional Office James B. Hunt, Jr., Governor Wayne McDevitt, Secretary Division of Water-Qualit) August 11, 1999 Mr, James Miller, President J R S Miller, Inc. 5717 Carolina Beach Road Wilmington, NC 28412 N C [L)E N R NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Permit No. SW8 990236 Superior Center High Density Stormwater Project New Hanover County Dear Mr. Miller: The Wilmington Regional Office received a complete'Stormwater Management Permit Application for Superior Center on June 30, 1999. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title I5A NCAC 2H.1000. We are forwarding Permit No. SW8 990236 dated August 11, 1999, for the construction of Superior Center. This permit shall be effective from the date of issuance until August 11, 2009, and shall be subject to the conditions - and Iimitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establisli an adequate system foroperation and maintenance of the stormwater management system will result in future compliance problems. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an ad j udicatory hearing upon written request within thirty (3 0) days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please contact Linda Lewis, or me at (910) 395-3900. Sincerely, Rick Shiver Water Quality Regional Supervisor RSS/arl: S:1WQSISTORM1A1ATIPERMIT1990236.AUG cc: Joseph Hill, P.E. Ton), Roberts, New Hanover County Inspections Beth Easley, New Hanover County Engineering Linda Lewis CVViIrnington Regional Office Central Files 127 Cardinal Dr. Gat., Wilmington, North Carolina 28405 Telephone 910-395-3900 FAX 910-350-2004 An Equol Opportunity Affirmative Action Employer 50% recycied110% post -consumer paper 1 State Stormwater Management Systems Permit No, SW8 990236 STATE OF.NORT14 CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY P HIGH DENSITY DEVELOPMENT In accordance with the provisionss of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO J & S Miller, Inc. Superior Center New Hanover County FOR THE construction, operation and maintenance of a wet detention pond in compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules") and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Water Quality and considered a part of this permit. This permit shall be effective from the date of issuance until August 11, 2009 and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS 1. This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. This stormwater system'has been approved for the management of stormwater runoff as described on page 3 of this permit, the Project Data Sheet. The stormwater control has been designed to handle the runoff from 49,939 square feet of impervious area. - 3. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 4. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per approved plans. 2 State Stormwater Management Systems Permit No. SW8 990236 Project Frame: Permit Number: Location: Applicant: Mailing Address: DIVISION OF WATER QUALITY PROJECT DESIGN DATA SHEET Superior Center SW8 990236 New Hanover County Mr. Tames Miller, President J & S Miller, Inc. 5717 Carolina Beach Road Wilmington, NC 28412 Application Date: June 30, 1999 Name of Receiving Stream/Index 9: Mott Creek / (CFR 18-82) Classification of Water Body: "C Sw" If Class SA, chloride sampling results: h/a Pond Depth, feet: 5 Permanent Pool Elevation, FMSL: 38 Total Impervious Surfaces, ft2: 49,939 Offsite Area entering Pond, fie: None, per Engineer Required Surface Area, ft2: 3,574 Provided Surface Area, ft2: 6,192 Required Storage Volume, ft3: 4,072 Provided Storage Volume, ft3: 4,631 Temporary Storage Elevation, FMSL: 38.7 Controlling Orifice: _ 1 "(� pipe T�. 3 State Stormwater Management Systems Permit No. SW8 990236 II. SCHEDULE OF COMPLIANCE 1. The stormwater management system shall be constructed in it's entirety, vegetated and operational for its intended use prior to the construction of any built -upon surface except roads. 2. During construction, erLon shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 3. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Semiannual scheduled inspections (every 6 months). b. Sediment removal. C. Mowing and revegetation of side slopes. P d. Immediate repair of eroded areas. e. Maintenance of side slopes in accordance with approved plans and specifications. f. Debris removal 'and unclogging of outlet structure, orifice device and catch basins and piping. g. Access to the outlet structure must be available at all times. 4. Records of maintenance activities must be kept and made available upon request to authorized personnel of DWQ. The records will indicate the date, activity, name of person performing the work and what actions were taken. 5. Decorative spray fountains will not be allowed in the stormwater treatment system. 6. The facilities shall be constructed as shown on the approved plans. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the approved plans and specifications, and other, supporting data. 7. Upon completion of con itruction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be no on the Certification. 8. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. 9. The following items will Lquire a modification to the permit: a. Any revision to the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area. e. Further subdivision of the project area. f. Filling in, altering or piping of any vegetative conveyance shown on the approved plan. 10. The Director may determine that other revisions to the project should require a modification to the permit. 11. A copy of the approved pl ns and specifications shall be maintained on file by the Permittee for a minimum of ten years from the date of the completion of construction. 4 State Stormwater Management Systems Permit No. SW8 990236 12. Prior to the sale of any portion of the property, an access/maintenance easement to the stormwater facilities shall be granted in favor of the permittee if access to the stormwater facilities will be restricted by the sale of any portion of the property. I').- The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -upon area. I 14. The runoff from all built -upon area on the project must be directed into the permitted stormwater control system. 15. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. III. GENERAL CONDITIONS l . Tlus permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is a name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality accompanied by an applicationfee, documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request will be considered on its merits and may or may not be approved. . 2. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. 3. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which have jurisdiction. 4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 5. The permittee grants DENR Staff permission to enter the property for the purpose of inspecting all components of the permitted stormwater management facility. 6. The permit may be modifi {led, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. Permit issued this the 11th day of iAugust, 1999. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION zLAAs2i:7 Kerr. T. Stevens, Director - �— Division of Water Quality By Authority of the Environmental Management Commission Permit Number SW8 990236 5 State StormwaterManagement Systems 'Permit No. SW8 990236 Superior Center Stormwater Permit No. SW8 990236 New Hanover County 4 Designer's Certification 1, 1 , as a duly registered _ in the State of North Carolina, having been'authorized to observe (periodically/weekly/full time) the construction of the project, (Project) for I _(Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page 2 of this form is included in the Certification. Noted deviations from approved plans and specification: Signature Registration Number I Date I SEAL C01 State Stormwater Management Systems Permit No. SW8 990236 Certification Requirements: 1. The drainage area to the system contains approximately the permitted acreage. 2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built-up n area associated with the project is graded such that the runoff drains to the system. 4. The outlet/bypaL structure elevations are per the approved plan. 5. The outlet structure is located per the approved plans. . 6. Trash rack is provided on the outlet/bypass structure. 7. All slopes are grassed with permanent vegetation. 8. Vegetated slopes are no steeper than 3:1. 9. The inlets are to I ated per the approved plans and do not cause short-circuiting of the system. 10. The permitted amounts of surface area and/or volume have been provided. 11. Required drawd Iwn devices are correctly sized per the approved plans. 12. All required design depths are provided. 13. All required parts) of the system are provided, such as a vegetated shelf, and a forebay. 14. The overall dimensions of the system, as shown on the approved plans, are provided. cc: NCDENR-DWQ Regional Office Tony Roberts, New Hanover County Building Inspector 7 State of North Carolina Department of Environment and Natural Resources Division of Water Quality 4WATER MANAGEMENT PERA='APPLICATION FORM lThis form may be photocopied for use as an original I. G 1. Applicants name (specify the name of the corporation, individual, etc who owns the project): J&S Miller, Incorporated 2. Print Owner/Signing Official's name and title (the person who is legally responsible for the facility and its compliance): - I James Miller 3. Mailing Address for person listed in item 2 above: 5717 Carolina Beach Ro Wilmi Telephone Number. 57 State: N . C . zip_ 28412 Project Name (subdivisiin, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Superior Center 1 Location of Facility (street address): Carolina Beach Road Ckr Wilmington I New Hanover 6. Directions to facility (from nearest major intersection): 170' north of Christa Drive on east side of U.S. 421 7. Latitude 3 4 " 0 7 ' 2 5 " I 77° 53' 59" of facility 8. Contact person who can answer questions about the facility Name James Miller, Telephone Number. ( 910 1 799-4857 1 II. PERMIT INFORMATION: I- Specify whether project is (check one): X New Renewal Modification 2_ . If this application is being submitted the result of a renewal or modification to an existing permit, list the ewt ng permit number 1- _- o A -- and its issue date (if known) Form SWU-I01 April 1998 1 Page I of 4 3. SperLi Ythe type of ro'ect (check one : tl Low Densi X High Density Redevelop General Permit Other 4. Additional Project Requirements (check applicable blanks): Ci4A Majar X Sedimentation/Erosion Control 404. Permit III. PROJECT INFO RML ATION 1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative (one to two pages) deI siDing stormwater management for the project . Wet Detention Pond 2. Stormwater runoff from this project drains to the _ __ gape Fear _ _ River basin. 3. Total Project Area 1�. 7977 ac=ps 4. PrcjgctBuilt Upon Area: 63.8 5. How many drainage bl does the project have? 6. Cornolete the folio I, g information for each drainage basin If there are more than two drainage basins in " 4he project, attach an additional sheet with It -he information for eachbasin provided inthe Same format as below. 1 Basi:�a�I:-tfQfk �o� ��,,��a..�� u � ��,�,..1:7;�ir<aPv�gasu.1����; �:;�.;�'s'L•haiza"e•`Bas�i2�,� �;",. Receivir.1- Scream. Name IMott Creek Receiving Scream Class kJ Drainaze Basin Area 78,308 SF Exisnng Imver icus` Area ! 0 Proposed Imvenrious'Arei 49,939 SF °a lntvervicus' Area (total) 63.87 -ail I e> 4ro is Rfar:e ea �� �' Drauza Bas �f�- fi e Ur uia ^Basin Z On -site Builaines I On -site Streets I 26 739 SF On -site Parking I - On -site Sidewai_ks I - Other on -site I - off -site Total: E= 49,219S- Irrperoious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, side uaI.ks, gravel areas, etc. 7. How was the oft -site impervious area listed above derived? s . IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS Deed restrictions and prate I 've covenants are required to be recorded for all low density projects and all subdivisions pr_or to the sale of any lot. Please see Attachment A for the specific items that must be recorded. Form SWli-101 April 1998 Page 2 of 4 By your signature below, you certify that the recorded deed restrictions and protective covenants for this project shall include all the items 4required by the permit, that the covenants will be binding on aH parties and persons claiming under them, that I they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the State, and that they will be recorded prior to the sale of any IoL V. AGENT AUTHORIZATION If you wish to designate slubmittal authority to another individual or firm so that they may provide - information on your behalf, please complete this section: Desig mtedagent (individual or fiml): _ Joseph S . Hill, J r . and Associates .� Ma:iiirgp,ddrem� 1602.IHarbour Drive Citr Wilmi}n ton State: N.C. rm28401 Phone: f 910 �799-1544 Fa)c 910 1 799-1551 1 VI. SUBMITTAL REQUIREMENTS This application package will not be accepted by the Division of Water Quality unless all of the applicable items are included with the submittal- 1. Please indicate that you have provided the following required information by signing your initials in the space provided next to it ach item. Applicant's Initials - Original and one copy of the Stormwater Management Permit Application Form 0, - One copy of the applicable Supplement Form(s) for each BMP (see Attachment A) - Permit application processing fee (see Attachment A) - Two copies of plans and specifications including: - Detailed narrative description of stormwater treatment/management 41 - Two copies of plans and specifications, including- - Development/Project name - Engineer and firm -Legend I` - North arrow - Scale - Revision number & date - Mean high water line - Dimensioned property/project boundary - Location map with named streets or NCSR numbers - Original contours, proposed contours, spot elevations, finished floor elevations - Details of roads, paridng, cul-de-sacs, sidewalks, and curb and gutter - Wetlands delineated, or a note on plans that none exist - Existing drainage (including oft -site), drainage easements, pipe sizes, runoff calculations - Drainage basins delineated - Vegetated buffers (where required) 1 VII. APPLICANT'S CER=CATION I, (print or type name of person lied in General In fiamm ion, item 2) James Miller certify that the information included on this permit application form is correct, that the project will be constructed in conformance with the approved plans, that the deed restrictions in accordance with Attachment A of this form will be recorded with required permit conditions, and that to the best of my knowledge the proposed project comp)ies with the quirements of 15A NCAC 2H .1000. Dale P- ?Z ff9 t Form SWU-101 April 1998 1 Page 3 of 4 ATTACHMEN-T A 1. Deed Restriction Language The following statements must be recorded for all low density projects and for all projects that involve the subdivision and selling of iois or outparcels: I. No more than _ 49, 939 square feet, shall be covered by impervious structures including asphalt, gravel, concrete, brick, stone, slate or similar material. but not including mood decking or the surface of swimming pools. This covenant is intended to insure continued compliance with the stormwater• permit issued by the State of North Carolina. The covenant may not be changed or deleted without. ;he consent of the State. 2. No one may fiII in, pipe, or alter any roadside swale except as necessary to provide a minimum driveway crossing. NOTE: If lot sizes vary significantly, the owner/developer must provide an attachment listing each Iot number, size and the allowable built -upon area for each lot For commercial projects that 4have outparcels or future development the following statements must also be recorded: 4 3. The connection from the outparcel or future area into the stormwater system must be made into the forebay such that short-circuiting of the system does not occur. 4. All built -upon area from the outparceI or future development must be directed into the permitted stormwater control system. 5. BuiIt-upon area in excess of the permitted amount will require a permit modification prior to construction. For curb outlet systems, the following statement in addition to items 1 and 2 above must be recorded: 6. No one may pipe, fiII in or alter any designated 100 foot long grassed swale used to meet the requirements of NCAC 2H .1008(g). 2. Supplement Forms The applicable supplement for n(s) listed below crust be submitted for each BMP spec if ed for this project: Form SWU-102 Wet Detention Basin Supplement Form SWU-103 Infiltration lBasin Supplement Form SWU-104 Low Density Supplement Form SWU-103 Curb Outlet System Supplement Form SWU-106 Off -Site System Supplement Form SWU-107 Underground Infiltration Trench Supplement Form SWU-108 Neuse River Basin Nutrient Management Strategy Supplement 3. Permit Application Fees Office) Type of Permit Low Density High Density Other Director's Certification General Permit made payable to NCDENR and submitted to the appropriate Regional New, Modification, or Late Renewal $225 $385 $225 $350 $50 Timely Renewal Without Modification n/a $225 n/a n/a n/a Form SWLU-101 April 1999 1 Page 4 of 4 Permit No. SW 3 RC(()Z 3 (to be provided DWQ) State of North Carolina Department of Environment and Natural Resources Division of Water Quality STOP,MWATER MANAGEMENT PERMIT APPLICATION FORM WET DETENTION BASIN SUPPLEMENT This form may be photocopied for use as an original DWQ Stormwater Manager�ent Plan Review: AA complete stormwater management plan submittal' includes a wet detention basin supplement for each basin, design calculations, plans and specifications showing all basin and outlet structure details, and a signed and notarized operation and mitenance agreement I- PROJECT INFORMATION (please complete the following information): Project Name: Superior Center games Miller Phone Number: ( y 10 For projects with multiple basins, specify which basin this worksheet applies to: Basin Bottom Elevation Permanent Pool Elevation 33.0' ft. 38.0' ft. Temporary Pool Elevation 1 38. 7' ft. 299-4857 N/A (average elevation of the floor of the basin) (elevation of the orifice) (elevation of the discharge structure overflow) Permanent Pool Surface Areal 6,192 sq. ft. (water surface area at the orifice elevation) Drainage Area 78,308 sq. ft. (on -site and off -site drainage to the basin) Impervious Area 49,939 sq. ft. (on -site and off -site drainage to the -basin) Permanent Pool Volume 17.230 cu. E (combined volume of main basin and forebay) Temporary Pool Volume 4,630 cu. fL (volume detained above the permanent pool) Forebay Volume 4 3,865 cu. ft. SAJDAt used 1 4, 6`% (surface area to drainage area ratio) Diameter of Orifice 1.0 in. Design TSS Removal 90 % (95% TSS removal required, see item k below) 4 II. REQUIRED ITEMS CHECKLIST The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N.C. Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section_ 15 A NCAC 2H .1008 )I Initial in the space provided to indicate the following design requirements have been met and supporting documentation is attached_ If the applicant has designated an agent in. the Stormwater Management Permit Application Form, the agent may initial below. If a requirement has not been met, attach justification. Form SWU-102 Rev 1/Au.-ust 1998 Page 1 of 3 Applicants Initials S:�A a The temporary pool controls runoff from the l inch storm event. b. The basin length to width ratio is greater than 3: 1. c. I The basin side slopes above the permanent pool are no steeper than 3: 1. d. A submerged and vegetated perimeter shelf at less than 6:1 is provided (show detail). je. Vegetatilon above the permanent pool elevation is specified. f An emergency drain is provided to empty the basin. (pump to be provided) I g. The per ml anent pool depth is between 3 and 6 feet (required minimum of 3 feet). h. The temporary pool draws down in 2 to 5 days. i. A trash rack is provided for both the overflow and orifice. j. The forebay volume is approximately equal to 20% of the total basin volume. k. Sediment storage is provided in the permanent pool. 1. A 3046ot vegetative filter is provided at the outlet2 (include erosive flow calculations) in. Recorded( drainage easement for each basin including access to nearest right-of-way. n. A site sp Icific operation and maintenance (O&M) plan is provided. o. A vegetation.management/mowing schedule is provided in the O&M plan. Semi-annual inspections in the O&M p. are specified plan. q. A debris (heck to be performed after every storm event is specified in the O&M plan. r. Specific clean -out benchmarks are specified in the O&M plan (elevation or depth). legally is designated in the O&M title). s. A responsible party plan3 (include name and -----& t. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified to be performed prior to use as a wet detention basin. Footnotes: 1 When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non- standard table entries. I 2 The requirement for a vegetative filter may be waived if the wet detention basin is designed to meet 90% TSS removal. 3 The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a resident of the subdivision has been named the president. III. WET DETENTION BASIN I OPERATION AND MAINTENANCE AGREEMENT The wet detention basin system is � defined as the wet detention basin, forebay, non-integrated pretreatment systems (pretreatment other than !forebays), and the vegetated filter if one is provided. This system (check one) ❑ does ® does not incorporate a vegetated filter. This system (check one) ❑ does 't,does not incorporate non-integrated pretreatment. Maintenance activities shall be peilforms as follows: 1. After every significant runoff (producing rainfall event and at least monthly: Form SWU-102 Rev 1/August 1998 Page 2 of 3 a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation, grass cover, and general condition. b. Check and clear the orifice of any obstructions such that •drawdowa of the temporary pool occurs within 2 to 5 days_ l diately, re -seed as necessary to maintain good vegetative cover, mow vegetative 2. Repair eroded areas,U=e cover to maintain a maxip' um height of six inches, and remove trash as needed. 3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain proper functioning. 4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is reduced to 75% of the original design depth. Removed sediment shall be disposed of in an appropriate manner and shall not be Handled in a manner that will adversely impact water quality (he. stockpiling near a wet detention basin or stream, etc.). The original design depth�is: 5. 0' El ev. = 33. 0' ) The sediment removal benchmar c depthis: 4.0' (E 1 ev . = 34.0 ' ) 5. Remove cattails and other�indigenous wetland plants when they cover 75% of the basin surface. These plants shall be encouraged to grow along the basin perimeter. 6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the emergency drain shall be minimized to the maximum extent practical. 7. All components of the wet detention basin system shall be maintained in good working order. I acknowledge and agree by my, signature below that I am responsible for the performance of the above maintenance procedures. I agree to notify DWQ of any problems with the system or changes in the name of the project, responsible party, or address. Print name: James Miller Address: 5717 Carolina Beach Road, Wilmington. N.C. 28412 Phone: Title: Signature: Date: 10)799-4857 resident, J&S Miller, Incorporated A,,) J'o,-) a Notary Public for the State of d . C_ County of _ 1� lc�, of e ✓ 4 , do hereby certify that,., personally appeared before me this AjA day of ,� , 1952, and acknowledge the due execution of the forgoing infiltration system maintenance requirements. Witness my hand and official seal, My commission expires 4411Y.0 __ _ = �: ,00TA�j,. �.�. :C;. iA Form SWU-102 Rev 1/August 1999 Pan 3 of 3