HomeMy WebLinkAboutSW8990902_CURRENT PERMIT_20090923 (2)STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
1
PERMIT NO.
SW8
DOC TYPE
0 CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
a a 9 0 9 2- 3
YYYYMMDD
J�je
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Gloria Bohan
Jax Rex, LLC &Omega World Travel
3102 Omega Office Park
Fairfax, VA 22031-2400
Division of Water Quality
Coleen H. Sullins
Director
September 23, 2009
Subject: State Stormwater Management Permit No. SW8 990902 Renewal
Omega World Travel
High Density Commercial Project
Onslow County
Dear Ms. Bohan:
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Renewal
Application for Omega World Travel on September 21, 2009. Therefore permit SW8 990902 has
been renewed on September 23, 2009, and shall be effective until December 8, 2019. The
plans previously approved on December 8, 1999, in accordance with the regulations set forth in
Title 15A NCAC 2H.1000 effective September 1, 1995, remain in full force and effect.
The re -issuance of this stormwater permit does not imply that the site is currently in compliance
with the terms and conditions of this state stormwater permit.
Please pay special attention to the Operation and Maintenance requirements in this permit.
Failure to establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please -contact
David Cox, or me at (910) 796-7215.
Sincerely,
Georgette ccott
Stormwater Supervisor
Division of Water Quality
GDSldwc:
S:\WQS\STORMWATER\PERMI-R990902ren.sepO9
cc: David Cox
Wilmington Regional Office
Central Files
Wilmington Regional Office
127 Cardina} Drive Extension, Wilmington, North Carolina 28405 One
Phone: 910.796-72151 FAX: 910-350.20041 Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org ' Vatima /"/„
An Equal Opportunity 4 Affirmalive Action Employer �/ J
State Stormwater Management Systems
Permit No. SW8 990902ren.sep09
'STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Gloria Bohan & Jax Rex, LLC & Omega World Travel
Omega World Travel
325 White St. Jacksonville, Onslow County
FOR THE
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 December 9, 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 in Section 1.7 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 154,233 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area(s) of this
project must be directed into the permitted stormwater control system.
6. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
Page 2of5
State Stormwater Management Systems
Permit No. SW8 990902ren.sep09
a.
Drainage Area, Tcres:
4.38
Onsite, ft :
190,799
Offsite, ft":
NIA
b.
Total Impervious Surfaces, ft2:
154,233
C.
Design Storm, inches:
1"
d.
Pond Design Depth, feet:
5
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL :
32
Permanent Pool Surface Areq, ft :
11,040
h.
Permitted Storage Volume, ft :
38,000attemporarypoolel
i.
Temporary Storage Elevation, FMSL:
33.2
j.
Controlling Orifice:
1 ""0 pipe
k.
Permitted Forebay Volume, W:
7,000
1.
Fountain Horsepower, HP
1/8
M.
Receiving Stream/River Basin:
Scales Creek / White Oak
n.
Stream Index Number:
19-16-4
o.
Classification of Water Body:
"SC HQW NSW"
!I. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time 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 re -vegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the
deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away
from the shoreline.
d. The maximum horsepower for a fountain in this pond is 1/8 horsepower.
6. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
Page 3 of 5
State Stormwater Management Systems
Permit No. SW8 990902ren.se 09
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
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. Access to the stormwater facilities for inspection and maintenance shall be
maintained via appropriate recorded easements at all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. Prior to the construction of any permitted future areas shown on the approved
plans, the permittee shall submit final site layout and grading plans to the
Division for approval.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times. At the time the permit is transferred to a new owner,
the permittee shall forward the approved plans to the new owner.
13. 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.
Ill. GENERAL CONDITIONS
1, This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change Form signed by both parties, to
the Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
Page 4 of 5
State Stormwater Management Systems
Permit No. SW8 990902ren.sep09
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
3. 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.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. 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.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit remains in force and effect until modified, revoked, terminated or
renewed. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and re -
issuance or termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
11. The permittee shall submit a permit renewal request at least 180 days prior to
the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 23`d day of September, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
4for olee H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 5
JOHN L. PIERCE & ASSOCIATES, P.A.
Land Surveying - Land Planning - Mapping
P.O. Box 1685
409 Johnson Blvd.
Jacksonville, N.C. 28541
Office: (910) 346-9800 Fax No.: (910) 346-1210
E-Mail: jpicrce@onslowonline.net
TO Ms. Linda Lewis
N.C. Department of Environment
and Natural Resources
127 North Cardinal Drive
Wilmington, NC 28405
WE ARE SENDING YOU
❑ Drawings ❑ Attached ❑
❑ Copy of Letter ❑ Prints ❑
❑ Change order ❑
� �rr�ur�ll�► ff�
MAY 0
sA16tter=i fttam$mittal
Bray 25, 2001 JOB No.
ATTENTJON
Ms. Linda Lewis
RE
Omega World Travel
Permit No. SW8 990902
Under separate cover via _
Plans ❑
Samples
the following items:
❑ Specifications
COPIES
DATE
NUMBER
DESCRIPTION
1
"Engineer's Certification"
THESE ARE TRANSMITTED as checked below:
❑ For approval
❑ For your use
❑ As requested
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ For review and comment
❑ For bids due 19
71 Prints returned after loan to us
REMARKS Should you need any additional
information, please advise.
SIGNED
:.• .
State Stormwater Management Systems
Permit No._SWS 990902
f
mega World Travel
/Stormwater Permit No. SWS 990902
Onslow County
Designer's Certification
1, ^Qayid K. Newsom, _pF_ , as a duly registered in
the State of North Carolina, having been authorized to observe eriodica Iwee ly/full time) the construction of
the project,
Omega World Travel
(Project)
for _J_ax Rex, LLC & Omega World 1:r�y (project Owner} hereby state that, to the bestofm1 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:
SEAL
18WO
Signature
Registration Number ZA /4- ?)
Date 2� j�
SEAL
n
State Stormwater Management Systems
Permit No. SW8 990902
Certification Requirements:
The drainage area to the system contains approximately the permitted acreage.
The drainage area to the system contains no more than the permitted amount of built -upon area.
G All the built -upon area associated with the project is graded such that the runoff drains to the system.
j (A.. The outlet bypass structure elevations are per the approved plan.
Z_14 5 The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.Chc>/w 0"
;L UL4, . All slopes are grassed with permanent vegetation.
2W. Vegetated slopes are no steeper than 3:1.
D dl/9. The inlets are located per the approved plans and do not cause short -:circuiting of the system.
"0. The permitted amounts of surface area and/or volume have been provided.
Required drawdown devices are correctly sized per the approved plans.
2. All required design depths are provided.
All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
The overall dimensions of the system, as shown on the approved plans, are provided.
cc: , NCDENR-DWQ Regional Office
Corann Harper, Onslow County Building Inspector
7
DWQ USE ONLY
Date received Fee Paid Permit Number
4
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW 8990902
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
fax Rex, LLC & Omega World Travel Gloria Bohan
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Gloria Bohan Y
4. Mailing Address for person listed in item 2 above:
3102 Omega Office Park
City: Fairfax State: VA Zip:22031-2400
Phone: 910-455-9898 Ext 2199 Fax: (910 ) 455-5189
Email:bv_arrett@owt.net
5. Project Name: Omega World Travel
6. Location of Project (street address):
City: iacksonville N.C. CountwOnslow Zip:28546
7. Directions to project (from nearest major intersection):
Heading South on Western Blvd just past Onslow Memorial Hospital turn right on White Street. Go 1/2 mile
to site ( E. side of street)
II. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention ®Wet Detention Basin
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. Dist any changes from project that was originally approved (attach additional pages if needed):
J�kn-4p ' T
SEA 2 1 Inn
Form SWU-102 (Renewal Form) Version 02.16.09 Page i of 3 $�.
�„ •
.. -ti.
T -
'' .' �-. .
3. Do you have a copy of the original Operation and Maintenance Agreement? (check one)
®Yes (If yes, submit the attached (page 3) Operations and Maintenance verification sheet.)
❑No (if no, then submit a new Operations and Maintenance Agreement that can be located on the
Division of Water Quality Home Page under the BMP Manual link: 4( (� 3
http://h2o.enr.state.nc.us/su/bmp_forms.htm) Q �` va
Chu fC Do
-C)a6 V o n o I a� rv�n
III. SUBMITTAL REQUIREMENTS al ,Ccddo
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at http://h2o.enr.state.nc.us/su/rosi_maps.htm)
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original & 1 copy of the Stormwater Management Permit Renewal Application Form -�/
• Application fee of $505.00 (made payable to NCDENR) JV
• Operation & Maintenance Verification or a new O&M Agreement fir,
• SWU-101 Application Form (if requesting a modification to the permit)
• Transfer of Ownership/Name Change Form (if requesting transfer of ownership)
VL APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 3)
certify that the information included on this permit renewal application is, to the best of my knowledge, correct
and complete.
Date:
Form SWU-102 (Renewal 1~orm) Version 02.16.09 Page 2 of 3
tP
.r .r �-7 �.K 1 i. . ,. :is'. �f .T is rr:'..� �i f..rr'r 1 _ ,''+�! . t }.. '}fr..,7r. .'s f' �'�° a •' � ..,..
.f, .. ,.�'i � ff- _���„ •7. r. �. ,tJ _i' .7 si.� i. err. .r .'lt rSt 'F., �. ._ .. .w
t
f
Date Received I Fee Paid I Permit Number
9 - /-- 99 -5Z2D-e�n -? 9y 5;15, 1 -SGv, er;go 9a z 1
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Jax Rez LLC
a ram.
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Katie Pomp Regional Operations Manager
3. Mailing Address for person listed in item 2 above:
1227 Hargett Street
City: Jacksonville State: NC
Telephone Number: ( 910 } 4 5 5 -9 89 8
Zip: 28540
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Omega World Travel
5. Location of Project (street address):
325 White Street
City: Jacksonville County: Onslow
6. Directions to project (from nearest major intersection):
Heading South on Western Blvd just past Onslow Memorial IIospital_
turn right on White Street. Go approx 1/2 mile to site (E.side of street,
7. Latitude: 340 45' 08"
Longitude: 77 0 231 - 0211 of project
8. Contact person who can answer questions about the project:
Name: Thomas D. Reilly Telephone Number: ( 516 ) 724-7888
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
li
Form SWU-101 Version 3.99 Page 1 of 4 NOV
1THO�,MAS D. REILLY, I'E.
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number - N f A and its issue date (if known) ,
3. Specify the type of project (check one):
Low Density X High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
�CAMA Major X Sedimentation/Erosion Control 404/401 Permit NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Collected in catch basins and piped underground to wet retention -
pond designed for 85% TSS removal utilizing a vegetative filter.
2. Stormwater runoff from this project drains to the Whi t e Oak River basin.
3. Total Project Area: 7.24 acres 4. Project Built Upon Area: 60 %
5. How many drainage areas does the project have? 1
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
$Sasin'Informat3on :Draana
e Area 1 A
`` Uiaina e Area 2
"--- --- -------------- :'F.<
Receiving Stream Name
Scales Creek
Receiving Stream Class
Drainage Area
187,469
Existing Impervious* Area
29,880
-Proposed Impervious"Area
154,233
Impervious* Area (total)
82.3
Im ervious ;5urfaceiArea Drama e Area 1 �> � Drai ge Area�2
... .� .•i' ,.. » >: g Var..;m,s• .x ::a:�wt:&'r5 g:
On -site Buildings 29,880
On -site Streets
On -site Parking 122,053
On -site Sidewalks 2300
Other on -site
Off -site
Total: 154,233 Total:
rt Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
siciewA[ks; grave�3 rugs, ate.
Form SWU-101 Version 3.99 Pane 2 of 4
9
i 11
7. How was the off -site impervious area listed above derived?
N/A
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a
table listirig each lot number, size and the allowable built -upon area for each lot must be provided as an
attachment.
1. The following covenants are intended to ensure ongoing compliance with state stormwater management permit
number as issued by the Division of Water Quality. These covenants may
not be changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the
integrity and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, 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 State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for
each BMP specified for this project. Contact the Stormwater and General Permits Unit at (919) 733-5083 for the
status and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
Innovative Best Management Practice Supplement
Form S W U-101 Version 3.99
Page 3 of 4
0 1. 9 R 0 V 15
N01I : 15 �99
T1-Inn A A C n "I IN'
V1. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ;.
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space
provided next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form 'e"), ov,
• One copy of the applicable Supplement Form(s) for each BMP
_57-
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
- Development/Project name
- Engineer and firm
-Legend
- 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, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm): Thomas D. Reilly
Mailing Address:
City:
4 Bezel Lane -
Smithtown
P done: 4 516 ) 724-7888^
VIII. APPLICANT'S CERTIFICATION
State: NY zip; 11787
Fax: ( 516 1 724-5740
1, (print or type name of person listed in General Information, item 2) Katie Pomp
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of 15A
NCAC 2H .1000. J
Signature:
Date:
Form SWU-101 Version 3.99
Page 4 of 4
Permit No. <299909e 2
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name:
Omega World Travel
Contact Person: Thomas D. Reilly
Phone Number: ( 516) 724-7888
For projects with multiple basins, specify
which basin this worksheet applies to: N/A
elevations
Basin Bottom Elevation
27.0
ft.
(floor of the basin)
Permanent Pool Elevation
32.0
ft.
(elevation of the orifice)
Temporary Pool Elevation
3 3.2
ft.
(elevation of the discharge structure overflow), .
^q
areas
11, 044
Permanent Pool Surface Area `8
sq. ft.
(water surface area at the orifice elevation)
Drainage Area
4:: 38'
ac.
(on -site and off -site drainage to the basin)
Impervious Area
3.54
ac.
(on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
38,
cu. ft.
(combined volume of main basin and forebay)
Temporary Pool Volume
t•4 ; 32,
cu. ft.
(volume detained above the permanent poll)
Forebay Volume
7000
cu. ft.
(approximately 20% of total volume)
Other parameters
SA/DAI 5 •7.6 (surface area to drainage area ratio from DWQ table)
Diameter of Orifice 1.5 in. (2 to 5 day temporary pool draw -down required)
Design Rainfall ` , in. �
Design TSS Removal z 90 % (minimum 85% required)-':'
1�
y 4
Form SWU-f 02 Rev 3.99 Page 1 of 4
Footnotes:
t 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.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90%o TSS removal.
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, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
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 al bezow. If a requirement has r_ot been .met. attach justification.
Applicants Initials
41� a.
The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b.
The forebay volume is approximately equal to 20% of the basin volume.
c.
The temporary pool controls runoff from the design storm event.
d.
The temporary pool draws down in 2 to 5 days.
e.
If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
GQ
calculations)
f.
The basin length to width ratio is greater than 3:1.
g.
The basin side slopes above the permanent pool are no steeper than 3:1.
h.
A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
0 %� i.
Vegetative cover above the permanent pool elevation is specified.
j.
A trash rack or similar device is provided for both the overflow and orifice.
��. k.
A recorded drainage easement is provided for each basin including access to nearest right-
of-way.
1.
If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m.
A mechanism is specified which will drain the basin for maintenance or an emergency.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
.fl
This system -(check one) V does 0 does not incorporate a vegetated filter at the outlet.
This systemL^(check one) 0 does _ND does not incorporate pretreatment other than a forebay.
Form S W U-102 Rev 3.99 Page 2 of 4
Maintenance activities shall be performed as follows: 11
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs
within 2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum 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 (see diagram below). Removed sediment shall be disposed
of in an appropriate manner and shall be handled in a manner that will not adversely impact water quality
(i.e. stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads
When the permanent pool depth reads
Sedimew
Bottom
+al E1.28• 26- 4♦75'
ration 2 7% O %
FOREBAY
3, 75 feet in the main pond, the sediment shall be removed.
3, 7Sfeet in the forebay, the sediment,OfalPlie'removed.
BASIN DIAGRAM
(fill in the blanks•)
Permanent Pool Elevation --
Sediment Removal Elevation 28. 2.r 75%
---------------------------- ---------------
Bottom Elevation -25%
MAIN POND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
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.
Form SWU-102 Rev 3.99 Page 3 of 4
7. 'All components of the wet detention basin system shall be maintained in good working order.
r '
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name:
Title:
Katie Pomp (Jax Rex LLC)
Regional Operations Manager
Address: • 1227 Hargett Street, Jacksonville, NC
Phon
Sign;
Date
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and
a resident of the subdivision has been named the president.
I, J , a Notary Public for the State of /1C/%L//j%9
County of - dWL5-L ()7- , do hereby certify that _ o � TC rU/%�
personally appeared before me this _ day of 11Ul�.6 % and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
tiOTARy
PUBLIC
111111
SEAL'
My commission expires
NOV 1 51999
THOMAS D. REILLY, RE.
Form SWU-102 Rev 3.99 Page 4 of 4
OMEGA WORLD TRAVEL
325 White Street
Jacksonville, North Carolina
WET RETENTION POND
OPERATION & MAINTENANCE PLAN
1. The retention pond shall be inspected weekly for any visual damage or disturbance to
the original contours, and aquatic vegetation; weekly inspections of inlet and outlets
for accumulation of trash &. debris.
2. The 10' wide perimeter area shall be mowed weekly and inspected for needed re -
seeding and fertilizing.
3. The elevation of the bottom of the pond and forebay shall be checked monthly and
after every major storm; accumulations of silt and other materials' in the pond and
forebay shall be removed down to elev. 32.0, when the elevation reaches 33.25; the
base elevation of the pond bottom is elev. 32.0.
4. The party responsible for implementation of these procedures is Katie Pomp, General
Manager of the Facility.
H -fiff a
s.
BO -aw-UP
■
E C E I V E
SEP 011999
D E M
FROJ #
File: OWTRet.Pond
Operations and Maintenance Verification
I acknowledge and agree by my signature below that: I am responsible for the performance of the
maintenance procedures listed in the original Operations and Maintenance Agreement. 1 agree to notify
D WQ of any problems with the system or prior to any changes to the system or responsible party.
Print name:
Title-
Address -
Phone:
Signature:
Date.
Dote: 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.
1,
County of
a Notary Public for the State of
do hereby certify that
personally appeared before me this day of , and acknowledge the due
execution of the forgoing stormwater BMP maintenance requirements. Witness my hand and official
seal,
Notary Signature:
SEAL
My commission expires:
4
on orA30
i
Form SWU-102 (Renewal Form) Version 02.16.09 Page 3 of 3
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
BRIAN WRENN
Director
July 24, 2020
Ms. Gloria Bohan, Manager
JAXREZ, LLC
3102 Omega Office Park
Fairfax, VA 22031
NORTH CAROLINA
Eny&w menW QuaUry
Subject: Permit Renewal
State Stormwater Management Permit No. SW8 990902 Renewal
Omega World Travel
Onslow County
Dear Ms. Bohan:
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on June 22, 2020. The Division is hereby notifying you that permit SW8 990902 has been renewed
on July 24, 2020, and shall be effective until December 8, 2031. For your records, please find enclosed a renewed,
updated, and re -issued permit and a copy of the renewal application. Please keep this permit on file at all times. Please
note that the renewed, updated, and re -issued permit does not impose new or different terms; it merely restates some of
the previous terms to provide you with a better understanding of your obligations under the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with the
terms and conditions of this state stormwater permit. The plans originally approved on December 9, 1999 and most
recently renewed on September 23, 2009, will remain in full force and effect in accordance with the regulations set
forth in Title 15A NCAC 2H.1000.
This permit is subject to the conditions and limitations as specified therein. Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish
an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions,
to transfer the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written
petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the OAH within
thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a
filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or
via telephone at 919431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit
shall be final and binding.
If you have any questions, need additional copies of the permit or approved plans, please contact Daniel Sams in the
Wilmington Regional Office, at (910) 796-7215 or dan.sams@ncdenr.gov.
Sincerely, r
Brian Wrenn, irectoi
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C - Permitting History
Renewal Application Documents
DESldan:',,\NStorm«atcrlPerin its & Pr0JCCT3119991990902 1lQ'12020 07 permit 990902
cc: Wilmington Regional Office Stormwater File
®� Q1
eurrv� cnaa�eu
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington. North Carolina 28405
910.796.7215
4
State Stormwater Management Systems
Permit No. SW8 990902
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
JAXREZ, L L C
Omega World Travel
325 White St. Jacksonville, Onslow County
FOR THE
Construction, operation and maintenance of impervious surfaces with collection and
treatment of the stormwater runoff in the treatment system permitted under Permit No. NC
0007064. The NPDES system will serve as the permitted stormwater control system for
this project in compliance with the provisions of 15A NCAC 2H .1000 and Session Law
2008-211 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file
with and approved by the Division of Energy, Mineral and Land Resources, and considered
a part of this permit.
This permit shall be effective from the date of issuance until December 9, 2031, and
shall be subject to the following specified conditions and limitations:
1. DESIGN STANDARDS
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 in Section 1.7 on page 3 of this permit. The stormwater control has been
designed to handle the runoff from 154,233 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of this
permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area(s) of this project
must be directed into the permitted stormwater control system.
Page 1 of 4
State Stormwater Management Systems
Permit No. SW8 990902
X
The following design criteria have been provided in the wet detention pond and must
be maintained at design condition:
a. Drainage Area, acres:
Onsite, ftz:
Offsite, ftz:
b. Total Impervious Surfaces, ftz:
C. Design Storm, inches:
d. Pond Design Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area, ftz:
h. Permitted Storage Volume, ft3:
i. Temporary Storage Elevation, FMSL_
j. Controlling Orifice:
k. Permitted Forebay Volume, ft3:
I. Fountain Horsepower, HP
M. Receiving Stream/River Basin:
n. Stream Index Number:
o. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
4.38
190,799
NIA
154,233
1"
5
90%
32
11,040
38,000attemporarypoolel
33.2
1 °"0 pipe
7.000
1/8
Scales Creek / White Oak
19-16-4
"SC HQW NSW"
1. The stormwater management system shall be constructed in its entirety, vegetated
and operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee shall at ail time 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 re -vegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
5. Decorative spray fountains will be allowed in the stormwater treatment system,
subject to the following criteria:
a. The minimum permanent pool volume is 30,000 cubic feet.
b. The fountain must draw its water from less than 2' below the permanent pool
surface.
c. Separated units, where the nozzle, pump and intake are connected by tubing,
may be used only if they draw water from the surface in the deepest part of the
pond.
d. The falling water from the fountain must be centered in the pond, away from
the shoreline.
e. The maximum horsepower for a fountain in this pond is 1/8 horsepower.
Page 2 of 4
State Stormwater Management Systems
Permit No. SW8 990902
6. The facilities shall be constructed, operated and maintained in accordance with the
provisions of this permit, the approved plans and specifications, and the supporting
documents attached to this permit and on file with the Division.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy, anc
prior to operation of this permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that the permitted facility has
been installed in accordance with this permit, the approved plans and specifications,
and other supporting documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be required for
those deviations.
8. No person or entity, including the permittee, shall alter any component shown in the
approved plans and specifications. Prior to the construction of any modification to the
approved plans, the permittee shall submit to the Director, and shall have received
approval for modified plans, specifications, and calculations including, but not limited
to, those listed below. For changes to the project or SCM that impact the
certifications, a new or updated certification(s), as applicable, will be required and a
copy must be submitted to the appropriate DEQ regional office upon completion of
the modification.
Any modification to the approved plans and specifications, regardless of size
including the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
Further development, subdivision, acquisition, lease or sale of any, all or part of
the project and/or property area as reported in the approved plans and
specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of
any component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not
included in the approved plans and specifications.
g. Other modifications as determined by the Director.
9. 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.
111. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. in
the event of a change of ownership, or a name change, the permittee must submit a
formal permit transfer request to the Division of Water Quality, accompanied by a
completed name/ownership change form, documentation from the parties involved,
and other supporting materials as may be appropriate. The approval of this request
will be considered on its merits and may or may not be approved. The permittee is
responsible for compliance with all permit conditions until such time as the Division
approves the transfer request.
Page 3 of 4
State Stormwater Management Systems
Permit No. SW8 990902
2. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Energy, Mineral and Land
Resources, in accordance with North Carolina General Statute 143-215.6A to 143-
215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances, which may be imposed by other
government agencies (local, state, and federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
5. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
6. The permit issued shall continue in force and effect until the permittee files a request
with the Division for a permit modification, transfer, renewal, or rescission; however,
these actions do not stay any permit conditions.
7. A permit renewal request must be submitted at least 180 days prior to the expiration
date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in Title 15A NCAC 02H.1045(3).
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
10. The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days.
Permit issued this the 24th day of July 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
;,, B rian Wre or
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 4 of 4
DEMLR USE ONLY
Date Received Fee Paid
Permit Number
ozoa
NC DEQ Division of Energy, Mineral and Land Resources N
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM �` JUN 2 2 2020
In accordance with 15A NCAC 2H.1045(3). the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60. (c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 990902
2, Project name: Omcga Worid Travei
3. Project street address: 325 IteStreet
City: Jack§Qnville - _ County: Onslow ZIP
28540
4. What, if any, changes have been made to the project as permitted? NIA
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at. h,�t ps:lldeg.nc.govlaboutidivisionslenergy-
mineral-land-resources/energy-mineral-land-ruleslstormwater-programlpost-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at., h s:llde .ne. ovl bouVdivisions/ener -mineral-I nd-
resources/energy-mineral-land-rules/stormwater-programlpost-construction. State StormwaterPermits do not
automatically transfer with the sale of the property.
Z.
1. Current Permit Holder's Company Name/Organization: J66R l.l.0
2. Signing Official's Name: Gloria Pohan
3. Signing Official's Title: Manager
4. Mailing Address: 3102 Omega Office Park
City: Fairfax - State: VA ZIP: 22031
5. Street Address:
City: State: ` ZIP:
6. Phone: )� 3S5 -�L
CITE'
JUN 2 2 20� :i +
BY—
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR_Reg ion at Office (Coastal, SA Waters) orDEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQWIDRW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each Item below to indicate that the required information is provided in the application package:
1. A permit application processing fee of $505.00 payable to NCDEQ.
One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duty authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
® 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
® A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
NIA 6. [IF APPLICABLE] if the project has been buiii; one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
NIA 7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC): Provide
one hard copy and one electronic copy of documentation from the NC Secretary of State, or other
official documentation, which supports the titles and positions held by the persons listed in Section
C.2 per 15A NCAC 2H. 1043(3)(b).
htti)s://www.sosnc.gov/online servicesisearchlbtitle/ Business Registration
JUN 2 2 2020
E�
BY.— +�
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018
D. PERMITTEE'S CERTIFICATION
Gloria Bohan , the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, correct and complete.
Signature: _ 7� L--A-s Cate: 06/12/2020
NOTARIZATION:
t
County of
that
this'the��` r' day of 1J''1_.p
fix cution.of.tth�fo_rgo ng instrument. Witness my hand and official seal
Notary Sigr,aiure R' 'L /
My commission expires
2U
a Notary Public for the State of
do hereby certify
personally appeared before me
20 ZC) , and acknowledge the due
a *�} SHANNON LYN CULBERSTON
VA lic
Com onwweeO of lilginla
My Omninion Expires 09130P10Y0
Commission ID# 297401
JUNK
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
JAXREZ, LLC
Information
Sosld: 0482680
Status: Current -Active
Date Formed: 1/25/1999
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Svendsen, Kurt
Addresses
Mailing
3102 Omega Office Park
Fairfax, VA 22031
Reg Mailing
325 White St
Jacksonville, NC 28546
Company Officials
Principal Office
3102 Omega Office Park
Fairfax, VA 22031
Reg Office
325 White St
Jacksonville, NC 28546
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Gloria Bohan
3102 Omega Office Park
Fairfax VA 22031
Controller
Stephen Mihlfried
3102 Omega Office Park
Fairfax VA 22031
nAtr�zpl LIMITED LIABILITY COMPANY ANNUAL REPORT
■
1012017
NAME OF LIMITED LIABILITY COMPANY: JAXREZ, LLC
SECRETARY OF STATE ID NUMBER: 0482680 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: )ngn
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Svendsen, Kurt
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
W2680
CA202010103977
4/10/2020 04:00
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
325 White St
325 White St
Jacksonville, NC 28546 Onslow County Jacksonville, NC 28546
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Property Management
2. PRINCIPAL OFFICE PHONE NUMBER: (703) 359-0200
4. PRINCIPAL OFFICE STREET ADDRESS
3102 Omeaa Office Park
3. PRINCIPAL OFFICE EMAIL: privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
3102 Omeaa Office Park
Fairfax, VA 22031 Fairfax, VA 22031
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: ('Inrin Rnhan
TITLE: Manager
ADDRESS:
NAME: Stephen Mihlfried NAME:
TITLE: Controller TITLE:
ADDRESS:
ADDRESS:
3102 Omega Office Park 3102 Omega Office Park
Fairfax, VA 22031 Fairfax, VA 22031
SECTION D. CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Stephen Mihlfried
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
4/10/2020
DATE
Stephen Mihlfried Controller
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Repart has been filed electronically.
MAIL TO: Secretary of State, Business Registration Oivision, Post Office Box 29525, Raleigh, NC 27626-0525
Central Files: APS _ SWP
7/24/2020
Permit Number SW8990902
Program Category
State SW
Permit Type
State Stormwater
Primary Reviewer
dan.sams
Coastal SWRule
Coastal Stormwater - 1995
Permitted Flow
Facility
Facility Name
Omega World Travel
Location Address
325 White St
Jacksonville
Owner
NC 28546
Permit Tracking Slip
Status
Project Type
Active
Renewal
Version
Permit Classification
3.00
Individual
Permit Contact Affiliation
MajorlMinor Region
Minor Wilmington
County
Onslow
Facility Contact Affiliation
Owner Name Owner Type
Jax Rex LLC & Omega World Travel Non -Government
Owner Affiliation
Gloria Bohan
3102 Omega Office Park
Dates/Events Fairfax VA 22031
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/9/1999 6/22/2020 7/24/2020 7/24/2020 12/8/2031
Regulated Activities Requested /Received Events
State Stormwater- HD - Detention Pond
Outfall
Waterbody Name Streamindex Number Current Class Subbasin
Burd. Tina J
From: Burd, Tina J
Sent: Tuesday, June 30, 2020 6:28 PM
To: gbohan@owt.net
Subject: SW8 990902 - Omega World Travel
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on June 22, 2020. The project has
been assigned to Dan Sams and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone 910-796-7215
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Email correspondence to al7d from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Application Completeness Review Checklist (Non -Transfers) - Short Version
Project Name: 0M G,,Dge_ -t> QA Va L_ Date Delivered to WIRO: 12,Z Za20
Project County/Location: ot3SLO ) _ BIMS Received/Accepted Date: (p 2 ZC)06
Rule(s): ❑2017 Coastal El2008 Coastal 01995 Coastal BIMS Acknowledged Date':
ElPhase II Universal El1988 Coastal
Permit Action: New
Major Mod / Minor Mod Renewal
Permit Type: HD / LD / LD Overall / HD &LD Combo
General Permit / Offsite / Exempt / Rescission
Development Type: Commercial / Residential / Other
Subdivided?: Subdivision or Single Lot
Permittee Type & Documents Needed:
Property Owner(s) Purchaser El Lessee
Viable? DViabie? Viable?
Deed Purchase Agmt mLease
17 Not Subdivided: Deed
Subdivision: Common Area Deed
New Permit #2:
Existing Permit #t: c5 C-) i5 175 bq 6 2Z
Expriation Date 3: f 2 AZOz3
FlOffsite to SWB:
Lot is in Master Permit?
�PE Cert on File?
1:1HOA Developer
Viable? Viable?
Election Minutes
Paperwork
Application
Fee: ZSSDS (within 5mo) Check#(s): Z03D No Fee
�Supplement2 (1 new form or for older farms: 1 original per SCM)
F]O&M 2
Soils Report (lnfil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided
Project Narrative
FIUSGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?: Y / N
Plans (2 Sets)
IDPE Certification
Electronic Copies
Easements, Recorded (2017 Rules)
NOTES:
'Enter BIMS Acknowledged Date on this Sheet
2For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
3If w/in 5 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE: Comments:
REVIEWER NAME:
G:W4\\\Reference Libra ry`,Procedures\Checklists\Cornplezeness Review Checklist 2020 0131