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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