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HomeMy WebLinkAboutSW8001019_CURRENT PERMIT_20010129STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW_!�,o (Oo DOC TYPE CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE 2- //� YYYYMMDD State oi' North Carolina D,epartment of Environment and Natural Resources Wilminb on Regional Office Michael F. Easley, Governor William G. Ross, �lr., Secretary Division of V1'ater Quality January 29, 2001 Mr. R. Bertram Williams, II1, Owner CIO Wheat First Union 102 South Second Street Wilmington, NC 28402 Subject: Permit No. SW8 00 10 19 Office Building at Third & Grace High Density Stormwater Project New -Hanover County Dear Mr. Williams: r, 'q, r.. The Wilmington Regional Office received a complete Stormwater Management Permit Application' for Office Building at Third & Grace on January 10, 2001. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We w are forarding; Permit No. SW8 00 10 19 dated January 29, 2001, for the construction of Office Building at Third & Grace. This permit shall be effective from the date of issuance until January 29, 2011, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establish an adequate system for operation and maintenance ofthe 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 adi udicatory hearing upon written request within thirty (30).days following receipt ofthis.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 2761'I-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 Scott Vinson, or me at (9I0) 395-:3900. 'Sincerely, Rick Shiver Water Quality Regional Supervisor RSS/sav: S:IWQSISTORMWATIPERMIT1001019.JAN cc: Phil Norris, P.E. Tony Roberts, New Hanover County Inspections Beth Easley, New Hanover -County Engineering -Scott Vinson Wilmington Regional Office Central Files 127 Cardinal Dr. Ext., Wilmington, North Carolina 28405 Telephone 910-395-3900 FAX 910-350-2004 An Equal Opportunity Affirmative Actinn Employer 50°/ recycledl10%. past -consumer paper State Stormwater Managem,pnt Systems Permit No. S W 8 001019 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY 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 1S HEREBY GRANTED TO R. Bertram Williams, LU Office Building al Third & Grace New Hanover County FOR THE construction, operation and maintenance of an underground infiltration trench system 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 January 29, 2011 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 on page 3 of this permit, the Project Data Sheet. The stormwater__control has been designed to handle the runoff from 67,800 square feet of impervious area. 3. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 4. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per approved plans. 5. The runoff from all onsite and offsite built -upon area permitted with this project -must be directed into the permitted stormwater control system. 2 State Storm\valer Management Systems Permit No. SW8 001019 Project Name: Permit Number: Location: Applicant-. Mailing Address: DIVISION OF WATER QUALITY PROJECT DESIGN DATA SHEET Office Building at Third & Grace SW8 001019 Application Date: . Name of Receiving Stream/Index 9: Classification of Water Body: If Class SA, chloride sampling results: Trench Dimensions, LxWxH ,feet: Trench Bottom Elevation, FMSL: Pipe Dimensions, LxD, feet: Drainage Area, acres: Total Impervious Surfaces, W: Buildings, ft2: Parking, ft-: Concrete, fie: Off -Site, W: Offsite Area Entering Trench, ft2: :Required Storage Volume, ft3: Provided Storage Volume, ft3: Overflow Elevation, FMSL: Type of Soil: -Expected Hydraulic Conductivity: Seasonal High Water Table: Time to Drawdown: New Hanover County Mr. R. Bertram Williams, 111, Owner R. Bertram Williams, III 102 South Second Street Vllilmington, NC 28402 .January 10, 2001 Cape Fear River / 18-71 "SC" nla 1015' x 3' x 3' 41.00 1015' x 2.5' of perforated pipe 1:95 -67,800 12,490 48,150 6,460 700 700, per Engineer 5,4439 6,643 46.10 Kureb 55" per hour 37 FMSL l hours State StorniNvater Managcn�cnt Systems Permit No. SWS 00 10 19 II. SCHEDULE OF COMPLIANCE The stormwater management system shall be constructed in it's entirety, vegetated and operational for its intended use prior to the construction of any built -upon surface. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Semi annual scheduled inspections (every 6 months). b. Sediment .removal. C. Mowing and revegetation of side slopes. d. Immediate repair of eroded areas. e. Maintenance of side slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of outlet structure, orifice device and catch basins and piping,. g. Access to the outlet structure must be available at all times. 4. Records of maintenance activities must be kept and made available upon request to authorized personnel of D WQ. The records will indicate the date, activity, name of person performing the work and what actions were taken. S. Decorative spray fountains will not be allowed in the stormwater treatment system. 6. The facilities shall be constructed as shown on the approved plans. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the approved plans :and specifications, and other supporting data. 7. Upon completion of 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.- S. If the stormwater system was used as an Erosion Control device, it must be restored to designcondition prior to operation as a stormwater-treatment device, and prior to occupancy of the facility. 9. A modification must:be permitted prior.to.any construction. The following items will -require a modification to the permit. The Director may determine that other revisions to the project -should require a modification to the permit: a. Any revision to the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area. .e. Further subdivision, acquisition, or sale of the project area. The project area is defined as a]I property owned by.the permittee, for which Sedimentation and Erosion Control Plan approval was sought. f Filling in, altering, orpipingof any vegetative conveyance shown on the approved plan. 10. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten years from -the date of the completion of construction. 4 State Stormwater Management Systems Permit No. SWS 00 10 19 11. The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. If the proposed BUA exceeds the pemitted amount, a modification to the permit must be submitted and approved prior to construction. 12. Prior to the sale of any portion of the property, an access/maintenance easement to the stormwater facilities shall be granted in favor of the permittee if access to the stormwater facilities will be restricted by the sale of any portion of the property. 13. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -upon area. 14. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements ofthe 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. 15. The permittee shall notify the Division of any name, ownership or mailing address changes within 30 days. 111. GENERAL CONDITIONS This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is a name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality accompanied by an application fee, documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request will be considered on its merits and may or may not be approved. 2. failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute 143-215.6A to 143-215:6C. 3. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies -(local, state, and federal) which.have jurisdiction. 4. In the event that the facilities fail to perform satisfactorily, including the creation.of.nuisance conditions, the Permittee shall take immediate corrective action, including those as may be -required by this Division, .such as the construction of additional or -replacement stormwater management systems. .5. The permittee grants ,DENR Staff permission to enter ,the property for the purpose of inspecting all .components of the.permitted stormwater management facility. 6. The permit may -be -modified, revoked.and reissued or=terminated for.cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 7. 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. Permit issued this the 29th day of January, 2001 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION -� Kerr T. Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number SW8 001019 5 State Stormwater Manacement Systems Permit No, SW8 001019 Office Building at Third & Grace Stormwater Permit No. SW8 001019 New Hanover County Designer's Certification 1, , as a duly registered in the project, the State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of (Prof ect) for (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page ? of this form is included in the Certif cation. Noted deviations from approved plans and specification: Signature Registration Number Date SEAL 2 0 State Stormwater Management Systems Permit No. SW8 001019 Certification Requirements: l . The drainage area to the system contains approximately the permitted acreage. 2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built -upon area associated with the project is graded such that the runoff drains to the system. 4. The outlet/bypass structure elevations are per the approved plan. 5. The outlet structure is located per the approved plans. 6. Trash rack is provided on the outlet/bypass structure. 7. All slopes are grassed with permanent vegetation. 8. Vegetated slopes are no steeper than 3:1. 9. The inlets are located per the approved plans and do not cause short-circuiting of the system. . 10. The permitted amounts of surface area and/or volume have been provided. 11. Required drawdown devices are correctly sized per the approved plans. 12. All required design depths are provided. -13. All required parts of the system are provided, such.as a vegetated shelf, and a forebay. 14. The overall dimensions of the system, as shown on the approved plans, .are provided. M. NCDENR-DWQ-RegionalOfFce "Pony Roberts, New Hanover County Building Inspector 7 A&K #00191 -"'CPi:di:^P`..'i Ppp@ :i::C5`.Cpppp' p� "CCd'C:'dC""^^Pd".'.' • "9dCCCR'R,"ydddi4 iECRAR CP:, ''dd:Cdd AdCCCRRi CiiiP CC.CP CC"SAC CCdS;'p CC: is"i :::d1CC;:'.:CQd`.d.CR. C.d,. dC.7:di"CEn.QCGC;GC dRR§:C : C:i ptlid�':' 7E9C"w'76Q3d�C:QCC..C." C:ACE�C"'C...... C7 4 Ei`::o9::CyisCt.��1�: `-". ::C:: ::C7;;.. �., ., ;.:;:;1E�'d:Gu ::--1".. .G�.a3:uR::.:;i.E�::a::.:; U I , Zoo vo 16 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 1. GENERAL INFORMATION 1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): R. Bertram Williams, III 2. Print Owner/Signing Official's name and title (person legally responsible,for facility'and compliance): R. Bertram Williams, III, Owner 3, Mailing Address for person listed in item 2 above: C/o Wheat First Union, 102 South Second Street City: Wilmington State: NC Zip: 28402 Telephone Number: (910) 763-1641 4, Project Name (subdivision, facility,'or establishment name — should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): ?he Office Building at North 3rd Street 5. Location of Project (street address): In the 300 block of North 3rd Street City: . Wilmington County: New Hanover 6. Directions to project (from nearest major intersection): Located in city block bounded by 3rd Street, 4th Street, Walnut Street and Grace Street +" 7. Latitude: 340 14' 22" Longitude: •" 771 56'46" of project 8. Contact person who can answer questions about the project: - Name: Phil Norris. Telephone Number: II. PERMIT INFORMATION 1. Specify whether project is (check one): X New Renewal Form SWU-101 Version 3.99 Page 1 of 4 (910)343-9653 Modification r 2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the Existing permit number NIA And its issue date (if known) NIA 3. Specify the type of project (check one): Low Density X High Density Redevelop General Permit Other 4, Additional Project Requirements (check applicable blanks): r 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 l-877-623-6748, Ill. PROJECT INFORMATION 1 In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative (orie to two pages) describing stormwater management for the project. Subsurface infiltration r 2. Stormwater runoff from this project drains to the Cape Fear -River Basin,. 3. Total Project Area: 1.83 .4. Project Built Upon Area: 84.18 % 5. How many drainage areas does the project have? 1 6. Complete the following information for each drainage area. If there are more than iwo drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Basrn'Infarn anon ; .. , M Drama e'Area 1' ` Drains e. _ Receiving Stream Name UT Cape Fear River Receiving Streain Class SC Drains Area 1.95 acres Existing Impervious * Area N/A Proposed Impervious* Area 1.56 acres % ITpervious* Area total 80% Im ervr©us*;:Surface: Area ,'. Drarna a Area •1;'Y' rr `," ., Drainii e. Area_2 On -site Buildings 0.29 acres On -site Streets N/A On -site Parking 1.10 acres On -site Sidewalks 0.15 acres Other on -site Curb & Gutter 0 Off -site 0,02 acres Total: 1.56 acres Total: * Impervious area is defined as the built upon area including, but not limited to, buildings, roadv, parking areas sidewalks, gravel areas, etc. Form SWU-101 Version 3.99 Page 2-of 4 7. How was the off -site impervious area listed above derived? IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS N/A 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 listing 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 67,107 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 SWU-101 Version 3.99 Page 3 of 4 VI. 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. • Original and one copy of the Stormwater Management Permit Application Form • One copy of the applicable Supplement Form(s) for each $MP • 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. J. Phillip Norris, P.E. Designated agent (individual or firm): Andrew & Kuske Consulting_ Engineers Mailing Address: 902 Market Street City:_ Wilmington State: NC Zip: 28401 Phone: (910 ) 343- 9653 Fax: ( 910 - ) 343- 96 VIII. APPLICANT'S CERTIFICATION Ser4r. " I, (print or type name of person listed in General Information, item 2) R • 4tj�tcn Williams, III 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. _ /9 _/ ' _ Signature: Date:_ 10-1A -UO T Form SWU-101 Version 3.99 Page 4 of 4 A&K #00191 Permit No. (DO I otl (to be provided by DIV& State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM UNDERGROUND INFILTRATION TRENCH SUPPLEMENT This form may be photocopied for use as an original DWQ Stormwater Management Plan Review: A complete stormwater management plan submittal includes a stormwater management permit application, an underground infiltration trench supplement for each system, design calculations, and plans and specifications showing all stormwater conveyances and system details. I. PROJECT INFORMATION Project Name: The Office Building at Third and Grace Contact Person: _ R. Bertram Williams. III Phone Number: ( 910) 763-1641 For projects with multiple infiltration systems, a supplement form must be completed for each system. This worksheet applies to: Trench 1 in Drainage Area 1 (from plans) (from Form SWU401) II. DESIGN INFORMATION (attach supporting calculations/documentation): Soils Report Summary (based upon an actual field investigation and soil borings) Soil Type _Kureb T_ Infiltration Rate 55 infhr or cflhrlsf (circle appropriate units) SHWT Elevation 37 fmsl (Seasonal High Water Table elevation) Trench Design Parameters Design Volume Design Storm Drawdown Time Perforated Pipe Size Perforated Pipe Length No. Observation Wells Stone Type (if used) Stone Void Ratio 5,900 . c.f. 1.0 inch event (1.5 inch event for SA waters, 1 inch event for others) 0.01 days 30". inch diameter 1,015 ft. (may be required on a case -by -case basis) #57 40% Trench Elevations (in feet mean sea level) Bottom Elevation _ 4l _ 0-_90 A fmsl Storage/Overflow Elevation 46.1 ' fmsl @ catch basin # 13 Form SWU-107 Rev 3.99 Pa -Me 1 of 4 Trench Dimensions Height 3 ft. Length Width 2 - 4 ft. Volume Provided III. REQUIRED ITEMS CHECKLIST 1,01 � -5 - fi. 6,800 cu.ft. The following checklist outlines design requirements per the Stormwater Best Management Practices manual (N.C. Department of Environment, Health and Natural Resources, November 1995) and Administrative Code Section: 15 A NCAC 2H .1008. Initial in the space provided to indicate that the following design requirements have been met and supporting documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the agent may initial below. Attach justification if a requirement has not been met. Applicants Initials a. System is located 50 feet from class SA waters and 30 feet from other surface waters. b. System is located at least 100 feet from water supply wells. c. Bottom of system is at least 2 feet above the seasonal high water table. d. Bottom of the system is 3 fea above any bedrock or impervious soil horizon. e. Off-line system, runoff in excess of the design volume bypasses the system (bypass detail provided). at ' 'r -9-k sue. If System is designed to draw down the design storage volume to the proposed bottom elevation under seasonal high water conditions within five days based upon infiltration through the bottom only (a hydrogeologic evaluation may be required). Soils have a minimum hydraulic conductivity of 0.52 inches per hour. System is not sited on or in fill material or DWQ approval has been obtained. Plans ensure that the installed system will meet design specifications (constructed or restored) upon initial operation once the project is complete and the entire drainage area is stabilized. System is sized to take into account the runoff at the ultimate built -out potential from all surfaces draining to the system, including any off -site drainage. System is located in a recorded drainage easement for the purposes of operation and maintenance and has recorded access easements to the nearest public right-of-way. System captures and infiltrates the runoff from the first 1.0 inch of rainfall (1.5 inch event for areas draining to SA waters ). Drainage area for the device is less than 5 acres. A pretreatment device ( filter strip, grassed swale, sediment trap, etc.) is provided. Trench bottom is covered with a layer of clean sand to an average depth of 4 inches. Sides of the infiltration trench are lined with geotextile fabric. Rock used is free of fines (washed stone) and has a large void ratio. Side to bottom area ratio is less than 4:1. Form SWU-l07 Rev 3.99 Page 2 of 4 kAj — j s. Observation well(s) are provided (case -by -case basis). t. Vegetated filter is provided for overflow (50 feet for SA waters, 30 feet for other waters) and detail is shown on plans. u. A benchmark for checking sediment accumulation is provided. E IV. UNDERGROUND INFILTRATION TRENCH OPERATION AND MAINTENANCE AGREEMENT After every runoff producing rainfall event and at least monthly inspect the bypass/overflow structure for blockage and deterioration and the infiltration system for erosion, trash accumulation, grass cover, and general condition. 2. Repair eroded areas immediately, re=seed as necessary to maintain adequate vegetative cover, mow vegetative cover to maintain a maximum height of six inches, and remove trash and blockages as needed to maintain system performance. 3. Remove accumulated sediment annually or when depth is reduced to 75% of the original;design�depth. Restore depth to original design depth without over -excavating. Over -excavating may cause'theirequjre'd"eater table separation to be reduced and may compromise the ability of the system to perform as`designed:•1,..;�:,, 4. The water level in any monitoring wells will be recorded after a 1 inch rainfall event and, at, least once a month. Chronic high water table elevations (within I foot of the bottom of the,systetn for a'perioaV three"months) shall be reported to DWQ immediately. '4 5. If DWQ determines that the system is failing, the system will immediately be repaired or replaced to original design specifications. If the system cannot be repaired to perform its design function, -other stormwater control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed. 6. Remove accumulated sediment from the infiltration system annually or when depth in the unit is reduced to 75% of the original design depth. The system shall be restored to the original design depth without over -excavating. Over -excavating may cause the required water table separation to be reduced and may compromise the ability of the system to perform as designed. Removed sediment shall be disposed of in an appropriate manner and shall not be handled in a manner that will adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.). A benchmark shall be established in the infiltration system. The benchmark will document the original design depth so that accurate sediment accumulation readings can be taken. The measuring device used to determine the depth at the benchmark shall be such that it will give an accurate depth reading and not readily penetrate into accumulated sediments. When the depth at the benchmark reads 0.5' , the accumulated sediment shall be removed from the system. Farm SWU-to7 Rev 3.99 Page 3 of 4 I acknowledge and agree by my signature below that I am responsible for maintaining the stortn�v;itet collection system in accordance with the six 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 and Title: R. Bertram Williams, III Address: C/O Wheat First Union, 102 South Second Street, Wilmington, NC 28402 Phone: Signature: Date: a -W 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,--ar i Q � a Notary Public for the State of -1 or`�'k Caro MAIL ' ,County of 1d? 90LI%04t Y do hereby certify that & r a vm W ' , l' a wl5 personal ly y appeared before me this oZ day of _ Qc:VO b!.Y _ AiDt)o and aclanowledee the due execution of the forboinb infiltration basin maintenance r cents. Witness my hand and official sea], -MM �ffl � My commission expires-al0-0 2, Form SWU-l07 Rev 3.99 Page 4 of 4 Permit Number SW8001019 Program Category State SW Permit Type State Stormwater Primary Reviewer scott.vinson . Coastal SW Rule Coastal Stormwater - 1995 Permitted Flow Facility Facility Name The Office Building at Third and Grace Location Address 300 Block Of N 3rd St Wilmington NC 28402 Owner \` Owner Name Third & Grace LLC Central Files: AP5 SWP 09/14/12 Permit Tracking Slip Status Project Type Active New Project Version Permit Classification 1.00 Individual Permit Contact Affiliation Major/Minor Region Minor Wilmington County New Hanover Facility Contact Affiliation Owner Type Non -Government Owner Affiliation Bertram Williams III 2134 Gloucester PI Wilmington / NC 28403 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 01 /29/01 10/16/00 01 /29/01 01 /29/01 01 /29/15 Regulated Activities Requested/Received Events State Stormwater - HD - Infiltration Additional information received Additional information requested 12/20/00 Engineer/tech specialist certification received 08/13/12 Outfall NULL Waterbody Name Stream Index Number Current Class Subbasin i -1K ch z,,y .ec-4 °� 0-e G IV1 12-, A� •' NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION 1. Stormwater Management Permit Number: S,U F 00101q 2. Project Name: -rL O7Ge 3/c/ J G4,7ci Gr2ce. 3. Current Permit Holder's Company Name/Organization: Wh eaa 55ST 4. Signing Official's Name:. &-bi 2h7 will, 007 S _ff Title: oa)17V,'- 5. Mailing Address: 102 S SCCcld City: 6)1!Zj-j117G617 State: 1UC Zip: 28��� 6. Phone: (Cl/ } c�I� CP 3 - 1 & ¢ ( Fax: II. PROPOSED PERMITTEE 1 OWNER 1 PROJECT 1 ADDRESS INFORMATION This request is for: (please check all that apply) Z Name change of the owner (Please complete Items 1, 2 and 3 below) ❑ Name change of project (Please complete Item 5 below) ❑ Change in ownership of the property/company (Please complete Items 1, 2, Mailing address I phone number change. (Please complete Item 4 below) ❑ Other (please explain): 3, and 4 below) 1. Proposed permittee's company name/organization: !h (tint �f t r2CA LL.0 2. Proposed permittee's signing official's name: P. &-b-0#7 211175r 3. Proposed permittee's title: Ret)egew- 4. Mailing Address: Z13G/0Qc¢s74P,— P/2ce_ City: 1Llnll*) State: tiC Zip: Phone: ( 0) ZO Z 455Cy Fax: 5. New Project Name to be placed on permit: Please check the appropriate box. The proposed permittee listed above is: ❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a recorded easement for all areas that contain stormwater system features. Print name of HOA or POA in #1 above and provide name of HOA/POA's authorized representative in #2 above) The property owner - l/ 11C f 2�' /"eCar-,C(S -�&- zot Z - ❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on page 4) ❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be granted upon receipt of a copy of the recorded deed) ❑ Developer (Complete Property Owner Information on page 4) SSW N/O Change Rev15Feb201 1 Page 1 of 4 III. REQUIRED ITEMS A, request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all of the applicable required items listed below are included with the submittal. Failure to provide the listed items may result in processing delays or denial of the transfer. 1. This completed and signed form. This certification must be completed and signed by both the current.permit holder and the new applicant if this is a change of owne_rs_h_ip.. 2. Legal documentation of the property transfer to a new owner. 3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit. 4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from each DWQ Regional office), if required by the permit and if not already submitted to DWQ. 5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability company, or other corporate entity, provide documentation showing the authority of the named representative to act on behalf of the proposed permittee. 6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing fee is not required. Subsequent ownership transfers will require the $40.00 processing fee. IV. CURRENT PERMITTEE'S CERTIFICATION Please check one of the following statements and fill out the certification below that statement: Check here if the current permittee is only changing his/herfits name, the project name, or mailing address, but will retain the permit. I, , the current permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing address and/or I am changing the name of the permitted project. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. ❑ Check here if current permittee is transferring the property to a new owner and will not retain ownership of the permit. I, , the current permittee, am submitting this application for a transfer of ownership for permit # . I hereby notify DWQ of the sale or other legal transfer of the stormwater system associated with this permit. I have provided a copy of the most recent permit, the designer's certification for each BMP, any recorded deed restrictions, covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved operation and maintenance agreement, past maintenance records, and the most recent DWQ stormwater inspection report to the proposed permittee named in Sections Il and V of this form. further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. I assign all rights and obligations as permittee to the proposed permittee named in Sections II and V of this form. I understand that this transfer of ownership cannot be approved by th DWQ unless and until the facility is in compliance with the permit. Signature: Date: I,,a,t[� , a Notary Public for the State of County of do hereby certify that personally appeared before me this the day of 120 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, Notary Signature (Notary Seal) SSW N/O Change Rev15Feb2011 Page 2 of 4 V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the Prdposed Permittee for all transfers of ownership) I, , hereby notify the DWQ that I have acquired through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted stormwater management system, and, if applicable, constructing the permitted system. acknowledge and attest that I have received a copy of: (check all that apply to this permit) 8 the most recent permit the designer's certification for each BMP ❑ any recorded deed restrictions, covenants, or easements ❑ the DWQ approved plans and/or approved as -built plans ❑ the approved operation and maintenance agreement epast maintenance records from the previous permittee (where required) DWQ stormwater inspection report showing compliance within 90 days prior to this transfer I have reviewed the permit, approved plans and other documents listed above, and I will comply with the terms and conditions of the permit and approved plans. I acknowledge and agree that I will operate and maintain the system pursuant to the requirements listed in the permit and in the operation and maintenance agreement. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. Signature: I , County of Date: a Notary Public for the State of do hereby certify that personally appeared before me this the day of , 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) otary Signature Additional copies of the original permit and the approved Operation and Maintenance agreement can be obtained from the appropriate Regional Office of the Division of Water Quality. This completed form, including all supporting documents and processing fee (if required), should be sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural Resources, Division of Water Quality, as shown on the attached map. Please note that if the Proposed Permittee listed above is not the property owner, the property owner must complete and sign page 4 of this document. Both the lessee / developer and the property owner will appear on the permit as permittees. SSW N/O Change Rev15Feb2011 Page 3 of 4 VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION If the Proposed Permittee listed in Sections II and V of this form is not the Property Owner, the Property Owner must provide his/her Contact Information below and sign this form: Printed Name: Organization:. Title within the Organization: Street Address: City: Mailing Address: City. Phone: Email: State: (if different from street address) State: Fax: Zip: Zip: I certify that I own the property identified in this permit transfer document and have given permission to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy of the lease agreement or other contract, which indicates the party responsible for the construction and/or operation and maintenance of the stormwater system, has been provided with the submittal. As the legal property owner I acknowledge, understand, and agree by my signature below, that I will appear as a permittee along with the lessee/developer and I will therefore share responsibility for compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a developer, lessee or purchaser for the property. I understand that failure to operate and maintain the stormwater treatment facility in accordance with the permit is a violation of NC General Statute (NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6. Signature of the property owner A County of Date: a Notary Public for the State of , do hereby certify that personally appeared before me this the day of 120 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature SSW N/O Change Revl 5Feb2011 Page 4 of 4 New Hanover County r;, Page 3 of I V PARID: R04817-002-012-000 THIRD & GRACE LLC Parcel Alt ID Address Unit City Zip Code Neighborhood Class Land Use Cade Living Units Acres Zoning Legal Legal Description Tax District Owners Owner City State Country Zip 300 3RD ST N 311708.89.6812.000 300 N 3RD ST WILMINGTON CHBBO COM-Commercial 601-Finance Banks 1.8261 CBD-CENTRAL BUSINESS DIS PT OF LTS 1 2 3 ALL OF 4 5 BLK 206 WILMINGTON (1.83 AC) WM THIRD & GRACE LLC . WILMINGTON NC 28403 THE DATA IS FROM 2012 North Carolina Secretary of State Page 1 of l North Carolina Elaine F. Marshall DEPARTMENTOF -rFIE Secretary ECRET'ARY o>W STATE ' ,• PO Box 29622 Raleigh, NC 27626-0622 (919)807-2000 Date: 81312012 Click here to: View Document Filings I File an Annual Report J Print a Pre -populated Annual Report Fillable PDF Form I Amended A Previous Annual Report Corporation Names Name Name Type NC. THIRD & GRACE, LLC LEGAL Limited Liability Company Information SOSID: 0572758 Status: Current -Active Effective Date: 12/6/2000 Annual Report Due Date: Citizenship: DOMESTIC State of Inc.: NC Duration: 1213V2050 Annual Report Status: CURRENT Registered Agent Agent Name: WILLIAMS, R. BERTRAM, III Office Address: 2134 GLOUCESTER PLACE WILMINGTON NC 28403 Mailing Address: 2134 GLOUCESTER PLACE WILMINGTON NC 28403 Principal Office Office Address: 2134 GLOUCESTER PLACE WILMINGTON NC 28403 Mailing Address: 2134 GLOUCESTER PLACE WILMINGTON NC 28403 Officers Title: MANAGER Name: R BERTRAM WILLIAMS III Business Address: 2134 GLOUCESTER PL WILMINGTON NC 28403 This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version; 3268 �y,4AR771/� LIMITED LIABILITY COMPANY ANNUAL REPORT NAME OF LIMITED LIABILITY COMPANY: Third & Grace, LLC REPORT FOR THE YEAR: 2011 SECRETARY OF STATE L.L.C. II) NUMBER: 0572758 NATURE OF BUSINESS: Commercial Office BuilditW RMSTERED AGENT: Williams, R. Bertram, III RFIGISTliR1;D OFFICE MAILING ADDRESS: 2134 Gloucester Place Wilmington, NC 28403 E-Filed Annual Report -1-0-5295349 Do not data enter manually. STATE OF INCORPORATION: NC Rl GISTEIRED OFFICE STREET ADDRESS: 2134 Gloucester Place Wilmington, NC 28403 New llanover Counly PRINCIPAL OFFICE TELEPHONE: NUMBER: (910) 763-7107 PRINCIPAL OFFICE, MAILING ADDRESS PRINCIPAL OFFICE STREET ADDRESS MANAGERS/M EMBERS/ORGANIZERS: 2134 Gloucester Place Wilmington, rVC 28403 2734 Gloucester Place Wilmington, NC 28403 Name: R Bertram Williams III Title: Manager Address: 2134 Gloucester PI Wilmin ton NC 28403 Y C13'WrIFICATION OF ANNUAL REPORT MUST BE COMPLETU) BY ALL LIMITED LIABILITY COMPANIES R Bertram Williams III FORM MUST 13P SIGNED 13Y A MANAGER/MEMBER 03/09/2012 DATE R Bertram Williams I11 Manager TYPE OR PRINT NAME TYPE, OR PRINT TITLE ANNUAL REPORT 17EE: $200 MA[L TO: Seerelary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525 13 Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. m Print your name and address on the reverse so that we can return the card to you. M Attach this card to the back of the mailpiece, or cn the front if space permits. 1. Article Addresseed'to: _ 1� �C--/ 2. Article Number (Transfer from service label) PS Form 3811, February 2004 X 'I'/lll�IJ ❑Agent Addressee B elved by (Pnrrtt e�(d�ame) Da a/�f Delivery / «Y]-S ( �V — 12� D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. S rce Type Certified Mail ❑ Express Mail ❑ Registered © Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4, Restricted Deliver)(? (Extra Fee) ❑ Yes 7011 0110 0000 9947 3601 Domestic Return Receipt .v 102595-02-M•1540