SW6080802_COMPLIANCE_20080415

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

Michael F. Easley, Governor
%\�lliam G Coss Jr., Secretary
COM7 North Carolina Department of Environmenl;md Natural Resources
Coleco H. Sullins, Director
or, ision of Water Quality
April 15, 2008
CERTIFIED MAIL: 7001 2510 0006 9498 7971
RETURN RECEIPT REQUESTED
Kirby Holding Group, LLC New Heritage Realty, Inc.
Attn: Matt Kirby Attn: Micky Debernard
PO Box 1195 1901 North Poplar Street
Southern Pines, NC 28388 Aberdeen, NC 28315
SUBJECT: Post -Construction Stormwater Notification (HQW/ORW)
Foxcroft
Moore County
Dear Mr. Kirby and Mr. Debernard:
Our office has received a copy of the Financial Responsibility/Ownership Form (FR/O) from the
Division of Land Resources, Land Quality Section for the Foxcroft project to be located in Moore
County. Based on project location information provided on the FR/O, we have determined that the
project is subject to a State Stormwater Management Permit for development activities within one inile
of and draining to High Quality Waters (HQW).
Within 30 calendar days from receipt of this letter, you must submit to this office a complete
application package including the enclosed Stream Classification Form. The State Stormwater
Management Permit is in addition to the NPDES Stormwater General Permit (NCGO10000) received for
construction activities. For more information and to obtain the application and applicable supplement
forms, please visit: http://www.ncwatergtiality.org/su/State_sw.htm. Please be advised that
construction of any built -upon areas prior to issuance of a State Stormwater Management Permit
will be considered a violation of the NC Administrative Codes and could result in the assessment
of civil penalties of up to $25,000 per day, per violation.
If you have any questions concerning this matter, please contact me at [phone].
Sincerely,
Michael Lawyer
Environmental Specialist
Enclosure
cc: Moore County Planning Department
Village of Whispering Pines Planning & Zoning
FRO -Surface Water Protection Noiincarohna
FRO -Land Quality Naturally
North Carolina Division of Water Quality 225 Green Street, Suite 714 Fayetteville, NC 28301-5043 Phone [phone] Customer Service
Internet . vw v,,cwaJerrg,al1ty Fax [phone]
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New Heritage Realty, Inc.
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Ln LToAtM: Micky Dcbe, and
1901 Nortb Poplar Sto Aberdeen, NC 2
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�� 9� M1,tmel F. s;ley, Governor
William G. Ross 1r., Secretary
t �— North Carolina Department of Environment and Natural Resources
—i
O Coleen R Sullins, Director
Division of Water Quality
April 15, 2008
CERTIFIED MAIL: 7001 2510 0006 9498 7971
RETURN RECEIPT REQUESTED
Kirby Holding Group, LLC New Heritage Realty, Inc.
Attn: Matt Kirby Attn: Micky Debernard
PO Box 1195 1901 North Poplar Street
Southern Pines, NC 28388 Aberdeen, NC 28315
SUBJECT: Post -Construction Stormwater Notification (HQW/ORW)
Foxcroft
Moore County
Dear Mr. Kirby and Mr. Debernard:
Our office has received a copy of the Financial Responsibility/Ownership Form (FR/O) from the
Division of Land Resources, Land Quality Section for the Foxcroft project to be located in Moore
County. Based on project location information provided on the FR/O, the have determined that the
project is subject to a State Stormwater Management Permit for development activities within one mile
of and draining to High Quality Waters (HOW).
Within 30 calendar days from receipt of this letter, you must submit to this office a complete
application package including the enclosed Stream Classification Form. The State Stormwater
Management Permit is in addition to the NPDES Stormwater General Permit (NCGO10000) received for
construction activities. For more information and to obtain the application and applicable supplement
forms, please visit: littp://www..ncwaterquality.oig/su/state_sw.htin. Please be advised that
construction of any built -upon areas prior to issuance of a State Stormwater Management Permit
will be considered a violation of the NC Administrative Codes and could result in the assessment
of civil penalties of up to S25,000 per day, per violation.
If you have any questions concerning this matter, please contact me at [phone].
Since ems'
ichael Lawyer
Environmental Specialist
Enclosure
cc: Moore County Planning Department
Village of Whispering Pines Planning & Zoning
FRO -Surface Water Protection NorthCarol ina
FRO -Land Quality Alaturalljl
North Carolina Division of Water Quality 225 Green Street, Suite 714 Fayetteville, NC 28301-5043 Phone [phone] Customer Service
Internetwww ncwoterqualitv.ore Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

a I
OF ICAL USE
Postage $
n'
Certified Fee
or Postmark
Return Recelpt Fee Hare
O (Endorsement Required)
O Restricted Delivery Fee
p (Endorsement Raqulred)
a TowlPo•t•Qe Kirby Holding Group, LLC
sentTo Attn: Matt Kirby
P.O. Box l 195
p or PC Box No.
bity; Sipe; Sv: Southern Pines, NC 28388 l
UNITED STATES POSTAL SERVICE
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No. G Fees Paid
• Sender: Please print your name, address, and ZIP+4 in this box
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FINANCIAL RESPONSIBILITYIOWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land -disturbing activity on one or more acres as covered by the Act.beT©re this-
form and an acceptable erosion and sedimentation control plan have been completed and approved by the
Land Quality Section, N.C, Department of Environment and Natural Resources. (Please type or print and,
the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.)
Part A.
1. Project Name
2. Location of land -disturbing activity: County 11i —City or Township l ✓ti, Sy
Highway/Street /✓Lw /oa-� Latitudeyc� 15 Ifl// Longitude 7 y" Z N l ro. `1 .Z h
3. Approximate date land -disturbing activity will commence: ✓' 1i 1 O c
u. Purpose of development (residential; commercial, industrial, institutional, etc): l V4, vac q
5 Total acreage disturbed or uncovered (including off site borrow and waste or _
6 Amount of fee enclosed $ r 3 , S The application fee of $65.00 per acre (rounded up to the next
acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $585).
7. Has an erosion and sediment control plan been filed? Yes New Enclosed
8, Person to contact should erosion and sediment control issues arise during land -disturbing activity,
Name (r1 H )� • r L;z E-mail Address -In, I�.� (7a'j' "i ; I - Lll'"j
eel( zD _ �ec
Telephone qW- 1, Z c(, .. S0'-Dis— heft#- qlL 0)-273 1
Fax # r .- 6c1 � 17 6�
9, Landowner(s) of
Record
l(attach accompanied page to list additional owners):
r e1P_ ,l-0cr[VIee
Narrf Telephone Fax Number
Current Mailing Address Current Street Address
City State Zip City State
10. Deed Book No, Page No. S ri Provide a copy of the most current deed.
Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide n comprehensive
list of all responsible parties on an attached sheet):
Name E-mail Address �~
Current Mailing Address
City State Zip
Current Street Address
City State ' Zip
Telephone Fax Number

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina Agent:
< V 4
Name
Current Mailing Address
City State Zip
Telephone
E-mail Address
Current Street Address
Gty State Zip
Fax Number
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an
assumed narne, attach a copy of the Certificate of Assumed Name. If the Financially Responsible
Party is a Corporation, give name and street address of the Registered Agent:
Name of Registered Agent E-mail Address
Current Mailing Address
C ty State Zip
Telephone
Current Street Address
Fax Number
State
The above information is true and correct to the best Of my knowledge and belief and was provided by me
under oath. (This form must be signed by the Financially Responsible Person if an individual or his attorney -in -
fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute
instruments for the Financially Responsible Person ). I agree to provide corrected information should there
beeVany change in the information provided herein.
f WH!1Cv 6. IC."(),:
Type or print name Title or Authority
t 1� �L 3-zLO-(2
Signature Date
—'�� a Notary Public in th County of r i _ ...,
State of North olina, hereby certify that
appeared personally
before me this day and being duly sworn ack mwledged that the above for as executed by him.
Witness my hand and notarial seal, this _day of �8
yy ccr rrre rd \.
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s^r.
Notary
`'Seal
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My commission expires Ujn
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.K1 RBY
®REAL ESTATE GROUP, LLC
Land Owners and Contacts
Kirby Holding Group, LLC
Contact: Matt Kirby
285 SE Broad St., Southern Pines, NC 28387
PO BOX 1195. Southern Pines, NC 28388
Office: 910-692-2731
Cell: 910-528-5082
Fax: [phone]
New Heritage Realty, INC
Contact: Micky Debernard
1901 N. Poplar St., Aberdeen, NC 28315
Office: 910-692-2500
Cell: 910-585-2000
Fax:[phone]
285 SE Broad Street PO Box 1195 Southern Pines, NC 28388
Phone :[phone] Fax:[phone] info@ kirbycompanies.com www.kirbycompanies.com