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HomeMy WebLinkAboutSW7100902_CURRENT PERMIT_20210802STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW / ! �dj DOC TYPE [ CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD VJO�V�'Q ROY COOPER Governor ELIZABETH S. BISER Secretary BRIAN WRENN Director W.E. Partners I, LLC Attention: Garald Cottrell 2525 W Firestone Lane Vancouver. WA 98660 NORTH CAROLINA Environmental Quality August 2, 2021 Subject: Stormwater Permit No. SW7100902 Renewal W.E. Partners I — Perdue Cofield High Density Project Hertford County Dear Mr. Cottrell: The Washington Regional Office received a Stormwater Management Permit Application for renewal of the subject permit on July 1, 2021. Staff review of the application has determined that the permit can be reissued. We are forwarding Permit No. SW7100902 dated August 2, 2021, for the continued operation of the existing bioretention system. This permit, upon its effective date, will replace all previous State Stormwater permits for this project. This permit shall be effective from January 1, 2022 until December 31, 2029 and shall be subject to the conditions and limitations as specified therein and does not supercede any other agency permit that may be required. 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, 6714 Mail Service Center, Raleigh, NC 27699-6714. 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 me at (252) 948-3923. Sincerely, �O Roger K. Thorpe Environmental Engineer North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889 wo*m riaauun �\ —' 252.946.6481 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 W.E. Partners I, LLC W.E. Partners I — Perdue Cofield Located at 234 Perdue Road, Cofield, NC Hertford County FOR THE construction, operation and maintenance of a Bioretention basin and grassed swales 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 Energy, Mineral, and Land Resources (Division) and considered a part of this permit. This permit shall be effective from January 1, 2022 until December 31, 2029, and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 of this permit. The stormwater control has been designed to handle the runoff from 44,803 square feet of impervious area. 3. The tract will be limited to the amount of built -upon area as indicated in Section 1.7 of this permit, and per the application documents and as shown on the approved plans. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources �FQ Washington Regional Office 1943 Washington Square Mall I Washington, North Carolina 27889 252.946,6481 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 of this project must be directed into the permitted stormwater control system. 6. The built -upon areas associated with this project shall be located at least 50 feet landward of all perennial and intermittent surface waters. 7. The following design criteria have been provided in the bioretention basin and must be maintained at design condition: a. Drainage Area, acres: 1.57 b. Total Impervious Surfaces, ftz: 44,803 C. Design Storm, inches: 1.50 d. Max. Ponded Depth, feet: 0.75 (9") e. Seasonal High -Water Table, fmsl: 91.00 f. Planting Media Depth, feet: 2' for the grassed cell g. Basin Dimensions, feet: 130 x 60 (approximations) h. Bottom Elevation, fmsl: 101.82 i. Bottom Surface Area, ft2: 7,800 j. Permitted Storage Volume, ft3: 6,501 k. Bypass / Storage Elevation, fmsl: 102.57 I. Predevelopment 1 year 24 hour: 3.20 M. Post development 1 year 24 hour: 2.08 n. Drawdown Time, hours: 19.50 o. Underdrain Diameter, inches: 6.00 P. Total number of plants provided: (grass sod) q. Receiving Stream/River Basin: Deep Creek / Chowan r. Stream Index Number: 25 — 5 S. Classification of Water Body: "C; NSW" II. SCHEDULE OF COMPLIANCE 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. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889 oornwu w 252.9466481 C. Mowing and re -vegetation of slopes and the filter strip. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans. f. Debris removal and unclogging of all drainage structures, level spreader, filter media, planting media, underdrains, catch basins and piping. g. Access to the basin and outlet structure must be available at all times. 4. Records of maintenance activities must be kept for each permitted SCM. The reports will indicate the date, activity, name of person performing the work and what actions were taken. 5. The permittee shall submit to the Division an annual summary report of the maintenance and inspection records for each SCM. The report shall summarize the inspection dates, results of the inspections, and the maintenance work performed at each inspection. 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. 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 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. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources Washington Regional Office 1 943 Washington Square Mall J Washmgton, North Carolina 27889 rvorim curaiw. �` °i^^^•s"®�'\ 252.946.6481 11. The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. 12. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. 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. III. 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 completed Name/Ownership Change form signed by both parties, to the Division, accompanied by the supporting documentation as listed on page 2 of the form. The approval of this request wi;l be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves a request to transfer the permit. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division, 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 DEQ 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 issued shall continue in force and effect until revoked or terminated. 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. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources _ Washington Regional Office 1943 Washington Square Mall I Washington, North Carolina 27889 252946.6481 9. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 10. The issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al. 11. The permittee shall notify the Division in writing of any name, ownership or mailing address changes at least 30 days prior to making such changes. 12. This permit shall be effective from January 1, 2022 until December 31, 2029. Application for permit renewal shall be submitted 180 days prior to the expiration date of this permit and must be accompanied by the processing fee Permit issued this the 2 nd day of August 2021. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION For Brian Wrenn, Director Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission Permit Number SW7100902 3p North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources J/ Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889 rvnm�w�ourr®r� v 252946.6481 " DEMLR USE ONLY Date Received Fee Paid Permit Number 1 2 SOS• o0 10ogoZ NC DEQ Division of Energy, Mineral and Land Resources STATE STORMWATER: PERMIT RENEWAL APPLICATION FORM In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high densitypermit 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: SW7100902 2. Project name: WE. PARTNERS 1 - PERDUE COFIELD 3. Project street address: 234 PERDUE ROAD City: COFIELD County: HERTFORD ZIP: 27922 04. What, if any, changes have been made to the project as permitted? no chages have been made 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. hftps://deg.nc.gov/about/divisions/enerciv- mineral-land-resources/energy-mineral-land-rules/stormwater-program/post-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: https://deg.nc.gov/about/divisions/energv-mineral-land- resources/energv-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not automatically transfer with the sale of the property. 1. Current Permit Holder's Company Name/Organization: W.E. PARTNERS I. LLC 2. Signing Official's Name: GARALD COTTRELL 3. Signing Official's Title: PRESIDENT 4. Mailing Address: 2525 W FIRESTONE LANE City: VANCOUVER State: WA ZIP: 98660 5. Street Address: 2525 W FIRESTONE LANE City: VANCOUVER State: WA ZIP: 98660 6. Phone: 3( 60 ) 750-3583 Email: GARALD.COTTRELL(&WELLONS.COM Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018 C. SUBMITTAL REQUIREMENTS Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) orDEMLR Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). 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; to. 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 duly 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. na 13)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. na CO&M Agreements, Please select one: ❑ I 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 ER 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. \�I © [IF APPLICABLE] If the project has been built, 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. 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). httos://www.sosnc.gov/online services/search/by title/ Business Registration Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018 D. PERMITTEE'S CERTIFICATION I, GARALD COTTRELL , 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 inf ati n provided on this permit renewal application is, to the best of my knowledge, correct d co e Signature: Date: NOTARIZATION: a Notary Public for the State of do hereby certify personally appeared before me day of t n i , 20�L, and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature: l \ , Aa� W a WsYir My commission expires `\ I Q-V mm Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018 .+�.__.C....''.�.��._-r .... .. �z `ter r{(( 1. wAt 'tom .v'� 1.. �;V i'.p'9't13 rCF�itn2�.i�AE ti�i�'.c.{:4''.)�;i� f INNER BANKS ENGINEERING, PC ,1 Date: June 25, 2021 Perdue - Cofield — Stormwater Management 2021 Inspection Report Mr. Garald Cotrell contacted me to inspect the bioretention BMP and determine if any maintenance issues are of concern at this time. I visited the site and inspected the system. Said system is functioning as designed. All other areas appear to be in compliance with the approved plans. The outlet structure, overflow and outfall ditches are clear of debris and appear to be working as designed. With this data, 1, Marie U. Peedin. PE, do hereby certify this Stormwater Management Facility meets design and construction criteria as required by NCDEQ and the site has been maintained as specified. Signed By: ✓16 6/25/21 PO Box 154 Washington, 114 CAR 2 QQpP gyp;•,_ y >m212 �9�F INE 4 ',,�pH i �'`�. Site Pictures c` S Fes` ii •I �'i /J.:.}Yr. P 0 Box 154 Washington, NC 27889 - 252.945.2983 - mupeedin@ibxengineering.com CONSENT IN LIEU OF A JOINT ANNUAL MEETING OF THE SOLE MEMBER AND THE SOLE MANAGER OF W.E. PARTNERS I, LLC (2020) The undersigned, being the sole member and the sole manager of W.E. Partners I, LLC, a North Carolina limited liability company (hereinafter, the "Company"), hereby authorize the following actions to be taken in accordance with Chapter 57D of the General Statutes of North Carolina (known and cited as the "North Carolina Limited Liability Company Act" and hereinafter referred to as the "Act"), and hereby adopt the following resolutions effective as of November 1, 2020 (the "Effective Date"): RESOLVED: That as of the Effective Date the persons or entities holding the equity interests in the Company are as follows: Faua Holder Equity Interest Wellons Energy Solutions, LLC 100.000/0 MANAGER RESOLVED: That Wellons Energy Solutions, LLC, is confirmed as the manager of the Company (the "Manager") in accordance with the Limited Liability Company Agreement of the Company, and any single corporate officer of Wellons Group, Inc. (the manager of the Manager) shall be entitled to act for and on behalf of the Manager for the Company. APPOINTMENT OF OFFICERS RESOLVED: That the following persons are hereby appointed by the Manager to serve as the officers of the Company until their successors have been appointed or removed by the Manager: O rcer President: Chief Financial Officer: General Counsel/Secretary: PRINCIPAL PLACE OF BUSINESS Name Garald B. Cottrell Robert H. Moore, Jr. Jason B.Joner RESOLVED: That the principal office of the business of the Company is hereby designated as 2525 West Firestone Lane, Vancouver, Washington 98660. CONSENT IN LIEU OF A JOINT ANNUAL MEETING OF THE SOLE MEMBER AND THE SOLE MANAGER OF W.E. PARTNERS 1, LLC (2020) -1 REGISTERED AGENT AND ADDRESS RESOLVED: That the registered office for the Company in North Carolina is 2626 Glenwood Avenue, Suite 550, Raleigh, North Carolina 27608, and the name of the registered agent for the Company at that address is Corporation Service Company. RATIFICATION OF PRIOR COMPANY ACTIONS RESOLVED: That all lawful actions taken by the Company's members, managers, and officers for and on behalf of the Company prior to the Effective Date are hereby ratified and affirmed. WAIVER OF NOTICE RESOLVED: That the execution of this consent by the sole member and the sole Manager of the Company shall constitute a waiver of any notice required by the Act, Certificate of Formation, or Limited Liability Company Agreement of the Company. COUNTERPARTS RESOLVED: That this consent may be executed in one or more counterparts, that when taken together shall constitute one instrument. [signature page follows] CONSENT IN LIEU OF A JOINT ANNUAL MEETING OF THE SOLE MEMBER AND THE SOLE MANAGER OF W.E. PARTNERS 1, LLC (2020) -2 Dated as of the Effective Date set forth above: SOLE MEMBER: WELLONS ENERGY SOLUTIONS, LLC, a Washington limited liability company By: WELLONS GROUP, INC., a Washingto corporation By: z.4� Martin N. Nye, President SOLE MANAGER: WELLONS ENERGY SOLUTIONS, LLC, a Washington limited liability company By: WELLONS GROUP, INC., a Washington corporation By: Martin P. Nye, President CERTIFICATION OF SECRETARY: The undersigned Secretary of the Company certifies that the foregoing Consent was duly adopted by the Company as of the Effective Date set - rth above. J,Vdn B. Joner, Secretary CONSENT IN LIEU OF A JOINT ANNUAL MEETING OF THE SOLE MEMBER AND THE SOLE MANAGER OF W.E. PARTNERS I, LLC (2020) - 3 9 LIMITED LIABILITY COMPANY ANNUAL REPORT ■ Ir/2e17 NAME OF LIMITED LIABILITY COMPANY: Wellons Energy Solutions, LLC SECRETARY OF STATE ID NUMBER: 1304160 STATE OF FORMATION: WA REPORT FOR THE CALENDAR YEAR: 2021 SECTION A: 1. NAME OF REGISTERED AGENT: Corporation Service Company 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1304160 CA202104704215 2116I2021 05:15 SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550 Raleigh, NC 27608 Wake County Raleigh, NC 27608 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Holding company for biomass steam generation plants 2. PRINCIPAL OFFICE PHONE NUMBER: (360) 750-3500 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 312 South Front Street Suite 6 5. PRINCIPAL OFFICE MAILING ADDRESS 2525 W Firestone Ln New Bern, NC 28560-2134 Vancouver, WA 98660 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: Wellons Group Inc NAME: TITLE: Administrative Member TITLE: ADDRESS: 2525 W Firestone Ln Vancouver, WA 98660 ADDRESS: NAME: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Wellons Group Inc, by Lindsay Anne Harris Corporate Administrator 2/16/2021 SIGNATURE DATE Form must be signed by a Company Official listed under Seceon C of This form. Wellons Group Inc, by Lindsay Anne Harris Corporate Administrator Administrative Member Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Divisor, Post Office Box 29525, Raleigh, NC 77626-0525 LIMITED LIABILITY COMPANY ANNUAL REPORT ■ ; WIM17 NAME OF LIMITED LIABILITY COMPANY: W.E. Partners I, LLC SECRETARY OF STATE ID NUMBER: 1133323 REPORT FOR THE CALENDAR YEAR: 2021 SECTION A: STATE OF FORMATION: NC 1. NAME OF REGISTERED AGENT: Corporation Service Company 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1133323 612021 01:00 SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS S COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550 Raleigh, NC 27608 Wake County Raleigh, NC 27608 SECTION B: 1. DESCRIPTION OF NATURE OF BUSINESS: Biomass Cogeneration power plant operator 2. PRINCIPAL OFFICE PHONE NUMBER: (360) 750-3583 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 312 S Front St, Ste 6 New Bern, NC 28560-2134 5. PRINCIPAL OFFICE MAILING ADDRESS 2525 W Firestone Lane Vancouver, WA 98660 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: Wellons Energy Solutions, LLC TITLE: Member ADDRESS: 2525 W Firestone Lane Vancouver, WA 98660 NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Wellons Energy Solutions, LLC, by Lindsay Anne Hams Corporate Administrator 2/ 16/2021 SIGNATURE Form must be signed by a Company Official listed under Section C of This form. Wellons Energy Solutions,LLC, by Lindsay Anne Harris Corporate Administrator Member Pant or Type Name of Company Official Pnnt or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626.0525 NC DEQ Division of Energy, Mineral and Land Resources STATE STt"3RiMVII,ATER: PERliPIT RENEWAL APPLICATION FORM In accordance with 15A ,iNCA.0 2H 10,5(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: SW7100902 2. Project name: W.E. PARTNERS I -PERDUE COFIELD 3. Project street address: 234 PERDUE ROAD City: COFIELD County: HERTFORD ZIP : 27922 4: What, If any, changes have been made to the project as permitted? no chages have been made If the project has changed from the original approved plans, please complete SWU-101 fora Major Modification or Minor Modification Application form available at https Hdea nr gov/about/divisions/enera r mineral-land-resources/3r;erav-mineral-land-rules'stormw3ter orogram/cos` constru tion. S. PERMIT TEE INFORMATION ff changes to the permittee or project name have been made, please complete either the Permit Update form or the Permit Transfer form available at., hh»>ttl2s 1/deg nc.gov/aboLit/divisions/energ la d asoures/>rargy-mineral-land-rutesis'ormwater Drngram/oos- corst c"ion. State Stormwater Permits do not automatically transfer with the sale of the property. 1. Current Permit Holder's Company Name/Organization: W.E. PARTNERS I LLC 2. Signing Official's Name: GARALD COTTRELL 3. Signing Official's Title: PRESIDENT 4. Mailing Address: 2525 W FIRESTONE LANE City: VANCOUVER State: WA ZIP: 98660 5. Street Address: 2525 W FIRESTONE LANE City: VANCOUVER State: WA ZIP : 98660 6. Phone: 3( 60 ) 750-3583 Email: GARALD.COTTRELL@WELLONS COM INNER BANKS ENGINEERING, PC PO BOX 164 WASHINGTON, NC 27889 Pay to the Order of_ FirstGtizensB/ank For YeX 1LR �t�a 4261 fib-36/531 — — "a Date 'CHECK �BM09 $ 505.00 Dollars of Sto g:0531003001:004407804 i051lo ❑425i Nlay 11, 2018 ,t State Stormwater Management Systems Permit No. SV 7100902 WE Partners 1 — Perdue Cofield Stormwater Permit No. SW7100902 Hertford County Designer's Certification 1, /Jars a, ?t ta•.,/ , as a duly registered em .^ee e- in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, Vie'LL"Is ,Z - P (Project Name) for bd C +Q .o F,e r I (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page 2 of this form is included in the Certification. Noted deviations from approved plans and specification: %%%1rlrgrii�i CA,9 FESS/p Ke�p" 9. SAL cr?: N;GINEEQ:' ��G�; Signature---��� LEst Registration Number %07, Z Date 1/yA/n ---- - RECEIVED JUL 17 2011 DWg Page 6 of 7 Jiate owl I 1"MM, .,....,...-,---��-- Permit No. SW7100902 Certification Requirements: .�1. The drainage area to the system contains approximately the permitted acreage. /2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built -upon area associated with the project is graded such that the runoff drains to the system. ✓4. All roof drains are located such that the runoff is directed into the system. ✓5. The outlet/bypass structure elevations are per the approved plan. ,,-'6. The outlet structure is located per the approved plans. �. Trash rack is provided on the outlet/bypass structure. ✓8. All slopes are grassed with permanent vegetation, per the vegetation plan. ✓9. Vegetated slopes are no steeper than 3:1. ✓ 10. The inlets are located per the approved plans and do not cause short- circuiting of the system. 11. The permitted amounts of surface area and/or volume have been provided. � .12. Required drawdown devices are correctly sized per the approved plans. ✓ 13. All required design depths are provided. ►`��iA 14. All required parts of the system are provided, such as a vegetated shelf, / and a forebay: v 15. The required system dimensions are provided per the approved plans. cc: Hertford County Building Inspections Page 7 of 7