HomeMy WebLinkAboutSW8061105_CURRENT PERMIT_20181101STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 M9 \ 1 U
DOC TYPE
[] CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
'LU\� \\ U 1
YYYYMMDD
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Seel etary
WILLIAM E. (TOBY) VINSON, JR
Interim Director
November 1, 2018
TW Landmark, LLC
Attn: Alan Giaquinto, Member
408 Landmark Drive
Wilmington, NC 28412
Subject: Name / Ownership Change
State Stormwater Management Permit No. SW8 061105
Landmark Industrial Park Lot 7
New Hanover County
Dear Mr. Giaquinto
Effective August 1, 2013 the State Stormwater program has been transferred from the Division of
Water Quality (DWQ) to the Division of Energy, Mineral and Land Resources (DEMLR). All previous
references to DWQ will remain in older stormwater permits issued prior to August 1, 2013 until they
are modified. Please note that the updated permit or any updated pages to the permit will now
reference DEMLR as the Division responsible for issuance of the permit.
On October 31, 2018, the Division of Energy, Mineral and Land Resources (DEMLR) received a permit
Name/Ownership Change Form from for the subject project. A file review and site inspection was
performed on March 1, 2018 by DEMLR staff. A letter notifying you of the deficiencies was mailed on
March 19, 2018, you responded acknowledging that you understand that you will be required to
address the deficiencies on October 31, 2018. The original permittee lost the project to foreclosure,
and TW Landmark, LLC is the new owner. By acknowledging receipt of the permit, and by signing the
Name/Ownership Transfer form, you have accepted the responsibility for complying with the terms
and conditions outlined in this permit. The Division is hereby notifying you that permit SW8 061105
has been transferred on November 1, 2018 and to remind you that this permit shall be effective until
November 30, 2020. For your records, please find enclosed a copy of the updated permit, a copy of
the inspection report, and a copy of the Name/Ownership Change form submitted on October 31,
2018.
This permit is subject to the conditions and limitations as specified in the updated permit. 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 919-
431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit shall
be final and binding. g
�Dv
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
!� State Stormwater Permit No. SW8 061105
Page 2 of 2
If you have any questions, need additional copies of the permit or approved plans, please contact Kelly
Johnson with DEMLR in the Wilmington Regional Office at (910) 796-7331.
Sincerely,
.T,,-, William E. (Toby) Vinson, Jr., PE, CPESC, CPM, Interim Director
Division of Energy, Mineral and Land Resources
GDS/kpj: A\\Stormwater\Permits & Projects\2006\0611.05\2018 11 permit 061105
cc: Harold Layne, Member Manager, Monroe Holdings, LLC (original permittee)
PO Box 216, Carolina Beach, NC 28428
Wilmington Regional Office Stormwater File
S,
State Stonnwater Management Systems
Permit No. SW8 06110.5
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
TW Landmark, LLC
Lot 7 Landmark Industrial Park
New Hanover County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000, effective September 1, 1995 (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 (DEMLR) and considered a part of this permit.
This permit shall be effective from the date of issuance until November 20, 2020, 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 1.6 of this permit. The stormwater control has been designed to
handle the runoff from 40,761 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 of this project must
be directed into the permitted stormwater control system.
Page 3 of 9
State Stormwater -Management Systems
Permit No. S\\18 061 105
X.
The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
a. Drainage Area, acres: 1.4
Onsite, ft2: 60,984
Offsite. ft2: N/A
b. Total Impervious Surfaces, ft2: 40,761
C. Design Storm, inches: 1
d. Pond Depth; feet: 6
e. TSS removal efficiency: 90%
f. Permanent Pool Elevation, FMSL: 24.5
g. Permanent Pool Surface Area; ft2: 2,550
h. Permitted Storage Volume, ft3: 7,665
1. Temporary Storage Elevation, FMSL: 26.5
j. Controlling Orifice: 0.75"0 pipe
k. Permitted Forebay Volume, ft3: 1,397
I. Receiving Stream/River Basin: UT to the Cape Fear / Cape Fear
M. Stream Index Number: 18(63)
n. Classification of Water Body: "C-Sw"
It. 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 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. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation 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.
9. 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 DEMLR. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
Page 4 of 9
State Stonnwater Management Systems
Permit No. S\\18 061 105
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, 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, 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 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, 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 for a minimum of ten years from the date of the completion of construction.
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.
Page 5 of 9
Statc Stormwater Management Systems
Permit No. S1118 061 105
14. If the use of permeable pavement for BUA credit within the lot is desired, the permittee
shall direct the lot owner to submit an application with all supporting documentation and
the application fee to the Division and receive a permit prior to construction of the
permeable pavement.
III. GENERAL CONDITIONS
1. This permit is not transferable to any person or entity except after notice to and approval
by the Director. The permittee shall submit a completed and signed State Stormwater
Request Form for Permit Transfer or Permit Information Update, accompanied by the
supporting documentation as listed on the form, to the Division at least 60 days prior to
any one or more of the following events:
a. Any ownership change including: (red text is only for subdivisions);
i. The assignment of declarant rights to another individual or entity
ii. The sale or conveyance of the common areas to a Homeowner's or
Property Owner's Association, subject to the requirements of Session Law
2011-256;
iii. The sale or conveyance of the project area in whole or in part, except in
the case of an individual lot sale that is made subject to the recorded deed
restrictions and protective covenants;
iv. Dissolution of the partnership or corporate entity, subject to NCGS 57D-2-
01(e) and NCGS 57D-6-07;
b. Bankruptcy;
c. Foreclosure, subject to the requirements of Session Law 2013-121;
d. A name change of the current permittee;
e. A name change of the project;
f. A mailing address change of the permittee;
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement action by the DEMLR, 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 DEQ 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 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.
8. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address changes
within 30 days.
Page 6 of 9
State Stormwater Management Systems
Pennit No. S\118 061105
10. The permittee is responsible for compliance with all permit conditions until such time as
the Division approves the transfer request. Neither the sale of the project, in whole or in
part, nor the conveyance of common area to a third party constitutes an approved
transfer of the stormwater permit.
11. Any individual or entity found to be in noncompliance with the provisions of this
stormwater management permit or the requirements of the Stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
12 The permittee shall submit a permit renewal application 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 transferred and reissued this the 15' day of November 2018
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�,� as�
;., Williarq . (Toby) Vinson -Jr., PE, CPESC, CPT, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 7 of 9
Statc Stormwater Nlanagement Systerns
I'emiitNo. S\W 061105
Lot 7 Landmark Industrial Park
Stormwater Permit No. SW8 061105
New Hanover County
Designer's Certification
I, , as a duly registered in the
State of North Carolina; having been authorized to observe (periodically/ weekly/ full time) the
construction of the project;
(Project)
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 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date
State Stormwater Management Systems
I'ermit \o. SW8 061105
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.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
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.
14. All required parts of the system are provided; such as a vegetated shelf, and a
forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDEQ-DEMLR Regional Office
New Hanover County Building Inspections
Page 9 of 9
Project Name:
Project Location:
_ �, � � • r ' �I � Is
Maintenance records shall be Kept on the tollowing BMF'(s). I his maintenance record shall be Kept in a login a Known set
location. Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immediately. These
deficiencies can affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & correspc
Bioretention Cell
Quantity:
Dry Detention Basin
Quantity:
Grassed Swale
Quantity:
Green Roof
Quantity:
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Level Spreader/VFS
Quantity:
Permeable Pavement
Quantity:
Proprietary System
Quantity:
Rainwater Harvesting
Quantity:
Sand Filter
Quantity:
Stormwater Wetland
Quantity:
Wet Detention Basin
Quantity:
1'
Disconnected Impervious Area
Present:
No
User Defined BMP Present: No
O&M tables will be added
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed
for each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any
changes to the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s)::'
Email:
Signature: Date:
to a� 17
Y&!2QMr SO (-a-,r , a Notary Public for the State of
County of ( e¢ j l4anottc-c- do hearby certify that Al ¢,, C L 6!. o
personally appeared before me this day of a)l'7 and
acknowledge the due execution of the Operations and Maintenance Agreement.
Witness my hand and official seal, Qv/M •—
., r 111 ll lllr...
Notary Public
Brunswick County
\
C ARC, \`�
ECEIVE
DEC 2 8 2017
BY:
commission expires
5- 3o -poi
STORM-EZ 11/30/2017
Version 1.4 0&M Manual Page 1 of 4
Wet Detention Pond Maintenance Requirements,
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if
one is provided.
Important maintenance procedures:
Immediately after the wet detention basin is established, the plants on the vegetated shelf and perimeter of the
basin should be watered twice weekly if needed, until the plants become established (commonly six weeks).
No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to
establish the plants on the vegetated shelf.
Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the
emergency drain should be minimized to the maximum extent practical.
Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance should be kept in a
known set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How I will remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer ap lication.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to smooth it over and provide erosion
swale.
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The forebay
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where
original design depth for
it will not cause impacts to streams or the BMP.
sediment storage.
Erosion has occurred.
Provide additional erosion protection such as reinforced turf matting or
riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it
on the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the problem: soils, hydrology, disease, etc.
dying.
Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it
on the plants rather than spraying.
STORM-EZ 1113012017
Version 1.4 O&M Manual Page 2 of 4
Wet Detention Pond Maintenance,Requirements
(Continued)
Na {
The main treatment area
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where
original design sediment
it will not cause impacts to streams or the BMP.
storage depth.
Algal growth covers over 50%
Consult a professional to remove and control the algal growth.
of the area.
Cattails, phragmites or other
Remove the plants by wiping them with pesticide (do not spray).
invasive plants cover 50% of
the basin surface.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and consult a professional to remove
beaver activity is present.
beavers.
A tree has started to grow on
Consult a dam safety specialist to remove the tree.
the embankment.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
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.
STORM-EZ 11/30/2017
Version 1.4 O&M Manual Page 3 of 4
Wet Detention Pond Design Summary ", ," 3
Wet Pond Diagram
- WET POND ID FOREBAY MAIN POND
0
Permanent Pool El.
Permanent Pool El.
Temporary Pool El:
Temporary Pool El:
NoClean
Pretreatment otherFYe
Out Depth: 0
Clean Out Depth:0than
forebay?
Sediment Removal El:
Sediment Removal El:
HasVeg.FilteR s
Bottom Elevation:
Bottom Elevation:
STORM-EZ 11/30/2017
Version 1.4 O&M Manual Page 4 of 4
Date Received
Fee Paid
Permit Number
` It1
IS6
uyOcouo_s
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deg.nc._qoylcontactlregional-Offices.
After this application is accepted, DEVLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until.
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.), or
3. in the case where a transfer falls under G. S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager; (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC) f'
• Municipality - a ranking official or duly authorized employee,
• Partnership or limited partnership - the general partner,'
• Sole proprietor,'
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Stormwater Permit Number:
2. Project name: L" K_A I C tl_V_%f_ It " I
Is this an updated project name from the current permit? ❑ Yes
3. Reason for the permit transfer ceauest:
TINE
DEC 2 8 20V
BY:_
Stormwater Permit Transfer Application Form Page 1 of 7 April 21, 2017
B. PERSON(S) WHO HAVE SIGNED THIS FORM
❑ 1. Both the current and proposed permittees.
❑ 2. Only the current permittee/declarant of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
�✓ 3. Only the proposed permittee (skip Part D below).
In accordance with G. S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
U- a. The opposed permittee is either (select one of the following):
M/ihe successor -owner who holds title to the property on which the permitted activity is
occurring or will occur;
The successor -owner who is the sole claimant of the right to engage in the permitted
activity.
b. The current permittee is (select all at least one of the following):
❑ tural person who is deceased.
Lk4'A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
Other (please explain):
c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
ECEI'E
DEC 2 8 2017
BY:
Stormwater Permit Transfer Application Form Page 2 of 7 April 20, 2017
C. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark 'Y' if previously provided. If not
applicable or not available, please mark N/A.:
1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143-215.3D(e)(2).
2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
4. The signed and notarized applicable operation and maintenance agreement(s) from the proposed
permittee, as required by the permit.
5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built -upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
8. If transferring under G.S. 143-214.7(c2) (see also SL 2011-256), documentation verifying that 50%
or more of the lots have been conveyed to individuals (not builders). Copies of the deeds of
conveyance or a chart listing the lot number, lot address, owner's name, conveyance date and
deed book and page number are acceptable.
9. If transferring under G.S. 143-214.7(c5) (see also SL 2013-121), provide legal documentation
supporting the dissolution of the corporation or documentation supporting the current permittee
was lawfully and finally divested of title of the property.
10. A copy of the lease agreement if the proposed permittee is the lessee.
11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
12. A copy of the development agreement if the proposed permittee is the developer.
". DEC 2 B 2017
Stormwater Permit Transfer Application Form Page 3 of 7 April 20, 2017
D. C�JR�t4T PE MIT�TEE INFORMATION AND CERTIFICATION
1. Current Permit Holder's Company
2. Signing Official's Name: _
3. Signing Official's Title:
4. Mailing Address:
City:
5. Street Address:
City:
6. Phon
ML��
I, , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signature: Date: I A - a a. • j
1 I _ a Notary Public for the State of
I J V,. , County of ►yf.Li Fxa"eicX , do hereby certify
that I a -A GT", )Cn i-n personally appeared before me
this the 2a r.� day of D L ce vn to-c_r- 20=, and acknowledge the due
instrument. Witness my hand and official seal,
(NW4fb(r -P6VIIC
Brunswick County EF=-��1/1'Y��
2 P
�kary Signatul�;.�
My co {ifNl§sion expires q • ao 17
Stormwater Permit Transfer Application Form Page 4 of 7 April 20. 2017
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E. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
❑ Property owner (skip Part G)
❑ Home Owners Association (HOA), Property Owners,
(UOA) (skip Part G)
❑ Lessee (Attach a copy of the lease agreement. Both the
permit as co-permittees. If the lease is terminated, respc
owner.)
❑ Purchaser (Attach a copy of the pending sales agree
of the recorded deed after the purchase has taken pl ce
permit reverts to the property owner.)
❑ Developer (Attach a copy of the development a reemer
appear on the permit as co-permittees. If the velopme
permit reverts to the property owner.)
2.
Proposed permittee name (check one
❑ Corporation, LLC, Partnership, Mu
❑ HOA /POA IUOA name:77
❑ Sole Proprietor
3. Proposed permittee
a. Signing Official's
b. Signing Official's
c. Mailing Address:
City:
d. Street Addres .
City:
e. Phone:
4. If there
a.
b. or
Email:
(POA), or Unit Owner Association
and the property owner will appear on the
for the permit reverts to the property
it. The permit will require submission of a copy
If the purchase agreement is cancelled the
Both the developer and the property owner will
agreement is terminated, responsibility for the
following and provide the name):
i name:
ZIP :
ZIP
a Management Entity that manages the property for an HOA, POA or UOA, please provide:
ement Company or Business name:
Name:
c. Mailing Address:
Title-
d. City: State: _ZIP:
e. Phone: ( ) Email:
DEC 2 8 2017
BY:
Stormwater Permit Transfer Application Form Page 5 of 7 April 20, 2017
F. PROPOSED PERMITTEE CERTIFICATION
I, , hereby notify the DEMLR that I have acquired through sale,
lease, development agreement, or other legal transfer, the project/property covered by the stormwater
management permit and/or the responsibility for constructing and/or operating and maintaining the permitted
stormwater management system. I acknowledge and attest that I have received a copy of: (select all that apply):
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
❑ Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule" addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule" must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built -upon area as shown on the
approved plans, and I will {construct}, operate and maintain the approved stormwater management system
pursuant to the requirements listed in the permit and in the operation and maintenance agreement.
Signature:
Date:
a Notary Public for the State of
County 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)
Notary Signature
My commission expires
m8V8~
DEC 2 8 2017
Un
BY,,
Stormwater Permit Transfer Application Form Page 6 of 7 April 20, 2017
G. PROPERTY OWNER INFORMATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization:
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City: State:
Phone:(_)
Email:
ZIP:
I, , hereby certify that I currently own the property identified in this
permit transfer document and acknowledge that the Proposed Permittee listed in Attachment B will be purchasing
the property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner
my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires_
Date:
a Notary Public for the State of
, County of , do hereby certify that
personally appeared before me this the day of
20 , and acknowledge the due execution of the forgoing instrument. Witness
f, p
DEC 2 8 2017
BY:
Stormwater Permit Transfer Application Form Page 7 of 7 April 20, 2017
Permit No. �GJS®i9�1(jcj
(to be provided by DWQJ
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
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Lot 7 Landmark Industrial Park
Contact Person: Charles D. Cazier Phone Number: (9101 763-5100
For projects with multiple basins, specify which basin this worksheet applies to: 1
elevations
Basin Bottom Elevation 18.5 ft. (floor of the basin)
Permanent Pool Elevation 24.5 ft. (elevation of the orifice)
Temporary Pool Elevation 26.5 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 2,550 sq.ft. (water surface area at the orifice elevation)
Drainage Area 1.40 ac. (on -site and off -site drainage to the basin)
Impervious Area 0.94 ac. (on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DA'
Diameter of Orifice
Design Rainfall
Design TSS Remova12
7,665 cu.ft. (combined volume of main basin and forebay)
7,138 cu.ft. (volume detained above the permanent pool)
1,397 cu.ft. (approximately 20% of total volume)
h�
DEC 2 9 2017 !!
3.75 (surface area to drainage area ratio f ir DWQ table) G s'
0.75 in. (2 to 5 day temporary pool draiRvYown-regquired)
1.0 in.
90 % (minimum 85% required)
Form SWU-102 Rev 3.99 Page I of 4
Footnotes:
1. When using the Division SAIDA tables, the correct SAIDA 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% 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 below. If a requirement has not been met, attach justification.
Applicants Initials
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 total basin volume.
c. The temporary pool controls runoff from the design storm event.
0 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
calculations).
�G 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).
G�C 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.
G(07 k. A recorded drainage easement is provided for each basin includiDvracgl"Ear! s, right-
of-way. DEC 2 �017
1. If the basin is used for sediment and erosion control during c sttion, clean out the
basin is specified to be performed prior to use as a wet detenti0i,.basin— ------—
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
* Pump will be provided for maintenance or 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.
This system (check one) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does X does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4
Maintenance activities shall be performed as follows:
1. After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention 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 not be handled in a manner that will 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 4.5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2.25 feet in the forebay, the sediment shall be removed.
El BASIN DIAGRAM E10 E
ill in the blanks) DEC 2 8 2017
Permanent Pool Elevation 24.5 BY.
Sediment R moval El. 22.25 75 °
-------------- - Sediment Removal Elevation 20.0 75%
Bottom evation 21.5 %
---------------------------------- ------- Bottom Elevation 18.5 25 /d
FOREBAY MAINPOND
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 possible.
7. All components of the wet detention basin system shall be maintained in good working order.
7. , Alb components of the wet detention basin system shall be maintained in good working order.
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
Wo
Date: i `d•;0.171
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, QVnn l Sn 4�; a Notary Public for the State of C-Ox/n.A.,
Countyof IuttiY� f 4 nod cl , do hereby certify that s,n�
personally appeared before me this day of 1 ,p.ce"Y%b�r , C,O L7 , and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
Notary Public
Brunswick Count
/On
SEAL
My commission expires Tr3ci- Sko l %
Form SWU-102 Rev 3.99 Page 4 of 4
Permit No. 'jwb (N% 6t Q
(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
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name: Lot 7 Landmark Industrial Park
Contact Person: Charles D. Cazier Phone Number: (910 1 763-5100
For projects with multiple basins, specify which basin this worksheet applies to: 1
elevations
Basin Bottom Elevation 18.5 ft. (floor of the basin)
Permanent Pool Elevation 24.5 ft. (elevation of the orifice)
Temporary Pool Elevation 26.5 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 2,550 sq.ft.
Drainage Area
Impervious Area
volumes
Permanent Pool Volume
Temporary Pool Volume
Forebay Volume
Other parameters
SA/DAI
Diameter of Orifice
Design Rainfall
Design TSS Remova12
1.40 ac.
0.94 ac.
(water surface area at the orifice elevation)
(on -site and off -site drainage to the basin)
(on -site and off -site drainage to the basin)
7,665 cu.ft. (combined volume of main basin and forebay)
7 138 _ cu.ft. (volume detained above the permanent pool)
1,397 cu.ft. (approximately 20% of total volume)
3.75 (surface area to drainage area ratio from DWQ table)
0.75 in. (2 to 5 day temporary pool draw -down required)
1.0 in.
90 % (minimum 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4
Footnotes:
I. 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% TSS removal.
H. 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 below. If a requirement has not been met, attach justification.
Applicants Initials
rDL1 a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
< L b. The forebay volume is approximately equal to 20% of the total basin volume.
c. The temporary pool controls runoff from the design storm event.
I-ri- d. The temporary pool draws down in 2 to 5 days.
_ oD�K e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations).
�G f. The basin length to width ratio is greater than 3:1.
/rut g. The basin side slopes above the permanent pool are no steeper than 3:1.
Lam_ h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
5 G 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 to be performed prior to use as a wet detention basin
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
* Pump will be provided for maintenance or 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.
This system (check one) ❑ does X does not incorporate a vegetated filter at the outlet.
This system (check one) ❑ does X does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4
Maintenance activities shall be performed as follows:
After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention 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 not be handled in a manner that will 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 4.5 feet in the main pond, the sediment shall be removed.
When the permanent pool depth reads 2.25 feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 24.5
Sediment R moval El. 22.25 75 0
Sediment Removal Elevation 20.0 75%
Bottom evation2L5 % """'-------------""---"'
Bottom Elevation I8.5 25%
FOREBAY 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 possible.
7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwater
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: Harold Layne
Address: P.O. Box 216, Carolina Beach, NC 28428
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 bee named the president.
I, Della C. Baird a Notary Public for the State of North Carolina , County of
Pender , do hereby certify that Harold Layne personally appeared before me this
A day of I 2006 , and acknowledge the due execution of the forgoing infiltration
basin Aenance requiremen . Witness my hand and official seal,
\\\\I\IIIII I I I I I IIIII /
C. B,q�
..................'90
O:: �OTARy'�•.,
F ' . PUBLAG: ''"
o, R COON o`
'Ilnnii�nllua
SEAL My commission expires 10/15/06
SWU-107 Rev3.99 Page 4of4