SW8080202_HISTORICAL FILE_20210616

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 0 2 02 o 2
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2021010 lb
YYYYMMDD

Burd, Tina J
From: Burd, Tina J
Sent: Thursday, June 3, 2021 4:01 PM
To: [e-mail];[e-mail]
Subject: SW8 080202 - GE-FGE Office Expansion
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on June 2, 2021. The project has
been assigned to Ashley Smith and you will be notified if additional information is needed.
Besf Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Q,rs
I
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Based on the current guidance to minimize the spread of COVID-tq, the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered
shifts. To accommodate these staffing changes, all DEQoffice locations are limiting public access to appointments only. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.

Non -Transfer Application Completeness
Review Checklist - Short Version
Project Name: GC' r.I- DFFCE �jt/-� Date Delivered to WIRO: �i / Zo Z.I
Project County/Location: jJt� ui i-k 4oVI ce CAS Tc,S d4y, & BIMS Received/Accepted Date: 4 OZ f
IF BIMS Acknowledged Datet:
Permit Action: New Not located in the ETJ of the following deligated and
functioning programs:
New Permit # 2 :
NHC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isle Onsl: Jacksonville
Pend: Surf;ity
Major Mod / Minor Mod Renewal
Permit Type: HD/_DO / LID Overall / HD &LD Combo
General Permit / Offsite / Exempt '\
Development Type: Commercial / Residential / Other /yv"b()S TP(A-L
Subdivided?: Subdivision or Single Lo>t
cnz j O Cvo Zo Z
eExisting Permit #:�'_-�'�-""'� _
Expriation Date 3:
E]Offsite to SW8:
F-1Is Lot ID'ed in Master Permit?
Rule(s): 1:12017 Coastal M2008 Coastal 157-11995 Coastal
Phase II Universal E11988 Coastal
Pennittee Type & Documents Needed:
t;qProperty Owner(s) Purchaser Lessee =HOA =Developer
=Viable? Viable? =Viable? =Viable? =Viable?
=Deed =Purchase Agmt =Lease =Election Minutes
=Not Subdivided: Deed
=Subdivision: Common Area Deed
Paperwork
Application p
Fee: C]$505 (within 6mo) Check#(s): _ --- 9q T
Supplement' (1 new form or for older forms: 1 original per SCM)
E]O&M '
Soils Report (Infil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided'
Project Narrative
MUSGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?
Plans (2 Sets)
❑ PE Certification
FJ Electronic Copies
Easements, Recorded (2017 Rules)
NOTES
IEnter BIMS Acknowledged Date on this Sheet
'For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
3If w/in 6 months and they are requesting a mod, STOP. Needs a renewal first
EMAILED ENGINEER DATE:
Comments:
REVIEWER NAME:
S'�-JLG k
FlNo Fee
Y / N
G:WD\\\Reference Library\Praced ures\Checklists\Com pl eteness Review Checklist 20200131

NORTH CAROLINA
Y '
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
(Limited Liability Company)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify that
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
is a limited liability company formed under the laws of Delaware as GE -Hitachi
Nuclear Energy Americas LLC and was authorized to transact business in the State of
North Carolina by issuance of a certificate of authority on 29th day of March, 2007.
I FURTHER certify that, as of the date of this certificate, (i) the said limited
liability company has not withdrawn from the State of North Carolina, (ii) the said
limited liability company's certificate of authority has not been suspended for failure to
comply with the Revenue Act of the State of North Carolina, (iii) that said limited
liability company is not administratively revoked for failure to comply with the
provisions of the North Carolina Limited Liability Company Act, (iv) that this office has
not filed any decree of judicial revocation, withdrawal, articles of merger, or articles of
conversion for said limited liability company.
EDC A ps%e "
AV 0 2 2021
RV•
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to verify online.

NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
(Long Form)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify that
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
a limited liability company organized under the laws of Delaware was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the 29th day of
March, 2007, with its period of duration being Perpetual, under the name GE -Hitachi Nuclear
Energy Americas LLC and the following documents have been filed since that date:
Date Event Filed Document
3/29/2007 Creation Filing Application for Certificate of Authority Limited Liability
3/21/2008 Annual Report Annual Report LLC
10/27/2008 Amendment Change of Address of Registered Office/Agent
4/l/2009 Annual Report Annual Report LLC
3/24/2010 Annual Report Annual Report LLC
4/7/2011 Annual Report Annual Report LLC
4/5/2012 Annual Report Annual Report LLC
4/5/2013
Annual Report
4/7/2014
Annual Report
4/2/2015
Annual Report
4/11/2016
Annual Report
9/14/2016
Amendment
3/31/2017
Annual Report
4/12/2018
Annual Report
4/1/2019
Annual Report
4/9/2020
Annual Report
Scan to verify online.
Annual Report LLC
Annual Report LLC
Annual Report LLC
Annual Report LLC
Change of Address of Registered Office/Agent
Annual Report LLC
Annual Report LLC
Annual Report LLC J" 02 2021 1
Annual Report LLC 8
BY.-
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.

Date Event Filed Document
4/13/2021 Annual Report Annual Report LLC
- r . zR
yam."1�.
Ir .lam �
'IN 0 2 2b21
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.

I, FURTHER certify that no record is found of other corporate documents having been filed since the 13th day of April, 2021
I FURTHER certify that the said limited liability company's certificate of authority is not suspended for failure to comply with
the Revenue Act of the State of North Carolina; that the said limited liability company's certificate of authority is not revoked for
failure to comply with the provisions of the North Carolina Business Corporation Act; that its most recent annual report required by
G.S. 55-16-22 has been delivered to the Secretary of State; and that a certificate of withdrawal has not been issued in the name of the
said limited liability company as of the date of this certificate.
Jtl1V 0 2 2021.. .
BY... -
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to verify online.

NORTH CAROLINA
Department of the Secretary of State
r.
To all whom these presents shall come, Greetings:
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify the following and hereto attached to be a true copy of
ANNUAL REPORT
OF
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
the original of which was filed in this office on the 13th day of April, 2021.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to verify online.

LIMITED LIABILITY COMPANY ANNUAL REPORT
«%,:7:°
1012017
NAME OF LIMITED LIABILITY COMPANY: GE -Hitachi Nuclear Energy Americas LLC
Fling 711m Use my
SECRETARY OF STATE ID NUMBER: 0906079 STATE OF FORMATION: DE E - Filed Annual
REPORT FOR THE CALENDAR YEAR: 2020
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B:
1. DESCRIPTION OF NATURE OF BUSINESS: Provider Of advanced reactors and nuclear Services
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
3901 Castle Havne Road
5. PRINCIPAL OFFICE MAILING ADDRESS
3901 Castle Havne Road
Wilmington, NC 28402 Wilmington, NC 28402
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: ,Jay Wileman
TITLE: Manager
ADDRESS:
3901 Castle Havne Road
Wilmington, NC 28402-2819
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
10111111►01s*14
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Jay Wileman
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
lav Wileman
4/13/2021
DATE
Manager
JUN 0 2 2021 f!

H ITACH I GE -Hitachi Nuclear Energy Americas LLC
3901 Castle Hayne Road
Wilmington, NC 28401
USA
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
ATTESTING SECRETARY'S CERTIFICATE
The undersigned, an Attesting Secretary of GE -Hitachi Nuclear Energy Americas LLC, a
Delaware Limited Liability Company (the "Company"), does hereby certify that:
1) I am duly appointed and qualified to act as Attesting Secretary of the Company and as
such have access to the books and records of the Company;
2) Jay T. Wileman is the Sole Manager, President and Chief Executive Officer of the
Company and is authorized to execute documents on behalf of the Company pursuant to
the authority granted to him by the Company.
WITNESS my hand and seal of said Company this the )S'�`day of May, 2021.
(SEAL)
X/1
Angela F. Thornhill
Attesting Secretary
JL'y 6 z 2021'j:l

0 HITACHI
June 1, 2021
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
Attn: Christine Hall
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
GE Hitachi Nuclear Energy
Karen Williams
EHS Specialist
3901 Castle Hayne Road, M/C A55
P.O. Box 780
Wilmington, NC 28402
USA
T 910 547-2758
[e-mail]
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8080202
Dear Ms. Hall:
EG-- - E
JUN 0 [ 2021
r+
Enclosed please find the Stormwater management permit renewal application for GE Hitachi
Nuclear Permit # SW 8071203. Please issue all correspondence regarding this permit application to
me by email [e-mail] or mail to the address listed in the letter head.
The associated documentation required for the permit renewal that is attached includes:
• Permit Renewal Application Form, signed and notarized;
• A check for the permit application processing fee of $505.00 payable to NCDEQ;
• NC Dept of Secretary of State Certificate of Authorization;
• SCM Inspection Verification — signed/sealed
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely,
41- > 2-
Karen Williams
EHS Specialist
cc: Original plus one copy
File

HITACHI
June 1, 2021
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
Attn: Christine Hall
127 Cardinal Drive Extension
Wilmington, NC 28405-384S
GE Hitachi Nuclear Energy
Karen Williams
EHS Specialist
3901 Castle Hayne Road, M/C A55
P.O. Box 780
Wilmington, NC 28402
USA
T 910 547-2758
[e-mail]
Subject: Stormwater Management Permit Renewal Application
Permit#SW 8080202
Dear Ms. Hall:
Enclosed please find the Stormwater management permit renewal application for GE Hitachi
Nuclear Permit # SW 8071203. Please issue all correspondence regarding this permit application to
me by email [e-mail] or mail to the address listed in the letter head.
The associated documentation required for the permit renewal that is attached includes:
• Permit Renewal Application Form, signed and notarized;
• A check for the permit application processing fee of $505.00 payable to NCDEQ;
• NC Dept of Secretary of State Certificate of Authorization;
• SCMInspectionVerification— signed/sealed
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely,
01611Lr
Karen Williams
EHS Specialist
cc: Original plus one copy
File

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 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: SW 8080202
2. Project name: GE-FGE Office Expansion
3. Project street address: 3901 Castle Havne Rd.
City: Wilmington County: New Hanover
ZIP: 28401
4. What, if any, changes have been made to the project as permitted? None
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: https:/Ideg.nc.gov/about/divisions/energv-
mineral-land-resources/energv-minera I-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/abouUdivisions/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: GE -Hitachi Nuclear Energv Americas LLC
2. Signing Official's Name: Jay Wileman
3. Signing Official's Title: President and CEO GE Hitachi Nuclear Energy
4. Mailing Address: General Electric, P.O. Box 780 M/C A55.
City: Wilmington State: NC ZIP:
28402
5. Street Address: 3901 Castle Havne Rd
City: Wilmington State: NC ZIP
28402
6. Phone: (9_10J 819-2029 Email: jay.wilemanfrDge.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) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/0RtA0. 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.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president,
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other 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 3. One hard copy and one electronic copy of recorded documents required by the original permit that have
not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
® 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
® A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [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)-
https://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
t • VU` llc-v�i , 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 inform: ' rovided on this permit renewal application is, to the best of my
knowledge, correct and complete.
Signature: Date: _S /
Ar-
NOTARIZATION
I, Melocc' K a Notary Public for the State of
j�(o Y Ca rp 11 r>a County of N eA o 4cL>10't ✓ do hereby certify
that q('4 (. VJ personally appeared before me
this the day of 20 a and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature: ne
My commission expires
DY It'. SGG��/
rn
y+AVBLIC t
� p0`FH C000\
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

NORTH CAROLINA
Y
,- Department of the Secretary of State
4yyw,
CERTIFICATE OF AUTHORIZATION
(Limited Liability Company)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify that
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
is a limited liability company formed under the laws of Delaware as GE -Hitachi
Nuclear Energy Americas LLC and was authorized to transact business in the State of
North Carolina by issuance of a certificate of authority on 29th day of March, 2007.
I FURTHER certify that, as of the date of this certificate, (i) the said limited
liability company has not withdrawn from the State of North Carolina, (ii) the said
limited liability company's certificate of authority has not been suspended for failure to
comply with the Revenue Act of the State of North Carolina, (iii) that said limited
liability company is not administratively revoked for failure to comply with the
provisions of the North Carolina Limited Liability Company Act, (iv) that this office has
not filed any decree of judicial revocation, withdrawal, articles of merger, or articles of
conversion for said limited liability company.
EC;Ei r-.
JUN 0 2 2021
n
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to verify online.

== NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
(Long Form)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify that
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
a limited liability company organized under the laws of Delaware was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the 29th day of
March, 2007, with its period of duration being Perpetual, under the name GE -Hitachi Nuclear
Energy Americas LLC and the following documents have been filed since that date:
Date Event Filed Document
3/29/2007 Creation Filing Application for Certificate of Authority Limited Liability
3/21/2008
Annual Report
Annual Report LLC
10/27/2008
Amendment
Change of Address of Registered Office/Agent
4/l/2009
Annual Report
Annual Report LLC
3/24/2010
Annual Report
Annual Report LLC
4/7/2011
Annual Report
Annual Report LLC
4/5/2012
Annual Report
Annual Report LLC
4/5/2013
Annual Report
Annual Report LLC
4/7/2014
Annual Report
Annual Report LLC
4/2/2015
Annual Report
Annual Report LLC
4/11/2016
Annual Report
Annual Report LLC
9/14/2016
Amendment
Change of Address of Registered Office/Agent
3/31/2017
Annual Report
Annual Report LLC
4/12/2018
Annual Report
Annual Report LLC
4/1/2019
Annual Report
Annual Report LLC
4/9/2020
Annual Report
Annual Report LLC
IN WffNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to verify online.

Date Event Filed Document
4/13/2021 Annual Report Annual Report LLC
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
Scan to vetify online.

I, FURTHER certify that no record is found of other corporate documents having been filed since the 13th day of April, 2021
1 FURTHER certify that the said limited liability company's certificate of authority is not suspended for failure to comply with
the Revenue Act of the State of North Carolina; that the said limited liability company's certificate of authority is not revoked for
failure to comply with the provisions of the North Carolina Business Corporation Act; that its most recent annual report required by
G.S. 55-16-22 has been delivered to the Secretary of State; and that a certificate of withdrawal has not been issued in the name of the
said limited liability company as of the date of this certificate.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
- 4
Scan to verify online.

NORTH CAROLINA
r � 4
Department of the Secretary of State
W
u+/
To all whom these presents shall come, Greetings:
1, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify the following and hereto attached to be a true copy of
ANNUAL REPORT
OF
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
the original of which was filed in this office on the 13th day of April, 2021.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 5th day of May, 2021.
fv'/aHw.�
Scan to verify online.

LIMITED LIABILITY COMPANY ANNUAL REPORT
1012017
NAME OF LIMITED LIABILITY COMPANY: GE -Hitachi Nuclear Energy Americas LLC
Fiinq Offlce Ux Ody
SECRETARY OF STATE ID NUMBER: 0906079 STATE OF FORMATION: DE E - Filed Annual
REPORT FOR THE CALENDAR YEAR: 2020 Report
0906079
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Provider of advanced reactors and nuclear Services
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
3901 Castle Hayne Road
Wilmington, NC 28402
5. PRINCIPAL OFFICE MAILING ADDRESS
3901 Castle Hayne Road
Wilmington, NC 28402
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: Jay Wileman NAME:
TITLE: Manager TITLE:
ADDRESS:
ADDRESS:
NAME:
TITLE:
ADDRESS:
3901 Castle Hayne Road
Wilmington, NC 28402-2819
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Jay Wileman 4/13/2021
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
lav Wileman Manager

0. HITACHI
GE -Hitachi Nuclear Energy Americas LLC
3901 Castle Hayne Road
Wilmington, NC 28401
USA
GE-HITACHI NUCLEAR ENERGY AMERICAS LLC
ATTESTING SECRETARY'S CERTIFICATE
The undersigned; an Attesting Secretary of GE -Hitachi Nuclear Energy Americas LLC, a
Delaware Limited Liability Company (the "Company"), does hereby certify that:
I ) I am duly appointed and qualified to act as Attesting Secretaq of the Company and as
such have access to the books and records of the Company;
2) Jay T. Wileman is the Sole Manager, President and Chief Executive Officer of the
Company and is authorized to execute documents on behalf of the Company pursuant to
the authority granted to him by the Company.
WITNESS my hand and seal of said Company this the 155`day of May, 2021.
(SEAL)
Angela F. Thornhill
Attesting Secretary

GE Hitachi Nuclear Energy
HITACHI
0 Drew Holbrook
Facility Engineering Specialist
3901 Castle Hayne Road
P.O. Box 780
Wilmington, NC 28402
USA
T 910 232-8019
[e-mail]
May 10, 2021
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
127 Cardinal Drive Extension
Wilmington, NC 28405-384S
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8080202 — SCM Inspection
To Whom It May Concern:
This letter is to certify that the SCM's applicable to Stormwater Management Permit #SW 8080202
have been inspected, and that they have been built and maintained in accordance with the permit.
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely, F;V
P J�J 0 2 2021
Drew Holbrook Ply -
Facility Engineering Specialist
cc: Original plus one copy
File
st�iraurrrp
.`apSH CAROB
a SEAL
023973
y�0 :FNGIN6EP' �p0 3
9F� L.
'r+nm Otittt'

GE Hitachi Nuclear Energy
HITACHI
� Drew Holbrook
Facility Engineering Specialist
3901 Castle Hayne Road
P.O. Box 780
Wilmington, NC 28402
USA
T 910 232-8019
Andrew. [e-mail]
May 10, 2021
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8080202 — SCM Inspection
To Whom It May Concern:
This letter is to certify that the SCM's applicable to Stormwater Management Permit #SW 8080202
have been inspected, and that they have been built and maintained in accordance with the permit.
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely,
"I dv L) P, E.
Drew Holbrook
Facility Engineering Specialist
cc: Original plus one copy
File
• JJ"V 41
`\tSUI I111 p,,,
FESS/p'•;9
2 SEAL
023973
G�9 ' AIGINE e •Q0
�h L. HO\;N
'"nnlllllto

WITHERS & RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
1410 Commonwealth Drive, Suite io1
Wilmington, North Carolina, 28403
[phone]
FAX (910)256-z584
TO: NCDWQ
127 Cardinal Drive Extension
Wilmington NC 28405
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
® Attached
❑ Prints
❑ Change order
LETTER OF 7° ° MS1Nv110 I� VA° L
DATE O -11-0
JOB NO. 0 O]71 45
ATTENTION
Chris Baker
PHONEM
10-7 6-7z1
RE: SW8 o802o2-FGE Expansion
❑ Under separate cover via
❑ Plans ❑ Samples
❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
1
09-11-09
z
Final Certification for the Sand Filter
1
009
RECr
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO:
El Resubmit
copies for approval
❑Submit
copies for distribution
❑ Return
corrected prints
SIGNED: Derek M. Roberts, P.E.
If enclosures are not as noted, kindlynotify us at once.