SW8090511_HISTORICAL FILE_20210714

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 Uq 0 S I I
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
201\ U'\ �� }
YYYYMMDD

STATE STORMWATER:
PERMIT INFORMATION UPDATE APPLICATION FOR JUL 5 202,
There is NO FEE for updating project name or permittee fnformatfogy
This form is to only to be used by the current permitlee to notify the Division of.
1) changes to the Point of Contact (signing official) for the current permittee (LLC, Corporation, HOA or POA);
2) changes to the mailing address, phone number or email address of the current perm ttee;
3) changes to the name of the project; and
4) changes to the legal corporate name as documented by a Name Change or Merger filed with the NCSOS.
A. NEW PERMIT INFORMATION
State Stomlwater Perm@ Number. SW8 090511
Are you updating
(check all that apply):
tf so, pose provide the updated information:
❑ Project name
—Southport Plant Expansion NC Emission Control Project
❑ Corporation Name'
_CPI USA North Carolina, LLC
❑ Permit contact Namez a
—Steve Owens
❑ Permit Contact Title
Sr. VP, Constructio_ n & Engineering
❑ Mailing Address'
I _ 1281 Powerhouse Drive, Southport, NC 28461
❑ Phone number
_(910) 880-0077
❑ Email address
_ [e-mail]
Provide documentation such as a Name Change /Merger filed with the NCSOS.
Provide supporting documentation such as NCSOS riling. The permit contact's position must be in accordance
with 15A NCAC 02H .1040t11.
If more than one point of contact or mailing address is being changed, please attach a separate sheet.
B.,�.CERT1IIFIC�_ATION OF� P�EpRMITTEE
I, CV-4 t RM(AC<Aotil-Ahe current pernittee, hereby notify DEMLR that I am making the changes as listed
in Section A above. I furtherattest that this application for an update to the permit information currently on file is accurate
and complete to the best of my knowledge.
Signature: S� ft>�d—Q Date: 7 — (S - 4
a Notary Public for the State of
Coun of %A AISU/l_,CX, do hereby certify, that Ck1CliLic� + cr* J 2!5—z Pn
pensona=ea"' the 1, day of _, 20_, and acknowledge the due
ex o men Witness my hand and official seaU6L Not ountyrolina�r 17, 2c25My
Notary
My commission expires
Stornwater Permit Information Update Form Page 1 of 1 May 11, 2017

Burd, Tina J
From: Burd, Tina 1
Sent: Wednesday, July 14, 2021 2:28 PM
To: [e-mail]
Subject: SW8 090511 - Southport Plant Expansion INC Emission Control Project
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 July 13, 2021. The project has
been assigned to Ashley Smith and you will be notified if additional information is needed.
Best 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, INC 28405
w-.
Email correspondence to and trot?) this address is subject to the
North Carolina Public. Records Law and may be disclosed to third parties.
Website: htt 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: r'5, )O ..( Po2r EK)o JV L 6M,531, +TGIC(... A'Pte Delivered to WIRO: T ii3 2C=2_i
Project County/Location: _j PS), )EL,)YC r_ / AWC4AI00Sii iJ2 RIMS Received/Accepted Date: 711 .3 `Zo zr
RIMS Acknowledged Date':
Permit Action: New ❑Not located in the ETJ of the following deligated and
functioning programs:
New Permit #':
NHC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isle Onsl: Jacksonville
Pend: Surf City
Major Mod / Minor Mo Renewal
Existing Permit #:
< Q p
tJ0U O / 65
Expriation Date':
y
Permit Type: HD / LID Overall / HD &LD Combo
General Permit / Offsite / Exempt
F Offsite to SWB:
Development Type: Commercial / Residential / Other
Abas'T-P_f,q
Is Lot ID'ed in Master Permit?
Subdivided?: Subdivision Si nge LLoolt
Rule(s): �2017 Coastal ®2008 Coastal Q1995 Coastal
Phase 11 Universal
E]1988 Coastal
Permittee Type & Documents Needed:
Property Owner(s) MPurchaser
Lessee
=HOA
=lDeveloper
=Viable? =Viable?
=Viable?
=Viable?
=Viable?
=Deed =Purchase Aemt
=Lease
=Election Minutes
=Not Subdivided: Deed
=Subdivision: Common Area Deed
Paperwork
Application (�
Fee: M5505 (within 6mo) Check#(s):
MSuppl ement' (I new form or for older forms: I original per SCM)
FJO&M'
Soils Report (Infil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided'
Project Narrative
E]USGS Map (or on file?) Subject to SA?: y / N Subject to ORW?:
lans (2 Sets)
PE Certification
Electronic Copies
Easements, Recorded (2017 Rules)
NOTES
'Enter BIMS Acknowledged Date on this Sheet
'For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
'If w/in 6 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE:
REVIEWER NAME: A /
Comments:
FlNo Fee
y / N �l�I�L►'I/
09E Y�'�Oa`
GMQ%Reference Library\Procedures\Checklists\Completeness Review Checklist 2020 0131

Capital Power Corporation
1281 Powerhouse Drive
Southport, NC 28461
www.capitalpower.com
Hand Delivered
July 12, 2021
Stormwater Program
Wilmington Regional Office
Division of Energy, Mineral and Land Resources
NC Department of Environmental Quality
127 Cardinal Drive Ext.
Wilmington, North Carolina 28405
Capital Power
Corporation E Nu ^ ^E-
JUL 13 202i
Subject: State Stormwater Management Permit No. SW8 090511
Permit Renewal Application
CPI USA North Carolina LLC
Southport, NC
Please find enclosed a complete renewal application package for the above referenced North Carolina State
Stormwater Permit. The permit renewal package includes all documents noted in the Attachments list below.
If there are questions or other information needed, please do not hesitate to contact me at 910-477-7090 or via
email at [e-mail].
Regards, Inn ,`��u
te \ UA
Randy M�hite
Environment, Health and Safety Advisor
Capital Power
Attachments:
State Stormwater Permit Renewal Application — SW8 090511
Permit Application Processing Fee Check
CPI Officer and Title Documentation
NC Certificate of Authorization
Delegation of Authority Letter
Project Certification
SCM Inspection Report
cc: Steve Owens, Senior Vice President, Construction and Engineering, Capital Power
Kent Brandt, Senior Manager, Environment, Capital Power
Don Ennen, Project Manager, North Carolina Deconstruction, Capital Power

July 7, 2021
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
CPI USA NORTH CAROLINA, LLC
NPDES Permit Number NC090511
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual #1
Individual #2 (rf appucable)
Name ;x t
Donald Ennen
?
Charles R Musselwhite
TitleRf w "Pro
Advisor, Environment, Health And
j ect Manager
ca P�.i
Safety
1281 Powerhouse Drive
1281 Powerhouse Drive
Mailing Address
,.
zoo u
Southport, NC 28461
4
Southport, Nc 28461
Phystcat Address ,:�.
(jdfierent)
Ematl'Addres's: J
[e-mail]
[e-mail]
OfficePhone'?
MoTitle Phones
910 - 880 - 0077
910 - 477 - 7090
If you have any questions regarding this letter, please feel free to contact me at
[e-mail].
Since
Steve Owens
Sr. VP Construction & Engineering
1281 Powerhouse Drive, Southport, NC 28461
[e-mail]
780-392-5437
780-919-7566
cc: Wilmington Regional Office, Water Quality Permitting Section
JUL 132021

DocuSign Envelope ID: A88549F4-F49E-44A4-B226-DO52C3D7DOAD
CONSENT OF SOLE MEMBER
IN LIEU OF SPECIAL MEETING
CPI USA NORTH CAROLINA LLC
Pursuant to Section 18-302(d) of the Delaware Limited Liability Company Act, the
undersigned, being the sole member (the "Member") of CPI USA North Carolina LLC, a
Delaware limited liability company (the "Company"), DOES HEREBY ADOPT the following
resolutions and DOES HEREBY CONSENT to the taking of the actions therein set forth, and
hereby waives any notices required by law with respect thereto.
1. Election of Additional Officers
RESOLVED, effective as of June 23, 2021, the following persons are hereby elected
to the office appearing opposite their names below, to serve at the pleasure of the Member or
until their respective successors are elected and qualified:
Jacquie Pylypiuk Senior Vice President, People, Culture and Technology
Steve Owens Senior Vice President, Construction and Engineering
Scott Manson Vice President, Finance and Treasury
Daylyn Dixon Vice President, Taxation
2. Amendment to Officer Positions
RESOLVED, effective as of June 23, 2021, the title of the office held by each of the
following persons as an officer of the Company is hereby amended to the title appearing
opposite such person's name below:
Bryan DeNeve
Kate Chisholm
Christopher Kopecky
Sandra Haskins
3. General
Senior Vice President, Operations
Senior Vice President, Planning, Stakeholder Relations
and Chief Sustainability Officer
Senior Vice President and Chief Legal, Development
and Commercial Officer
Senior Vice President, Finance and Chief Financial
Officer
RESOLVED FURTHER, that any officer of the Company is hereby authorized and
empowered in the name and on behalf of the Company to do or cause to be done any and all
additional acts and things as in thejudgment of the officer taking the action, may be necessary,
appropriate or advisable to carry out the purposes and intent of the foregoing resolutions; and
JUL 13 2021
BY:

DocuSign Envelope ID: A88549F4-F49E44A4-B226-DO52C307DOAD
FINALLY RESOLVED, that any actions taken by the Member or any of the officers
of the Company prior to the adoption of these resolutions that are within the authority
conferred in the foregoing resolutions be, and the same hereby are, ratified, confirmed, and
approved in all respects.
[Remainder of page intentionally left blank]
4-0 = ® @R r
JUL 13 2021
BY:

DocuSign Envelope ID: A88549F4-F49E-44A4-B226-DO52C3D7DOAD
SIGNATURE PAGE
CONSENT OF SOLE MEMBER
CPI USA NORTH CAROLINA LLC
This Consent shall be effective as of June 23, 2021, and may be delivered by facsimile
or electronic mail.
MEMBER:
CAPITAL POWER (NC HOLDINGS)
LLC
B EDocuftned by:
j'j , La
Y• BPBfiBBfiBfB21iAB...
Name: Brian Vaasjo
Title: President and Chief Executive
Officer
Pi JUL 13 2021
AV.

NORTH CAROLINA
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
CPI USA NORTH CAROLINA LLC
is a limited liability company formed under the laws of Delaware as CPI USA
North Carolina LLC and was authorized to transact business in the State of North
Carolina by issuance of a certificate of authority on 19th day of July, 2005.
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.
JUL 13 2021
BY_
1N WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 22nd day of June, 2021.
Scan to verify online.
Certification# 110748950-1 Relerence# 17586375- Page: I of I Secretary of State
Verity this certificate online at https://www.sosnc.gov/verification

Sand Filter Form for Annual SCM Inspection
SCM Site/Project Name: Capital Power Southport Plant Sand Filter Date: 7/2/21
Project Address: 1281 Powerhouse Drive, Southport, NC 28461
Owner's Name: Capital Power Corporation
Owner's Address: 1281 Powerhouse Drive, Southport, NC 28461
Inspector: Jacob Bowes, PE linspection Date: 6/30/21 linspection Time: 12:OOPM
Inspector Address/Phone Number: McKim & Creed, 1730 Varsity Drive, #500, Raleigh, NC 27606, (919)
233-8091
Pass/Fail: 0 Pass ED Fail
Fully Functional (No Problems Found) = Pass for Inspection Li
Minor Functional Issues, However Pass for Inspection
Partially Functional (Repairs Needed) = Fail the Inspection ❑
Not Functional (Repairs Needed) = Fail the Inspection ❑
Monitor
Not Applicable ❑
Assessment
Status
Comments
INFLOW ELEMENTS
Obstruction:
vegetation/debris/sediment
Fully Functional
Structural condition of grates & covers
Fully Functional
Displacement/blockage of inlet or rip -
rap, aprons, fabric, etc.
Fully Functional
Pipe condition
Fully Functional
Other (describe)
Fully Functional
JUL 13 2021T,

Assessment
.,Status
Comments
SEDIMENT CHAMBER
Access ladder/steps condition
Fully Functional
Access hatch condition
Fully Functional
Invasive vegetation
Fully Functional
Vault/pipe structural condition
Fully Functional
Baffles and/or weir condition
Fully Functional
Sediment/debris accumulation (within
0&M manual tolerance)
Fully Functional
Oil accumulation
Fully Functional
Leaking device
Fully Functional
Proper drainage
Fully Functional
Baffles and/or weir condition
Fully Functional
Other (describe)
Fully Functional
SAND CHAMBER
Holding water>24-hours after rain
event
Fully Functional
Sand bed has been silted -in (silt clay
and contaminated sand should be
removed and replaced with clean
Fully Functional
Sand bed color profile (if discolored
>3" deep, remove and replace with
clean sand
Fully Functional
Sand bed has been eroded or displaced
(rake to level)
Fully Functional
Access hatch condition
Fully Functional
Vault/pipe structural condition
Fully Functional
Access ladder/steps condition
Fully Functional
JUL 13 2021
BY:

Assessment
Status
Comments
Trash/debris
Minor Functional Issues
Minor trash accumulation near
outlet
Other (describe)
Fully Functional
OUTLET DEVICE
Obstruction:
vegetation/debris/sediment
Fully Functional
Erosion/undercutting
Fully Functional
Underdrains
Fully Functional
Emergency by-pass condition
Fully Functional
Displacement/blockage of outlet or
rip=rap, aprons, fabric, etc.
Fully Functional
Other (describe)
Fully Functional
MISCELLANEOUS
Trash/debris
Fully Functional
Access
Fully Functional
Evidence of routine maintenance
Fully Functional
Other (describe)
Fully Functional
ADDITIONAL COMMENTS
*Note: See photo journal with comments on the following pages
The outlet device was not visible during the inspection due to depth of sand filter media at the outlet.
a-.'d. F:_' s br
g �'

PHOTOGRAPHS
Photos of Influent Flow Splitter
The influent and effluent 18" RCP
pipes in the flow splitter are
completely free of debris and
sediment and appear to be
1Y 3{
functioning properly. Bottom of
the flow splitter box has standing
water but appears to be
functioning properly.
I k w„ Photos of Chamber 1 (outlet
UNINN mwiiside)
Chamber 1 has approximately 7"
of standing water but is free of
debris and sediment and appears
to be functioning properly.
Sturctural integrity of chamber is
in good condition.
The 15" PVC pipe between
!/ chambers 1 & 2 is free of debris
and appears to be functioning
Photos of Chamber 2 (outlet
Chamber 2 has approximately 11"
of standing water but is free of
trash and debris. Minor sediment
accumulation noted. Structural
integrity of chamber is in good
condition.
Operation and Maintenance
Recommendation
Monitor mud and sediment build
up on the chamber floor.
4
W
BY:-
--

PHOTOGRAPHS
3
Chamber 3 has a healthy amount
of filter media and all pipes
between chambers are free of
debris and sediment. Minor trash
and debris accumlation was
documented near the end of the
chamber at the outlet.
Operation and Maintenance
Recommendation
Remove trash during next routine
scheduled maintenance.
Photos of Chambers 1, 2, & 3
(opposite side of outlet)
Chamber 2 is free of debris and
sediment and appears to be
functioning properly.
cleanouts in chamber 3 were
d to be in good condition and
[ioning properly.
Chamber 1 has 7" of standing
water and appears to be moving
runoff through the chamber
Photos of Sand
Multiple soil samples were taken
on both sides of chamber 3 and all
soil samples indicated at least 4"
of sand filter media that was light
and fine to the touch indicating
proper drainage and filtration.
BY.— -- —

INSPECTION RESULTS
The results of this inspection are as follows:
PASS / CERTIFIED
INSPECTION FOUND NO PROBLEMS, AS IT RELATES TO THE FUNCTIONALITY OR PUBLIC SAFETY ASPECTS OF
THE FACILITY.
11 INITIAL FAILURE
PASS / CERTIFIED / MINOR ISSUES WHICH CAN BE CORRECTED THROUGH ROUTINE YEAR
INSPECTION FOUND MINOR PROBLEMS THAT ARE NOT HAVING AN IMPACT ON THE CURRENT
FUNCTIONALITY OR PUBLIC SAFETYASPECTS OF THE FACILITY. HOWEVER, LEAVING UNADDRESSED THESE
PROBLEMS WILL IMPAIR THE DEVICE'S LONG TERM FUNCTIONALITY.
FAIL (REPAIRS REQUIRED)
INSPECTION FOUND APARENT PROBLEMS WHICH NEED REPAIR. ALL REQUIRED REPAIRS WILL NEED TO BE
COMPLETED AND RE -INSPECTED PRIOR TO RECEIVING A PASSING CERTIFICATION.
CERTIFICATION OF COMPLIANCE
I, Patty E. Harrell -Hilburn . as a duly registered professional in the State of North Carolina, hereby state the constructed
Stormwater Control Measure (SCM) was inspected under my responsible charge, and to the best of my knowledge, the
SCM was observed to be functioning properly and operating as designed and intended as of the date of the inspection.
NCSU BMP Inspection and Maintenance Certification No: # 840pptC iArrAO'',''''''
2
T/z/zort s SEAL
Signature Date y L-3826
SU
RrR0-\ "``````�
.,, —
—'gr
li
BY:

v`MqQM&CREED
TO. NCDENR Division of Water Resources
127 Cardinal Drive Extension
Wilmington, NC 28405
ATTENTION. Linda Lewis
LETTER OF TRANSMITTAL
DATEJanuary 8, 2014
PROJECT NO 11
TASK NO MGMT
RE Southport Plant Expansion
TRANSMITTAL NO
PAGE 1 OF 1
WE ARE SENDING: ❑ Originals ® Prints ❑ Shop Drawings ❑ Samples
r] Specifications F1 Calculations M Other
Quantity
Drawing No.
Rev.
Description
Status
1
Set
1
Record Drawings for Stormwater
G
1
Engineer Certification and As -Built Checklist
G
Issue Status Code: A. Preliminary B. Fabrication Only C. For Information D. Bid
E. Construction F For Review & Comments G. For Approval H. See Remarks
REMARKS: Linda — please find enclosed record drawing submittal for Southport Plant Expansion for
CPI. Please let me know if you have any questions. Thanks!
EcE-1VE
JAN 0 9 2014
BY
1730 Varsity Drive Suite 500 Raleigh NC 21505 9191233-3091 FAX [phone]
cc: File McKIM & CREED, INC.
Signed
Curt Blazier, PE, LEED AP