SW8910502_HISTORICAL FILE_20210622

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 %oso2
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
? p2X 0Lo 22
YYYYM M D D

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Business Corporation
Legal Name
WALMART INC.
Prev'Legal Name
Wal-Mart Stores, Inc.
Information
Sosld: 0157216
Status: Current -Active O
Date Formed: 7/23/1982
Citizenship: Foreign
State of Incorporation: DE
Fiscal Month: January
Annual Report Due Date: May 15th
Currentgnnual Report Status:
Registered Agent: CT Corporation System
Addresses
Reg Office
Reg Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Principal Office
708 SW 8th Street
Bentonville, AR 72716
Officers
Raleigh, NC 27615-6417
Mailing
Bentonville, AR 72716

Treasurer
Matthew Allen
708 SW 8th Street
Bentonville AR 72716
Assistant Secretary
Gordon Y. Allison
708 SW 8th Street
Bentonville AR 72716
Assistant Treasurer
Michael Cook
708 SW 8th Street
Bentonville AR 72716
President
C. Douglas McMillon
708 SW 8th Street
Bentonville AR 72716
Senior Vice President
John Scudder
708 SW 8th Street
Bentonville AR 72716
Stock
Class: 99 SEE CERT
Shares: 0
Par Value 0
Vice President
Matthew Allen
708 SW 8th Street
Bentonville AR 72716
Senior Vice President
Gordon Y. Allison
708 SW 8th Street
Bentonville AR 72716
Chief Financial Officer
M. Brett Biggs
708 SW 8th Street
Bentonville AR 72716
Senior Vice President
Michael Cook
708 SW 8th Street
Bentonville AR 72716
Vice President
Jessica Rancher
708 SW 8th Street
Bentonville AR 72716
Secretary
Rachel Brand
708 SW 8th Street
Bentonville AR 72716
Assistant Secretary
Geoffrey Edwards
708 SW 8th Street
Bentonville AR 72716
Assistant Secretary
Dan Rice
708 SW 8th Street
Bentonville AR 72716

Burd, Tina J
From: Burd, Tina J
Sent: Wednesday, June 16, 2021 11:32 AM
To: [e-mail]
Subject: SW8 910502 - Walmart Stores, Inc.
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 8, 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, NC 28405
l
Snail 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-tg, 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 reappointments 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: AAA ALMAQ.T 0 (7G7 1 - SAALLOT E
Project County/Location: uc,On7 Sv�CIL S':i+1L cp'�-T-t
Permit Action: New Not located in the ETJ of the following deligated and
functioning programs:
Date Delivered to WIRO: (o f> ZGZ(
BIMS Received/Accepted Date: (y Zo2(
BIMS Acknowledged Date':
New Permit #2:
NHC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isie Onsl: Jacksonville
Pend: Surf City
Major Mod / Minor Mo Renewal
Permit Type: HD / LD / LD Overall / HD &LD Combo
General Permit / Offsite / Exempt
Development Type Commercial Residential / Other
Subdivided?: n cr Single Lot
Rule(s): F-11-
2017 Coastal I 12008 Coastal
Permittee Type & Doci
Property Owner(s)
Subdivided: Deed
Needed:
Purchaser
=Viable?
Purchase ARmt
Common Area Deed
Existing Permit#: SOb q 05 dZ
Expriation Date3: (e /7 /20 L/
F-1Offsite to SW8:
Ols Lot IYed in Master Permit?
01995 Coastal
1211988 Coastal
(Lessee =HOA
(Viable? =Viable?
Lease Election Minutes
PPaaap{Ierwork
LJJ' pplication r7 (�
ee: E$505 (within 5mo) Check#(s): aZ3 13 p
E]Supplementt (1 new form or for older forms: I original per SCM)
F_1O&Mt
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)
FIFE Certification
Electronic Copies
Easements, Recorded (2017 Rules)
NOTES
'Enter BIMS Acknowledged Date on this Sheet
2For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
31f w/in 6 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE:
REVIEWER NAME: A<al LS
Comments:
G:WQ\\\Reference Library\Procedures\Checklists\Completeness Review Checklist_202001 31
=No Fee
=Developer
=Viable?
G
7 ACCESS 3
of a t2 J V s. 1 F'f.'r'3
/4JTrioe �r LctlS€ ^ MlE�K\lr�r�LV .
V
1l)IL( WcE cjApF DY7 IT 4W A0
A-b - ►k� �D_

AQUALIS
June 1, 2021
Mr. Cameron Weaver
Environmental Assistance Coordinator
DEACS-DEQ Wilmington Regional Office
127 Cardinal Drive
Wilmington, NC 28405
RE: Permit Renewal — Walmart #1767
Dear Mr. Weaver,
AQUALIS is pleased to submit this 2021 permit renewal for the Walmart facility
#1767, located at 4540 main St B 3079.
The enclosed includes the permit renewal form and a check for the renewal fee
of $505.00.
RECEIVED
JUN 0 8 2021
NCDEQ
WILMINGTON RO
If you have any questions, please feel free to contact me at [e-mail].
Sincerely,
/
��I L
Tammy Welch
Director, Client Success

AQUALIS
Service Performed For: Walmart Inc.
Store# 1767 Shallotte — Complete
4540 Main St B 3079
Shallotte, NC 28470
Driver for Corrective Action
0' Attention Needed
Date Opened: 5/5/1992
Inspection Date: 5/27/2021
Inspector Name: Tammy Welch
Projected Completion Date: 6/7/2021
SC Work Order: N/A
®° Action Needed 0' Action Required
Permit Renewal — submitted to NC DEQ
S W8910502 — 8-year permit
Summary of Issues
AQUALIS provides monthly preventative maintenance services at this location that consists of 2 Retention
Ponds. Services include a visual inspection of all underground and above ground stormwater structures and
facilities; removal of all trash, debris and sediment that can be picked by hand from above ground; and
appropriate vegetation cutting and management.
AQUALIS has prepared and included the permit renewal form and the required renewal permit fee of $505.00.
Scope of Work
AQUALIS provided the Services and Deliverable(s) as follows:
• Prepared Permit Renewal Form
• Processed and paid the permit renewal fee
JON 08 202,

5