HomeMy WebLinkAboutSW8960611_CURRENT PERMIT_20180207STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 9U QU O
DOC TYPE
t CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
ul� 020"1
YYYYMMDD
ROY COOPER
�+ Governor
/.a
MICHAEL S. REGAN
Secretary
Energy, Mineral& WILLIAM E. (TOBY) VINSON, JR.
Land Resources Interim Director
ENVIPONMENTAL QUALITY
February 7, 2018
NIGK Enterprises, Inc.
Attn: r�4ark Kennedy, President
PO BoN 360
Winnabow, NC 28479
Subject Permit Renewal and Permit Information Update
State Stormwater Management Permit No. SW8 960611
M&M Storage
Brunswick Countv
Dear Mr. Kennedy
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 this permit will now reference DEMLR as the Division responsible for issuance of the p6rinit.
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal
Application and request to update the permit information for the subject project on January 16, 2018. The
Division is hereby notifying you that permit SW8 960611 has been renewed on February 7, 2018, and shall be
effective until May 7, 2020. The permit information has also been updated as requested. For your records,
please find enclosed a renewed, updated, and re -issued permit, a copy of the renewal application, and a copy of
the permit update form. Please keep this permit on file at all times. Please note that the renewed, updated, and
re -issued permit does not impose new or different terns; it merely restates some of the previous terms to
provide you with a better understanding of your obligations under the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance
with the terms and conditions of this state stormwater permit. The plans originally approved on September 13,
1996 and subsequently modified on March 5, 1997 and again on May 7, 1998, will remain in full force and
effect in accordance with the regulations set forth in Title 15A NCAC 2H.1000 effective September 1, 1995.
This permit is subject to the conditions and limitations as specified therein. Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BN1P(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 (i(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.
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resnurces
Wilmington Regional Office 112.7 Cardinal Drive Extension I NiIminglon,NC 2840.5
910 796 7215
State Storinwater Permit No. SW8 960611
Page 2 of 2
If you have any questions, need additional copies of the permit or.approved plans, please contact Christine Hall
at (910) 796-7215.
Sincerely
A'; William E. (Toby) Vinson, Jr., PE, CPESC, CPNl. Interim Director
Division of Energy, D9ineral and Land Resources
GDS/canh: A\\StmmwaterAPermits 3 1'rojects\1996\960611 ND\2018 02 permit 960611
cc: Phil Norris, Norris 3, Tunstall Consulting Engineers
Wilmington Regional Off -ice Stormwater File
Statcof North Carolina I Environmental Quality I Energy. Mineral and Land RCSOU'ces
Wi'Itnington Regional Office 1127 Cardinal Drive Extension I "9lmington'NC 28405
910796 7215
State Stormwater Management Systems
Permit No. SW8 960611
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
MGK Enterprises, Inc.
M&M Storage
20 Edgewood Lane, Winnabow, Brunswick County
FOR THE
construction, operation and maintenance of a detention pond in compliance with the provisions of
15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved
stormwater management plans and specifications and other supporting data as attached and on
file with and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR") and considered an enforceable part of this permit.
This permit shall be effective from the date of issuance until May 7, 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 on page 3 of this permit, the Project Data Sheet. The stormwater control has
been designed to handle the runoff from 113,030 square feet of impervious area.
3. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
4. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit,
and per approved plans.
Page 1 of 5
State Stormwater Management Systems
Permit No. SW8 960611
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
PROJECT DATA SHEET
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Water Body Receiving Stormwater Runoff:
Classification of Water Body:
If Class SA, chloride sampling results:
Pond Depth, feet:
Permanent Pool Elevation, FMSL:
Total Impervious Surfaces, ft2:
Outparcels, ft2
Future, ft'
Offsite Area entering Pond, ft':
Required Surface Area, ftl:
Provided Surface Area, ft2:
Required Storage Volume, ft':
Provided Storage Volume, ft':
Temporary Storage Elevation, FMSL:
Controlling Orifice:
M&M Storage
960611
Brunswick County
Mr. Mark Kennedy, Owner
M&M Storage Buildings
420 Greenhill Road
Leland, NC 28451
February 2, 1998
Town Creek
"C Sw"
n/a
4.5
11.7
113,030
n/a
n/a
rerouted, per Engineer
9,042
9,121
9,019
9,279
12.6
1.5 pipe
Page 2 of 5
State Stormwater Management Systems
Permit No. SW8 960611
5. Runoff from all of the built -upon area on the project must be directed into the permitted
stormwater control system.
6. The permittee is responsible for verifying that the proposed built -upon area does not
exceed the allowable built -upon area.
7. The following items will require a modification to the permit
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision of the project area.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved
plan.
In addition, the Director may determine that other revisions to the project should require a
modification to the permit.
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.
II. SCHEDULE OF COMPLIANCE
The permittee will comply with the following schedule for construction and maintenance of
the stormwater management system:
a. The stormwater management system shall be constructed in it's entirety,
vegetated and operational for its intended use prior to the construction of any built -
upon surface except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
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 side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins
and piping.
g. Access to the outlet structure must be available at all times.
3. Records of maintenance activities must be kept and made available upon request to
authorized Division personnel. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
4. Decorative spray fountains will not be allowed in the stormwater treatment system until
calculations are provided documenting the permeant pool volume is greater than 30,000
cubic feet.
5. 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.
Page 3 of 5
State Stormwater Management Systems
Permit No. SW8 960611
6. 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.
7. 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.
8. Prior to the sale of any portion of the property, an access/maintenance easement to the
stormwater facilities shall be granted in favor of the permittee if access to the stormwater
facilities will be restricted by the sale of any portion of the property.
III. GENERAL CONDITIONS
This permit is not transferable to anperson 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:
i. 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,
ii. 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;
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.
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.
4. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may
be required by this Division, such as the construction of additional or replacement
stormwater management systems.
6. The permittee grants Division Staff permission to enter the property for the purpose of
inspecting all components of the permitted stormwater management facility.
7. 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.
Page 4 of 5
State Stormwater Management Systems
Permit No. SW8 960611
8: 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 renewed, updated, and re -issued this the 7th day of February 2018.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
William . (Toby) Vinson, Jr., PE, CPESC, CPM, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 960611
Page 5 of 5,
State Stormwater Management Systems
Permit No. SW8 permit#
M&M Storage
Stormwater Permit No. SW8 960611
Brunswick County
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the
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.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 1 of 1
r.� TORMW TER E C E I V E
FEB 0 21998 D
POND MAINTENANCE REQUIREMENTS M��
Project Name: M & M Storage Buildings PROJ n
Project No.:
Permittee: Mark Kennedy
Address: 420 Green Hill Road
Leland North Carolina 28451
Phone: (910) 253-5560
I. Monthly, or after every runoff producing rainfall event, whichever comes
first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it
is not functioning.
B. Inspect and clear the orifices of any obstructions.
C. Inspect the pond side slopes; remove trash, and repair eroded areas
before the next rainfall event.
II. Quarterly:
A. Inspect the collection system (ie. catch basins, piping, grassed
swales) for proper functioning. Accumulated trash will be cleared
from basin grates, basin bottoms, and piping will be checked for
obstructions and cleared as required.
B. Inspect Pond inlet pipes for undercutting. Riprap or other energy
dissipation structures shall be replaced, and broken pipes shall be
repaired.
III. Semi-annually:
A. Remove accumulated sediment from the bottom of the outlet
structure.
B. Reseed grassed swales, including the vegetated filter if applicable,
twice a year as necessary.
IV. Annually:
A. Check pond depth at various points. Sediment removal is required
when the depth is reduced to 75% of the original design depth or 3',
whichever is greater. Design depth of the pond is 4.5', measured
vertically from the orifice down to the pond's bottom. Sediment must
be removed to at least the original design depth.
IV. General:
A. Mow side slopes will according to the season. Maximum grass height
shall be 6".
B. Cattails are encouraged along the pond perimeter: however, remove
them when they cover more than 1/2 the surface area of the pond.
The best time to cut them is at the end of the growing season, in
November. Environmentally sensitive chemicals for use in killing
cattails can also be used. Contact your Agricultural Extension
Agent.
C. The orifices are designed to draw down the pond in 2-5 days. If
drawdown is not accomplished within that time, replace orifice with
a larger or smaller orifice as necessary. Slow drawdown may be
caused by a clogged system. Determine the source of the clogging and
eliminate it.
D. Keep all components of the detention pond system in good working
order. Repair or replacement components shall meet the original
design specifications as per the approved stormwater plan. If
previously approved components are determined to be ineffective, the
component must be redesigned and/or replaced.
I, Mark Kennedy, Owner, M & M Storage Buildings, hereby acknowledge that
I am the financially responsible party for maintenance of this detention pond.
I will be responsible for the performance of the maintenance as outlined
above, as part of the Stormwater Management Permit received for this project.
Signature: Date:
POND MAINTENANCE REQUIREMENTS
Project Name: MGK. Inc.. Storage Buildings Project No. Sl,0 9 9(00W 1
Permittee: Mark Kennedy Phone No. (910) 253-5560
Address: 420 Green Hill Road Leland, NC 28451
Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect trash racks; remove accumulated debris, repair/replace If not functioning
properly.
B. Inspect and clear orifice of any obstructions.
C. Inspect the pond side slopes; remove trash, and repair eroded areas before the next
rainfall event.
H. Quarterly:
A. Inspect pond, piping, grassed swales, and ditches for proper functioning. Accumulated
debris shall be cleared from basin bottoms and piping shall be checked for obstructions
and cleared as required.
B. Pond inlet pipes shall be checked for undercutting. Riprap or other energy dissipation
structures shall be replaced, and broken pipes shall be repaired.
III. Semi-annually:
A. The forebay depthshall be checked at various points. Sediment shall be removed before
the depth below normal pool (orifice elevation) is reduced to 3'.
B. Grassed swales shall be reseeded twice a year as necessary.
IV. Annually:
Stormwater detention pond depths shall be checked at various points. Sediment shall be
removed before the depth below normal pool (orifice elevation) is reduced to 3'.
V. General:
A. Mowing of the side slopes shall be accomplished according to the season. Maximum
grass height shall be 6-.
B. Cattails are encouraged along the pond perimeter, however, they shall be removed when
they cover more than 1 /2 the surface area of the pond. The best time to cut them is at
the end of the growing season, in November. Environmentally sensitive chemicals for
use in killing cattails can also be used. Contact the Agricultural Extension Service.
C. The orifice is designed to draw down the pond in 2 to 5 days. If drawdown is not
accomplished within that time period, the orifice shall be replaced with a larger or
smaller orifice, as required. Slow drawdown may be attributed to a clogged system. The
source of the clogging shall be found and eliminated. P7nMli m n .
JUN 1 01996
C
PAOJ B W (Q
Pond Maintenance Requirements
Page 2
D. All components of the detention pond systems shall be kept in good working order.
Repair or replacement components shall meet the original design specifications as per
the approved stormwater plan. if previously approved components are determined to be
ineffective, the component shall be redesigned and/or replaced.
I, Mark Kennedy , hereby acknowledge that I am the financially
responsible party for maintenance of the detention ponds at MGK, Inc.
Storage Buildings. I will be responsible for the performance of the
maintenance as outlined above, as part of the Stormwater Management
Permit received for this project.
Signature: 7Ya4i K i Date: 6 - -9G
UEMLK USE UNLY
Date Received
Fee Paid
Permit Number
1 (a ��I
N A
3ti+ T6D611
STATE STORMWATER: f -r4 („ Y 3
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permittee information.
This form is to only to be used by the current permittee 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 permittee;
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 Stormwater Permit Number: SW8 960611 (M&M Storage)
Are you updating
(check all that apply):
If so, please provide the updated information:
❑ Project name
Corporation Name'
MGK Enterprises, Inc.
❑ Permit Contact Name2,3
Zg ZUII
® Permit Contact Title
Mark G. Kennedy, President v
}Mailing Address3
P.O. Box 360, WinnabowANC 28479 gY:
❑ Phone number
❑ Email address
Provide documentation such as a Name Change / Merger filed with the NCSOS.
Provide supporting documentation such as NCSOS filing. The permit contact's position must be in accordance
with 15A NCAC 02H .1040(1).
If more than one point of contact or mailing address is being changed, please attach a separate sheet.
B. CERTIFICATION OF PERMITTEE
I, Mark G. Kennedy , the current permittee, hereby notify DEMLR that I am making the
changes as listed in Section A above. I further attest thatjhisapplication for an update to the permit information currently
on file is accurate wrea�l
lete to the b/e/stt of my no d
Signature: ✓`' Date:
I, TQ.MQ-r-a L - —,a Notary Public for the State of NOr l- Ca o i✓t rL
County of byi4,nSW � cjL- do hereby certify that MO-Y-IL Co- lC en�ted>C
personally appeared ll 6*;,he I cf � day of eC-ern �� r' 20 1 rl , and acknowledge the due
execution of the fo`* 1toMet.!5�ptness my hand and official seal,
(Notary Seal) a0 9p
Notary Signatureyv�Q/1YlOtl\�0.1
My commission exp�r�l�l . „�a a
Stormwater Permit Information Update Form Page 1 of 1 May 11, 2017
e`o�e`6�4zf�38p ���o
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DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
1 /1b
1"Ito
R7
5-$ 9
(oO( 1
State of North Carolina 974 1-1 I 43
Department of Environment and Natural Resources
Division of Energy Mineral and Land Resources
(NCDENR DEMLR)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as all original
This form is to be completed by the current permit holder pursuant to Title 15A NCAC 21-1.1003 (h) (2). This states
that stormwater management permits, issued for projects that require the construction of engineered stormwater
control measures (High Density Permits), shall be required to submit an application to renew the permit 180 days
prio7.r to expiration of the permit. Renewed permits are valid for a period of 8 years per Session Law_ 2011-398 (SB
781) Section 60. (c):
I. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources (NCDENR) Division of Energy Mineral and,(�j Eho et�rrQq�(H)jAG ). A
complete package includes all of the items listed below. The complete applicatiq,�ttP paackage s oil
submitted to the appropriate DEMLR Regional Office. (The appropriate office t� berfgund/h� cI'�"ilF�ing the
interactive online map at ham:///portal ncdenr.org web/guest/re,gionai-offices. Co A sptVyof the original permi n be
obtained from the Regional Office of the Division of Energy, Mineral and Land Res011ices:)--------_
This Renewal is for STORMWATER PERMIT #: SW 8960611 M&M Storage
Please check which of the following permit renewal scenarios apply. Initial in the spaces provided that you have
provided the required information.
AA. Renewal Only:
-$505fee
-Renewal Form - Sign and complete all sections (send original & 1 copy)
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DEMLR). Copies are
acceptable. q
-Designer's Certification (if required by permit and not already received by NCDENR DEMLR) (See the
last page of your permit for a copy of the certification form.)
-1 Have a Copy of the Current Operation and Maintenance Agreement (O&M): Please Keep this on File
with your permit.)
-I Do Not Have a Copy of the Current O&M: Initial This Line to Request a copy. (1f NCDENR DEMLR
does not have a copy on file, then you Will be notified to submit a new O & M form.)
❑ B. Renewal and Modification:
-$505 Fee and Pages 1 & 2 of this Renewal Form
-SWU-101 Application Form (htt�://portal.ncdem•.mahaebhoq/:os/stdstatestvl orals does)
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DEMLR). Copies are
acceptable.
- Under #11. 1. on SWU-101 Application Form -- Check Box for Modification w/Renewal
-Designer's Certification (if required by permit and not already received by NCDENR DEMLR) (See the
last page of your permit for a copy of the certification form.)
Form SWU-102 (Renewal Form) Rev. Oct. 31, 2013 Page I of
vui-ai ,��rccu I. r nu y,.npar uu nuwnr vr,nrrcvu✓rfrrwrmv mnt.-rnuu umi
® C. Renewal and Either: 1.) Permit Transfer to a New Permittee, or 2.) Proiect Name Change:
Please submit all items in LA, and:
'Request a NCDENR DEMLR site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below (forms available at httP://12ortal.ncdejir.org/web/Ir/st-,ite-
stormwater-forms dots).
1. I-IOA Name/Ownership Change Form: For planned communities (per Chapter 47C or
Chapter 47F of the General Statutes)
'Name/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form (as
stated in each of the available forms) and that all required signatures and initials are filled in properly:
OtlSerwise the name change or transfer can not be processed and the original owner will remain as the
permit holder:
❑ D. Renewal Modification and Transfer (or Name Change): Please submit pages 1 and 2 of this
Renewal form along with all items listed in I. B. and C. above (check this box and initial items in B.
& C. that you are submitting to NCDENR DEMLR.
II. APPLICANT'S CERTIFICATION
Note; llu legally responsible party is the parent permit tee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DEMLR by the permittee.
1, (print or type ❑ante of permittee or person legally responsible for the permit) Mark G. Kennedil
certify that I have a copy of the DEMLR Approved Permit and O&M Agreement on -site (OR I have obtained a copy
from DEMLR 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. I agree to notify DEMLR of any
problems with the system and prior to any changes to the system or changes in ownership I will (or have through
this renewal application) notify NCDENR DEMLR and submit the proper forms to modify or transfer the permit.
All information provided on this permit renewal application is, to the best of my knowledge, correct and complete.
PermitteeTitle: President
Address: P.O. Box 360 Winnabow. NC 28479
NOTARIZATION:
a Notary Public for the State of NQ'`f 1✓1��--
County of 15 i Lt-nStvj CA— , do hereby certify that ' OLY'K • (CEQf'lrgf—'
personally appeared before me this day of 0e1c--fmbe' nI I DLO tom) , and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements. Witness my hand and official seal,
My commission expires: 1 0 01 J 'a -a,—
Notary Signature: �)CVI-na 1,, Date:
Form SWU-102 (Renewal Form) Rev. Oct. 31, 2013 Page 2 of4
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III. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8 960611
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
MGK Enterprises, Inc.
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Mark G. Kennedy, President
4. Mailing Address for person listed in item 2 above:
City:Winnabow State:NC Zip:28479
Phone: (910 ) 617-9665 Fax:
Email:mgkennedyy@ema i i.com
5. Project Name:
6. Location of Project (street address):
20 Edgewood Lane (Hwy 17)
DEC 2 8 2017
City:Winnabow County:Brunswick Zip:28479
7. Directions to project (from nearest major intersection):
From intersection of US 17 and NC 87 take US 17 and NC 87 South for 1.8 Miles to Edgewood Lane on the right.
Site is on Edeewood Lane.
Form SWU-102 (Renewal Form) Rev. Oct. 31, 2013 Page 3 of
IV. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention ®Wet Detention Pond
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. If any changes were made to the original DEMLR approved project list them in the space below (attach additional
pages if needed and provide "As -Built" drawings with this application). If major changes have been made to your
project please request a plan revision or modification of the permit and submit "As Built" drawings along with a
final or updated stormwater system engineer certification (if not already provided to NCDENR). DEMLR Engineer
and Designer Certification Forms are available from each NCDENR DEMLR Regional Office.
Form SWU-102 (Renewal Form) Rev. Oct. 31, 2013 Page 4 of4