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WQ0002829_Application_20220506
State of North Carolina 0 "iii uuuuu ,;;;;;� Department of Environmental Quality „tttt�� '»» Division of Water Resources DGvlsia n of Water Resources 15A NCAC 02T.0700—HIGH-RATE INFILTRATION SYSTEM—RENEWAL FORM: HRIS-R 02-21 Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0700, and Division Policies. For more information, visit the Water Quality Permitting Section's Non-Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format(PDF) file to https://edocs.deu.nc.gov/Forms/NonDischarge- Branch-Submittal-Form-Vert,or emailed to Non-Discharge.Reportsnncdenr.gov if less than 20 megabytes(MB). SECTION I-APPLICANT INFORMATION 1. Applicant:KDHWWTP,LLC 2. Permit No.:WQ002829 3. Signature authority: George E. Goodrich Title:Manager Phone number: (252)475- Select Email: eddiegoodrich@villagerealtyobx.com 4. Mailing address:P.O.Box 3629 City:Kill Devil Hills State:NC Zip:27948- 5. Contact person: George E. Goodrich Email: eddiegoodrich@villagerealtyobx.com Primary phone number: (252)475-0874 Select Secondary phone number: ( ) - Select SECTION II-FACILITY INFORMATION 1. Physical address: 801 Bermuda Bay Boulevard County:Dare Parcel No.: 026999000 City:Kill Devil Hills State:NC Zip:27948- 2. Treatment facility coordinates to the sixth decimal degree: Latitude: 36.787° Longitude: -75.66931° Method:Address matching SECTION Ill—FLOW INFORMATION 1. Permitted flow: 660000 GPD(The maximum allowable flow based on what has been permitted) 2. As-built flow: 660000 GPD(The maximum allowable flow based on what has been constructed) 3. Average flow:232124 GPD(The average of all reported flows on the previous calendar year's NDMRs) 4. Hydraulic capacity:35%(Divide the average flow in Item 3 by the As-built flow in Item 2) 5. Wastewater composition: Domestic : 100% Industrial: % Stormwater: SECTION IV—BILLING INFORMATION 1. Billing address:P.O.Box 3629 City:Kill Devil Hills State:NC Zip:27948- 2. Verify the Applicant does not have any overdue annual fees: https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wq-epayments Pursuant to 15A NCAC 02T .0120(c),permits for renewing facilities shall not be granted if the Applicant or any affiliation has an unpaid annual fee. FORM:HRIS-R 02-21 Page 1 of 6 SECTION V OPERATOR IN RESPONSIBLE CHARGE(ORC)INFORMATION 1. ORC:Jimmy Bliven Grade:4 Certification No.:991879 Mailing address:P.O.Box 602 City:Wanchese State:NC Zip:27981- Phone number: (252)489-9583 Cell Email:jbliven@atlanticsewage.com 2. Back-Up ORC:Dave Robertson Grade:3 Certification No.:977714 Mailing address: 611 Sea Loft Court City:Kill Devil Hills State:NC Zip:27948- Phone number: (252)489-9711 Cell Email:dobertson@atlanticsewage.com SECTION VI—OPEN-ATMOSPHERE STRUCTURES 1. List all open-atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if necessary. Type Parcel No. Volume(gal) Liner Type Freeboard(ft) Latitude Longitude Select Select . o - ° Select Select . o - ° Select Select . o - ° Select Select . o - ° SECTION VII=RELATED PERMITS 1. List all wastewater permits (i.e., sewer,collection system,NPDES,residuals)that have interactions with the renewing permit. Attach additional sheets if necessary. Permit Type Permit No. Relationship Type Collection System WQ0002829 Master plan Select Select Select Select Select Select SECTION VIII-MONITORING WELLS 1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary. Well Name Parcel No. Status Gradient Location Latitude Longitude CW-A 026999000 Active Downgradient On Review Boundary 36. ° -75.6697° CW-B-1 026999000 Active Downgradient On Review Boundary 36. ° -75.6697° CW-C 008164994 Active Downgradient On Review Boundary 36. ° -75.6731° CW-D 008164999 Active Downgradient On Review Boundary 36. ° -75.6719° CW-E1 008164996 Active Downgradient On Review Boundary 36. ° -75.6753° CW-F 008164805 Active Downgradient On Review Boundary 36. ° -75.67527° CW-G 008164805 Active Downgradient On Review Boundary 36. ° -75.6753° Select Select Se P,* o ° SEE FOLLOWING SHEET FOR - Select Select Se COMPLETE LATITUDE COORDINATES Select Select Select . ° - ° Select Select Select . ° - ° FORM:HRIS-R 02-21 Page 2 of 6 /„/ /,// „,/.i>i! r/i//r.,.,/r� rr r , r/ // � ✓� 444,44i �/r// 444, r/ /r/ /r i'.,%/r , rr rr /"...-..' r,.rr,.� / / r � //r /^/,./ cr/ rri.,rL r,r, -, — — //�% r ///�/,r�/��, .�,��/�r ��r,./, r,,r�„,r ,„ /c .r;°� / i/ i..,,,r,�/;" irr// � i,. T�� �// /r- / �i„ �r, / �/ r/ � ��.i/i��1 / r/// ,/l .l�r� � �%/1i� � /r�`/��� `/ �/O%%� i� r�/ / 1. ORC: Jimmy Bliven Grade:4 Certification No.: 991879 Mailing address:P.O.Box 602 City: Wanchese State:NC Zip:27981- Phone number: (252)489-9583 Cell Email:jbliven@atlanticsewage.com 2. Back-Up ORC:Dave Robertson Grade: 3 Certification No.: 977714 Mailing address: 611 Sea Loft Court City:Kill Devil Hills State:NC Zip:27948- Phone number: (252)489-9711 Cell Email: drobertson@atlanticsewage.com /r,r/r, /,,,✓r /r r /rr�/ /,,//;/ ,r //// ,r, //a r�r /,„ i// ,//,/, /� // i/r,��/r //„i/i a, / /,i rr/� i/,i/ r, /r,/r/� r/ / i // r / / / � ,/i/r r/. „ k r/,, r/ ,/���/r // ri � r/ r/ I o , lr/ r i � ,r�! f✓ „r ix/ / „i ..... 1. List all open-atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if necessary. Type Parcel No. Volume(gal) Liner Type Freeboard(ft) Latitude Longitude Select Select . ° - ° Select Select . ° - ° Select Select . ° - ° Select Select . ° - ° __. < ,, .�, ,,, r � r ,, ,,,, , ,. ,.r r, r,,,,;, , /, r r / , rr r r / r / � rr;, .., �. ..��., ,.r, , . , ,:- ii , /r /r ,. , ,/ , rr ,',-� / ��/ r .. �... „ . ,..,r r r , / / ii i, rr r.i „ir /,r / r / i , „ r /, r , r,// , / / ri �./ / � /, / /, / , / r ,r..,, / i` rr r/ r / , r /r/T///,rr1 //T///// /�/f ,r/ . //% rr//, / r/ / / /,i/ , /rir//// 1,ii r , i / r,//./ 1%r r„/r//i///i// rr, r /.. / / / /r / / / / / i/ r / i rr / � r/r / i r �i , / ,, r / / / / / , r,/ rr /, //�/ii / /r, /r r / � r / i r/ r /" r/i�� / ,/ /„ r ✓� / r/r / / / / � /,,/. . ,/ �./ //r /,� / /r /, .,,�/r r/ r :�/ /, , r., /.,.,"r, / �,. / .r/, r/i�'%, ,/, /%, / r , /r ,r f r �;, /r„r / . e,/ / / / „/ , r /r�i , a /, r / / r �r � /rr,// ,,,/ „r / / / , , r / / r ,/ / /r / , / r/ / / r ,i r ./ r �.„ // / / // � ,/ ,�, r , / / r/r„/ r/ r / � r „ / , /. / r// , r , / � / / / / / r� / // /r / r r //rr / / � ,// // c ,/ / / / / / r, /� J / ,r,,r,/ / t , / / / rr / / r, / /, , ,r / // , / . V. , , / . ! , /,/, / r i l �. , / r! , ,.///.. i /, r / . , ,/ / , /r /,r/ // r l�. , . e �r , .,,/ /r / /, / / / v, / r, /� / /�l . / / , r, r// � /, r / / / / , //�r /// /r r r � ,r, , r / / r % / // , � , r / r// , i � � % , /, /// ///,, /// / / / // / / /// / / / / , // / /� / / / / �, , , /� / / / / / / / r , / / ,, /, / , / / // / / / / ,/ �./!/ � / r/ / / r // %/ r/�,%/ r r /, / , , /, / r / � ( /r , /, //�� , , r r �/r / / i//� ,i ,/ / � r ( , / // /„ / r l� / ��� / I , / ,// �, / , ,, / // / � � , �r , ///,� /�/ /i / � /� / / / / rr r í ,i/ /� / rr /,/ / � / �„ r 1 /I I r / f 1 /, / � �//„ / ////� /// ,� � ��//��r�� / rl � ! , r J ¡ � l // 1 l�ir�/� ��/r/i/ �r/,��,//íf./„/,�///a�r/,i „/ci i//f// �//��/��i//���/��%���rl�����f�,i,! � 1 rlrr�� r 1r ��i r� r, r, �,ii/�i��/��r%����/,,/����/%///, i,/„/,/ , 1. List all wastewater permits (i.e., sewer, collection system,NPDES, residuals)that have interactions with the renewing permit. Attach additional sheets if necessary. Permit Type Permit No. Relationship Type Collection System WQ0002829 Master plan Select Select Select Select Select Select ,>— ,� , / , . , ,r ,, , , ,� , , r , ,/, , „r, / , , r r , /, ,,�, �. �, r� / r o. rr c < a// rr, i r r r r > , , /., >�,, . . , r / . /r , r ,/rr,/ „ , �7i- , :rrr r , , Tr, �..,. r .,, .r ,./ r // / r, i,r , r // r,,, r/ , , r/ r , r r r/,, // , r, / / / r ,/, r r r , , , /„. o.,. „ ,✓ ,r /i/ / e.r/,, , /rr / „ ,, . /i, ,.., . r r „ /....,... / ". f-. .,r , ,/ / � r // i. r, r /,%/,. ri r, r , 1 . ,,.. ,r r r , , . .r ., r„ / � ,, ,,, / ri� r/I//r%, ri/� r/ „/✓i r„r ,/ �„ , /// Gr r/ r r, r /, r /. r" .., , r , / . / r, , /r�/i% // /r/ / r �r. , rL/,�c./ r.vr / / r / , r�:. r e ,r r / r / r r r / r r/ /r, , r„ /ri, / / / / / / � / r, /r, / / / / / r, /r ,r, /i �,a. / / // / � / o / ,/ i" i r r i /� r r r r/, /, r rr / l / � / ,/ // / //,F /, ,/, r/r-, /r // / /r I /„ /� /"r/ / / „ r/ /, G,, / /,,, /, / // r r/ / r,o / / / / r �r�,/, / / / . / r;, . / '/ / r / r, / / // ,o // / / / / l /,, rr., //, / i / / / ,,; �r i, ,,, ,, / �r/ // l ,// �/ , / / ✓ ///, / , // ,� r / r r, /C / /l r i /r , , , ,, /, / /,/, ,,,ri , / / r /i / / /, // , /, � / / / r / .r,,,, r ,, r � l / �, / r / / /,/ ! r , r r // // / r �/ /r /, ,,r / i/ / . / / / / / / / // / / / , , / r/ , / ,, / rr // , / , l,. .. . r F, / � r / „ r r ,/ ,, / / , r,.� . / . , , i / I. i . � / / r � /// , /,� ,// , / . / / / / ,,.� , r �/ / . / /, ,/ / . I // // r / / r .,/ , / , // / / ,/., /�/ / / ,r/ // lr / / / / /, / /ir ,� � , /// // / / ! / / /, / , � � ,/ / / / ,. � - / // / / /i / / / / / , .r// , � , ,,�/ /, , � , / � / ! r / // / / „ � // / /, / / r< r � // / / /,///, , r,/ ,/// // / / / / / /, / ,r % / �, /� / / /,/ //, / r i� / / ;, /r/ // / ,/,,. r � / � 1 / r/ / / r ,/ � � � „ r/ �!/, / // � / �, � „,r , r, , /,/ ri r/ /,,i / //� / rr , , r r r , � / / / i /� / � � r / �� / ��/ / /� / / f 1 // /�" /� i /r/ �/íif , ,/ r ,/, / , , ,� / ,// l/ �,r /D / / % / / %,//r/. / /�� / �/i /i�/�����,/,//a1,l��r �ril., ,lllrtr,r�i�/ //r/ r%� !/�/� 1///r / �./ � / /r//�i ii/////�/I��//,//�/����/�/����i�/ � , /�li� j 1� arri � r,% yJiirii//lrn�ll�i�i uiiir���%����%/r,a�,///�i r,/��//rir//f�,,,í�//�///n ✓����� ,,/�/ /�r��%r/,e ��� ����!lL��fUv��������� ,.///������/ r/, ✓r a,�//�,,,l ,��ri // �.l , 1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary. Well Name Parcel No. Status Gradient Location Latitude Longitude CW-A 026999000 Active Downgradient On Review Boundary 36.008G° -75.6697° CW-B-1 026999000 Active Downgradient On Review Boundary 36.0)03(° -75.6697° CW-C 008164994 Active Downgradient On Review Boundary 36.0017° -75.6731° CW-D 008164999 Active Downgradient On Review Boundary 3640‘01° -75.6719° CW-El 008164996 Active Downgradient On Review Boundary 36,00(97° -75.6753° CW-F 008164805 Active Downgradient On Review Boundary 36.00155° -75.67527° CW-G 008164805 Active Downgradient On Review Boundary 36.0001° -75.6753° Select Select Select . ° ° Select Select Select . ° - ° Select Select Select . ° - . ° Select Select Select . ° - ° FORM:HRIS-R 02-21 Page 2 of 6 TFFGPMMPXJOHTIFFU SECTION IX – INFILTRATION SITES 1.List all infiltration sites associated with the renewing permit. Attach additional sheets if necessary. Site County Parcel No. Deeded Owner AreaCover Crop Latitude Longitude . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° . °- . ° Total Acreage: FORM: HRIS-R 02-21 Page 3 of 6 _ 0 1.'11 /J.) 1;49 rl ed. .,. 0-1 CI ..« ov,111,911011111111111111111111111111111111:1211111 / .111111:11fell1111,11r111111100111111011311111 11!11111111Illio!lillillilfl,,:p:z ,. 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These requirements are: ® A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing all facility-related structures and fences within the wastewater treatment,storage,and infiltration areas. ® Soil mapping units shown on all infiltration sites. ® The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes,ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage, and infiltration sites. ® Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and.0108. ® Setbacks as required by 15A NCAC 02T .0706. ® Site property boundaries within 500 feet of all wastewater treatment,storage,and infiltration sites. ® All habitable residences or places of public assembly within 500 feet of all treatment,storage,and infiltration sites. ❑No—Skip Attachment A. ATTACHMENT B SIGNATURE AUTHORITY DELEGATION Does the signature authority in Section I,Item 3 meet the requirements pursuant to 15A NCAC 02T .0106(b)? ® Yes—Skip Attachment B. ❑No—Submit a delegation letter pursuant to 15A NCAC 02T .0106(c)authorizing the signature authority to sign. ATTACHMENT C-FLOW REDUCTION Does the existing permit include an approved flow reduction? ❑ Yes—Submit a copy of the flow reduction approval letter,as well as the measured monthly average amount of wastewater flow contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A NCAC 02T .0114(f). ® No—Skip Attachment C. ATTACHMENT D-CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY Is the Applicant a Privately-Owned Public Utility? ® Yes —Pursuant to 15A NCAC 02T .0115(a)(1), submit the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. ❑No—Skip Attachment D. ATTACHMENT E OPERATIONAL AGREEMENT Is the Applicant a Home/Property Owners'Association or Developer of Lots to be Sold? ❑ Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement(FORM:HOA).Pursuant to 15A NCAC 02T .0115(c),if the applicant is a legally formed Homeowners'or Property Owner's Association,submit a copy of the Articles of Incorporation,Declarations,and By-laws. ❑ Yes (Developer of Lots to be Sold) —Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement (FORM: DEV). Pursuant to 15A NCAC 02T .0115(b), if the applicant is a developer of lots to be sold, submit a copy of the Articles of Incorporation,Declarations,and By-laws. ®No—Skip Attachment E. FORM:HRIS-R 02-21 Page 4 of 6 ATTACHMENT F-DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES Is the applicant a municipality,county,sanitary district,or public utility? ® Yes—Proceed to the next question. ❑ No—Skip Attachment F. Does the hydraulic capacity in Section III,Item 4 exceed 70%? ❑ Yes(the hydraulic capacity is greater than 70%,but less than 80%)— Pursuant to 15A NCAC 02T .0118(1),prior to exceeding 80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year),the permittee shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system, elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements. If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other measures to achieve waste flow reductions. ❑ Yes(the hydraulic capacity greater than 80%)—Proceed to the next question. ® No—Skip Attachment F. If answered Yes above,does the hydraulic capacity in Section III,Item 4 exceed 80%? ❑ Yes (the hydraulic capacity is greater than 80%)—Pursuant to 15A NCAC 02T .0118(2),prior to exceeding 90 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed, submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed for a later date,a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow reductions. ® No—Skip Attachment F. ATTACHMENT G EASEMENT,ENCROACHMENT,AND LEASE AGREEMENTS Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, infiltration, and groundwater lowering(if applicable)system? ❑ Yes—Skip Attachment G. ® No—Pursuant to 15A NCAC 02T .0116(c),provide a copy of all easements, lease agreements, and encroachment agreements allowing the Permittee to operate and maintain the wastewater collection,treatment,conveyance, infiltration, and groundwater lowering(if applicable)system on property not owned by the Permittee. ATTACHMENT H—AFFILIATIONS Are the Permittee's affiliations of record correct? Check affiliations. ® Yes—Skip Attachment H. ❑ No—Provide the corrected affiliations and their contact information. ATTACHMENT I-COMPLIANCE SCHEDULES Does the existing permit include any Compliance Schedules?(See Section I of the most recently issued permit) ❑ Yes—Submit documentation that the compliance schedules have been met. ® No—Skip Attachment I. ATTACHMENT J-CIVIL PENALTIES AND OUTSTANDING VIOLATIONS Does the Permittee have any existing civil penalties or outstanding violations? ❑ Yes(civil penalties)—Submit payment for the civil penalty,or proof of remission request. ❑ Yes(violations)—Submit a copy of your response to the Notice of Violation. ® No—Skip Attachment J. FORM:HRIS-R 02-21 Page 5 of 6 ATTACHMENT K—INDUSTRIAL WASTEWATER Does the wastewater composition in Section III,Item 5 include any industrial wastewater? ❑ Yes—Proceed to the next question. ® No—Skip Attachment K. Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of new materials or chemicals,etc.)? ❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0704(h). Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ATTACHMENT I —SETBACK WAIVERS Does the existing permit include setback waivers? ❑ Yes—Pursuant to 15A NCAC 02T .0706(d),provide setbacks waivers that have been written,notarized, signed by all parties involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance with 15A NCAC 02L .0107. ® No—Skip Attachment L. APPLICANT'S CERTIFICATIOÍ SEE NEXT PAGE FOR SIGNATURE I, attest that this applicatic (Signature authority's name as noted in Section I,Item 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application package are not completed, and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance schedule in a permit,settlement agreement,or order;not paid an annual fee. Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement,representation,or certification in any application package shall be guilty of a Class 2 misdemeanor,which may include a fine not to exceed$10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Laserfiche Upload: Non-Discharge.Reportsnncdenr.gov https://edocs.deu.nc.gov/Forms/NonDischarge-Branch- Submittal-Form-Vert FORM:HRIS-R 02-21 Page 6 of 6 ATTACHMNT K INDUSTRIAL WASTEWATER Does the wastewater composition in Section III,Item 5 include any industrial wastewater? ❑ Yes—Proceed to the next question. E No—Skip Attachment K. Has the nature of the industrial wastewater changed since the last permit issuance(i.e., changes in industrial process, introduction of new materials or chemicals,etc.)? ❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0704(h). Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;and an overview of the cleaning and treatment methodology. ❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;and an overview of the cleaning and treatment methodology. ATTACHMENT L SETBACK WAIVERS Does the existing permit include setback waivers? ❑ Yes—Pursuant to 1SA NCAC 02T .0706(d),provide setbacks waivers that have been written, notarized, signed by all parties involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance with 15A NCAC 02L.0107. ® No—Skip Attachment L. APPLICANT'S CERTIFICATION e rll Ma/04 dui-- attest that this applicatic (Signature authority's name as noted in Section I,Item 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application package are not completed, and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance schedule in a permit,settlement agreement,or order;not paid an annual fee. Nate: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement,representation,or certification in any application package shall be guilty of a Class 2 misdeme; r ,which may incl�e a fine not to exc ed$10,000 as well as civil penalties up to$25,000 per violation. Signature: � .211. r ✓De Date: ,701 --(—O �- THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Laserfiche Upload: Non-Discharge.Reports rr ncder r.gov httus://edocs.deq.nc.eov/Forms/NonDischarge-Branch- Submittal-Form-Vert FORM: HRIS-R 02-21 Page 6 of 6 itC.--9,- 'RECORDED SURVEY' -24 1 f E I s 3 12 r ,... . . .[E. \ c \ l A ,S1 1 •.J i , It '-''''Fo„. 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" ������ µ,. z 3 � �_, � Ror 1 � � " ¡III g � V 1 , " \ � W:� <� �x= �s s � : �1 n1 � e�,� . m� _ a á� . l _ �t� A � �.� '4�°�° �: �5T é m� ,� � 9�� � � . � �� � 9���° �i ��S é �� � � '� �/ u�rt��% 4 � � � C z�" � z� � � ' �(!� �,/ �IA,iS ��,�/�V�'/A/p�\/ ¡ � �� nó5� „ á x e e á " � r� Y ie l a`//rt %%11FlIr (�I /�� ' CZ Zu�,; ú %m n _ �n _ �µ H « ` ¡ V il d� '\!¡¡ � � �� �g s� � l� , /� � ° 1(�'�/ � � � �. � �� �� �� '� IF � � � �r � , d � � º... � � � �i C' n Y z 8 ) 1! ¡� ��Jº k \ ómF tl ñ �_ I 'M 7� �S� V t .„� �, f`? . u m � -F � "�/ I � ,+� p G a > �<��� ;8 &<���� � \ �I� 1' ��w��ll � , " m-% n ^_ -s n ^pá �� ��. .'. / . �i J • r�l k áit ���„�z 1�f�1h�� ,t� r t,,k�ry`C���..� � � � .� � � � � v N�� p w���g %//l//�. �y �//�u��VI�J� � � IIIiV�5�� s' ,; � r � > ` �S � 21110 ; �l � �� ��I���N 1���{. ` ,'�� " < < Qa ll�) � � m 502 � � . � � Oz � � a =Wó , < ao < ao �� ó � m < � mm < m < mm m � m � w ; � �� ó �� � < < a� � , . � � , _ �,� W �. �º� � ; � — light REAL ESTATE DARE � TRANSFER TAX COUNTY ,'. _' 1(j-L . >loa Fi1®d Book: 1 i Page; 351 Doc Id: 6141540 1 07/27/2009 12:36PM Receipt M: 11B305 Doc Code: DEED NC Excise Tax pd. $20000.00 BARBARA M GRAY, REGISTER OF DEEDS DARE CO, NC APPROVED 1111111111111III11111111111111111111111111111111111111107= 5 004 ;2 ,6P DARE COUNTY TAX COLLECTOR 4 1 O©,e oo Excise Tax Recording Time,Bo d Page Tax Lot No. Parcel Identifier No Verified by County on the d f by Mail after recording to: Robert Hobbs,Esqu' e Homthal,Riley,El s d Maland Post Office Box 31 Nags Head, North ro 'na 27959 This instrument was prepared by: John G. Gaw,Jr.,Attorney at Law" Brief description for the Index: Sunset Ba NORTH CAROLINA E WARRANTY DEED THIS DEED made this day of July,200 , i y .. e e- -e n O GRANTOR GRANTEE GDH INVESTMEN C BERMUDA BAY,L.L.C. a North Carolina Limited Liability Company O Post Office Box 147 Harbinger,NC 27941 Enter in appropriate block for ea pa : ame,.r. - . if appropriate,character of entity,e.q.corporation or partnership. The designation Gr t Gr to used herein shall include said parties,their heirs,successors,and assigns,and shall inc e . lar,p ,masculine,feminine or neuter as required by context. WITNESSETH,that ant fo a valuable consideration paid by the Grantee,the receipt of which is hereby acknowled ee, ' . an by t ese presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that c „in lot ore el of land situated in Atlantic Township,Dare County,North Carolina and more particularly e cribed a• f llows: Tha - ear r lot of land lying and being designated as Parcel C as shown and delineated on the m.i. .r pla -. "Subdivision of Sunset Bay,A Parcel of Land on Colington Creek,Kill Devil Hills, • • 'tic Town • .,Dare County,North Carolina,"prepared by Seaboard Surveying and PIanning,Inc., an. - ed March 01,2004,and being filed in Plat Cabinet F, Slide 247, in the office of the Register Dee. o lk are County,North Carolina. I11111I11111IIII 11111111lll111I11111111III ll111IIlllilt óa Zxs 3 o 2 36P This conveyance is subject to that certain reservation of subsurface water rights as further set forth in that deed recorded in Deed Book 1567,Page 409,Dare County Registry;and further subject to the Wastewater Disposal Utility Easement dated July 23,2004,by and between GDH Investments,LLC, and KDHWWTP,LLC,recorded immediately prior to this deed in the office of the Register of Deeds of Dare County,North Carolina. The property hereinabove described was acquired by Grantor by instrument recorded in Dare County Registry Deed Book 1567,Page 409. A map showing the above described property is recorded in Plat Cabinet F,Slide 24 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all improvem- , .i vile=es and appurtenances thereto,belonging to the said Grantee,and to its successors and a :.d in fee si .p e absolute forever,subject,however to that certain covenant,reservation and res ion : e .after s- forth,that shall be binding upon the Grantee,its successors and assigns,and shall run w' A he land, lei g as fo lows: The property and improvements constructed and placed thereon shall be use. sr : identi.1 .urposes as such other and further uses as may be permitted by right,conditionally authorized or p-. I ei iursuant to a conditional or special use permit issued and authorized by the Town of i D vi ill , o • time to time,and pursuant to the planned unit development approval granted by the Tow d that' plica: :to the property and the uses thereon. Grantor covenants to and with the Grantee that it is ci f said p in fee,and has the right to convey the same in fee simple,that the same is free and c of liens an e cumbrances except the aforesaid restrictive covenant,ad valorem taxes for the current yea n t yet due and a able,easements and other restrictions of record,and land use ordinances of the tow o Kill Devil Hi is and that the Grantor does hereby warrant and forever defend the title to the same against the a 1 claims f 11 persons whomsoever. IN WITNESS WHEREOF,the Grantor has caused this inst ent to be signed in its legal name by its duly authorized managers and its seal hereto of x all by authority contained in its operating agreement,the day and year first above written. G M TS,L C 'e iY: {SEAL} rge oo is ,Manager y: {SEAL} O . Dixon,Manager STATE OF NORTH .A A Al; 00, COUNTY OF DA' I,a Notary Pub o . . ounty and State,do hereby certify GEORGE E.GOODRICH,Manager of GDH INVESTM ' , . , 1 North Carolina Limited Liability Company,personally appeared before me this day and acknowl-s g:. the d - xecution of the foregoing instrument on behalf of the company. Wi E 4 an. and official notarial stamp or seal this the 93rdday of July,2004. N y Public My Co i 'on Ex ires:9-00 ,,``ol ""eR,0 SEAL/STAMP T . pSARYl9 / PUBL-G;'"2 ii 9��ouN 11111111111111111111111111111111111111111111111111111I! O;aig33 of m©a 32 36P STATE OF NORTH CAROLINA COUNTY OF DARE I,a Notary Public for said County and State,do hereby certify JOHN W.DIXON,Manager of GDH INVESTMENTS,LLC,a North Carolina Limited Liability Company,personally a eared before me this day and acknowledged the due execution of the foregoing instrument on behalf of the comp Witness my hand and official notarial stamp or seal this the .3rr'iday of July, . N y ublic My Commission Expires: AMP``, ao aOo9 p ',� � � • `7 ,qR y = Pu: \- STATE OF NORTH CAROLINA COUNTY OF DARE The foregqing Certificate(s)of .. . hC) .o.�. u. l.�.c is/are certified to be correct. This instrument .+ a ce-..ficat are duly registered at the date and time and in the Book and Page shown on the first page h;r.of. BARBARA M. GRAY .. ,REGISTER OF DEEDS FOR DARE COUNTY By: 1M, ,,. ... 444 Deputy/fit-Register of Deeds 0 Filed Book: 1567 page; 409 Doc Id: 6135823 06/01/2004 11:27R17 Doe Code: DEED Receipt #: 113678 BARBARA M GRAY, REGISTER OF DEEDS DARE CO, NC EXEMP I1111111111111IIII1111NIIIIIIIIII11111II!1111! DARE COUNTY TAX6133823 COLLECTOR Page6/0 '1/2004 04 3 6/0 11:27R NO. Excise Tax Recording Time,Boo Page Tax Lot No. Parcel Identifier No. .... Verified by County on the da}e by 1 Mail after recording to: John G.Gaw,Jr.,A ey at Law Post Office Box 189 , Kitty Hawk, 27949 This instrument was prepared by: John G.Gaw,Jr.,Att e at Law Brief description for the Index: Sunset Bay NORTH CAROLINA L WARRANTY DEED THIS DEED made this a1lyhday of May,2004, an twe GRANTOR O GRANTEE KDHWWTP,LLC GDH INVESTMENTS,LLC Post Office Box 1327 Nags Head,North Carolina 27959. Enter in appropriate block for each pair.name,add ss, nd,if app 'te,character of entity,e.g.corporation or partnership. The designation Grantor n G e use-mein shall include said parties,their heirs,successors,and assigns,and shall inclu.a in 1 r,plu sculine, feminine or neuter as required by context. WITNESSETH,that - •tor, a luable consideration paid by the Grantee,the receipt of which is hereby acknowledged, : • . by thes esents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain to or .. - e f land situated in Atlantic Township,Dare County,North Carolina and more particularly des fo . . Those certain parcels o 1 is of land lying and being designated as Parcel B and Parcel C as shown and delineated . •e map . lat titled"Subdivision of Sunset Bay,A Parcel of Land on Colington Creek, Kill Devil H .s e Township,Dare County,North Carolina,"prepared by Seaboard Surveying and P an n_, nc.,and surveyed March 01,2004,and being filed in Plat Cabinet F,Slide 247,in the offic- .f the "-.1 -r of Deeds of Dare County,North Carolina. Tog- •er • 'th and there is also hereby conveyed and granted unto the Grantee,its successors and s,a .-rp:, al non-exclusive easement for the purpose of access,ingress and regress to the east be e.i oft e property hereinabove described,said easement being 45 feet in width and running from the so ight of way margin of Ocean Bay Boulevard along the east boundary of Parcel B to the southe rminus of the east boundary of Parcel B,said easement being more particularly described and shown r the aforementioned recorded plat as Sunset Bay Subdivision and being designated thereon as IIIIB 119III!IIIIIIII IIIII IIIII IIIII Ili 1IIII Illl II 6:6 Mot 11 27A "45 Foot Access Easement." The 45 foot access easement shall be appurtenant to and run with the land conveyed to the Grantee,its successors and assigns,herein. Saving unto the Grantor, its successors and assigns,and excepting from the description of the property herein described,the subsurface waters and rights thereto;and Grantor further saves unto itself and reserves for itself,its successors and assigns,a perpetual exclusive easement and right to use the underground waters and subsurface area beneath the property herein described as part of the available treatment area and disposal of all the affluent collected by the wastewater treatme stem operated by Grantor,its successors and assigns,provided,however,that any such use shall be i •• pliance with all governmental rules and regulations applicable thereto,including,without limitation,a •cal,state and federal,laws,ordinances,rules and regulations;and Grantee,its successors . • . . 1 not commit any act that would interfere with this system;however,it is understood ant . --• . the easement to use underground water shall in no way interfere with Grantee'- use • the impro ents on the surface and Grantor,for itself,and its successors and assigns hereby II ees t• o • Gran - armless from and against any loss,cost or expense in connection with said eas-••a t,includ :,without limitation,attorney's fees,caused by Grantor's negligence,willful or r-. le acts • •missions. Grantee,its successors and assigns, is prohibited from constructing a water .•• y .•ell within the bounds of this property. Furthermore,Grantor,for itself,the pe t- • t se - g- •isposal system if other than Grantor,and for the state of North Carolina,reserves right to -n er in a • upon the property conveyed herein for groundwater monitoring and reme i.,ion purp•s s,and Grantor,for itself, and its successors and assigns hereby agrees to hold Gra ha e ro • a d against any loss,cost or expense in connection with said easement,including t limita ' rney's fees,caused by Grantor's negligence,willful or reckless acts or o 's 'ons. The property hereinabove described was acquired y rantor by ins ent recorded in Dare County Registry Deed Book 1398,Page 432. A map showing the above described property is recorded in at Cabinet F, Slide 247. TO HAVE AND TO HOLD the aforesaid • o •. cel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. Grantor covenants to and with the Grange it i .eize• of said property in fee,and has the right to convey the same in fee simple,that the same is r-e a•d :.r I:),liens and encumbrances except the aforesaid restrictive covenant,ad valorem taxes r n the c'rr:n y . •I yet due and payable,easements and other restrictions of record,and land use or - o the t• • Kill Devil Hills,and that the Grantor does hereby warrant and forever defend the title to the :• . ain • awful claims of all persons whomsoever. IN WITNESS WHEREOF,th- . or h. c. •ed this instrument to be signed in its legal name by its duly authorized managers and its seal -reto of i -• all by authority contained in its operating agreement,the day and year first above wriT. HWW P,LLC {SEAL) eorge E.goodrich,M a er By: {SEAL) W.Dixon,Member • IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 16©582 04 ,,:27R NORTH CAROLINA DARE COUNTY I,a Notary Public for said County and State,do hereby certify GEORGE E.GOODRICH,Manager of KDHWWTP,LLC,a North Carolina Limited Liability Company,personally appeared be b - me this day and acknowledged the due execution of the foregoing instrument on behalf of the company. Witness my hand and official notarial stamp or seal this the day of Ma,, i i.. ���\ stIlliwiU/��i, S AA' i I -,�I as I; `v\�� �y,JERK/� 4i Notary 4 blic 41N, My Commission Expires: * .••• •••...•+ P ►-� IDnIOL4 -1- 01AAy' — =• �� 1 PuBL,G fs= ' NORTH CAROLINA '''�i,�p AN�K 00� DARE COUNTY I,a Notary Public for said County and State,do heresy certify JO ' .DIXON,Member of KDHWWTP,LLC,a North Carolina Limited Liability Co' r:ny,personall, .speared before me this day and acknowledged the due execution of the foregoing instrumen on Behalf of • company. Witness my hand and official notarial stamp or seal this the , i ay of May,2004. \,Oli11l1i!pull �- •••�ASA/9ytii ` Y, C1Ltti1GjG1�•.. ; .1:- I� + ar h (Ul My Co issi n Expires: ,9 l; BUI3Or, — SEAL/STAMP rl ‘Dn o, The foregoing Certifi ate(s)of... • 2 rr�r `pt.y -N \ is/are certified to be correct •TMis 'u stru • . : is certificate are duly registered at the date and time and in the Book and Page shown o the s.,e ereof. R G NC._ OF DEEDS FOR DARE COUNTY, N By: •� � 04 �a • 4• iv Deputy/Assistant-Register of Deeds Filed Book: 157E Page: 349 Doc Id: 6141537 07/27/2004 12:02PM Receipt #: 118301 Doc Code: ESMT BARBARA M GRAY, REGISTER OF DEEDS DARE CO, NC fill lllil lilt dill Milli 11111111i 1111111111111 Page 530©4 52:02P EXEMPT DARE COUNTY TAX • COLLECTOR NO. cl9s- 4�/ 9 _ Prepared by: John G. Gaw, Jr. Post Office Box 1890 Kitty Hawk, NC 27949 STATE OF NORTH CAROLINA WAST ATER DISPOSAL COUNTY OF DARE UTI I Y EASEMENT 4 This Easement agreement made • he - 3~day of July, 2004, by and between GDH INVESTMENTS, LLC, (he - . `er"Grantor") and KDHWWTP, LLC, a North Carolina public utility, (hereinaft- ra - -" ; O W S aT H: THAT WHEREAS, Gra ..r ' the o -r of 79.5 acres, more or less, located in Kill Devil Hills, North Carol' s 'o and delineated on the maps and development plans for Sunset Bay, a pl d unit : .pment, and as shown and delineated in the set of development plansappr d by th own of Kill Devil Hills consisting of 26 sheets entitled "Sunset : vt • are County, North Carolina"dated June 28, 2004, as prepay:d • :t - 'r tonal Group; and WH '+. :,, t a or ha entered into a contract to sell said 66.40 acres, more or less, to Berm s . : . , L . :s well as the development rights to Sunset Bay Planned Unit Developmen • der for Bermuda Bay, LLC, to construct and operate Sunset Bay Planned . I - ;lop.• : t in accordance with the approved plan documents of Sunset Bay; an. 'W , Grantee has agreed to provide the wastewater and sewerage tr-. - • .r the Sunset Bay Planned Unit Development pursuant to various other •Bement . . permits; and in order to furnish sewerage/wastewater treatment to Sunset ' anned Unit Development, it is necessary to impose the following easement upon 1 p• e •s of the 66.4 acre parcel not covered by buildings, driveways, parking lots, or other impervious materials as shown on the approved project plans and authorized by the conditional use permit issued by the Town of Kill Devil Hills. NOW, THEREFORE, in consideration of the sum of Ten ($10.00) Dollars and other good and valuable consideration, the receipt and sufficiency of which is he :by acknowledged, Grantor does hereby give, grant, bargain and convey unto Grante-. s ipittli successors and assigns, a perpetual, exclusive easement and right to, over and upo . 1 open spaces and green areas (including ponds) located within the boundari- property designated as Parcel C as shown and delineated on the map ors . 'tle• "Subdivision of Sunset Bay, a parcel of land on Colington Creek, Kill Devi .i , Atlantic Township, Dare County, North Carolina,"recorded in Plat ' . •'net F, ',1 •e 24' in the office of the Register of Deeds of Dare County, North Carolina, •u -xc 4 • ng the area not within the footprint or perimeter of any buildings or st • • - •n ai• •roperty and excluding the area within the boundaries of parking lots, • vewa d a e ..ways, streets and areas covered by impervious materials all as show • the S I set Bay planned unit development project plans and specifications . •• s •d by • - e of Kill Devil Hills and in the amendments thereto approved by e Town of • '1 P evil Hills; said easement being over, upon, and under the surfac- •f the groun• • those portions of the property hereinabove described and not covered • ' pervious aterials. The easement, reservations and r strictions set • - • erein shall run with the land and be binding upon any subsequent o r of the property whether their ownership consist of all or portions of the property, an .r heirs, successors and assigns, and shall be subject to the following terms and p • .'.'on 1. The easements an ights -at:. • thi: instrument and granted and conveyed hereby to Grantee are for the* ose •f • i► ting, maintaining, repairing, inspecting, testing, and modifying or alterin h e ,er. _: wastewater treatment and disposal system consisting of high rate/low r i i ti systems and/or the reclaimed water disposal systems in accordance wit a irrig 'o yout approved or to be approved by the State of North Carolina 1 in a c rdance 'th any permits applicable thereto. 2. An • - it, t the property subject to this easement shall not, without prio, ...pro m the Grantee, its successors and assigns (i) increase the square f•o :s : o • - ' pe ions surface area above the amount of such area shown and delineate.' •T •e Su - Bay planned unit development project plans approved by the Town of Kill `:v' ills without first obtaining the consent and approval of the Town of Kill D, ' - '1 th- antee (and its successors and assigns) and, if necessary, the State of •rth C. o .na; (ii) alter, modify, or change the drainage pattern of surface water drainag- o surfac- , ater runoff without the consent and approval of the Town of Kill D ' .l , t - - .ntee and if necessary, the State of North Carolina; (iii) undertake any a it r beneath the surface of the land that interferes with or disrupts the tewate posal system and/or the reclaimed water disposal system operated and o by Grantee, its successors and assigns; (iv) no subsequent owner shall withdraw ate the ponds located on the property or dump or otherwise cause chemicals, I ilif 111111111 IIIIIII 1111 III Ill 11111 Ill'1111 P:1;53©4 52:02P iIIllRHillliltllllliiilllliillllllllilllllillllililll Page 53 52:02P organic material or other materials not approved by Grantee to be placed in the ponds or in such close proximity to the ponds as to cause contamination of them. 3. The terms, green spaces and open areas, as used in this instrument shall consist of those portions of the property hereinabove described not covered by buildings .onds, streets, drives, parking lots or by any impervious material, and all green spaces . . spen areas are subject to the right and easement of Grantee to dispose of treated and/or reclaimed wastewater throughout the parcel of land hereinabove described : below the surface of the ground. 4. The Grantee, its successors and assigns, shall have the riI enter p.n th- easement area(and the streets,parking areas and access ways of any s . ue .wner(s) of the property) for the purpose of constructing, repairing, mai i 'n , in .e ng, treating, altering, or modifying the sewerage/wastewater trea -nt an. di pos. s;stem and reclaimed water disposal system as and when needed in t e ole dis, r tion o the Grantee, its successors and assigns. 5. As a part of and included within the s•o.e of the eas- ent set forth herein, Grantor further grants and conveys unto the Gran e• the right t. .nstruct and excavate * drainage ditches within the easement area as a part a '• - a. . o ed sewerage disposal system of the utility, and any soil or oth- material exc. -a curing the construction of the drainage ditches shall be the sole an. - .arate property of the Grantor. The Grantor shall have the right to stock pile said materi: . the easement area during the construction and excavation of said dra.•: _- di - and shall remove the material within a reasonable time after the constructit aN b-: c. B!pleted. The drainage ditches included within this easement shall .e m.: ai ei ay the public utility. IN WITNESS WHERE an sr ..: executed this instrument the day and year first above written. GDH stments, LC {SEAL} ge E. oodrichh,�Maanager "( B ✓ {SEAL} . Dixon, Manager KDH TP, LL By: {SEAL} G orge -. Goodrich, Manag By: �. be Loa {SEAL} QV, . Dixon, Member r IlIIi11111111IIIl111I111IIII11111II1I11111IIIIIIIIIIIII 0a415�iSf 52.02P STATE OF NORTH CAROLINA COUNTY OF DARE I, a Notary Public for said County and State, do hereby certify GEORGE . GOODRICH, Manager of GDH INVESTMENTS, LLC, a North Carolina Limit Liability Company, personally appeared before me this day and acknowled ed the execution of the foregoing instrument on behalf of the company. • Witness my hand and official notarial stamp or seal this the 2 • . o. July, 2004. Notá ' blic \\1}511ii!!i�1i� My Commission Expires: P; 9 act f aa0 q = R AL/STAMP y TAR - LlG ' CO UN //�Jri 11 V11111\\ STATE OF NORTH CAROLINA COUNTY OF DARE I, a Notary Public for sai t . n an :tate, do hereby certify JOHN W. DIXON, Manager of GDH INVEST S, . a North Carolina Limited Liability Company, personally appeared befor e this • acknowledged the due execution of the foregoing instrument on b h if of th ompany. Witness o notarial stamp or seal this the3(61 day of July, 2004. Çt 9 Cv 1- `a4O� FFF�11Jlli0/ My Co i ission .x sires: ,� ,, • N O r --; SEAL/STAMP o: A¿Jeri° 6141537 1111111111111111111111111111111111STATE OF NORTH CAROLINA POIPT212004 52 42P COUNTY OF DARE I, a Notary Public for said County and State, do hereby certify GEORGE E. GOODRICH, Manager of KDHWWTP, LLC, a North Carolina Limited Liabili Company, personally appeared before me this day and acknowledged the due ex ion of the foregoing instrument on behalf of the company. Witness my hand and official notarial stamp or seal this the rd of u , 2004. Nota ublic e-C J- c My Commission Expire: SEAL/S A P _• A,q y=•�Y 7 J9o'acro9 �...,, fl.- %BUG 7 \` 5 STATE OF NORTH CAROLINA "1,, ` COUNTY OF DARE I, a Notary Public for said Coun State, do hereby certify JOHN W. DIXON, Member of KDHWWTP, LLC, a North C i Limited Liability Company, personally appeared before me this day and ackno - •le ue execution of the foregoing instrument on behalf of the company Witness my hand anofficial o . . .mp or seal this the�`vX day of July, 2004. ,,,, , . 994d4.1;, 9_, c.,, a, :- / O •Nisi,'ublic ��:NOTA aq ' My Commissio e — SEAL/STAMP STATE e OLINA COUN OF % The fore:•' g Ce 'icate(s) of 3—Na..s.k- Z • � •r �.(it, lb.. kal.;..c._.. i. . e c ed to b.- correct. This instrument and this certificate are duly registered at the • . and ti . din the Book and Page shown on the first page hereof. : "BABA M. GRAY Register of Deed for Dare County 4441 Y ' • C» Grrra,l .. Deputy/Alaistent-Register of Deeds , l j l I 1 II l Hol III 11111111111011111 II I111I 11IIIIII II1II 1110111111111 11 IIIII IIII IIII 60°º/0 01 04:45Pn ,OkREPARED BY: S.Leigh Rodenbough IV \ Brooks,Pierce,McLendon,Humphrey&Leonard,L.L.P. Post Office Box 26000 O Ili Greensboro,NC 27420 G NORTH CAROLINA GENERAL WARRANTY DEED o LW �' COc`8..,,1J J fa 1 DEED is made as of the 23'day of October 2001 by and between PEPPERTREE cL. ' ;SORT ILLAS, INC. a North Carolina corporation that is the successor by merger to the á CC v 0 ER BA14S BEACH CLUB, INC. ("Grantor") and KDHWWTP, LLC, a North Carolina c li i ited liabili ompany having an address of Post Office Box 3629 Kill Devil Hills, North CI olina 27948 4 9rantee") WITNESSE7H, that the Grantor, for a valuable consideration paid by the Grantee, the 4hceipt of which is *Illy acknowledged, has, and by these presents does hereby bargain, sell, transfer and convey 1 Rthe Grantee, and to its heirs, successors and assigns, in fee simple forever,the following déscribed real estate: SITUATE in the Town of Kill Devil Hills, Atlantic Township, Dare County, North Carolina, and being more pa f eularly described in Exhibit A attached hereto and incorporated herein by reference. �O TO HAVE AND TO HOL unto the said Grantee, and unto its heirs, successors and assigns, in fee simple forever, the real estate, together with the improvements thereon,and the hereditaments,priviles and appurtenances thereto belonging. AND THE GRANTOR HEREAV COVENANTS with the Grantee, and with its heirs, successors and assigns, that Grantor is sled of the premises in fee simple, has the right to convey the same in the fee simple, the is marketable and free and clear from all encumbrances, and that Grantor will warrant defend the title against the lawful claims of all persons whomsoever except for the excepriQQe� hereinafter stated. Title to the property hereinabove described is subject to any and alrestrictions, easements and rights-of-way of record or which are visible upon inspection of the Omises and to ad valorem real property taxes for the year 2001,which the Grantor and the Grante .h ve prorated as of the date of closing and which shall be paid upon closing. DARE f 1, REAL ESTATE COUNTY 1'{ .,,,711 TRANSFER TAX \ 14 / I O`% Filed Book: 1388 Pia O4 Doo Id: 6047604 LT 5rn 1,01 $%DOvu I 11/02/2001 04:45PI7 R�o�lpt 11: 38022 Dap Coda: DEED y� NC E><ol,. Tax pd: 52400.00 BARBARA M GRAY, REGISTER OF D DRRE CO, NC , O C� .11 Book 1398 Page 432-0001 ` I 1101111111111111111111 NB lilt 1111111111111111 6047504 0 210 01 04:46PM IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in its ' Orporate name by its duly authorized officer as of the day and year first above written. PEPPERTREE RESORT VILLAS,INC. : 'i- --r •7<, M''''''''<' BSP, _ , ° I F1 _ Richard G.Winkler,Vice President =_'` \ SéAI 1 r� W.C. STATE OF ' t BE ISLAND " COUNTY OF u.'ORT I, Sherri M. rand, a Notary Public, of the Aforesaid State and County, certify that Richard G. Winkler, p r onally came before me this day and acknowledged that _he is Vice President of PEPPERTIE RESORT VILLAS,INC.,a North Carolina corporation,and that he, as Vice President,being authorized so to do,executed the foregoing on behalf of the corporation. WITNESS my hand ail-official stamp or seal,this 22nd day of October 2001. �O 0. Notary Public ,;;, y u,! ; My commission expires:2-28-2004 Q`(*) , 4'/ ,�„" ` .• .`� 1. [AFFIX NOTARIAL STAMP OR SEAL] 0 , V k 11�1>� '0 h Cf) Y N K CV\l�� State of North Carolina County of Dare The foregoing certificate of ShejrVk' M \UV°r A Notary Public of r ---. im c1 e. ' - v R. - is certified to be correct.This instrument and this certificate duly registered at the Date and Time in the Book and Page shown on the first page r1of. Barbara M. Gray, Register Af Deeds By:( QLt Deputy Register o Deeds > State of Nºrdh-canal— O i 'i 0� �X Book 1398 Page 432-0002 11/02/2001 11:33 FAX 3781001 BROOKS PIERCE LL 11005 III II 1 11 V`I 111 `I Nil I{ 88476M I IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII P11104 2001 04:45PM EXHIBIT A O LEGAL DESCRIPTION OF REAL PROPERTY CONVEYED BY `A NORTH CAROLINA GENERAL WARRANTY DEED ' FROM PEPPERTREE RESORT VILLAS,INC., Q:e� CCESSOR BY MERGER TO OUTER BANKS BEACH CLUB,INC., `� IJ GRANTOR Q� TO KDHWWTP,LLC,GRANTEE All that®main tract or parcel of land lying and being in the town of Kill Devil Hills,Atlantic Township,Dare ebunty,North Carolina,and more particularly described as follows: BEGNNIN�P at an existing rebar located in and on the southern right of way or margin of O Bay Boulevard, said existing rebar and beginning point being located South Aegrees 31 minutes 01 seconds West 498.16 feet from an existing rebar located on the southern right of way margin of Ocean Bay Boulevard and the northwest corner of property now or formerly owed by Dare County Board of Education as shown on the map or plat of said property recorded in Plat Cabinet D, Slide 89,in the Dare Canty Registry;thence running South 28 degrees 31 minutes 48 seconds East 835.890et to an existing concrete monument and a comer;thence turning and running Sout6)61 degrees 29 minutes 58 seconds West 3138.85 feet to an existing concrete monlláiiént; thence continuing through said existing concrete monument South 61 degree3 minutes 58 seconds West 528.81 feet to an existing rebar;thence continuing thro said existing rebar South 61 degrees 29 minutes 58 seconds West 319.97 feet to ai-e fisting rebar,said existing rebar being located on a tie line North 45 degrees 10 nlins 43 seconds West 1005.47 feet from an existing rebar located within the adjoining south ofthe property herein described;thence continuing through said existing iron rebar South 61 degrees 29 minutes 58 seconds West 334.33 feet more or less to the cátem shoreline of Colington Creek;thence turning and running along and with the dOreline of Colington Creek and the various meanderings thereof in a general northeOdirection to a point on the shoreline of Colington Creek in the northwest corner o property herein described,said point on the shoreline of Colington Creek being oint of intersection of a line running South 61 degrees 30 minutes 33 seconds 65.87 feet more or less from an existing pipe located in and on the north bo ary line of the property herein described(said existing concrete monument also eing located on a tie line of North 29 degrees 33 minutes 20 seconds West 836.71 feet from an existing rebar located in and on the southern boundary o f the property herein described);thence turning and running from the point on the shoreline of Colington Cdrek thus described North 61 degrees 30 minutes 33 seconds East 65.87 feet more orPss to an existing concrete monument(said concrete monument being located on a tlllinelo and of North h o 9 eeths 33 minutes 20 seconds West 836.71 feet from an existing r lilgr south boundary of the property herein described);thence lnuing through said 301235.1 C , O^ ' Book 1398 Page 432-0003 11/02/2UU1 11:34 FAA 3781001 BROOKS PIERCE LL IQJUU8 1111111111111111111111111111111111111 11111111IIIIIII11111IIIIIIIIIIIIIIIIIIII11I IIIll1114 1m0 6047s04 1i2! 04:46PM existing rebar North 61 degrees 30 minutes 33 seconds East 1043.25 feet to an O existing concrete monument; thence continuing though said existing concrete c` monument North 61 degrees 30 minutes 33 seconds East along and with the southern `c tight of way margin of Ocean Bay Boulevard 2959.36 feet to an existing rebar in and \-19.11 the southern right of way margin of Ocean Bay Boulevard and the point and place jeginning. Foa ore particular description of the property herein described reference is made to that certain map or plat prepared by Seaboard Surveying and Planning, Inc., entitle4KDH WTP,LLC,A Parcel of Land on Colington Creek,Kill Devil Hills, Atlanticeownship,Dare County,North Carolina"surveyed July 14,2001,to which reference@mmade, `el.\ O O 301235.1 O f Book 1398 Page 432-0004 4.7 F. A8 6/1015V.3U 31Yo 'ox LxM6-pq-zSZ GCKz"0 N'dJH SOW a NW.o�a J DWI-coca TH MOM'M coL ti ñ �u�`Bu�uueld 8 Bui�(en�ng p�eoqe� : g 8 d w ó .� �°• � . N� rw dl �i�, �Dww�ñ o � � L Z � m mi�cYD3� 3w SLx�n.**� ~own 6J:XON-A1XLo:I WV-diHSAü6L J/iXR11 ó ñ � I � f t—� t�W .tl ua3enae iwi v LrOWOon vwi . STffH lfdlo TUN-MID X6L9YR0.'!MO OM Io Il.'IMd I : � �ó p — au3nur6 oaae.is S ~ �ó� ( ,CVB sZsnrns j y ��g � � co A. 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