WQ0038695_More Information Received_20220520

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Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
May 20, 2022
Robert Tankard
Washington Regional Office
North Carolina Department of Environmental Quality
943 Washington Square Mall
Washington, North Carolina 27889
Re: High Rate Infiltration System Permit Renewal Application
H2OBX WWTP Permit No. WQ0038695
Powells Point, Currituck County, NC
Dear Mr. Tankard,
P.O. Drawer 870
Kitty Hawk, NC 27949
Phone: [phone]
Fax: [phone]
Web: quible.com
On behalf of H2OBX, LLC, Quible and Associates, P.C. hereby submits for review and approval
a response package for the High Rate Infiltration System Permit Renewal Application package
for the above referenced project in Currituck County located at 8526 Caratoke Highway.
The following items are included and shall be considered part of this response package:
1. One (1) copy of the revised High -Rate Infiltration System Application form HRIS-R 02-21
including additional sheet for section VI and section VIII;
2. One (1) copy of the ORC Designation form;
3. One (1) copy of the Well Abandonment Record GW-30;
4. One (1) copy of the Well Construction Record GW-1 forms;
5. One (1) copy of the Initial Monitoring forms;
6. One (1) copy of the new Operational Agreement;
7. One (1) copy of Deed Book 1512 Page 459;
8. One (1) copy of the NCSOS documentation for H2OBX, LLC;
9. One (1) copy of the contract agreement between H2OBX, LLC & Atlantic OBX.
We offer the following in response to the received notices:
C. Application (HRIS-R 02-21):
1. There is no connection between OBX Waterpark Adventure, LLC & H2OBX, LLC. OBX
Waterpark Adventure, LLC was dissolved prior to the creation of H2OBX, LLC and prior
to purchasing the property from EPR Resorts, LLC.
2. Acknowledged. Please find the attached ORC Designation form that indicates David
Robertson as the new ORC and James Bliven as the new backup ORC.
3. Yes, parcel A corresponds to Currituck County Parcel No. 0124000137L0000/Global PIN
9837-54-9004.
4. Acknowledged. Please find the attached additional word document that includes
information for the storage swales as well as the settling/mixing storage basin.
5. Monitoring wells:
a. The piezometers have been abandoned and the Well Abandonment Record forms
have been submitted previously and attached in this response package for your
reference.

M, Yes, the Well Construction
Record w initial monitoring "•
been previously I, `I a • have been attached in this email for your reference.
` monitoring have also been included,. - , e A'
additional word document.
Q. additional Documentation,
Attachment a tin I Agreements:
e H20BX, LLC does not currently serve any other users and is not currently associatingit
a non profit entity at this time. H20BX, LLC is aware that they would need to set up a non
profit prior to serving other properties.
Attachment r ners i Documentation
1. Please find attacheddeed book 1512 o demonstrate that H20BX, LLC is the
owner of all property containing the non -discharge system facilities (including dis s I
storage ease)
Please do not hesitate to contact me at () 1® 17, or [e-mail] should you have
any questions or concerns.
Sincerely,
Quible & Associates,
Nadeen Dashti, E. la
K

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0700 — HIGH -RATE INFILTRATION SVSTEM — 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
docurnentation, 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 Nvebsite, The Applicant shall submit an electronic copy of (lie application and attachments
uploaded as a single Portable Document Format (PDF) file to httl)s://edoes.(leg.iic.gov/Foriiis/NonDischaar e I1r aaaacla�ltalmm
Foam-Vet-2, or emailed to Non-Discharge.11 portsQ),ncdenr.gov if less than 20 megabytes (MB).
SECTION I — A PPLICANTINI, ORMATION
I , Applicant: H20BX, LLC
2, Permit No.: WQ0038695
3. Signature authority: Kenneth Ellis
Title: Managing Member
Phone number: [phone] Cell
Email: kene@aqUatiCgr0Up,corn
4. Mailing address: I E Ridge Rd
City: Loundonville
State: NY Zip: 12211-
5. Contact person, Damian Donderc,
ErnaiL ddondero@li2obxwatei•park.coiii
Primary phone number: [phone] Cell
Secondary phone number: Office
I . Physical address: 8526 Caratoke Hwy
City: Powells, Point
2. Treatment facility coordinates to the sixth decimal degree:
Latitude: 36,1123V Longitude: -75,831510
County: Currituck Parcel No.: A
State: NC Zip: 27966-
Method: Address matching
SECTION III' —FLOW IN]FORMAT,c41N
.............
I Permitted flow: 60000 GPD (The maximinn atloivablefloiv based on what has been perntilleco
2. As -built flow: 60000 GPD (777e maximum alloivablefloij, based on what has been constructed)
3. Average flow: 7852 GPD (The average qj'all reportedflora s on the previous calendaryear's NDAfRs)
4. Hydraulic capacity: 13 % (Divide the average,flou, in !tern 3 by 1he As-builtfloiv in Item 2)
5. Wastewater composition: Domestic 100 % Industrial: 0 % Stormwater: 01 %
----- — — -----------
SECTION IV --BILLING INFORMATION
1, Billing address: 13 Green Mountain Drive
City: Cohoes State: NY Zip: 12047-
1 Verify the Applicant does not have any overdue annual fees.,
litti)s://(Icq.iie.gov/abotit/(IivisiL)ils/",,ttei,-t,esotti,ces/watel--i-esotti-ces-I)ei-iiiits/w(I-epayiiietits
Pursuant to 15A NCAC 02T k I20(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

L ORC: David Robertson
Grade: III Certification No.: 987714
Mailing address: Atlantic OBX
PO Box 2560
City: Kitty Hawk
State: NC Zip: 27949-
Phone number: ( - Cell
Email, [e-mail]
1 Back -Up ORC: James Bliven
Grade: IV Certification No.: 991879
Mailing address: Atlantic OBX
PO Box 2560
City, Kitty Hawk
State: NC Zip: 27949-
Phone number: Select
Email: JBLIVEN@ATLAN'I'ICSF�-WAGE.COM
.. . ........... . .
SE CTJON V1 — OPEN-ATMOSPHE.RI�,$,TAUCTUREi S
1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if
necessary,
Type
Marcel No.
Volume (gal)
I Liner Type
Freeboard (It)
Latitude
Longitude
Treatment
A
21,524
Full, concrete
2
36.1 123 1 0
-75.83151,'
Treatment
A
45,239
Full, concrete
1
36.1123 1 "
-75.83151`
Treatment
Treatment/Storage
A
A
L.- _
10,596
17,.........
358
Full, concrete
"'_ ""'
Full, concrete
_t­
1
—
4
I 36,112310
36.11231
I . ............
-75.83 l5 1
... .............
-75.831510
�,E CTION VII � 111104,,#ED ;PERMJT,,$,,
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
WQ0038925
Upstream sewer
Select
Select
Select
Select
Select
Select
SWI'10 N VII t — MONJ,
1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
. . ........ — — -
Well Name Pat -eel No. Status Gradient - ­­­­- ---
Location Latitude Longitude
P I
A
Permanently Abandoned
Downgradient
On Compliance Boundary
36,111997"
-75.834572"
P2
A
Permanently Abandoned
Downgradient
Outside Compliance Boundary
36.111051 '
-75.833940'
P3
A
Permanently Abandoned
Downgradient
On Compliance Boundary
36.111942"
-75,833596"
P4
A
Permanently Abandoned
Cross gradient
Inside Field
36.1126460
-75.8339200
P5
A
Permanently Abandoned
Upgradient
Outside Compliance Boundary
36.114260'
-75.833284'
P6
A
Permanently Abandoned,
Cross gradient
Inside Review Boundary
36.1125020
-75.833517`
P7
A
Permanently Abandoned
Downgradient
Outside Compliance Boundary
36.110437'
-75.834252'
P8
A
Permanently Abandoned
Upgradient
Outside Compliance Boundary
36.112699'
-75.83 1713'
A
Permanently Abandoned
Downgradient I
Outside Compliance Boundary
136,11135 1'
-75.833255°
FORM: I-IRIS-R 02-21 Page 2 of 6

p'1 O
A
Pernwa:ncntly Abandoned
f owwrngradient
Oaatsiale C onipla;a�nce Botindary
3611 3flat70
-75. 3:5384"
w Permanently ba accael_
Cwngnulient
OLitside Compliance Bo n..d....a.ty .:3
.1 1 309
..
75 1 5 77"'
........ ............
�....
1. Us�t call infiltration
sates associated with the renewing pw nnit ttncla additional sheets of raecessaaay,
.......
.,.�.. _. ,.
Site
County
C
PaarParcel1" o.
Deeded Owner
Areas
Cover Crop
Latitude
Longitude
A
t,.aaa'rataac la
A
Same
1.'1l
N/A
3 .1132190
-75,833560
B
C"urr taacic
......:_...
A
.._ _ ..,,,,
Same
1.11
_..., as
N/A
,
36M 76 1 V
ca
�s
ra
cr
{Y
ra
as
xa
t�
0
�
xa
as
G'H
-7.5.834 W19'00
c]
�a
r
r
{7
xr
o
r,;r
a
tiu
to
as
l9
......
�������
.m.....a.
m.mm.... u.................
41
47
�
C7
as
0
ra
a,„r
10,
d3
"
45
4J
Cs
is
0
0
ar
tr
�r
Ky

77T
Total Acreage 122___
. . . . . ........ . .......
Was the facility originally permitted or had a major modification issued after September 1, 2006?
Yes — Pursuant to 15A NCAC 02T.0 1 05(d), submit a site: map pursuant to the requirements in 15A NCAC 02 'rl' 0704(ot. 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,
0 Soil mapping units shown on all infiltration sites.
El "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 .1 5A NCAC'02L .0107 and .0108.
El Setbacks as required by 15A NCAC 02T.0706,
El Site property boundaries within 500 feet of all wastewater treatment, storage, and infiltration sites,
E] All habitable residences or places of public assembly within 500 feet of all treatment, storage, and infiltration sites.
❑ No — Skip Attachment A.
Does the signature authority in Section 1, Item 3 meet the requirements pursuant to I SA NCAC 02T.0 I O6(b)?
0 Yes — Skip Attachment B,
El No — Submit a delegation letter pursuant to _15A NCAC 02T_,0 10( ) pj, authorizing the signature authority to sign.
j
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.0 I 14(t),
Z No — Skip Attachment C.
Is the Applicant a Privately -Owned Public Utility?
❑ Yes — Pursuant to 15A NCAC 02'1' .01 15(a)(1), submit the Certificate of Public Convenience and Necessity fi-orri, the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise.
No — Skip Attachment D.
Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold?
E] Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02'F,O I taajC), submit an executed
(FORM: I1OA1. Pursuant to 15A NCAC 02T .01 15(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.
Z Yes (Developer of Lots to be Sold) — Pursuant to 15A NCAC 02T .01 15('a)(2), submit an executed Operational Agreement
WORM: DEV), Pursuant to 15A NCAC 02T .01.15(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

ATTACHMEWIF —DEMONSTRATION OF FUTME WASTE' WATER'TREIATMuNT CAPACITIES
Is the applicant a municipality, County, sanitary district, or public utility?
7 Yes — Proceed to the next question,
Z No — Skip Attachment F.
Does the hydraulic capacity in Section 111, Item 4 exceed 70%?
El Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to 15A NCAC 02T,0 I I 9(l), prior to exceeding
80 percent of the system's permitted hydraulic capacity (based oil the average flow during the last calendar year), the perrilittee
shall submit an engineering evaluation of their ruture 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 fora 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, shalt include conservation plans or other
measures to achieve waste flow reductions,
7 Yes (the hydraulic capacity greater than 80%) — Proceed to the next question.
[D No — Skip Attachment F.
If answered Yes above, does the hydraulic capacity in Section 111, Item 4 exceed 8,0%?
❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15A NCAC 02T,O 118(2), prior to exceeding 9O percent of the
system's permitted hydraulic capacity (based on the average flow during the last calendar year), the perinittee 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, ajustification shall be made that wastewater treatment needs will be inet based oil 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 P.
Does the Penn ittee 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 .01 16(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.
A NTH AMLIATIONS! TTACHME
Are the Permittee's affiliations of record correct? Check affiliations.
0 Yes — Skip Attachment 14.
E] No — Provide the corrected affiliations and their contact information,
J "ACHME NT 1— COMPLJA�,,N-C ;,8044DUL&E
'A, T C
Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit)
0 Yes — Submit documentation that the compliance schedules have been met,
Z No — Skip Attachment I.
Does the Perinittee have any existing civil penalties or outstanding violations?
F-1 Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request.
F� Yes (violations) — Submit a copy of your response to the Notice of Violation.
EI No — Skip Attachment J.
FORM: HRIS-R 02-21 Page 5 of 6

Does the wastewater composition in Section 111, Item 5 include any industrial wastewater?
D Yes — Proceed to tile next question.
R 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 I SA NCAC 02T 0Z04 Uh , Provide ail
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,
�El No — Provide an overview of the minitifacturing process; an inventory of all chemical and biological materials used in tile
manufacturing process; and an overview of the cleaning and treatment methodology.
Does the existing permit include setback waivers?
❑ Yes — Pursuant to 15A NCAC 02T1 079GUd , provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with tile county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with 15A NCAC 02L 0 107,
Z No — Skip At
APvpc NT'S'C' ilotc ""'T
J
attest that this application
i (Signature authority's narne as noted in Section 1, Item 3)
has been reviewed by me and is accurate and complete to tile 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. .1 further certify pursuant to 15A NCAC 02T.0 I 20(b , that the applicant, or ally
Parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned
a wastewater treat t " , ility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance
schedule in a perm, t, settl lent agreement, or order; not paid ail annual fee,
Note: Tile Appli 'ant's Cer ification shall be signed pursuant to 15A NCAC 02T .O 106(!2). An alternate person may be delegated as
the signing , ci I if a le r is pr vided ursuant to 15A NCAC 021" .0 1 06(c). PLU'suant to § 143-215,6A and § 143-215.613, any
person w kno t es any Ise sta p . Ir pr sentation, or certification in any application package shall be guilty of a Class
2 misden canor, Ill "Ch,fit'a includ a fine v 'e ce $10,000 as well as civil penalties up, to $ 5,0001per violation.
signatur M,.ai Date:
THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email: Laserfiche Upload:
Non-Discha rge.]Rep2rja7,rrcdenn. rav fittl2.s.-fle(loes.cleg.iic.gov/Forms/NoiiDisElprgr�c-Brancl�r-
Subjnittal-Form-Ver2
FORM: HRIS-R 02-21 Page 6 of 6

Additional Table for Section VI OPEN - ATMOSPHERE STRUCTURES
Type
Parcel No.
Volume
Liner Type
Freeboard
Latitude
Longitude
(gal)
(ft)
Treatment
A
3,808 gal
Full,
1
36.11231
-75.83151
concrete
Treatment/Storage
A
6,000 gal
Full,
4.5+
36.11231
-75.83151
concrete
Treatment
A
3,808 gal
Full,
1
36.11231
-75.83151
concrete
Treatment/Storage
A
6,000 gal
Full,
4.5+
36.11231
-75.83151
concrete
Storage(Basin A)
A
919,378
N/A
2.2
36.113219
-75.833566
gal
Storage(Basin B)
A
919,378
N/A
2.2
36.112611
-75.834190
gal
Treatment/Storage
A
957,486
Grass
0.5
36.11231
-75.83151
gal
Additional Table for Section VIII — MONOTORING WELLS
Well Name
Parcel No.
Status
Gradient
Location
Latitude
Longitude
P12
A
Permanently
Down
Inside
36.112359
-75.834563
Abandoned
Gradient
Review
Boundary
MW-1
A
Active
Down
On Review
36.11383
-75.8341
Gradient
Boundary
MW-2
A
Active
Down
On Review
36.11193
-75.83377
Gradient
Boundary
MW-3
A
Active
Cross
On Review
36.11253
-75.83315
Gradient
Boundary
MW-4
A
Active
Down
On Review
36.11318
-75.83475
Gradient
Boundary

Certificate #: 987714
Effective Date:
"/certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the ORC asset forth in 15A NCAC 08G. 0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Print Full Name: JAMES BLIVEN
Certificate Type: WW Certificate Grade: IV
Email Address: JBLIVEN@ATLANTICSEWAGECOM
Signature:
WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCq
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name: H20BX LLC - JEFFREY MALARNY, REGISTERED AGENT
Mailing Address: 8526, CARATOKE HWY
Email' Address:
Signature:'_
Facility Name: H20BX WWTP
County: CUIRRITUCK
-_ State. NC zip, 27966
TERPARK.C&M_"_
Date:
Permit # WQ0038695
YOU MUST SUBMIT'A H-PARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type: WW
Facility
Type:
Facility Grade. ty Grad III
Print Full Name: DAVID ROBERTSON
Certificate Type, WW Certificate Grade: III I
Email Address: [e-mail]
Signature:
Work Phone: 252.489,9583
Certificate #; 991879
Effective Date:
"I certify drat agree to my designation as a Back-up Operator in Responsible Charge for the facility noted /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NG4C 08G .0204 and falling to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission. I
Mail, fax or email WPCSOCC, 1618 Mail Service Center, Fax. [phone] Email: certad:[e-mail]
Q_RIGINAL to: Raleigh:, NC 27699-1618
Mail or Fax Asheville
a LOPY to: 2090 US H!wV 70
Swannanoa, NC 28778
Fax [phone]
Phone: [phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St,, Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Fax., 704-663-6040
Phone., 704-663-1699
Winston-Salem
45 W. Hanes Mall Rd,
Winston-Salem, NC 27105
Fax: [phone]
Phone: [phone]
Raleigh
3800 Barrett Dr.
Raleigh, NC 27609
Fax: [phone]
Phone: [phone]
Revised 41201 e

WPCSOCC Operator Designation Form (continued)
Facility Name- H20BX WWTP
Print Full Name: MARK GEE
Certificate Type: WW Certificate Grade: 11
Email Address: MGEE@ATLANTICS EWAGE.COM
Signature:
Work Phone: [phone]
Certificate #: 1008098
Effective Date:
""I certify that i agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification, Commission."
EM,
Print Full' Name: JOSHUA GRANGER
work Phone: [phone]
Certificate Type: WW Certificate Grade: I Certificate #: 1011612
Email Address: JGRANGER@ATLANTlCSEWA0E,C0l6
Signature- Effective Date -
I certify that I agree to my designation as a Bock -up Operator in Responsible Charge for the facility noted. I understand �and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NC4C 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission,
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade. Select Certificate M�
Email Address:
Signature: Effective Date:
"icertify that I agree to my designation as a Sock -up Operator in Responsible Charge for the facility noted I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC' as set forth in 15A NCAC08G,0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System operators Certification Commission,,,
BACKUPORC
Print Full Name; Work Phone:
Certificate Type: . Select Certificate Grade: Select Certificate #:_
Email Address:
Signature: Effective Date:
I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted I understand and will abide by
the rules andregulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC08G.0204 and failing to do so can result in,
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Revised 412016

I. well contractor information:
U
Well VAckx w3mc
Nc —Wal
C e—%
�V, w."
Company Name -L—)
2. Well Construction rcrura it: . .... ....... .............................................................................. ,
Lot.11 dprJeable sell us if r C.mmttL Mm, Varid"ca kCn4m, 00
3,,%Vcll Use (check well use)-.
0municipamWic
C ,Ojhcrmj �Hcgingr_ucjfl;SuMly� rResidentutl WaW Supply (xingic)
I-JMduvnMVCOn%=crCbI ir- Residcmial Wato Supply (shared)
.AquiforXcch2-`&-' .�G�rmuidvmtcr Rcmcxhalinn
- Aquite, Stor2gc and Itecoveq -SalinityBancr
-AquillarTest -StormwairrDrainage
t-Exrmirncnial Technololly C'Subs"dence Contral
r Cmthcrmat (Closed Loop) 'j Tracer
zGeoclacrmal (Hcaungxbeiral Returri) 1-40ther(cseplain under N21 Remarks)-
4. Date Well(s) Completed. -W.IIID#
Sa. Well Location:
"C
Facilitytowner Na-
11�1 Adidma. City. And Zip
County P..H Identir=tIM Ko. (M)
5b. Latitude and Longitude in degrecsimloutcalsecands or dedmal detrew
(irwell field, am IsEllong is sWicichill
6. Is (2re) the Well(s). f/Pernmoc"t or
7. is this ; repair to no existing well'. --JYes or go
711hit is a mpak.fift oil Ama" WWII caarmindan lxfb�:10* Ahd C.Vkr;o the nG1WT fifthe
S. Number of wells constructed:
Fm mulljo iftjerijan or mon-rvier pp* trrlb OM Y %*& rhe seme const—Won, YMI ran'
lubmsf one*w
9. Total well depth below land surface:
F7. . . .. ....... .. . .. . . . ... ............
F tat, I Use ONLY
IRA. I
.5
Mir!A&A M. RAWN
SIMMONS Ash SAW
.-W
PA=
V4
,,,d h" been prof" to At i'di aw"C�
2�. Site diagram or additional well details:
-'iLi V-J del VM1
ristruetiou dcWls� you maty aim artach additionat paze, irtceessa.-Y.
SUBMITTAL INISTUCTIONS
242. EM611W—dbi- Sulimit this form within 30 days of corqlalon of well
rstruction:0 the following -
Division OfWatrrRcsourecslilfonn2dGnftgCCWrqUUtt,
to. 512tic water lcvct below top or casing. 1617 r*I&II Service Center, Ralcillb, NC 27699-1617
Ij nater lm4 Ls ahow eLmAX use "*
1 0 4 24b. Eqr Igir In ateld'tion to sending the rofm to the addren
'i 10 _Ctlon Wepj ONLV.
11. Borehole dlameter.* ICCAF
24a zbovz- abo submit a cOPY Of this form within 30 days of completion or
comtruction to the foliavNing;
I L Well construction inctliod, 44 1 %;-
1; e saga totary. cable. dkW PL$h. ctc.) I Division of Water Pciviurccs, Underground Injection Central Program,
rOR WATER SUPPLY WELT.S ONLY: 106 man Service Cemccr. Raleigh, NC 21699-106
24c- EE2LA�ujv & Injection Wells:
da), OfcMnlalcliOrl Of
�a,rjl coastnictior, to the cmulty health depawncrtt of the counlY who=
13h. Disinrection rm: Amount:
consimcmd,
FormCM-0 4 N0102 C2HOt4ftM "qL34MMI orEnvimnaxna And Manmial Resources- DMA;0n Of%y2tin RCIPUIEL Revind Awgur 20 L3
P

V! sly 4
RAIM10 M.
1. Weil Contractor Inform2don,
L,/&!AJ iTIS e-
wev CNMWAM Name
NCWr,fl Coa4zcm COUReNW"'W"Ine"
F4
C Nam
7- weit construction rcradt N--
1"'.m.micable wenprmllf 41C cmmv. maw. Fdrlaa= bjeciffia, etc)
3. Well Use (cheek well use),
I lAgricultural UMcnicipalftblic
Geothcmll (Mcligingrmling SaWy) riResideruitl Water SVPIy (single)
Unduzi-ist/Commcrcial rResideriazi wales supply (shared)
Aqui ra S.omgc and Recovery
_lSalinity Barrier
-AquiferTast.
-Stomrx2jer Drainage
�-Experimcntal Tcrimology
cisubsidence cootrol
owthcrrns, (Closed L-P)
i Tracer
oftling Rc=m)
nother (cotain wMwg2l;
Pt" .l Address CkY. MIA ZiP
rili; k P=!rJ Zdaitificalkin NIL (PIN)
couldy
Sb. Latitude and T.Anzitude In degrecs/mInUMESISCCOnds or dcdm2l dtPecs:
orwen ficK am hdrixis is soffici-)
the wcp(sp f6erruarient or Teparary
7. Is this a repair to an ezilting MR- :lYes or An
rqNjr.fijj awb-- vW0 c—mv-dait 1-f-4- and 009b, the— Oflhlr
L Nundw orwells constructed:
Far hpdaft or *�"V1rFmrP* strib ONLY WVfA Me sent cy
MAMN OmfiWm
9. Total wall depth below land surfitee., , jj - —m)
Division of Wager ResoUree:, InforzmatiOn ProccIft Uzdt,
1617 Mail SaMce Coolcr- "ClCh, 74C 27699'-1617
1 a. Static water level bctow toP of casing
Ij iswerkwd b 11ho-9 maxit we 24b. or In edion W' ell, ONLV: In addition 10 sending the fbrm to the address In
11. ftrehole diameter- 24aabm-c. also submit a COPY Of this ju= within 30 day% of cornPlellon of Well
I?. Well construction metbod; onagtruction to the folkiwinfir.
(i f agga, rotm7, czblc� dkw rx:zk ctm� Division orWater Resources, Undertround Injection Control Progmri:4
NC 276994 06
Ifim mail Service Cemer, It
Vc. FftarmmEa��r
Alm p4lbmil am copy or this rom vAthin 30 days arcomplation of
well constraction In the county health dq==cm1 of the counlywherc
comstructcd
------------- - --
r" the ONLY
rL
( L
©Vl WMENG-1111=111m
■
23. Site &29mm Or additional well detaft.
You any use the back of this pole to provide additional WCH site details or well
comanctim dewlL you may also attach Iddidonal Pala ifu==-Y-
sub,nit this ram
243- !�r, 11, within 3o days or empiction or imil
in
construction to m1herallowint:
Forrnr.w.l V North Cmalom Dqmnment or Em*bowmmt and Nam] itmm= - Div! I -i-- 0 IY3W R9908fe"s Rcv4ed A&601!1 2013
13

Fft1'Vqjff4M'' UFNFIA), , , I
417
2 . Well Construction Perrail #: .............. . ......... --- ................................ .. . .......... ... . .
Lul aft oMicble wl? pemiFs It c (74uimn. Vow, Parlancr- FRIVC404 CC)
P�Mlfw R1 flfm�
C e�
ar
COUNY
Sit, Latitude and Ukagitude in dcVixsfrnluut9%fseCoods or decimal derrces'. 2'-) CertHicatlow
(jr.11 ficid. one Udtong issuffidIcSil
aLlLaf IV 04-- _1L -i
lb, N I �arcamrw4a Well ei-gtfv��- D=
6. ts(Bre) the well(%): r4permancrit or 1TVmPGr2ry B7 sk'W.- &U�jar'*' I hethv en1g, tL-
. Ike urgt4 -= ft—j conarwr*d in "fordba"
with J5A NCACV2C-0100 Q� M AC-�r OYC Woo W"' COU'Voetim Sim"* o"d th$21 d
7. It this I repair to in c%isting well: Dyes or ING C" J&& r,.Wd k" b'M Prool" X0 jjk A Mt"L�
11,4E, 0' , ��Mfr'fill ow Ane�d we,# ev"--cli- jor.'Wj*. .d the nenwr fffdjt 23. Site diagram or additional wcM details:
rqJar un&kr N.11 IMWAS meting L* " fkelwl J�rlhfx jo�m you may csc the back of this Parc M Provide 2&iticml wa SLr dcWllz or weil
L Number orwells coustrucled. , I --- - corngruction details, You ruy also arUld SUitional pages ifttecestary,
Fwmujtr*;qjrrfim or non-leater ZRA11Y %-Ift 0'VLVu'f#A fAwlamr C"Sm""" Pftl ran StMr*fMAL1NSTUM0lQS
sah"it I - , % thnit this form withm 30 dqs of complAtion Or 96vil
9. Total %vdl dqfh below ra-ti-d-su-r-facc.- I - --
Fv) m1uhiFdr avArKlIdUd4wa Irdod"d rexamoe- 10200, and)GIM7
I a. Slatjc water level below ZOP Of eating-
V ItIlter k-el L' ahu*v C-i'm or .+-
11. Borehole di2MLlCT--
2.WgIlconstruction
r hcct push. etc.)
lie tjMuty. cabit;. d
RivATERSUPPLY WELLS OVII.Y.
13a. Yield (9Pm) method of test:
731L Disinfection tYPc- Amount:
construction to tile following';
DI 'op of Water Resource% Information Processing Unit,
1617 blail Senjen Center® R21cigh, NC 176W] 617
24a above. Ilso sub-H 2 ccPJ�`ar-"L1-1
construction to the fc�krwiujr-
Division o(W,2ter Rcsovrces� Underground lnjcclion Central Program,
106 M.20 Scrdco Censer, P21cfth, NC 27699-16M
z4c. For Water Stroulie kkLcs!� of
Also submit 0= COPY a this r— withm 30 days of=41PILMon
wcll comnuaian 10 be counly health dcpartm=1 or the counly where
consnuctetl
FonnOW-9 V Nonh CM011M UqMMMs"t *(Envienamem sod Hamill RcF4MCe,%— Dwi Rmd^06w 2013

Well Contractor Information:
WC11caffulacuit Nww
WC Wan ContexcuwCartificationNomba
_C",Al,� ��, 1 A -,
Ca7pany Nana
well Coustruction remit N . . ........................................
Lit allippli'tch)e %vt1pemirg ET e Cau"%Srafe, Variance Agolao m)
3, Wall Use (check %well ute)-.
lAgricultur:ll DMullicipal/Public
Geothermal (HeatinFCOoling Suppty) riltesidcruial Water Supply (sinec)
L.Indur.riallCommVeizi r Residential %to Supply (shared)
_AqUifi:rRcCh2f2c
_Zroundwjtcr Remedi2firin
- Aquifis! Storage and Rccov=Y
'iWinny Barrier
-Aquifer Test
-StormumicrDrainage
Technology
CtSubsidenceCoolroi
7Gcotheininal (Closed Loop)
I Tracer
rq_­
r10*1r(t27IaiT.,fi-,1x#21 .�
4. ]iate Well(&) Complete& 6-La valim-A)
P wAIA Cjry.AndZip
-7
, _Ue� 2
cc "ty %occl IdianiiGalkw N46 (PEN)
5b. Latitude and Longitude in dcgircestminutestsecomis or dedmal degrees'
(ifuvo ricid, one lau'loris is sufficient)
N _- ole-5.Q
6, Is (are) the wal(s): Oermatnent or ilfemporM
7. Is thIS a repair to an existing well: myes. or 041.
If,ha j, . -plr, jW ,ir kwm$ -vil e__—rjvq jaj,"wsian andestd&LR &W siz-vor oftlit
r,r,Vjr Smjcr 021 # eniarb xce#i100 01 " 14L bm* Or"Jeam
a. Number ofwcHs constructed: ' if
For wultor iniWinn ar non�wfffrf ru'rPly %wilt ONLV with the semc eafignseda". ym Cdo
I d, I Ic rL)
put nwripir wvOU list all d�Viihj Ird-07", (—pl- JQ200'and WO(r),
level below top orrAss VQ
�1 FOR WATER suprLV WELLS ONLY:
13a. Yield (gpm) methadoricst:
131j.Disinfectl0fl [YP4!--, Artiount-,
Tim 1w,w11 Use ONLY
r.7f
-
ryya
2., ntir fhe X%41ft) 1AW ('A'ftVj MITt"Clid f* OCCMV0111"
.ith 15A JVCAC 02C.Olivw 114 XcIr VC d2ce Well Cowbuirtia" smsicoth "d Adr a
Cam afthir rsTwd hiss b= PvVided to sk I wll tnmrr
23. Site diagram or additional ILY911 del,11r.
you inlay use the bark or this pace to provide 211diL10,121 well site dclailis or well
:oasulactica dctails. You nsity also 2'%3ch lUiticnill Palles if""essary
SUBMMALINSTUCnONS
24a. Fa_r_&LP_A[I- Suball't this form "iW8 30 &Ys Of cOmPletiOn Of well
cantaruction to the lbllawm&
Division al"tV21cr Resources, Infornl2tiOn Proccising Unit,
1617 Mail Semice Ceptcri R2ldCh, NC 27699-1617
24b. Egr Inicelian W 11 ONLY' In add:iian to scriding she rorm to I)c address in
A.4�v�iht 10 dz!g of cont-iction or well
construction to the faislOvAns:
Division OrWatgr Resaurces. Underground Injecdori Contra] Program,
1636 Niza Service Center, Rakigh. NC 27699-1&U
7Ar- Fqrr Water Supply At Illitclic".2clir
Also submit one copy Of Ellis form within 30 days orcompiction of
weil construction to the cmatly health &P2131mi-li or the caunty who=
r,v.m;iructcd
Form 0W-P V Nonh cmetwo mpnmenq orEwiponovnemd Nalum Resources- Division of%Vaich RgBou tts RcvigedAmViso 200

I. %ILL CO TLkCTOR:
h anh Cwchua Depmrmmm of Eavitornmertt and Na=al FUsomves- Divisiot► of Wz= Qm bry
WELL CONTRACTOR CEIMSCAMON
t . i VML DLTAn&
Ca<<}a,7 u.j mor,-is St-.
wat Cadrac r(taavickw) Nam
��r��f }a►l _� « ll� as
W&H Crs aemr ta
sTi a T 4omt 8S b Vt•
bLJShc� _&7_C-
(252,
s��GG '' C``16 oor�Tcan � � �Sltjsic� iiy t.ode
Am cod¢ - raw n&mdw
S. WELL P(FO XATllOrk els
SM WELL W 6 of aWlclbkl
STATE WELL PMMITflifRPgha6kl -
Covl%- Y WELL PERma N cif appt-lbie)—
nwQ or oTHrLR FLRMrT O (if appik4bMn
a::x w'Ett cC _
0dw (tt>1 a rL i_-vt D ,1 _
3. WE4.L LOr.ATKMK'.
NEAREST TOWN �?� Qr��ri �'
i5aertAroad I�ae. [� car. seem � •o- �, ems:
TOPOGRAPHIC I LAND:
� .ate MO � odwr
(Ckae appeapriaoe
L0t4rTTLiDB ���...L
LAdum llo�ngitu& sou=. GPS TGPOSMdsC MV
fz"w m of mw wrar besho"R are L=A*O MwAmd
atasekd m ilvfV- #'-W-M CPS)
4. FACILrrV-lU mast of ds tws� wbwc dr wM Is km=wL 4 aa6�A
lira remmoliat wvm Aw 4c 4kweSl away inoraman only)
FACUITYM#(ifMO "'1e1 —
SAME OF FACjLrrj0 $ i r
STRE.cT AQDRE55 �� �
ZayQ law:t a� - r ---
WCOMITACT tEJUNO!WTELL GWFT` :
SMET ADDRESS .
cQ _
ar TQvm swz
A=a = -
11 r
a TvWL1CpC . ft.Ci:.'w..���
wafer Lcvd (Baba 7Mteasums pvm)--,C_ It
pcdm;_ tl above Land swfi=
fR CAStNa:: Lugs Dmmcr
a. CROW EkN tb (if ioearoj
I. Casing R= -ed: _ _ rL
7. Bl5vGmlCToN:./ N J
{Amsst aflS3'1r73A � siaanhypudstors�c uxul
& SEALING MATEJtML:
Ce"mt RL Csmtnt _tp-
wm Vl wattr sat-
lubm
walOr� s&
Mv—
Type ammu
�. EYrs�►L�l+��an a� E�LAcitisErrs aF >►a ATF.l3l.�►L'
Ia w>EIs. : fl Zw a drm7sd acea, ai the "li r e as buk a *a
{ k"a dope. dsp& and 6 m w a screens Gf aay) rm=li„is
. lls imser�ni. is ayslS of txs- w `m-m and depols and
riper of Ell nsast..cts MuL
IL DATEWULASA"QNfm�
lD,DMSaESyCERTjFyj,KATTMWELLWASAi3AM INACCOM
a fiR SAWAC 3C. W s.: I =4a77GiJLTM STA? JW- & Alei?TtiAT A COPY
'iitlS PpDvta MTDTM WV L O% M
SCAT LM OF G68ZZFiE+? DAiL
Stta2tAiilltE0i343►AiE d+ Li.OWnI1lA>k7HE WLtlDATE
{Taepei.>:r>Kuaor�sm::l�a �w�ja�>rxadRslas"sesteti0amw Wes
aaa:a��iSANCACh tlli3•i
, MM CW yjm3urc. dAlUlO lMG ME *19.L
Fors . -so
Sabeit a Logy to the ow"r oad t%g atighuml to the WwWaa of WSW rlrfwt30 dssyr. � yb
A.C= lnfaeotatir+p �' 16t7 /YIsH 5errite Censer - NC rM"-l*t7, I�MKw (ll�f! 733. 3t3. a 36S

1. WELL CONTRACTOR:
NO,* Camlma Depawam *fEnvxa.-mwm and N==W Resaosus- Divistim of W=w Qm �jry
WELL. CONTRACTtKi CE31ICA'nOIN 0 2 =A_ iq0tjj
. s. WUL Der,
_C m'k+c'p w.) MDir:S Ste.
Well Cawm=(iadi+rwuaan Nrmne
We Cataaaar Co mpwv Nicene j 1j1�
STRE$TADDRMS I I IS UM_ AV L_
^� oipl- C 2796�
ChyorTown Sm Zip Code
Asea code, Ph = s►s ber
2. VfU.L INiFCAMATNW- V — 0jv
8rff vvnL w * (if extr>,e
STATE WELL PZ MIT 0 (it 3;Qlxsbkl .� -
COUNTY WILL pER.M3T4r (Efgpomb+t).,._-
L)WQ or arlaR rmmrr M (if aplalicable
WELLUnIcu ies
Rwwwy
1
3 WELL L) A'THW.
CM.WMC n - 4 'QUAMAMXE A1AM _ .
st-Dc- Way
pVwLliod time. mamba Cmnmnm, SdXb— L&- A --liter 23pcocie
TOPOGRAPM / LAND, jiETiA�f
SMW vaney , � Pifte otbw
(cam+
��� ux
F�oeA
wNGmmE,,..,= 7
L2jiu fcJ3Gn0Al& sow=. GPS Tcpc&rqzddc EuT
a&wrbaa of weN woos be show oa a L-iS>lopa may asd
arm ind >a oUPMOV GPM,
aa.IACiLr Y-M-"-Mofdwbeedo=wMet1 um4m-CbmW'-4@cs
(117a MWOLAi wAd. jiW Ac -=ph= dhadl Gmm e�foesaaoea adyw3
FACiLM LD Wif sppti*mblel _
NAME OF F
STREET ADDRESS Cw f
1 1�T 1; 1 7a
- L
ar T Zip Caft
sWCW,F ACrPam. _ �-LL
t11�i r f
NAME
srl�T AnDiL�ss
ch) or Tavm SUM
At= = - lase ate
ti. w l evet (Ik4b . pom)-2 �LC3 ti
pains is, - & a6ow lmd ss t=
G. CASVW,� LJ=9* Droner
f r J,r
�-
t:.
7. I IFF.C1i0ir: f� a G4
iJliaocac atbi94-35�r a �laa:a brypa�Imrr uscuA
it SEALING MATUM41:
Comm t& Crmesu _15..
wr.a Pa Ws= — P1
Amom
9eaca lilz 13 &; a
Typt_ SluffY_ Y INE ✓
Wakr 2 sK
Type mv,.
9. £3CP' AL%MM-HG 7 G EUKA=OSEM OF MATERLAL'
Uf �M
16- wjIML 2%Ai;aAbL: Dsw a duet st eoh al %be "I Ott do hack a: UM
foes, soot deptL &pth and 01 sweees (ifcny) rcmm-nt
m dwwrem pz— isstarval. asvv of rna:i tx+`msCsoas, and depths sad
types of gm mz=44h mme-
�
11. RITE SYBlL AliJ►.-mQmm `-= 7
1 u0 tuwmY cMnVY TiiAT Tms w= 7I As ADA.%a WWN A000"^.
VAM 13ANCAC2C,1l%sI COMTRUCTI01+€ STA1 g6o_ i ANDTHAT A COPY
TKM Riossm.%drR VELWT0TSBWs3i.O%"F
sK Aw=cFczxrnmwvfiFLLc0Wr AL7a8
Sit;?tATi1RLGWMVAXKiksLLOWxtiltASA.%UOM VG
cmixim a lm sbe ' - 5 '1 1%ft XMMC--
m, %d&L3Al1CAC21 o11s-t
����� L�•�-��2�� fir,
l�vrrro t�+�aa � • aAnLl�rilrlc T�€ KILL
v Foes: -30
a ow r and sm dal m the Dt WW" of Wssee 00ft wk'Oiee hD dsya_
Atsa laf0rae:hia�s � id17 rsr �- %taR 5a'rka Cml;:aleio. NC 2M94*Vi Pb+ *?'&a. 0"I73t - i-5. d ih& Re e5

E�y
North Cwt*= Dept=wt eft iro.-mm and NxtwW F.rsatt = s- Divm= of W=7 QM Iny
�. Co�� C�nCAnM •
I. LL CO(V i1tAt: T(!R: 1. � WUL DIIIII :
C0.r `'i b tJ N,j M c>rr t s 57r .
Vli d( Codracccr fbww ktan ?41
t
Well Caaaaaor Corepnry Nam n -
snaT ADDRESS Fr a1Vr _ ITV. rq— .
CIO ocTant ol..i �- � Lswe,�
AM code - Pboee stttrbM
2. VIUX WF NM ATM:
SM Wu.L ID# ofappijcw*L.�,1_1►%--
STATE WELL P=HiT / (if kel , _
COUNTY WELL PERMIT (ifapphcabtc)—
DWQ or OTWR srE NIFT K (ifw
b*cd= {
3, VM4.L L0rATKKI
C Y-WM - QUAMANI w► .,. -
NP.AROT 7W r ,
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Facility OBX WaterparkE ■.
Cystern Owner OBX WaterparkAdventure LLC Permit # WQ0038695
Cystem Address■ CaratokePowells Point NC 27966
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Wind
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Facility OBX Waterpark Adventure WWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
OFIT701
Time of Inspection
iTime of Previous Inspection -----
lays Between Inspections
Cycle of Inspections
Tperator Time On Site
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Vesign Gallons Per Day
Type System Amphidrome High Rate Infiltration
Aigh Rate Infiltration System —
Current Rainfall
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M., ?I I 12M.7-9 I an
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:IRVIN EDWARI
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Facility OBX Waterpark Adventure WWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
Date of Inspection
�Date of Previous Inspection
InJISM
Time of Inspection
Time of Previous lnspection'��
Days Between Inspections
Cycle of Inspections
Operator Time On Site
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Facility OBX WaterparkAdventure
System Owner OBX WaterparkAdventure
Sv.f,em Address, CaratokePowellsPoint NC 27966
III I IIA01 glow
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acility
OBX WaterparkAdventure
t Address■CaratokePowellsPoint27966
� i i..
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1401117
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DirectionWind
SpeedWind Daily High
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Flow MeterCalibration
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Facility OBX Waterpark Adventure WVVfTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
Current Rainfall
Monthly Rainfall Total Inches
Wind Direction
=.k=. I *T-T
Equipment Run Times
IBM
MUDWELLPUMPI
lip
nmmnmn�
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BUMPED CAIRBON PTED FROM 2115TO 30 STROKEON 510
BUMPED RAC FET,D FROM 15 TO 20 51rRiCYCE IN 50
Genieratoir, did iniot ruin airid is still shiowingl a fail (volts 3.1, Alinie fail)
EDWARDS JOPERATOR SIGNATURE
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W.7-,-T MET-ROMINE =o,o-. A
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System Own.. OBX WaterparkAdventure LLC ..it # WfIl
System Address 8526 Caratoke Hwy, Powells Point NC 27966
,
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OBX Waterpark Adventure LLC Permit # WQ0038695
8526 Caratoke
off-T-T a -mill ......
-urrent Rainfall
Wind Direction
Wind Speed Daily High
Equipment Run Times
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MUC111#11 R 11 I'llog UT � j I g laci j oil
CHROLINE RESIDUAL
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POLISHING FEED PUMP
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CURRENT [f�E=VIOUS L ETODAY 89.15 �jq
1 (11.91 COMMENTS
S.I`AR FEDALIUM AND CARBiCYN Fl. �111J[ PIUMPS 8/7/17
LJIV UN11 I'SHOVVEID,3 BULBS I 111E
BUMPED CARBON FEED PROM '25 F0,310 S"I"RO'KE ON510
BLEWPED PAC FEED FROM 15 10 210 SPROKE ON 11510
-Geiire erator did niot iirluiin and is stllHl showiling a faflI (volts 3..1.11lirile fafl)------ i J OPERATOR JIRVINEDWARDS 10PERATOR SIGNATURE
ICERTIFIED OPERATOR FJONATHAN CREDLE JOPERATOR SIGNATURE
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Facility OBX Waterpark Adventure WWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Add-ress 8526 Caratoke Hwy, Powells Point NC 27966
Wind Direction
r.
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Equipment Run Times
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,/5/201`7
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Cycleof Inspections
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mom=
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UTITITTPIFMMW�
POLISHING FEED PUMP 2
DISPOSAL PUMP I
Equipment Run Times
MUDWELL PUMP 2
jmmmwym�
REEM
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BUMPED CARIM'YN FEED G'°RCWI,251 0 3101 STMDKE ON 510,
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�CERTIFIED OPE IRVIN EDWARDS JOPERATOR SIGNATURE
IC-ERTIFIE OPERNATTOOR 1JONATHANCREDLE JOPERATOR SIGNATURE -------

7acility OBX Waterpark Adventure WVVTP
iystern Owner OBX Waterpark Adventure LLC Permit # WQ0038695
.ystem Address 8526 Caratoke Hwy, Powells Point NC 27966
Equipment Run Times
MUDWELL PUMP
I
- ---- -- --- AMPHIDROME
PLUS FEED PUMP 1
rula-ITIUM INEM
MFVVMNFWI=��
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Cycle of Inspections
Last Flow Meter Calibration
',Type System Amphidrome High Rate Infiltration
UV DISINFE �l
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Daily Low Temperature *F
Monthly Sample Collection
EFFLUENT SAMPLES
MYMMEMINVIUMN III
CHROLINE RESIDUAL
GENERATOR RUN TIME
r -� �41 *�,
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AMPHIDROME
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BlYMPIED CARB1014 FEED FROM 25TO 30 STROKE Q�q �50
iRAVIRED �PA,C FEED F:R()lA 15TO 2,0 STRCYKE ONI 510
(Tieneiratior dild nint run aind is, still s�howiing a faH (vokslh]l- lh'ie fafl)
OPERATOR SIGNATURE
MUM
MIL411=7
POLISHING FEED PUMP 2

Facility OBX Waterpark Adventure VVWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
r-M, INNITIF-7111 M.. I=
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Gienier�,.Alor did niot injin aind Is stfll shiowiniga fail (volts 3-3, linie fiafl)
EFFLUENT SAMPLES
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CHROLINE RESIDUAL
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E-7-1 fl, M.
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Facility OBX pa" Adventure WWTP
Date of Inspection
Date of Previous Inspection
1ime of Inspection
Days Between Inspections
Cycle of Inspections
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System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966_,
Current Rainfall
Monthly Rainfall Total Inches
Wind
Direction
F„ x,
MUM =.
DailyoTemperature
1�11.ast Monthly Sample Collection
/25/2017
,i( AM
.' 1,
EFFLUENT
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BLOWER
GENERATOR
RUN TIME
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!, Caratoke Hwy, Powells Pointr 6r,
Date of Previous Inspection
f -inspections
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M
EFFLUENT SAMPLES
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BLIIII IIC ACID IICRA ' FEED FROM 15 F0 () .H11DKJE1 01M II' 0
f iirwiira for dW rIun;Pt iruiirli and is ti!01 shlovifing a fail (virflts 3..1 hiir°m fail)
CERTIFIEDEERTIFIED OPERATOR IRVIN E W RDS 1OPERATOR SIGNATURE
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Facility OBX WaterparkAdventure WWTP
9,ystem Owner OBX WaterparkiWQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
Date MInspection"
ofPreviousf i
Time of Inspection
Time of Previous Inspection
Days Between Inspections J
�Cycle of Inspections
'1perator Time On Site
'Last Flow Meter Calibration
Design Gallons Per Day
11 110
High Rate Infiltration Systerr
Current Rainfall
��bear,
Cloudy, Rain, Sleet, Snow
Monthly Rainfall Total Inches
Daily Low Temperature *F
Wind Direction
` MonthlyiCollection
SpeedWind
I' "y
Equipment
Equipment
MEFFLUENTSAMPLES
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s,
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Facility OBX Waterpark Adventure WWTP
gystem Owner OBX Waterpark Adventure LLC
System Address 8526 Caratoke Hwy, Powells Point NC 27966
xmzmas��
Current Rainfall
L=P1,TIr,1F1 I MIME] I
Wind Direction
11CRIMMIMIM
Equipment Run Times
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Nmmli�
AMPHIDROME 1 DOSING
ME=
lmwmam�
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�Date of Previous Inspection
Ross=
Cycle of Inspections
-Last Flow Meter Calibration
UV DISINFEcri,,, ME M91.4;k"i IM
Clear, Cloudy, RSleet, Snow
,Daily Low Temperature *F
11ITIM, M., I'MR. "". Non. IM11-j
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PLUS FEED PUMP 2
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001 ii4goilelimm
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AMPHIDROME 2 0 SING
AMPHIDROME 2 RETURN
18101,110 �
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STAR 111DALIUM AND CA,IkBON IF11ED RUWPIS B/7/1 7
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TOWER VFDs. D(- BIBS VOLTAGE #116310.6 1#2 16425 8/19/17
BLOWER VFDs. I ARAMETER 1 .02 SET"Ili 120 1-10IR 111OT111 8/9/17
Gei�'%iei'ator ff�id r*1 ruin aind liiSsfilhshoWin; a fail (v6ks 3-1, flnefafll) 7T
CERTIFIED OPERATOR IRVIN EDWARDS ........ [OPERATOR SIGNATURE -------------
---- ]JONATHAN CREDLE JOPERATOR SIGNATURE
CERTIFIED OPERATOR

i,ystem Owner Os;X Waterpark Adventure 0086
Current Rainfall
..
4 Direction
Low Temperature
* . Collection
Wate of Power Interrupt
�
x
MUDWELL PUMP 11�
r
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RESIDUALCHROLINE
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30
POLISHING FEED PUMP 1
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DISPOSAL PUMP I
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B1 O'W ER'V]I D m DC B L,PS'S C�)II.'If"AGI #1 i6310Z 02 642.5 /9 III.
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Facility OBX Waterpark Adventure MfWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
.IT. =-. figaMEW
Current Rainfall
Monthly Rainfall Total Ini
Wind Direction
77TITT. 10711 p] a in
Equipment Run Times
Lflvg.�*
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mzm�
MUDWELL PUMP I
oomlcm�
AMPHIDROME 1 DOSING
SOM
AMPHIDROME 1 RETURN
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AMPHIDROME
Date of Previous Inspection
Time of Previous Inspection
�Cycle of inspections
last Flow Meter Calibration
UJIM1=01
SUV
DEMMIMMMMM
iNIM 41,
M-MR-Tir-MMMM-1101.
Moibalilcow
Temperature *F
Last Monthly Sample Collection
MIN R-TIM, W.
EFFLUENTSAMPLES
MUC10,01IR I #AY&A, 114 11 1LOIT114 ;li 0 lefti J $2
CHROLINE RESIDUAL
GENERATOR RUN TIME
PLUS FEED PUMP 2
mom
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DISPOSAL
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UV U817' S1 10VV'IIF.I:) IBUIIC..IlIBS 1,11E
OWER Vf�Ds. DC'BUSS V101 F'A'Cif #16310.16 :92 642,,5 8/19/37
Generator lidfid not ruin aind is still showing a faill (yolts, 1,3 lfinefail) h — — ------ -
[CERTIFIED OPERATOR JOPERATOR SIGNATURE
IFIED OPERATORIJONATHAN CREDLE 1OPERATOR SIGNATURE v

System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
High Rate Infiltration System
Current Rainfall
Monthly Rainfall Totalinches
Direction
Wind Speed Dailyi
F-LOW ICURRENTpIIIIIEvlll; il.l
M. .� « a u
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CHROLINE RESIDUAL
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8.310 AID
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d77.77
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CURRENT PREVIOUS I TODAY CURRENT PREVIOUS
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BLOWER VFDs IIPARlll' Il;:mill;l 'ki,flf! 5lf..l.. 0 1,210 FOR IIBOTH II/19/'.17
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ICERTIFIED OPERATOR JJRVINSIGNATURE
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OwnerFacility
System
OBX Waterpark AdventurePermit # WQ003869j
8526 Caratoke Hwy, Powells Point NC 27966
Date of Previous r
Cycle of r +
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Facility OBX Waterpark Adventure WWTP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
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BLOWERVFDs: DC� KIS's V00"AGIE ltl 1613,C).16 #21542.5 9/19117
BLOWERVI:Ds. PARAMETER 1,02 SE1 AT 120 FiCYR B0711 1 8/9/17
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Facility OBX WaterparkI n
System Owner OBX WaterparkI Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
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Current Rainfall
Wind Direction
I I111-1i l l EI'
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Date of Previous
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BLOWER WDs DC IKIS91 VOLTAGE 41 116 #2 642.5 8/9I/
BLIv)WEII WDs 1,�AJRAIMETEul,02 SETAT 1210FOR IBO'""ISM 8'/`9/17
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OBX Waterpark Adventure WVVTP
Owner OBX Waterpark Adventure LLC
Address 8526 Caratoke Hwy. Powells Point NC 27966
J116/20117
&0110 APO
0-0 -( T
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Equipment Run Times
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Daily Low Temperature *F
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PLUS FEED PUMP
1
PLUS B/W PUMP
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POLISHING
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RLQ�111,:R NIF'Os DC RUISS VOILIFAGE 111 1630-6 f$,2 642,5 8/9/17
BLOVVERVFDs, PARAMIFFER 1.02
SET X1'1210 �F�OR BOTH 8/9/17

Facility OBX WaterparkAdventure WVVTP
Qystem Address 8526 CaratokePowells Point
1 '
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Current Rainfall
f f
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91
114/2017
19.39 AM
Equipment Run Times
1
MIT1,14:6 11
EFFLUENT
SAMPLES
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1
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Facility OBX Waterpark Adventure WVVTP
System Owner OBX Waterpark Adventure LLC
System Address 8526 Caratoke Hwy, Powells Point NC 27%6
mma��M=
Current Rainfall
I'M M-9.111VERM. MUM=
Wind Direction
XTA-11"
JMT.
Cycle of Inspections
EFT NoMiN
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I
9a0110 M0
0
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7/2711210117 1 BA5 AM
T-
8,91207, TOOMW
Equipment Run Times 13 z
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I
B/W
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Facility OBX Waterpark Adventure WV4TP
Zystem Owner OBX Waterpark Adventure LLC Permit It WQ0038695
�_Ystem Address 8526 Caratoke Hwy, Powells Point NC 27966
AnTEIP1111W =_IWITW�1111111111111
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Equipment Run Times
Lom 4 1 # - q4toll
11M. ZZM:M��
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UV DISINFECT
0
6aily Low Temperature *F
Last Monthly Sample Collection
1:11, IMM, To.
8/10/2,0117
8130 AM
Equipment Run -Times
EFFLUENT SAMPLES -1
IN
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1 ................
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PUMP
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L DISPOSAL
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COMMENTS
L 66.84
54.
12,56
S I'AR"TED AUYIVI AND (','.ARB10N FEED F.I.A"PS 8/7/17
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#1631.1.16 #2 642-51 9119/3,31'
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A4111111:41,101
HAVAL114
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Facility OBX WaterparkAdventure +:
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address + CaratokePowells Point`+6
r
Current Rainfall
Innoninar-MINTRITT
Wind Direction
1 r,
0
1..
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3
1.0
Cycle of Inspections
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System Owner OBX WaterparkPermit # WQ0038695
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Facility OBX WaterparkAdventure
System Owner OBX WaterparkAdventure LLC Permit # WQ0038695
System Address + Caratoke Hwy, Powells Point NC 27966
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Cycle of Inspections
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Type System AmphidromeInfiltration
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3/ 7 /2TT1,7
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Facility OBX WaterparkAdventure
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 Caratoke Hwy, Powells Point NC 27966
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Facility yO B, , . Adventure ."System Address 8526 Caratoke Hwy, Powells Point NC 27966
System Owner
a; } y " I ".
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Facilityi; : " Waterpark AdventureP
System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
System Address 8526 CaratokePowells Point NC 27966
High Rate Infiltration System
Current Rainfall
Monthly Rainfall Total Inches
Oind Direction
Wind Speedit _Igh
F1.001 JCLJIIkl :i i"i IRE
4, a, No M I a, rwT-7,-4,
Cycle of Inspections
Type System Amphidromeg R.""' Infiltration
��'Clear, Cloudy, Rain, Sleet, Snow
Daily Low Temperature * F
Collection
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PUMP;
AMPHIDROME
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2
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iystern Owner Y; Waterpark Adventure Permit
. 003
1
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Date of Inspection I A'nme of
Inspection
Days Between Inspections
Operator On ',. , ► ; i, it
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High Hate Infiltration
PREVIOUS
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172.4
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BX Waterpark
.,stem.ystem Owner OBX Waterpark Adventure QC :.
4,ystem
Address—_
,L 8526
;' Caratoke Hwy,
Powells
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141.1
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System Owner OBX Waterpark
;vstern Address, Caratoke Hwy, Powells Point NC 27966
of Inspection
InspectionDate
time -of
w ;. ' .,
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Clear, Cloudy, Rain, Sleet, o
Daily.
. 1,„
EFFLUENT SAMPLES
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High Rate I filtration
PREVIOUS
TODAY
142.3
6, ,,
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719,
7/6/20,i.7 1
8.010 A

Facility MWaterparkAdventure . rt
System Owner OBX WaterparkAdventurePermitfill :.9
System Address 8.526 Caratoke Hwy, Powells Point NC 27966
IT M.a 1117
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:acilitv OBX Waterpark Adventure WWTP
iystem Owner OHX Waterpark Adventure LLC Permit # WQ0038695
iystem-Address --8526CaratokePowelisPoint--NC27966 - ----------------------------------------------
11FIT7.1
Time of Inspection
Time of Previous Inspection
Days Between Inspections
Cycle of Inspections
Operator -1-ime On Site
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Design Gallons Per Day
'Type System Amphidrome High Rate Infiltration
jolm 911.11 L, I g :141 Im all 0
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EFFLUENT
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B/W
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710 Bowsertown Road, Manteo, NC 279 - 252 4733702Lab/Fax
2.55 WilminIrtun Highway, Jacksonville, NC 28540 * 910„347,5843 Lab/Fax
AL1i'`illCAeL & CONSULTING CHEMISTS s
WgfogEeewrsonmtntalchemists.coal
Atlantic r
11, 2017
5115 PineHill Lane
Manteo Report #: 17 ®1 183
Kft Hawk NC 2794917®1
Attention- Irvin Edwards Jr.
7 0020
LabID Sample ID,
Collect DateMme Matrix Sampled by
17-26275 Site: Effluent
B 1 r I.W. Edwards Jr.
Method Results Date Analyzed
AmmoniaTest
Nitrogen
EPA 3 .1 0.5 mg/L117
Total Phosphorus
SM 4600 P F 6.50 mg[LB 17
1 i i
353.2 14.7 !
Nitrate01/2017
i
SubWddiw Meftwd 14.5 mg/L 08108f2o'17
Total Nitrogen (Ca1c)
I
351. B 1 1
TotalTotaNitrogenTeal
` . B B 1
Lab ID Sample ® 7
Collect Date/Time Matrix Sampled by
17-26276 Site: Effluent
77117 r I.W.Edwards Jr.
Test
Method Results Data Analyzed
ResidueBL
07/2712017
Nitrite
2-8 0. 17 mg/L 0712812017
5210 B <2 mg/L 07/27/2017
Fecal Collform
SM B222D MF 29 Colonies/100ml-1 7 17
Comment:
4
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Kitty Hawk NC 27949
Report 0: 2017-10041
Attention: Irvin Edwards Jr.
Customer ID: 09070020
Project ID: OBX Waterpark
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
17-24060 Site: Effluent
7/1212017 7:30 AM
Water I.W. Edwards Jr.
Test
Method
Results Date Analyzed
Ammonia Nitrogen
EPA 350.1
07/18/2017
Total Phosphorus
SM 4500 P F
6.20 mg/L 0712012017
Nitrate Nitrogen (Calc)
NWate+Nftdte-Nitrogerg
EPA 353.2
28.6 mg/L 07/18/2017
Nitrate Nitrogen
subveclon Meow
<0.02 mg/L 07/20/2017
Total Nitrogen (Calc)
Total Kjeldahl Nitrogen (TKN)
EPA 351.2
< 0.5 mg/L 07/19/2017
Total Nitrogen
Tcol N"en
28.6 mg/L 07/20/2017
Lab ID Sample ID: M-2028
Collect Date/Time
Matrix Sampled by
17-24061 Site: Effluent
7/12/2017 7:30 AM
Water I.W. Edwards Jr.
Test
Method
Results Date Analyzed
Residue Suspended (TSS)
SM 2540 D
3.7 mg1L 07/13/2017
Nitrite Nitrogen
SM 450D NO2®
28.8 mg/L 07/12/2017
BOD
SM 5210 8
2 mg/L 07/13/2017
Fecal Coliform
SM OMD MF
<20 Colonies/100mL 07/12/2017
Comment
q.
Reviewed by:
Report 2017-1 ONI i,Mv 4 -0 4

OBX Waterpark Adventure VVWTP
��ystern Owner OBX Waterpark Adventure LLC Permit # WQ0038695
Zvstem Address 8526 Caratoke Hwv. Powells Point NC 27966
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6/20/20�Il
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OBX WaterparkAdventure
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System Address 8526 Caratoke Hwy, Powells Point NC 27966
I Date of Inspection
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Zystem Address 8526 Caratoke Hwy, Powells Point NC 27966
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Date of Previous Inspection
Time of Inspection
Cycle of Inspections
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System Owner OBX Waterpark Adventure LLC Permit # WQ0038695
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Atlantic Coast Underground
Date of Repowt: Jul 14, 2017
5115 Pine Hill Lane
Manteo Report#: 17M-1002
Kitty Hawk NC 27949
Report M 2017-09333
Attention: Irvin Edwards Jr.
Customer ID: 09070020
Project 10: OBX Waterpark
Lab ID Sample ID:
Collect Dateffime
Matrix Sampled by
17-22296 Site: Effluent
6/2912017 10:OOAM Water I.W. Edwards
Jr.
Test
Method
Results Date Analyzed
Ammonia Nitrogen
EPA 3501
26.5 mg/L
07/05/2017
Total Kieldahl Nitrogen (TKN)
EPA 351,2
26.7 mg/L
07/11/2017
Total Dissolved Solids (TDS)
SM 2540 C
260 mg/L
07107/2017
AnaWed outside of holding time
Chloride
SM 45GO C1 E
57 mg/L
07/1212017
Total Phosphorus
SM 4500 P F
1.48 mg/L
07110/2017
Nitrate Nitrogen (Cale)
Nitrate+Nitrite-Nitrogen EPA 353 2 < 0.02 mg/L 07/0512017
Nitrate Nitrogen subtraction Melhod <0.02 mg1L 07/12/2017
Total Nitrogen (Cale)
Total Nitrogen Total Nitrogen 26.7 mg1L 07/1212017
Lab ID Sample ID- M-ISE13 Collect DaterTime Matrix Sampled by
17-22297 Site: Effluent 6/29/2017 10:OOAM Water I.W. Edwards Jr.
Test Method Resuks Date Analyzed
Residue Suspended (TSS) SM 2540 0 5.8 mg/L 06/2912017
Nitrite Nitrogen SM 45M NO2-8 0.11 mg/L 0613012017
BOD sm 5210 a 7 mg/L 06130/2017
Fecal Collfonrn SM Q=D MF 1180 Colonies/100ml- 06129/2017
Comment
Reviewed by: ktdL-0 Up?
Report M2017-09333 Page I of I

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Manteo Report#: 17M-0690
Report M 2017-08479
Attention. Junior Edwards
Customer ID: 17060025
Project ID: Monitoring Wells
LablD Sample ID:
Collect Date/Time
Matrix Sampled by
17-20299 Site: MW-1
6/16/2017 11.15AM Water jay baker/envirochem
Test
Method
Results Date Analyzed
for
Cox
Tan/Brown
06/15/2017
Depth to water, ft.
Depth to Water, Ft
5.3 feet
06/1512017
Ammonia Nitrogen
EPA 350A
< 0.2 mg/L
06/23/2017
Gallons bailed before sampling
Gallons BaIW balore umplhV
10 gallons
06/15/2017
Odor
QuaNtative
Sulfur
06/1512017
Total Dissolved Solids (TDS)
SM 2540 C
84 mg/L
06116/2017
Temperature
SM 2550 B
20.3 C
06/15/2017
Chloride
SM 4NO CI E
16 mg/L
06/21/2017
pH
sm 4500 H a
8.39 units
06/15/2017
Total Phosphorus
SM 450 P F
0.30 mg/L
06/29/2017
Total Organic Carbon (TOC)
SM 5310 8
11.9 mg/L
06/19/2017
1, 1, 1,2-Tetrachloroethane
SM 6200C
< 0.50 pg/L
6/29/2017
1,11-Trichlorcethane
sm 0200C
< 0.50 pg/L
6/29/2017
1, 1,2,2-Tatrachloroethane
SM 62M
< 0.50 pgIL
6/2912017
1, 1,2-Trichloroethane
SM 13200C
< 0.60 pg/L
6/29/2017
1,1-Dichlaroethane
SM 82=
< 0.50 pg/L
6/29/2017
1,1-Dichlometen e
SM 8200C
< 0,50 pg/L
6/29/2017
1,1-Dichloropropene
SM 8200C
< 0.50 pg/L
6/29/2D17
1,2,3-Trichlorobenzene
sm 62mc
< 0.50 pg/L
6/29/2017
1,2,3-Trichloropropane
SM 620DC
< 0.50 pg/L
6M/2017
1,2,4-Trichlorobenzene
SM 6200C
< 0.50 pg/L
6/29/2017
1,2,4-Trimethylbenzene
SM 02=
< 0.50 pg/L
6/29/2017
1, 2-Dibromo-3-Chloropropane
SM 0200C
< 0.50 pgIL
6/29/2017
1,2-Dibromoethane
SM 0200C
< 0.50 pg/L
6/29/2017
1,2-Dichlarobenzene
SM 020W
< 0.50 pgIL
6/2912017
1,2-Dichlomethane
SM 6200C
< 0.50 pg/L
6/29/2017
1,2-Dichloropropane
SM 020C
< /L
6/29/2017
1,3,5-Trimethylbenzene
SM 82MC
< 0.50 pg/L
6/29/2017
1,3-Dichlorobenzene
SM 6200C
< 0.50 lig/L
6/29/2017
1,3-Dichlompropane
sm 6200C
< 0.50 pg/L
6/29/2017
1,4-Dichlorobenzene
SM 15200C
< 0.50 pg/L
6129t2017
2,2-Dichloropmpane
SM 6200C
< 0.50 Pg/L
6/2912017
Report 2017-08479 Page 1 of 12

101 PLIA-1-711474 -I M 0 1 0 , , , 0
6602 Windmill Wa3l, Wilmington, INC'.28,105 b 910.392.0223 Lib - 910.392.4424 Fax
710BowsertownRo,ad,I,Oiintet),I�4C27954- 252.473.5702Lab/Pax
?55-A Wilmington I hghway, la�:kscnville, NC 28540 , 910.347.5843 Ub/Fdx
inroad%cTivig�r,�iiiin�iientalchemist&com
OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Manteo Report#: 17M-0890
Report 9: 2017-08479
Attention: Junior Edwards
Customer ID: 17060025
Project ID: Monitoring Wells
2-Chlorotoluene
sm 0200C
< 0.50 pg/L
6/29/2017
4-Chlorotoluene
SM 62MC
< 0.50 pg/L
6/2912017
Benzene
sme2mc
< UO pg/L
6/29/2017
Bromobenzene
SM8200C
< 0,50 laL
6/29/2017
Bromochloromethane
SM 0200C
<lig/L
6/2912017
Bromodichloromethane
SM 62ODC
< 0.50 pg/L
6/29/2017
Bromoform
SM 0200C
< 0.50 Pg/L
6/29/2017
Bromomethane
SM 62ODC
< 0.50 pg/L
6/29/2017
Carbon tetrachlodde
SM 0200C
< 0.50 Wg/L
6/2912017
Chlorobenzene
SM 020DC
< UO pg/L
6/29/2017
Chloroethane
SM 8200C
< UO pg/L
6/29/2017
Chloroform
SM 5200C
< 0.50 pg/L
612912017
loromethane
SM 15200C
< 0.50 pg/L
6/29/2017
cis-1,2-Dichloroethene
SM 6200C
< 0.50 pg/L
6/29/2017
cis-1,3-Dichloropr,opene
SM 6200C
< 0.50 lig/L
6/29/2017
Dibromochloromethane
SM 6200C
< 0.50 pg/L
6/29/2017
Dibromomethane
SM 6200C
< 0.50 pg/L
6/2912017
Dichlorodifluoromethane
SM 52MC
< 0.50 pg/L
612912017
Ethylbenzene
SM 52=
< 0.50 WgIL
6/2912017
Hexachlorobuladiene
SM 8200C
< 0.50 pgIL
6/2912017
Isopropylbenzene
SM Gmc
< 0.50 pg/L
6/29/2017
M+P Xylene
SM 6200C
< 1.00 ligiL
6/2912017
Methylene chlodde
SM 5200C
< 0.50 Wg/L
6/29/2017
Naphthalene
SM 6200C
< 0.50 pg/L
612912017
n-Butylbenzene
SM 8200C
< 0.50 Pg/L
6129/2017
n-Propylbenzene
SM 62M
< 0.50 pg/L
6129/2017
ortho-Xylene
SM 52DDC
< 0.50 pg/L
6r2912017
p-Isopropylloluene
SM 82=
< 0.60 pg/L
612912017
sec-Butylbenzene
SM 6200C
< 0.50 pg/L
6/29/2017
Styrene
SM 6200C
< 0.50 pg/L
6/29/2017
tert-Butylbenzene
SM 62DOC
< UO pg/L
6129/2017
Tetrachfor oethene
SM 8200C
< 0.50 pg/L
6/29/2017
'Toluene
SM 6200C
< 0.50 pg/L
6/29/2017
Trans-1,2-Dichloroethene
SM 6200C
< 0.50 pgIL
6/29/2017
Trans-1,3-dichlorapropene
SM 6200C
< 0.50 PgIL
6/29/2017
Trio hloroethene
SM 6200C
< 0.50 pg/L
6/2912017
Report 0-:2017-08479 Page 2 of 12

OBX Waterpark AdventureJul
06, 2017
Manteo : 17M-0890
Report M 1
Attention: Junior Edwards
Customer ID: 17050025
Project ID: Monitoring Wells
Trichlorofluoromethane sm emoc
< 0.50 Pg/L
6129/2017
Vinyl chloride z c
e 0.50 pg/L
6/29/2017
NitrogenNitrate j
Nitrite Nitrogen EPA 353.2
06116/2017
i t i °t it n EPA3532
< 0.02 IL
06/2112017
Nitrate Nitrogen Subtraction MOW
< . IL06/22/2017
Report #7:2017-08479of 12

OBX Waterpark Adventure.
Jul 06, 2017
Manteo Report : 7
Report N: 2017-08479
Attention: union Edwards
Customer 10: 17060025
Project ID: Monitoring Wells
Lab 10 Sample 1:
Collect DatelTime
17-20300 Site:
11 1 1 12:10PM Water jay bakerlenvirochem
MethodTest
Color
Color
'iIer n/ ro
11 17
Depthto water, ft.
Depth to Wahw, Ft
5.4 feet
05115/2017
NitrogenAmmonia
EPA 3501
/L
1 312 17
Gallons bailedbefore li
Gallons Bar
gallons
11 1
Odor
Qualitabe
Sulfur
/ / 01
Total DissolvedSolids
2540 C
95 mg/L
11 /2017
Temperature
SM 2550 s
20.0 C
0611512017
Chloride
4600 Cl E
1 /L
0 1/2 17
pH
SM 4500 H a
5.79 u
11 17
Total Phosphorus
sM 46M P F
0.24 mg1L
06/29/2017
Total Organic Carbon (T )
sm 5310
06/19/2017
1,1.1,2-Tetrachloroethene
SM 0200C
< 0.50 pg/L
6129/2017
1, 1. 1 -Trichloroethane
SM 620
. 16129/2017
1,1,2,2 chloro
020o
< U0 pg/L1
1,,2®T `ch!
G200C
< 0.501
/2 1 1
I,I-Dichloroethane
sm 6200C
/
/ 1 1
1,1-Dichloroethene
SM 6200c
< 0.501
/ 1
1,1-Dichloropropene
SM 62
. /
1 17
1,2,3-Trichlorobenzene
SM 620
.50 pg/L
6129/2017
1,2,-Tricl r r
6
1L
6/29/2017
1,2,4-Trichlorobenzene
SM 62
/
1
1 2,4-Trimethylbenzene
SM 62COC
< 0,50 Vg/L/
/ 17
1, i ro a hf r pr n
6200C.
1
/2 / 17
1,2-Dibromoethane
s6
/L
6/2912017
1,2-Dichlorobenzene0
WgIL
612912017
1,2-Dichlomethane
SM 62000
< 0.501
B 01
1,2-Dichloropropane
SM 6200C
1
1 17
1,3,5-Tdmethylbenzene
SM 62 0C
/
1
1,3-Dichlombenzene
SM 6200C
0 p 1L
6/29/2017
1,21-Dichloroproparle
SM 8200C
< 0.50 !J /
/2017
1, iclo
60,50
p/
17
2,2-Dichlorapropane
SM 6200c
< 0,50N /
/ 017
Report #!.-2017-08479 Page 4 of 1

A .
OBX Waterpark AdventureJul
06, 2017
Manteo® 17
Report #,® 2 1 7
Attention: Junior
17050025
Project gy Monitoring Wells
r tol
6200C
1, IL
17
for tofu n
0200C
< 0.50 p/L
612912017
Benzene
SM 0200C/L
17
Bromobenzene
SM 6200C
e 0. /L
6/2912017
Bromochloromethane
SM 6200C/L
6/29/2017
Bromodichloromethane
SM 0200C
/L
6/2912017
Bromoform
SM 02
< UO pg/L
17
ac
< UO pg/L
17
Carbon tetrachloride
SM 6200C
< 0.50/L
612912017
Chlorobenzene
SM 6200C
< 0,50/L
/ /2 17
Chloroethane
SM 02
/L
/2 1
,.;Chloroform
SM 82MC
< 0.50/
2 17
'Chlorornethene
SM91200C
<0.50 pg/L
6/29/2017
cism1,2-Dichleroethene
SM6200C
c 0.50 pg1L
6/2912017
cis-1,3-Dichloropropene
SM 6200C.
1
/ /2 17
Dibromochloramethene
SM 6200C
< 0.50 pgIL
6/29/2017
Dibromomethans
SM 620
V1
/ /2 17
E)Ichlorodifluoromethane
SM 62
.50 1L
6/29/2017
Ethylbenzene
SM 6200C
< 0.50/L
/2 17
Hexachlorobutadlene
SM 5200C/L
1
Isopropylbenzene
SM 5200C/L
6/29=17
lens
SM 6200C
e 1. /L
1 12 17
Methylene l ` e
SM 6200C<
0, /L
6/2912017
Naphthalene
62
.50 /L
/2 / 1
n-Butylbenzene
SM Oz
®5 /L
/2 ! 017
n-Propylbenzene
Sm 0
. /L
6129/2017
ortho-Xylene
SM 6200C
1
1 1 17
p-isopropyltaluene
SM 02MC
1L
1/ 7
sec -Butyl benzene
6200C
/
/2 17
ftrene
SM 0200C
1L
612912017
tert-Butylbenzene
Sm 6200C
< 0.501
/2 12 17
Tetrachloroethene
Sm 620000
!J /
/ 17
,",Toluene
62MC
W /L
6/29/2017
Trans®1,2-Dichloroethene
SM82M
a 0.50 Wg/L
6/29/2017
Trans-1,3-dichloropropene
SM 6200C
< 0. /
/ 1 017
Trichloroethene
SM 6200
< 0.5 u /L
6/29/2017
Report C2017-08479
Page 5 of 1

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Mantoo Report M 17M-0890
Report ® 2017-08479
Attention: Junior Edwards
Customer 10: 17060025
Project ® Monitoring Wells
Trichlorofluoromethane SM 62M
< 0.50 pg/L
612912017
Vinyl chloride SM 6200C
< 0.50 pg/L
6129/2017
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353,2
mg/L
0611612017
Nitrate+ Nibite-Nitrogen EPA 353.2
< 0.02 mg/L
06/21/2017
Nitrate Nitrogen SubbvcWn Memod
<0.02 mg/L
06/22/2017
Report #:, 2017.W79 Page 6 of 12

Adventure
17
Mantoo® 1
Report ® 1 7
Attention- Junior Edwards
CustomerID: 17060025
Project 10: Monitoring Wells
Lab ID Sample ID:
Collect
Sampled
17-20301
/1 / 17 12:35 PIVI Water jay bakerienvirochem
Test
Method
Results
Date Analyzed
Color
Gwor
Clear/LtTan
06/1512017
Depth to water,
. FL
5.6 feet
/1 /2 17
Ammonia Nitrogen
EPA 350.1
mg/L06123/2017
Gallons bailed beforesampling
Bakd before sampOn
10 gallons/1
1
Or
Quaftffm
Sulfur
0611512017
Total Dissolved Solids )
SM 2540 C
64/L
06/16/2017
Temperature
SM 2550 B
19.4 C
06/15/2017
Chloride
S45W CI E
17 mg/L
06121/2017
pH
SM4WoHB
units
06/15/2017
Total Phosphorus
SM 4500 P F
0.31 rng/L
06129/2017
Total Organic Carbon (TOC)
SM 5310 8
.1 mg/L
06/19/2017
1, 1, 1,2-Tetrachlaroethane02
c
e 0.50 pg/L/
1 17
1,1,1-Trichloroethane
SM 020GC
<0.50 pgIL1
1 17
1,1,2,2-Tetrachloroethane
SM 020
. !L
6/29/2017
1,1, ®Trio !c
0C
e 0.50 pg/L
/ 7
1,1-Dichloroethane
SU 6200c
lL
6/2912017
I,I-Dichloroethene
SM 62
/t
/2 / 17
1,1-Dichlorapropene
SM B2=
<0. /
17
1,2,3-Tdchlorobenzone
SIA 62
1L
6/29/2017
1,2,3-Tdchloropropane
SM 6200C
e 0.50 pg/L/
I 1
1, , -Trio I r n
52c
/L
/ 17
1 2,4-Trimethylbenzene
SM 6
/L
17
1,2-i m l
SM 6
0/
/2 17
1,2-Dibromoethane
SM 62
0.50 /
17
1,2-Dichlarobenzene
SM 6200C
IJ 1L
6/2912017
1,2-Dichloroathane
SM 62WC
0 u /L
1 I 17
1,2-Dichloropropane
SM 620
0 W /L
6/29/2017
1,3® l nz
6200
e 0.50 pg/L/2
/2 1
1,3-Dichlorobenzene
SM 6200C
<.5 /L
/ 1 17
1,3-Dichlcropropana
Su 02=
< 0.50 pg1L
6/29/2017
1,4-Dichlorobanzene
sM 02M
< 0.50 gag/L
6/29/2017
2,2-Dichlorapropane
SM 620
u /
/ /2 17
Report *-2017-08479
Page 7 of 12

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Mantso Report#: 17M-0890
Report M 17®
Attention: Junior Edwards
Customer ID: 17060025
Project ® Monitoring Wells
2-Chlorotoluene
SM 8200C
< 0.50 pg/L
6/2912017
4-Chlorotoluene
SM 6200C
< 0.50 pg/L
6/2912017
Benzene
SM 6200C
< 0.50 pg/L
6/29/2017
Bromobenzene
SM 5200C
< 0.50 pg/L
6129/2017
Bromochloromethans
SM 620DC
< 0.50 Pg/L
6/29/2017
BrarnodichIcy rurnethane
SM 6200C
< 0.50 pg/L
6/29/2017
Bromofbrm
SM 82DOC
< 0.50 lig/L
6/2912017
Brornornethane
SM 6200C
<pg/L
6/2912017
Carbon tetrachloride
SM 6200C
<pg/L
6/29/2017
Chlorobenzene
SM 02M
< 0.50 pg/L
6/29/2017
Chloroethane
SM a
< 0.50 Vg/L
6129/2017
.... ..... Chloroform
SM 6200C
< 0.60 pg/L
6129/2017
Chloromethane
SM 62MC
< 0.50 pg/L
6/2912017
cis-1,2-Dichloroethene
SM 6200C
< 0.50 pg/L
612912017
cis-1,3-Dichloropropene
SM 0200C
< 0.50 pg/L
6/2912017
Dibromochloromethane
SM 152MC
<pg/L
6/29/2017
Dibromomethane
SM 02MC
< 0.50 pg/L
6/29/2017
Dichlorodifluoromethane
SM 5200C
< 0.50 pg/L
6/2912017
Ethylbenzene
SM 6200C
< 0.50 pg/L
6/29/2017
Hexachlorobutadlene
SM 52M
< 0.50 pg/L
6129/2017
Ise propylbenzene
SM 5200C
< 0.50 pg/L
6/29/2017
M+P Xylene
SM 62WC
< IM pg/L
6129/2017
Methylene chloride
SM aC
< 0,50 Pg/L
6129/2017
Naphthalene
SM 82M
< 0.50 pg/L
6129/2017
n-Butylbenzene
SM 6200C
< MO pg/L
6129/2017
n-Propylbenzene
SM 0200C
< 0.50 pg/L
6/29/2017
ortho-Xylene
SM 020DC
< 0.50 pg/L
6/2912017
P-1sopropyttoluene
SM 0200C
< 0.50 pg/L
6/2912017
sec-Butylbenzene
SPA 8MC
< 0.50 pgIL
6/2912017
Styrene
SM 8200C
< OM pg/L
6/29/2017
tert-Butylbenzene
SM 6200C
< 0.50 pg/L
6/2912017
. . . . . . . .. . . .. Tetrachloroethene
SM 020DC
< 0.50 pg/L
6129/2017
SM 0200C
< UO pg/L
6/29/2017
Trans-1,2-Dichloroethene
SM 6200C
< 0.50 pg/L
6/29/2017
Trans-1,3-dichlompr0pens
SMOMC
< OM pg/L
6/29/2017
Trichloroethene
SM 6200C
< 0.50 pg/L
6/29/2017
Report P: 2017-08479
Page 8 of 12

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Mantoo Report M 17M-0890
Report M 2017-08479
Attention: Junior Edwards
Customer ID: 17060025
Project ID: Monitoring Wells
Trichlorofluommethane SM 6200C
< 0.50 pg/L
6/2912017
Vinyl chloride SM 6209C
< MO pg/L
6129/2017
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 3512
< 0.02 mg/L
06116/2017
Nitrate+Nitrite-Nitrogen EPA 353.2
< 0.02 mgIL
06/21/2017
—Nitrate Nitrogen SUbtracfion MeOmd
<0.02 mg/L
06/2212017
Repast M 2017-08479 Page 9 of 12

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Mantect Report#: 17M-0890
Report M 2017-08479
Attention: Junior Edwards
Customer ID: 17060025
Project 10: Monitoring Wells
Lab ID Sample ID:
Collect DateMme
Matrix Sampled by
17-20302 Site: MW-4
6/15/2017 11:35AM Water jay baker/envirochem
Test
Method
Results
Date Analyzed
Color
c0br
Tan/Brown
06/15/2017
Depth to water, ft.
Depth to water. FL
4.5 feet
06115/2017
Ammonia Nitrogen
EPA 3501
< 0.2 mg/L
0612312017
Gallons bailed before sampling
Glom Baled before eamp"
10 gallons
06/15/2017
Odor
Qualkatwe
Sulfur
06/1512017
Total Dissolved Solids (TUS)
SM 2540 C
81 mg/L
06/1612017
Temperature
SM 2550 B
19.6 C
06/15/2017
Chloride
SM 4500 CI E
16 mg/L
06121/2017
pH
SM 4500 H a
6.12 units
06/15/2017
Total Phosphorus
sr" 4WOPF
0.07 mg/L
06/29/2017
Total Organic Carbon (TOC)
sm 5310 9
12.4 mg/L
06/19/2017
1, 1, 1,2-Tetrachloroethane
SM 0200C
< 0.50 pg/L
6/29/2017
1,1,1-Tdchlord ethane
SM 0200C
< 0.50 pg/L
6/29/2017
1,1,2,2-Teirachfor oethane
SM 0200C
< 0.50 pgIL
6/2912017
1, 1,2-Tdchloroethane
SM 020DC
< 0.50 pg/L
6/29/2017
1,1-Dichlaroethane
SM 8200C
< 0.50 pg/L
6/29/2017
I,I-Dichloroethene
sm Mac
< 0.50 pg/L
6/29/2017
IJ-Dichloropropene
SM 6200C
< 0.50 pg/L
6/29/2017
1,2,3-Tdchlorobenzene
SM 8200C
< 0.50 pg/L
6129/2017
1,2,3-Tdchloropropane
SM 620GC
< 0.50 pgIL
6/29/2017
1,2,4-Tdchlorobenzene
SM Oa
< 0.50 pg/L
6/29/2017
Tdmethylbenzene
sm smoc
< 0.50 pg/L
612912017
1,2-Dibromo-3-Chloropropane
SM 6200C
< 0.50 pg/L
6/29/2017
1,2-Dibromoethane
SM 52M
< 0.50 lig/L
6/29/2017
1,2-Dichlorobenzene
SM 82=
< 0.50 pg/L
6129/2017
1,2-Dichloroethane
SM 5200C
<pg/L
6129/2017
1,2-Dichloropropane
SM 8200C
<pg/L
6/29/2017
1,3,5-Trimethylbenzene
SM 5200C
< 0.50 pg/L
6/29/2017
1,3-Dichlorobenzene
SM 8200C
< 0.50 Pg/L
6/29/2017
1,3-Dichloropropane
SM 82M
< 0.50 pg/L
6129/2017
1,4-Dichlorobenzene
SM 820C
e 0.50 pg/L
6/29/2017
2,2-Dichfor opropane
SM 6200C
< 0,50 pg/L
6/29/2017
Report t.,2017-08479 Page 10 of 12

OBX Waterpark AdventureJul
06, 2017
Mantoo ® 17
Report ® 17 7
Attention: Junior Edwards
Customer Ii ® 17060025
Project Monitoring Its
2-Chlorotoluene
SPA 6200C<.
/L
1
4-Chloratoluene
sm 02
. /L
6/2912017
Benzene
SM 02
/L
17
Bromobenzene
SM 5200C
e 0.501L
12 17
Bromochlaromethane
SM 6200C
< 0.50/6/29/2017
Bromodichloromethane
SM 6200C
u 1L
1
Bromoform
SM 62MC
< 0.50 pg/L
/ 017
Bromomethane
SM a2OOC
< 0.50/L
6/29/201
Carbontetrachloride
SM 02
ti /L
6/2912017
Chlorobenzene
SM 82MC
<. 1
6/29/2017
Chloroethane
sm 6200C
/L
/17
�.Chloroform
SM 62MC
< 0.50 pg/L
17
Chloromethane
SM 6200C
< 0.50 ug1L
6/29/2017
clsml 2-Dichloroethene
sM 620DC
< 0.50 ug/L
6/2912017
ci 1,3® ichlor ne
sm 6200C
. /L
M912017
Dibromochloromethane
SM 0
u 1L
6/2912017
Dibromomethane
SM 0200
< 0.50 u/
6/29/2017
Dichlarodifluoramethane
sm 6200C
u /L
6/29/2017
Ethylbenzene
SM a2GM
< 0. /L
6129/2017
Hexachlorobutadlene/L
9/2 17
Isopropylbenzene
SM 02
< UO pg/L
6/29/2017
lane
SM 82M
1.0 /L
6/29/2017
Methylene chloride
6200C
<.5 /L
6/29/201
Naphthalene
SM 020c
< 0.50N 1L
6/2912017
n-Butylbenzene
SM 6200C
< 0.50 1
6/29/2017
n-Propylbenzene
SM 62MC
. /L
1 /2 17
ortho-Xylene
SM 6200C
/L
7
P-1sopropyltoluene
SM 0200C
< 0.50/L
6/29/2017
sac-Butylbenzene
SM 02000
.5 /L
/201
Styrene
0200C
< 0.50/L
6/29/2017
tert-Butylbenzene
sm 02
0.60 N /L
612912017
....,, Tetrachlaroethene
SM 6200C
< UO pg/L
6/29/2017
,..__ "Toluene
SM 6200C
6.94 Ng/L
6/29/2017
Trans61a2-DichlorOathane
SM0200c
a 0.50 ug/L
6129/2017
Trans-1 3ichlcr r0 n
6200C
< 0,50 lJ /L
6/2912017
Trichloroethene
SM 6200c
< 0.50 p /L
129/2 17
Report #," 2017-OB479
age 11 of 1

OBX Waterpark Adventure
Date of Report: Jul 06, 2017
Manteo Report M 17M-0890
Report M 2017-08479
Attention: Junior Edwards
Customer ID: 17060025
Project ID: Monitoring Wells
Trichlorofluoromethane
SM 0200C
< 0.50 pg/L 6/2912017
Vinyl chloride
sm 8200C
< 0.50 pg/L 612912017
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
0.03 mg/L 06/16/2017
Nitrate+Nitrite-Nitrogen
EPA 353.2
< 0.02 mg/L 06/21/2017
Nitrate Nitrogen
Subtraction MOW
<0.02 mg/L 06/22/2017
Lab ID Sample ID: M-1660
Collect DatelTime
Matrix Sampled by
17-20304 Site: MW-1
6115/2017 11:15AM
Water jay bakerlenvirochem
Test
Method
Results Date Analyzel
Fecal Colltbrm
SM 2222D MF
<1 Colonies/100mL 0611V2017
ibID Sample ID: W1661
Collect DateMme
Matrix Sampled by
0305 Site: MW-2
6/15/2017 12:10 PM
Water jay bakedenvirochem
Test
Method
Results Date Anallyzelri
Fecal Coliform
SM 9222D IVIF
1 Colonies/100mL 0611542017
Lab ID Sample ID: M-16652
Collect Daterrime
Matrix Sampled by
17-20306 Site: MW-3
6115/2017 12:35 PM
Water jay baker/envirochem
Test
Method
Results Date Analyze(
Fecal Coliform
SM 92nD MF
<1 Colonies/100mL 06/15/2017
Lab ID Sample ID: M-1663
Collect Date/Time
Matrix Sampled by
17-20307 Site: MW-4
6/1512017 11:35 AM
Water jay bakerienvirochem
1
Test
Method
Results Date Analyze
Fecal Colifbrm
SM 9222D MF
<1 Colonies/100mL 06/15/2017
7
Comment:
Reviewed by: Awi,091)
Report #-.: 2017-W79 Page 12 of 12

I

OBX 1 .
OBX Waterpark
Date of 1
Days Between Inspections
r
RainfallCurrent
mur
r
CHROUNE RESIDUAL
GENERATOR RUN 11ME
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7°1IIW I I lime of Previous Inspection 7; II AIII' I
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Equipment

Facility OBX WaterparkAdventure ■
System i,.wner OBX Ws r_ Adventure LLC Permit # :.,•
System Address 8526 Caratoke Hwy, Powells Point NC 27966
Date of Previous Insr M
Time of Previous r
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System Address 8526 Caratoke Powells Point . 6
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OPERATOR SIGNATURE: o, L Cy, J 4�,
COMMENTS:

OBX WaterparkAdventure ,
Owner OBX Waterpark, Permit00,.
irlystem Address6 CaratokePowells Point+..
..
Time of Inspection
I ime On Site
DirectionWind
O DISCHARGE
«,
I
.
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OBXWATERPARK
DATE
TEMPERATURE-- -7
WIND DIRECTION: CURRENT RAIN INCHES: o, I'D
MONTHLY RAIN IN
SPEED: )
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WEATHER CONDITIONS:—c
FLOW GALLONS: UV TIM ERR DING:
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POLISHING SYSTEM
PUMP 1 30 * I PUMP 2 ) 0 -BACKWASH PUMP /lD
DISPOSAL PUMP 1 I'S-'O:bf DISPOSAL PUMP 2 1 Lt -1
OPERATOR SIGNATURE-
COMMENTS:

acilitV OBX Waterpark
W St
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Direction
10 I " " f I M ,
EFFLIERT SAMPLES
CHROLINE RESIDUAL
PLUS FEED PUMP 2
•4 FEED PUMP
NO DISCHARGE
♦ b, Y Y ! ! I

STATE OF NORTI-I CAROLINA
COUNTY OF Currituck El Permit No.
OPERATIONAL AGREEMENT
This AGREEMENT made Pursuant to G.S. 143-215.1 (d 1) and entered into this day of
, by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
1-12013K, LLC , a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER,
WITNESSETH:
The DEVELOPER is the owner of the certain lands lying in CLIrritUck E] County, upon
which it is erecting and will erect dwelling units and other improvements, said development to 'he known
as H20BX WWTP (hereinafter the Development).
The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands,
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S.
143-215,1 to construct, maintain, and operate the Disposal System,
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C of the North Carolina General Statutes,
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the Declaration,
the TBD (hereinafter Association), a
non-protit corporation organized and existing under and by the virtue of the laws of the State of North
Carolina, for the purpose, among others, of handling the property, affairs and business of the
Development; of operating, maintaining, re -constructing and repairing the common elements of the lands
and improvements Subject to unit ownership, including the Disposal System; and of collecting dues and
assessments to provide funds for such operation, maintenance, re -construction and repair.
6, The COMMISSION desires to assure that the Disposal System of the Development is properly constructed,
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the pat -ties hereto,
the COMMISSION and DEVELOPER do hereby Mutually agree as follows:
I The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association, The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for
the operation and maintenance of its Disposal System until a permit has been reissued to the DEVELOPB R's
successor.
FORM: DEV 0 1­20 Pagel of

4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for, construction, operation, repair, and
maintenance of the system and facilities. 'rhe Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element, which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5, "I"he DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal Systern will
be maintained out of the common expenses. In order to assure that there shall be funds, readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance expenses,
the Declaration and Association Bylaws shall provide that a fund be created out of the common expenses.
Such fund shall be separate from the routine maintenance funds allocated for the facility and shall be part
of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction, repair,
and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for special
asscisnients to cover such necessary costs. There shall be no limit on the amount of such assessments, and
the Declaration and Bylaws shall provide that Such special assessments can be made as necessary at any
time.
7, If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the Public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
Continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall provide
in the Association Bylaws that the Association shall not enter into voluntary dissolution without first having
transferred its said system and facilities to some person, corporation or other entity acceptable to and
approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the COUnty(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the dul �--' Uthorized
representative of the parties hereto on the day and year written as indi6a each of the parties ame below:
MPBX,Ite�)Cy
FOR THE ENVIRONMENTAL LL
MANAGEMENT COMMISSION e>o'DEV OP
S. Daniel Smith, Director (Sign i )
Division of Water Resources
Kenneth Eflis, Managing Member
(Date)
Print Name and Title
May 19, 2022
(Date)
PORM: DEV 0 1 -20 Page 2 oft

Prepared by;
Christopher B. Frantze
XA TINSON LLP
Doc No. 347800
Recorded: 12/12/2019 02.56:53 PM
the supervision of and as approved
by: Fee Amt: $26.00 Page 1 of 8
�1hnder
John C. SurleS Esq.
Excise Tax: $76.830.00
Currituck County North Carolina
SURLES LAW FIRM, PLLC
Denise A. Hall, Register of Deeds
62 Fairview Road, Suite 325
etc 1612 PG 469 - 466 (8)
ChaA-dte, NC 28210
After re dinv return to:
Tax Collector Certification That No Delinquent Taxes
} . , n -F•
Are Due. Date I 'By n S' :Certification
12 of Walnu -Ste • '10o
expires Jan. 6* of the year following certification date.
'Acinsas DLA a'
Wes- q B l0 5 �C i `r'
1 RANSFF R TAX AMOUN'.t
la--k
,
' o0
DATE/COLLECTOR
Excise Tax: $12(t5O
SPECIAL WARRANTY DEED
THIS DEED mkdSkd as of the IIth day of December, 2019, by and between EPR
RESORTS, LLC, a Dela)bre limited liability company ("Grantor"), whose address is c/o EPR
Properties, 909 Walnut, Suo-\200, Kansas City, MO 64106, and H2OBX, LLC, a Delaware
limited liability company ("Gj i&ee"), whose address is 13 Green Mountain Drive, Cohoes, New
York 12047. The designation Grantor and Grantee, as used herein, shall include said parties, their
heirs, successors and assigns, an >i411 include singular, plural, masculine, feminine or neuter, as
required by context. Y�`�
This is not the personal residence of Grantor.
WAN ((ESSETH:
That the Grantor, for a valuable cons ration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these prests does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or pa>�el of land situated in Poplar Branch Township,
Currituck County, North Carolina and more partiol rly described as follows:
See Exhibit A attached hereto and incorporated herein by this reference.
Together with all improvements thereon, kno s 8504 Caratoke Hwy., 8524
Caratoke Hwy., 8526 Caratoke Hwy., and Ball Rd., Powells Point, NC,
and all of Grantor's rights, title and interests, if any, and to all abutting roads and
rights of way and all reversionary rights therein, in and to all appurtenant
easements, if any. ,<�
The property hereinabove described is commbaoy referred to as:
Map/Parcel ID Numbers: 0124000137L0000,,>' 012400001270000;
0124000137E0000;0124000068JO000 Q�
CORE/0503816.03 59/ 156231233.3
16
0
�y
Book 1512 Page 459

O The property hereinabove described was acquired by Grantor by instruments recorded in
Book 1383, Page 80, Book 1383, Page 84, Book 1383, Page 87, and Book 1396, Page 63,
Currituck County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land, the improvements thereon
aptall privileges and appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such
title as G antor received, and Grantor will warrant and defend the title against the lawful claims of
all per ss claiming by, under or through Grantor, subject to the exceptions hereinafter stated,
Ti 1Q to the property hereinabove described is subject to: (a) easements, restrictions,
declaration servations, agreements, instruments and other matters of record, if any; (b) taxes
and assessme general and special, not now due and payable; and (c) rights of the public in and
to the parts the in streets, roads or alleys.
[This page's remainder is intentionally blank; signature pages follow.]
CQREl0503816.0359/ 156231233.2
16
0
�y
Book 1512 Page 460

IN WITNESS WHEREOF, the Grantor has caused this instrument to be duly executed as
of the day and year first above written.
EPR RESORT LLC,
��• a Delaware li ted flab' y company
By:
Print: Grelaory K. Silvers
Title: PreSident
O
STATE 0��I�iSd1�l— )
ss.
COUNTY 00 )
I, a Notary Public of the County and State
aforesaid, certify thatell2QM SilyMpersonally came before me this day and acknowledged
that s/he is the of EPR Resorts, LLC, a Delaware limited liability company, and
on behalf of the comp, duly executed the foregoing instrument on behalf of the company.
Witness my han�ed official stamp or seal, this _5th day of �ece►y►h�'
2019. `<�
KELLY MDUFF
Nota b (1 Notary PublloNotaty Seat
STATE OF M[SSOUIn
Print ame: Yew MdUFF Commissioned forlackson County
My Conunissioa Expu*c September 8, 2023
ID. i 13636490
My Commission Expires:
0
�j.
Y�CD
EPR-OBX — Signature Page 16
COF2E10503816.0359/156231233.2
0
�y
Book 1512 Page 461

O EXHIBIT A TO SPECIAL WARRANTY DEED
LEGAL DESCRIPTION OF PROPERTY
\,MRCEL 1:
iACT 1:
BE3",�IG AT A SET IRON PIN OR OTHER MARKER LOCATED IN THE WEST MARGIN OR
RIG T-OF-WAY OF U.S. HIGHWAY 158, ALSO KNOWN AS CARATOKE HIGHWAY, SAID
HIGHW& HAVING A RIGHT-OF-WAY OF 120 FEET AT THIS POINT, SAID BEGINNING POINT
BEING ADO LOCATED IN THE WEST MARGIN OR RIGHT-OF-WAY OF U.S. HIGHWAY 158
80.81 FEEK JN A NORTHERLY DIRECTION FOLLOWING THE CURVATURE OF SAID RIGHT-
OF-WAY, SOD CURVE HAVING A RADIUS OF 2,924.79 FEET, FROM AN IRON PIN, SAID IRON
PIN BEING DATED ON A CHORD BEARING OF SOUTH 42 DEG. 18 MIN. 10 SEC. EAST 80.80
FEET FROM T% BEGINNING POINT, SAID IRON PIN BEING ALSO LOCATED SOUTH 03 DEG,
15 MIN. 04 SE�5 WEST 119.38 FEET FROM N.C.G.S. MONUMENT CUR9 N 873,965.67' E
2,937,616.75' NAD(43 (2011); THENCE. FROM SAID POINT OF BEGINNING NORTH 69 DEG. 32
MIN. 44 SEC. WEST 176.98 FEET TO AN EXISTING IRON ROD; THENCE SOUTH 69 DEG. 42 MIN.
48 SEC. WEST 352.98 FEET TO A SET IRON ROD; THENCE SOUTH 69 DEG. 45 MIN. 03 SEC.
WEST 635.34 FEET TO A ET IRON ROD; THENCE SOUTH 68 DEG. 52 MIN. 31 SEC. WEST 94.93
FEET TO A SET IRON"THENCE SOUTH 53 DEG. 39 MIN. 22 SEC. WEST 175.02 FEET TO A
SET IRON ROD; THENC OUTH 53 DEG. 40 MIN. 53 SEC. WEST 603.07 FEET TO A SET IRON
ROD; THENCE NORTH 36Q).EG. 19 MIN. 07 SEC. WEST 2,575.07 FEET TO A SET IRON ROD;
THENCE NORTH 83 DEG. IN. 44 SEC. EAST 383.35 FEET TO A CONCRETE MONUMENT
LOCATED IN THE SOUTH L ff PROPERTY NOW OR FORMERLY OWNED BY ROBERT F.
HARRELL ET AL; THENCE A IQ� G THE SOUTH LINE OF THE AFORESAID HARRELL, ET AL
PROPERTY NORTH 83 DEG. 481k M 44 SEC. EAST 859.73 FEET TO A CONCRETE MONUMENT
LOCATED IN THE WEST LINE OF PROPERTY NOW OR FORMERLY OWNED BY GARLAND H.
DUNSTAN, JR.; THENCE ALONG ijt'NOW OR FORMERLY DUNSTAN PROPERTY SOUTH 30
DEG. 15 MIN. 24 SEC. EAST 833.22 FEET TO AN IRON PIN OR OTHER MARKER; THENCE
CONTINUING ALONG THE AFORESAI\HER
PROPERTY NORTH 60 DEG. 44 MIN. 49 SEC.
EAST 149.77 FEET TO AN IRON PIN ORKER; THENCE CONTINUING ALONG THE
AFORESAID DUNSTAN PROPERTY NG. 01 MIN. 52 SEC. WEST 9.54 FEET TO AN
IRON PIN OR OTHER MARKER; THEUING ALONG THE AFORESAID DUNSTAN
PROPERTY NORTH 65 DEG. 04 MIN. T 299.09 FEET TO AN EXISTING IRON PIN;
THENCE CONTINUING ALONG THE DUNSTAN PROPERTY NORTH 78 DEG. 02
MIN. 57 SEC. EAST 357.72 FEET TO ANR OTHER MARKER; THENCE CONTINUING
ALONG THE AFORESAID DUNSTAN PORTH 72 DEG. 25 MIN. 25 SEC. EAST 354.74
FEET TO AN EXISTING IRON PIN LOCATED IN F WEST MARGIN OF THE AFORESAID U.S.
HIGHWAY 158; THENCE ALONG THE WEST MARGIN OR RIGHT-OF-WAY OF U.S. HIGHWAY
158 SOUTH 25 DEG. 32 MIN. 35 SEC. EAST 200.99 FEET TO AN IRON PIN OR OTHER MARKER
LOCATED IN THE NORTH LINE OF PROPERTY NOW (* FORMERLY OWNED BY BARNHILL
CONTRACTING CO.; THENCE ALONG THE AFORE D BARNHILL CONTRACTING CO.
PROPERTY SOUTH 64 DEG. 27 MIN. 25 SEC. WEST 174. $FEET TO A SET IRON PIN; THENCE
CONTINUING ALONG THE AFORESAID BARNHILL CONTI )XCTING CO. PROPERTY SOUTH 25
DEG. 32 MIN. 35 SEC. EAST 200.00 FEET TO A SET IRON PI3'4-"'�IHFNCE CONTINUING ALONG
THE AFORESAID BARNHILL CONTRACTING CO. PROPERTY�KORTH 64 DEG. 27 MIN. 25 SEC.
EAST 175.82 FEET TO A SET IRON PIN LOCATED IN THE WES>" MARGIN OF THE AFORESAID
U.S. HIGHWAY 158; THENCE ALONG THE WEST MARGIN OFI^E RIGHT-OF-WAY OF U.S.
HIGHWAY 158 IN A SOUTHERLY DIRECTION FOLLOWING AQ�RVATURE THEREOF A
DISTANCE OF 292.49 FEET TO AN EXISTING IRON ROD, SAID CU E HAVING A RADIUS OF
16
CO U0503816.0359/15623123 3.2 0
�y
Book 1512 Page 462

MR
2,924.79 FEET, SAID IRON ROD BEING LOCATED ON A CHORD BEARING OF SOUTH 30 DEG. O
05 MIN. 43 SEC. EAST 292.37 FEET FROM THE TERMINAL, POINT OF THE NEXT PRECEDING
` A\ CALL, SAID IRON ROD BEING IN THE NORTH LINE OF THE NOW OR FORMERLY GEORGE M.
'$ARROW PROPERTY; THENCE ALONG THE AFORESAID FARROW PROPERTY SOUTH 56
EG. 32 MIN. 43 SEC. WEST 129.03 FEET TO AN EXISTING IRON PIN; THENCE CONTINUING
ONG THE AFORESAID FARROW PROPERTY SOUTH 32 DEG. 36 MIN. 57 SEC. EAST 154.28
F TO AN EXISTING IRON PIN; THENCE CONTINUING ALONG THE AFORESAID FARROW
PR `PARTY NORTH 56 DEG. 32 MIN. 43 SEC. EAST 131.34 FEET TO AN IRON PIN OR OTHER
MA KER LOCATED IN THE WEST MARGIN OR RIGHT-OF-WAY OF THE AFORESAID U.S.
HIGH Y 158; THENCE ALONG THE WEST MARGIN OR RIGHT-OF-WAY OF U.S. HIGHWAY
158 IN ANUTHERLY DIRECTION FOLLOWING THE CURVATURE THEREOF A DISTANCE OF
282.19 FE TO A SET IRON ROD, SAID CURVE HAVING A RADIUS OF 2,924.79 FEET, SAID
IRON RODeF
ING LOCATED ON A CHORD BEARING OF SOUTH 38 DEG. 44 MIN. 50 SEC. EAST
282.08 FEE OM THE TERMINAL POINT OF THE NEXT PRECEDING CALL, SAID IRON ROD E
BEING THE T AND PLACE OF BEGINNING.
THIS BEING TES` "ERTAIN PROPERTY DESIGNATED AS "NEW PARCEL "A" 3,484,800 SQ.FT.,
80.0 AC", AS SHOWN ON THAT CERTAIN MAP OR PLAT ENTITLED "RECOMBINATION PLAT
NEW PARCEL "A" & 2 RESIDUAL PARCELS 5 EXISTING PARCELS", PREPARED BY MATTHEW
R. BATTEY, REGISTERED SURVEYOR, DATED APRIL 12, 2016, WHICH MAP OR PLAT IS DULY
RECORDED IN PLAT �� ET 0, SLIDE 84, CURRITUCK COUNTY REGISTRY.
TRACT 2 - EASEMF,NT: ✓0
`�
BEGINNING AT A SET IROIN OR OTHER MARKER LOCATED IN THE WEST MARGIN OR
RIGHT-OF-WAY OF U.S. HIMd MAY 158, ALSO KNOWN AS CARATOKE HIGHWAY, SAID
HIGHWAY HAVING A RIGHT -(WAY OF 120 FEET AT THIS POINT, SAID BEGINNING POINT
BEING ALSO LOCATED IN TH> 4EST MARGIN OR RIGHT-OF-WAY OF U.S. HIGHWAY 158
80.81 FEET IN A NORTHERLY DIC�TION FOLLOWING THE CURVATURE OF SAID RIGHT-
OF-WAY, SAID CURVE HAVING A RADIUS OF 2,924.79 FEET, FROM AN IRON PIN, SAID IRON
PIN BEING LOCATED ON A CHORD BE RING OF SOUTH 42 DEG. 18 MIN. 10 SEC. EAST 80.80
FEET FROM THE BEGINNING POINT, D IRON PIN BEING ALSO LOCATED SOUTH 03 DEG.
15 MIN. 04 SEC. WEST 119.38 FEET OM N.C.G.S. MONUMENT CURS N 873,965.67' E
2,937,616.75' NAD 83 (2011); THENCE FR SAID POINT OF BEGINNING SOUTH 69 DEG. 32
MIN. 44 SEC. WEST 176.98 FEET TO A SET Ikl5lq ROD; THENCE SOUTH 69 DEG. 42 MIN. 48 SEC.
WEST 352.98 FEET TO A SET IRON ROD; THEXCE SOUTH 69 DEG. 45 MIN. 03 SEC. WEST 635.34
FEET TO A SET IRON ROD; THENCE SOUTH EG. 52 MIN. 31 SEC. WEST 94.93 FEET TO A
SET IRON ROD; THENCE SOUTH 53 DEG, 39 M 22 SEC. WEST 175.02 FEET TO A SET IRON
ROD; THENCE SOUTH 53 DEG. 40 MIN. 53 SE . WEST 603.07 FEET TO A SET IRON ROD;
THENCE NORTH 36 DEG. 19 MIN. 07 SEC. EAST 75 FEET TO A SET IRON ROD; THENCE NORTH
53 DEG, 40 MIN. 53 SEC. EAST 603.10 FEET TO A CONCRETE MONUMENT; THENCE NORTH 53
DEG. 39 MIN. 22 SEC. EAST 165 FEET TO A SET IRON D; THENCE NORTH 68 DEG. 52 MIN.
31 SEC. EAST 84.34 FEET TO A CONCRETE MONUME , THENCE NORTH 69 DEG. 45 MIN. 03
SEC. EAST 634.82 FEET TO AN EXISTING IRON ROD; T CE NORTH 69 DEG. 42 MIN. 48 SEC.
EAST 353.09 FEET TO AN IRON ROD OR OTHER MARKE"HENCE NORTH 69 DEG. 32 MIN.
44 SEC. EAST 207.16 FEET TO A SET IRON ROD LOCATED J?k\THE WEST MARGIN OR RIGHT
OF WAY OF THE AFORESAID U.S. 158; THENCE ALONG Tq WEST MARGIN OR RIGHT OF
WAY OF U.S. 158 IN THE NORTHERLY DIRECTION ALONG TIE CURVATURE THEREOF A
DISTANCE 80.81 FEET TO A SECT IRON ROD, SAID CURVE H,VING A RADIUS OF 2,924.79
FEET, SAID IRON ROD BEING LOCATED ON A CHORD BEARING�W NORTH 38 DEG. 44 MIN.
16
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i�
O 50 SEC. WEST FROM THE TERMINAL POINT OF THE NEXT PRECEDING CALL, SAID IRON
ROD BEING THE POINT AND PLACE OF BEGINNING.
�` FHIS BEING THAT CERTAIN AREA DESIGNATED AS "75' ACCESS EASEMENT", A SHOWN ON
AT CERTAIN MAP OR PLAT ENTITLED "RECOMBINATION PLAT NEW PARCEL "A" & 2
4DUAL PARCEL 5 EXISTING PARCELS", PREPARED BY MATTHEW R. BATTEY,
STERED SURVEYOR, DATED APRIL 12, 2016, WHICH MAP OR PLAT IS DULY RECORDED
IN T CABINET O, SLIDE 84, CURRITUCK COUNTY REGISTRY.
PARCE4!1:
ALL THA ERTAIN LOT OR PARCEL OF LAND LOCATED IN POPLAR BRANCH TOWNSHIP,
CURRITU COUNTY, NORTH CAROLINA, ADJOINING THE PROPERTIES NOW OR
FORMERL ;1,�VNED BY W. R. GRIGGS AND BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGINNING AT EXISTING IRON PIPE LOCATED ON THE SOUTHWEST MARGIN OF THE
RIGHT OF WAY OF HIGHWAY US 158, SAID POINT OF BEGINNING BEING LOCATED SOUTH
44 DEG. 15 MIN. 03 SEC. EAST 981.76 FEET FROM THE POINT OF INTERSECTION OF THE
SOUTHERN MARGIN O THE RIGHT OF WAY OF PARK DRIVE AND THE SOUTHWEST
MARGIN OF THE RIG 7 OF WAY OF HIGHWAY US 158, RUNNING THENCE FROM SAID
BEGINNING POINT ALO,�G THE SOUTH MARGIN OF THE RIGHT OF WAY OF HIGHWAY US
158 NORTH 33 DEG. 39 M19 25 SEC. WEST 154.28 FEET TO AN EXISTING IRON PIPE; THENCE
ALONG THE PROPERTY I0% OF THE PROPERTY NOW OR FORMERLY OWNED BY W. R.
GRIGGS SOUTH 56 DEG. 30(%N. 15 SEC. WEST 128.12 FEET TO AN EXISTING IRON BAR;
THENCE CORNERING AND R II NING SOUTH 33 DEG. 39 MIN. 25 SEC. EAST 154.28 FEET TO
AN EXISTING IRON BAR; THE�1y CORNERING AND RUNNING NORTH 56 DEG 30 MIN 15
SEC. EAST 128.12 FEET TO THE NT OF BEGINNING, SAID PARCEL CONTAINING 19,766.28
SQUARE FEET MORE OR LESS B�A�LCULATION.
FOR A MORE PARTICULAR DESCRIPT N, REFERENCE IS MADE TO A MAP OR PLAT MADE
FROM A SURVEY BY DON ALD F,. D, REGISTERED LAND SURVEYOR, OF EASTERN
DEVELOPMENT SERVICES, DATED N MBER 4, 1997 ENTITLED "SURVEY FOR DON S.
WILLIAMS, PARCEL 127 TAX MAP 124, P AR BRANCH TOWNSHIP, CURRITUCK COUNTY,
NORTH CAROLINA", WHICH IS INCORP0 ED HEREIN BY REFERENCE.
THE ABOVE PARCEL 2 IS ALSO DESCRIBED I&URVEY METES AND BOUNDS AS FOLLOWS:
BEGINNING AT A IRON ROD LOCATED IN THI WEST MARGIN OR RIGHT-OF-WAY OF U.S.
HIGHWAY 158, ALSO KNOWN AS CARATOKE HIGHWAY, SAID HIGHWAY HAVING A RIGHT-
OF-WAY OF 120 FEET AT THIS POINT, SAID BEGINNING POINT BEING ALSO LOCATED IN
THE WEST MARGIN OR RIGHT-OF-WAY OF U.S. HI 1WAY 158 363.00' IN A NORTHERLY
DIRECTION FOLLOWING THE CURVATURE OF SAID "HT -OF -WAY, SAID CURVE HAVING
A RADIUS OF 2,924.79' AND A CHORD BEARING OF N 1032' 20" W - 362.76', FROM AN IRON
ROD, SAID IRON ROD BEING LOCATED IN 03° 15' 04" E 35' FROM N.C.G.S MONUMENT
CUR_ N 873,965.67' E 2,937,616.75' NAD 83 (2011); THENCEM SAID POINT OF BEGINNING
S 560 32' 43" W - 131.34' TO AN IRON STAKE; THENCE CORNF\R NG FROM SAID IRON N 33° 36'
57" W - 154.28' TO AN IRON STAKE; THENCE CORNERING FRQV SAID IRON N 56' 32' 43" E -
129.03' TO AN IRON ROD IN THE WEST MARGIN OR RIGHT-01;,rWAY OF U.S. HIGHWAY 158,
THENCE CORNERING FROM SAID IRON 154.32' IN A SOUTHERq DIRECTION FOLLOWING
THE CURVATURE OF SAID RIGHT-OF-WAY, SAID CURVE HAVit,45' A RADIUS OF 2,924.79'
16
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AND A CHORD BEARING OF S 340 28' 18" E - 154.30' TO THE POINT OF BEGINNING. SAID
PARCEL CONTAINING 19,979.92 SF, 0.46 AC, MORE OR LESS BY CALCULATION.
PARCEL 3:
GINNING AT A CONCRETE MONUMENT OR OTHER MARKER LOCATED IN THE WEST
GIN OR RIGHT-OF-WAY OF U.S. HIGHWAY 158, ALSO KNOWN AS CARATOKE
H[ AY, SAID HIGHWAY HAVING A RIGHT-OF-WAY OF 120 FEET AT THIS POINT, SAID
POI T OF BEGINNING BEING ALSO LOCATED SOUTH 25 DEG. 32 MIN. 35 SEC. EAST FROM
THE SHEAST CORNER OF THE HINES COMMERCIAL PARK SUBDIVISION AS RECORDED
IN PLA ABINET H, SLIDE 395, CURRITUCK COUNTY REGISTRY; THENCE FROM SAID
POINT O (4jEGINNING SOUTH 64 DEG. 27 MIN. 25 SEC. WEST 174.55 FEET TO A SET IRON PIN;
THENCE TH 25 DEG. 32 MIN. 35 SEC. EAST 200.00 FEET TO A SET IRON PIN; THENCE
NORTH 64 .27 MIN. 25 SEC. EAST 175.82 FEET TO A SET IRON PIN LOCATED IN THE WEST
MARGIN OR HT -OF -WAY OF THE, AFORESAID U.S. HIGHWAY 158; THENCE ALONG THE
WEST MARG R RIGHT-OF-WAY OF U.S. HIGHWAY 158 IN A GENERAL NORTHERLY
DIRECTION 200 ]�KET, MORE OR LESS, THE POINT AND PLACE OF BEGINNING.
REFERENCE IS MADE TO A CERTAIN AREA DESIGNATED AS "NtF BARNHILL CONTRACTING
CO. DB 1298, PG. 26;" AS SHOWN ON THAT CERTAIN MAP OR PLAT ENTITLED
"RECOMBINATION PLW NEW PARCEL "A" & 2 RESIDUAL PARCELS 5 EXISTING PARCELS",
PREPARED BY MATTRON R. BATTEY, REGISTERED SURVEYOR, DATED APRIL 12, 2016,
WHICH MAP OR PLAT I6)DULY RECORDED IN PLAT CABINET O, SLIDE 84, CURRITUCK
COUNTY REGISTRY. x_\_1
Y'n
THE ABOVE PARCEL 3 IS ALSdDESCRIBED BY SURVEY METES AND BOUNDS AS FOLLOWS:
BEGINNING AT A IRON ROD I,06TED IN THE WEST MARGIN OR RIGHT-OF-WAY OF U.S.
HIGHWAY 158, ALSO KNOWNAS�AYLATOKE HIGHWAY, SAID HIGHWAY HAVING A RIGHT-
OF-WAY OF 120 FEET AT THIS PONT, SAID BEGINNING POINT BEING ALSO LOCATED IN
THE WEST MARGIN OR RIGHT-OF-W Y OF U.S. HIGHWAY 158 809.81' IN A NORTHERLY
DIRECTION FOLLOWING THE CURV RE OF SAID RIGHT-OF-WAY, SAID CURVE HAVING
A RADIUS OF 2,924.79' AND A CHORD RING OF N 35° 09' 45" W - 807.22', FROM AN IRON
ROD, SAID IRON ROD BEING LOCATE 03° 15' 04" E 119.38' FROM N.C.G.S MONUMENT
CUR_ N 873,965.67' E 2,937,616.75' NAD 83NR
HENCE FROM SAID POINT OF BEGINNING
S 640 27' 25" W - 175.82' TO AN IRON RODE CORNERING FROM SAID IRON N 250 32'
35" W - 200' TO AN IRON ROD; THENCE CG FROM SAID IRON N 640 2T25" E - 174.55'
TOAN IRON RODIN THE WESTMARGIN T-OF-WAYOF U.S. HIGHWAY 158; THENCE
CORNERING FROM SAID IRON, ALONG TGIN OR RIGHT-OF-WAY OF U.S. HIGHWAY
158, S 25° 32' 35" - 113.87' TO A SET IRON ROD, THENCE 86.14' [N A SOUTHERLY DIRECTION
FOLLOWING THE CURVATURE OF SAID RIGHT-OF-WAY, SAID CURVE HAVING A RADIUS
OF 2,924.79' AND A CHORD BEARING OF S 260 23' 12" 86.14' TO THE POINT OF BEGINNING.
SAID PARCEL CONTAINING 34,946.87 SF, 0.80 AC, MO OR LESS BY CALCULATION.
O
PARCEL 4:
BEGINNING AT A POINT, A SET 5/8" REBAR SITUATED ANYING IN THE SOUTHERN LINE
OF LOT 6, BALLAST ROCK COMMERCE CENTER, PHASE II A ( ESCRIBED IN PLAT CABINET
1, SLIDE 188 & 189, CURRITUCK COUNTY PUBLIC REGISTRY, S,*tD BEGINNING POINT ALSO
MARKING THE NORTHWESTERNMOST CORNER OF LOT 5, Bf jILAST ROCK COMMERCE
CENTER, PHASE II, PLAT CABINET I, SLIDE 304, CURRITUCK REGI�-fRY, BEING LOCATED IN
16
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Book 1512 Page 465

MR
THE WESTERN LINE OF THAT 120-FOOT RIGHT OF WAY FOR NORTH CAROLINA POWER; O
RUNNING THENCE FROM SAID BEGINNING POINT S 24 DEG. 41 MIN. 45 SEC. E 200.91 FEET
` A TO A SET 5/8" REBAR; THENCE CONTINUING ALONG THE WESTERN EDGE OF SAID RIGHT
'<QF WAY S 35 DEG. 21 MIN. 01 SEC. E 534.25 FEET TO A SET 5/8" REBAR LOCATED IN THE
C RTHERN EDGE OF THAT 60-FOOT RIGHT OF WAY FOR BALLAST ROCK ROAD; THENCE
ING S 35 DEG. 21 MIN. 01 SEC, E 60.00 FEET TO A SET 5/8" REBAR LOCATED IN THE
SO ( HERN LINE OF THE AFOREMENTIONED RIGHT OF WAY FOR BALLAST ROCK ROAD;
C01 T, WUING ALONG THE WESTERN EDGE OF THAT RIGHT OF WAY FOR NC POWER S 35
DEG. 21 MIN. 01 SEC. E 283.66 FEET TO A SET 5/8" REBAR, SAID POINT BEING A CONTROL
CORN ND BEING SITUATED IN THE SOUTHWESTERN CORNER OF LOT 4A, BALLAST
ROCK C MERCE CENTER, PHASE III, PLAT CABINET I, SLIDE 206, CURRITUCK REGISTRY,
AND SAMAONTROL CORNER BEING SITUATED IN THE NORTHWESTERNMOST CORNER OF
LOT 3, H , COMMERCIAL PARK, PLAT CAB H, SLIDE 395, CURRITUCK REGISTRY;
RUNNING T CE FROM SAID CONTROL CORNER S 83 DEG. 29 MIN. 05 SEC. W 164.58 FEET
TO AN EXIST CONCRETE MONUMENT; THENCE RUNNING S 83 DEG. 50 MIN. 05 SEC. W
859.13 FEET O�AN EXISTING CONCRETE MONUMENT, A CORNER IN THE LINE OF
PROPERTY NOW,�-PR FORMERLY OWNED BY WILBUR GRIGGS; RUNNING THENCE ALONG
THE COMMON LINE WITH GRIGGS N 05 DEG. 57 MIN. 34 SEC. E 207.46 FEET TO AN EXISTING
IRON PIPE; THENCE N 19 DEG. 49 MIN. 57 SEC. W 318.00 FEET TO AN EXISTING IRON PIPE;
THENCE CONTINUING LONG THE GRIGGS LINE N 74 DEG. 17 MIN. 19 SEC. W 207.79 FEET
TO A SET 5/8" REBAR LOCATED IN THE SOUTHWESTERNMOST CORNER OF LOT 6, BALLAST
ROCK COMMERCE CEIO'ER, PHASE 11, PLAT CABINET 1, SLIDE 188 & 189, CURRITUCK
REGISTRY; THENCE RUINING ALONG AND WITH THE SOUTHERNMOST LINE OF THE
AFOREMENTIONED LOT 6V"37 DEG. 50 MIN. 25 SEC. E 841.25 FEET TO THE POINT AND PLACE
OF BEGINNING. FURTHER `XIEVERENCE BEING MADE TO THAT RESIDUAL PARCEL FOR
BALLAST ROCK COMMERCE ftNTER, PHASE II, PLAT CABINET I SLIDE 206, CURRITUCK
REGISTRY CONTAINING APPOC XIMATELY 15.51 ACRES, MORE OR LESS, AND BEING
IDENTIFIED AS THAT RESIDUAki RCEL IN THAT BOUNDARY SURVEY FOR SCHAUBACH
RENTALS, LLP PREPARED BY HY N ROBEY, DATED AUGUST 24, 2007, AND RECORDED IN
PLAT CABINET K, SLIDE 55 OF TH;&RRITUCK PUBLIC REGISTRY.
TOGETHER WITH AN EASEMENT FO GRESS, EGRESS AND REGRESS TO AND FROM U.S.
HIGHWAY 158 AS SHOWN AND DESIG TED 'BALLAST ROCK ROAD", A SIXTY (60) FOOT
RIGHT OF WAY, ON MAP OR PLAT BY H N & ROBEY, P.C. ENTITLED "PHASE II, EXEMPT
SUBDIVISION & RECOMBINATION FOR LLAST ROCK COMMERCE CENTER, POPLAR
BRANCH TOWNSHIP, CURRITUCK CO Y, NORTH CAROLINA", RECORDED IN
CURRITUCK COUNTY REGISTRY AT PLAT C ET I, SLIDE 188.
N
CORE/0503816.0359/ 156231233.2
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0
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Book 1512 Page 466

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
H2OBX, LLC
Information
Sosld: 1915198
Status: Current -Active O
Date Formed: 11 /8/2019
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Malarney, Jeffrey
Addresses
Mailing
13 Green Mountain Drive
Cohoes, NY 12047
Reg Mailing
4112 N. Croatan Highway
Kitty Hawk, NC 27949
Company Officials
Principal Office
13 Green Mountain Drive
Cohoes, NY 12047
Reg Office
4112 N. Croatan Highway
Kitty Hawk, NC 27949
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Managing Member General Manager Managing Member
Arthur B Berry , III Damian Dondero Kenneth Ellis
35A Moorings 132 W Holly Trail 1 E Ridge Rd
Key Largo FL 33037 Southern Shores NC 27949 Loudonville NY 12211

Managing Member
Jeff Malarney
PO Box 928 4112 N. Croatan Highway
Kitty Hawk NC 27949

STATE OF NORTH CAROLINA OPERATION
COUNTY OF CURRITUCK AGREEMENT
This Operation Agreement (this "Agreement") entered into May 12 , 2022 (the "Effective
Date") by and between H2OBX LLC (the "Owner") and Atlantic OBX (the "Operator").
RECITALS
WHEREAS, the Owner desires to engage the Operator and the Operator desires to be
engaged for the operation and maintenance of the Wastewater Collection, Treatment and
Disposal System serving the H2OBX Waterpark (the "Wastewater System") located in
Powells Point, NC.
NOW THEREFORE, in consideration of the foregoing and of the parties' mutual promises,
terms and conditions set forth herein, and of other good and valuable consideration, the
sufficiency of which is hereby acknowledged, the parties agree as follows:
Section I: Price
During the Term (as defined below) Owner agrees to pay Atlantic OBX, for the Services (as
defined herein), the sum of Three Thousand Four Hundred Dollars per month
($3,400.00), plus reimbursement for all goods and services purchased on behalf of the Owner
necessary for proper operation and maintenance of the Wastewater System. Payment for
operational services shall be made prior to and no later than the tenth day of the service
month. The Operator shall submit to Owner at the end of each service month, monthly
invoices setting forth, in reasonable detail, the costs of reimbursement.
Section II: Obligations of Atlantic OBX
For the above compensation, Atlantic OBX agrees to provide for the Owner an individual to
be the responsible (the "Operator in Responsible Charge") for the operation of the
Wastewater and Collection System as per permits WQ0038695 and WQ0038925. Any
additional staff needed outside of the Operator in Responsible Charge to perform routine
operations and maintenance services, preventative maintenance, proper record keeping and
procurement of supplies necessary for proper operation of the facility will be provided within
the scope of this contract.
Under this contract the Services include the following:
1. the treatment system shall be visited and inspected daily as per the permits to
include but not limited to:
a. observing, inspecting and documenting the system for any indication of
performance problems (tanks, manholes, plumbing, valves, equipment)
b. confirming that meters, control panels, float switches, pumps and alarms
are operational and functioning correctly
c. record required effluent parameters, pump readings, disposal volumes and
observations of system performance
d. making adjustments as needed to ensure plant operation (backwash of
filters, cleaning bar screen, etc)
Page] of 4

e. performing and documenting required data (Settlometer test, pH test,
freeboard as needed, etc)
f. adding chemicals as needed (Disinfection, stabilization, etc)
2. the following shall be performed a minimum of weekly;
a. test backup generator
b. visual observation of pump stations to ensure proper operation
3. the following shall be performed a minimum of twice monthly;
a. lab sampling for NDMR-required effluent parameters
b. record NDMR monthly data to be calculated and submitted as required
with copies available to the owner
4. the following shall be performed triannually;
a. lab sampling for NDMR-required effluent and groundwater well
parameters (February, June and October)
5. the following shall be performed as needed;
a. respond to all system alarm conditions in a timely manner. Operator shall
display a contact phone number and be readily available 24 hours and day
7 days a week
If any malfunction, damage or loss of equipment to any part of the Wastewater System
should occur or be caused by matters not addressed in this contract, Atlantic OBX will take
immediate corrective action when needed to protect public health and safety, prevent further
damage to the system, and/or maintain the system in permit compliance. Atlantic OBX shall
be reimbursed in accordance with the attached Time & Material Rates for labor performed.
Estimated costs for such action shall be limited to One Thousand Dollars ($1, 000.00)
without prior verbal approval by Owner. Owner and Operator may, by written mutual
agreement, adjust or modify the Services to be provided as well as the compensation for any
such additional Services. Any such additional Services agreed between the parties shall be
governed by this Agreement.
Section III: Other Fees
Failure of equipment for any reason other than improper or lack of maintenance will be
replaced or repaired and billed as a reimbursement. This charge will be billed monthly as
outlined in Section I.
Section IV: Indemnification
To the extent permitted by North Carolina Law, Owner shall defend, indemnify and hold
Operator harmless from all liabilities, obligations, claims, damages, actions, suits,
proceedings, costs and expenses including attorney's fees that arise in tort, contract or under
US Code 1983 due to any act or omission of Owner or its agents, employees or independent
contractors.
Page 2 of 4

Nothing in this agreement shall be construed to create the relationship of employer and
employee between Owner and Operator. Except as set forth herein, neither the Owner nor
Operator shall have the authority to bind the other party.
Operator and Owner agree that Atlantic OBX is not responsible for damage or destruction of
the facility by an act of God, which includes but is not limited to hurricane, lightning,
floodwaters or wind. Likewise, Atlantic OBX shall be excused from performing its
obligations under this Agreement if its performance is delayed or prevented by any event
beyond Operator's reasonable control and without its fault or negligence, provided that such
performance shall be excused only to the extent of, and during the reasonably unavoidable
continuance of, such disability that cannot be mitigated by the reasonable action of the
Operator.
Section V: Maintenance of Insurance
In addition to and without limiting Operator's obligations under Section IV above, Operator
will provide Owner upon reasonable request with certificates of insurance as evidence of
insurance for workers compensation and employers liability.
Section VI: Nondiscrimination
Operator agrees that in performance of this contract, Operator will not discriminate against
any employee or applicant because of race, color, creed, national origin or ancestry.
Section VII: Default
All terms and conditions of this agreement are considered material and failure to perform any
of the terms and conditions on the part of either party is considered a breach of this
agreement. Should Operator or Owner fail to perform any of the terms or conditions the
complaining party has the right to terminate the agreement only after thirty (30) days notice
in writing to the breaching party. The breaching party will have thirty (30) days to remedy
said violations. If Owner defaults due to non-payment Operator reserves the right to collect
all legal fees associated with collecting outstanding receivables associated with this contract.
Section VIII: Overdue fees
Past due accounts bear interest at the lesser of 1.5% per month or maximum rate permitted
by applicable law, and continuing after Operator obtains a judgment against Owner.
Section IX: Term
This Agreement shall be in force for the period of three (3) years (the "Term"). The Owner
and/or Operator obtains the right to terminate this agreement after (30) days of written notice
is given to the Operator and/or Owner. The Operator may request a cost of living increase of
3% annually on the anniversary date of this agreement. Operator reserves the right to revise
this agreement upon the completion of Phase 2.
Page 3 of 4

Section X: Miscellaneous
This Agreement shall be governed by and construed according to the law of the State of
North Carolina. This Agreement may be executed simultaneously in one or more
counterparts, each of which shall be deemed an original, but all of which together shall
constitute one and the same instrument. This Agreement may be executed by facsimile or
PDF signatures, No delay or omission by a Party to exercise any right or remedy accruing
pursuant to any of the terms hereof shall impair any such right or remedy or be construed to
be a waiver thereof. Any modification or amendment of any provision of this Agreement
must be made in writing and signed by an authorized representative of each Party. This
Agreement constitutes and sets forth the entire agreement and understanding among the
Parties with respect to the subject matter hereof. If any provision of this Agreement is
declared invalid or unenforceable as a matter of law, such invalidity or unenforceab,ility shall
not affect or impair the validity or enforceability of any other provision of this Agreement or
the remainder of this Agreement as a whole.
This contract is approved as written this day of
2022.
Owner
Operator
H20BX,LI,C Authorized Representative
8526 Caxatoke Hwy Atlantic OBX
Powells Point, NC 27966 PO Box 2560
440—a�LqiLo(i,.h, biyate,.Lpj e,�akL
Kitty Hawk, NC 27949
�I) a tL . . . ......... . .
ktigfies ��
'.coni
Attachments: Operation Permit (when available)
Page 4 of 4