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Home My WebLink AboutSW6140504_HISTORICAL FILE_20140603STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. DOC TYPE CURRENT PERMIT APPROVED PLANS HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE ae YYYYMMDD Diuguid, Bill From: Diuguid, Bill Sent: Tuesday, June 03, 2014 3:01 PM To: 'Derek Westfall' Subject: Community Based Medical Home for Fort Bragg Womack Army Med. Center Derek: Finished reviewing this one. Looks fine. Turned in check for processing, should be able to issue in a couple of days after quick second opinion on design And assignment of SW permit number in BIMS. Bill Bill Diuguid, AICP, Planner Stormwater Permitting Land Quality Section Division of Energy, Mineral and Land Resources I NCDENR 1612 Mail Service Center (Mail) 512 N. Salisbury St, Raleigh, NC 27604 1 90, Floor (Location & Parcels) Raleigh North Carolina 27699-1612 Phone: 919-807-6369 1 Fax: 919-807-6494 Website: http://portal.ncdenr.org/web/wq/ws/su E-mail correspondence to and from this address in ay be subject to the North Carolina Public Records Law and maybe disclosed to third parties. /Ss u�D/id/�y Application Completeness Review a 5 First Submittal ❑ Re -submittal Date Received: I Date Reviewed: lv -' / By Bill Diuguid At Development/Project Name: Cor+ma,✓rh SAs9PmF n� c r H one FoR Goy* 5zAtrK wo M •er- Remy MCJ Receiving stream name X 4D` -r K~p /- A;cG PATCH S,e Classification: r River Basin: Coe¢ I-E,t-2e_ .Sfi. 77� d e / A - 23 -2f z r- /B- 2 3 -29 -3 For post -construction requirements, a program will be deemed compliant for the areas where it is implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HOW, ORW, Neuse River Basin NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal. T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): /(41 Latitude and Longitude: 3S /5 /6_ N7Al -7% of #(_6- f Jurisdiction eAvvlzz.� hfn w: ;l Project Address: C - t f L<sY 4o G Engineer name and firm: - �r� Tc� Phone:2�o . ` 9 y-o*oo Email: z 14 Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? es or�Density ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets ❑Other a-4UA / impacts to surface waters, wetlands, and buffers (add language to cover lettero letter) m" BUA G 9. D , o'-Check for $505.00 included Ue' Original signature (n�hotocopy)-on application Legal signature ( or6 potation-VP/higher P�nership-General Partner/highe LLC-member/manage ,Agent). I Check spelling, capitalization, punctuation: http://www.secretarv.state.nc.us/corDorations/theDaee.asDx I If an agent signs the application, a signed letter of authorization from the applicant must be provided which i cludes the name, title, mailing address and phone number of the person signing the letter. Copy of property deed showing ownership or control or subdivided projects, a signed and notarized deed restriction statement Sealed, signed & dated calculations 4/Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each) ❑ Bioretention ❑ Dry Detention Basin ❑ Filter Strip ❑ Grass Swale d Infiltration Basin tit) ❑ Infiltration Trench ❑ Level Spreader ❑ Permeable Pavement ❑ Restored Riparian Buffer ❑ Rooftop Runoff Management ❑ Sand Filter ❑ Stormwater Wetland ❑ Wet Detention Basin ❑ Low Density ❑ Curb Outlet ❑ Off -Site ❑ NCDOT Linear Road OCT 1 4 2014 oTwo sets of sealed, signed & dated layout & finish grading plans with appropriate details ��f / Narrative Description of stormwater management provided rid' Ws report, geotech information provided r.✓ Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or adjacent property rd Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter, e Dimensions & slopes provided 2/Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density BMP operation and maintenance agreements provided Application complete ❑ Application Incomplete Returned: (Date) tT2 April 26, 2013 Revision, Bill Diuguid 0 V Yv U Wdw 11'Vo or-/ }�;S�t'.YO CP 0 Gj (J / Application Completeness Review q 2 First Submittal ❑ Re -submittal Date Received: �30 ) Date Reviewed: 4v 3 / By Bill Diuguid4t DevelopmenUProject Name: Co S s En' omr ort o.�r� ' m er- a e me Receiving stream name '2EEnY-fy&mP t Rzrrc pt-rcn gp, Classification: SNSW. Basin: C& e post-constr ction requirements, a program will be deemed compliant for the areas where it is ementing any of the following programs: WS-I, WS-Il, WS-III, WS-IV, HQW, ORW, Neuse River Basin Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient High Density Projects that require a 401/404 within an NSW require 85%TSS, 30% TN and 30% TP removal. T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): Af/A— Latitude and Longitude: 3S /5 /L_ /7At —7? or #4_6-7 Jurisdiction CA-twez•., re"'C:4 Project Address: Al e r- P 49V 60 Engineer name and firm: -0 Phone: '?no—q99—o4-oa Email: Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? es or Q No ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets igh Density ❑ Other w BLI 404 impacts to surface waters, wetlands, and buffers (add language to cover le er o letter) BUA L 9. D % rr,'Check for $505.00 included ram Original signature (not photocopy)-e application o,-'Legal signature ( oCs rporation-VP/higher, rtnership-General Partner/highe LLC-member/manage , Agent). If an agent signs the application, a signed letter of authorization from the applicant must be provided which igcludes the name title mailing address and phone number of the person signing the letter. V Copy of property deed showing ownership or control -;7or subdivided projects, a signed and notarized oeea restriction statement sealed, signed & dated calculations rd/Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each) ❑ Bioretention ❑ Dry Detention Basin ❑ Filter Strip ❑ Grass Swale d Infiltration Basin Lit) ❑ Infiltration Trench ❑ Level Spreader ❑ Permeable Pavement ❑ Restored Riparian Buffer ❑ Rooftop Runoff Management ❑ Sand Filter ❑ Stormwater Wetland ❑ Wet Detention Basin ❑ Low Density ❑ Curb Outlet ❑ Off -Site ❑ NCDOT Linear Road of Two sets of sealed, signed & dated layout & finish grading plans with appropriate details OCT 14 2014 ry"Narrative Description of stormwater management provided ra ils report, geotech information provided [Y Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or adjacent property rd Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter; o� Dimensions & slopes provided :Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density BMP operation and maintenance agreements provided wl�Application complete ❑ Application Incomplete Returned: (Date) Gr2 April 26, 2013 Revision, Bill Diuguid °I Y0 U '/dki r*"C' / ?'Jr—f'p0 o LdJ J V ENGINEERING DESIGN TECHNOLOGIES, I 1705 ENTERPRISE WAY, SUITE 200, MARIETTA, GEORGIA 30067 ""tlyd bf.:4V611t PHONE 770/988-0400 OR 877/728-1724 (TOLL FREE) a FAx 770/988-0300 nvno QNv-18N3o LETTER OF TRANSMITTAL Name: Bill Diuguid Date: Company: NCDENR Project Name: Address: Division of Energy, Mineral and Land Project #: Address: 1612 Mail Service Center Project #: City, State, & Zip: Raleigh, NC 27699-1612 Contract #: Phone Number: 919-807-6369 We transmit Via: ❑ Herewith ❑ U.S. Mail ❑ I -land Delivery The following: ❑ shop drawings ❑ correspondence �'Dl 0 0 AN Qgkgo3a 5/28/14 Community Based Medical Home I3E-01-02100 ❑ Under separate cover ® Overnight Service (specify) Fed Ex ❑ Courier (specify) Apple ❑ samples ❑ drawings ❑ specifications ® submittals ❑ ItFI,s ❑ other ❑ diskette/file Copies Date I I Description 2 5/28/14 Stormwater Design Documents 22x 34 1 5/28/14 Permit documentation, calcs, and permit fee. Transmitted as indicated: ❑ for approval ❑ ❑ for distribution ❑ Comments Sent By: Derek Westfall, P. E. as requested for your use ® for review/comments ❑ for file OCT 14 2014 ❑ on loan (please return) Date: 5/29/ 14 Q:A2013\13E-01-02100 Commons at Lexiton DOD\PI;1. CorrespondenceAh. "frausmittals\transmittal Bill �G,�k�., ,h i� � �.� s� ( . . HARNETT COUNTY TAX ID# Prepared by. Joseph C. llearne,n P.O. Dmwer 179 Wilmington, NC 28402 Rerum to: Excise Tax: g 31600, Brief description for the index: 2008003020 FOR REGISTRATION REGISTER OF O S KIMBERLY S. HRRGROV KpNETT COUNTY, NG 2008 9 31 01:02:31 PM BK:2490 PG:640-643 FEE120.00 NC REV STAMP:E3,600.00 NMI t 200 R20 Preparer of this docn anent has made no title examination and makes no representations or certification as to any matters enectirrg title. Parcel ID: 9594-18-1145.000 9594-07-7616.000 40.44 acres +/- NC Hwy 87 - Spout Springs NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED, made this 24 th day of March, 2008, by and between GRANTOR Pentagon Holdings, LLC, a North Carolina limited liability company 5t(1 Vann Dorn Ccuri- Wi l m; 9f-on, kc 9�'4 i a GRANTEE Lexington Investors, LLC, a North Carolina limited liability company The desizaation Grantor and Grantee as used herein shall 1(r8S V NG a�5�11 Jude said oarties, their successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH: THAT Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain., sell and convey unto the Grantee in fee simple, all (hat certain lot or parcel of land situated in Anderson Township, Harnett County, North Carolina and more particularly described as follows: See Legal Description Attached Exhibit A hereto. The property hercinabove described was acquired by Grantor by instrument recorded in Book 2141 at Page 78 and in Book 2141 at Page 82. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. AND the Grantor covenants with the Grantee that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that tide is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: OCT 14 2014 1. Rights of way and easements of record, if any. 2. Zoning and/or subdivision ordinances and regulations, if any. 3. Restrictive covenants of record, if any. 4. Ad valorem taxes for 2008 and subsequent years. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officer by authority of its Board of Directors, the day and year first above written. Pentagon Holdings, LLC a North Carolina limited ,liability company Z--ell (Seal) By: David O. Hamilton, Member/Manager STATE OF NORTH CAROLINA COUNTY OF NEW HANOVER I SM Glasgow , a Notary Public of the County and State aforesaid, certify that David O. Hamilton personally came before me this day and acknowledged that he is Member/Manager of Pentagon Holdings, LLC, a North Carolina limited liability company and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its member/manager. Witness my hand and official stamp or seal, this 24 th day of March, 2008.\�'' \ t1J `oa�u�"umorr,., Notar} blic My commission Expires: �.. ...?�Sr'.�Gy O8/27/2008 - i�a0TAR V''.._ PUBoo. i EXHIBIT A LEGAL DESCRIPTION BEING ALL OF TRACT 2, CONTAINING 40.08 ACRES, AND TRACT I -A CONTAINING 0.36 ACRES, AS SHOWN ON A MAP ENTITLED "BOUNDARY SURVEY DAVID E. SAWYER AND JEAN D. SAWYER" PREPARED BY MCKIM AND CREED, AND RECORDED IN BOOK 2006 AT PAGE 592, HARNETT COUNTY REGISTRY, REFERENCE TO WHICH IS HEREBY MADE FOR A MORE PARTICULAR DESCRIPTION. 11 CA201308602730 Sil 1028681 Date Filed: 3/27/2013 3:17:00 PM Elaine F. Marshall �+- LIMITED LIABILITY COMPANY ANNUAL RI ;north Carolina Secretary or state Y CA2013 086 02730 NAME OF LIMITED LIABILITY, COMPANY: Lexington Investors, LLC SECRETARY OF STATE ID -NUMBER: 1028681 REPORT FOR THE YEAR: 2013 SECTION A: 1. NAME OF REGISTERED AGENT: Betty Bullock 2. SIGNATURE OF THE NEW REGISTERED AGENT: 3. REGISTERED OFFICE STREET ADDRESS & COUNTY 405Johnson Boulevard STATE OF FORMATION: NC Filing Office Use Only Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 4. REGISTERED OFFICE MAILING ADDRESS P.O. Box 1685 Jacksonville, NC 28541 Onslow Jacksonville, NC 28541 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate 2. PRINCIPAL OFFICE PHONE NUMBER: (910) 346-9800 3. PRINCIPAL OFFICE EMAIL: 4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 405Johnson Boulevard Jacksonville, NC 28541 Onslow SECTION C: MANAGERSIMEMBER NAME: John Pierce 5. PRINCIPAL OFFICE MAILING ADDRESS P.O. Box 1685 Jacksonville, NC 28541 :ERS (Enter additional Managers/Members/Organizers in Section E.) NAME: Jimmy Pierce NAME: Betty Bullock TITLE: Manager TITLE: Manager ADDRESS: P.O. Box 1685 Jacksonville, NC 28541 ADDRESS: P.O. Box 2704 Surf City, NC 28445 TITLE: Manager ADDRESS: P.O. Box 1685 Jacksonville, NC 28541 SECTION D: CERTIFICATION OF ANNI,ti U,AL REPORT Section D must be completed in its entirety by a person/business entity, V -- Z�IZ2-1) 7 NATURE DATE Foon must be signed by a Manager/Member listed under Section C of this form. J"' L, te e Print or Type Name of Manager/Member $yRMIT THISRNNUAL REPORT WITH THE R OUIRED FILING FEE OF °20Q MAIL TO: Secretary of State, Corporations Division, Post Office Box 29525, Raleigh, NC 27626-0525