SW8970428_CURRENT PERMIT_20220726

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 a 7 0¢ 29
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022 07 26
YYYYMMDD

_4.
ROY COOPER
Covemor
EUZABETH S. BISER
Secretory
BRIAN WRENN
Director
July 26", 2022
SR&R Environmental, Inc.
Attn: William W. Murrell, III, President/CEO
PO 221
Wilmington, NC 28402
NORTH CAROLINA
Envtronmenral Quality
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8 970428
S&R Environmental, Inc.
New Hanover County
Dear Mr. Murrell:
Effective August 1, 2013 the Post -Construction Stormwater Management Program has been transferred from the
Division of Water Quality ("DWQ") to the Division of Energy, Mineral and Land Resources ("DEMLR" ). All
previous references to DWQ will remain in older permits issued Prior to August 1, 2013 until they are modified.
Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit.
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacted any development approval
issued by the former Division of Water Quality under Article 21 of Chapter 143 of the General Statutes, which
was current and valid at any point between January 1, 2008, and December 31, 2010. The law extended the
effective period of any permit that was set to expire during this time frame to three (3) years from its current
expiration (late. On August 2, 2010, the Governor signed Session Law 2010-177, which granted an extra year for
a total of four (4) years extension.
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on July 251°, 2022. The Division is hereby notifying you that permit SW8 970428 has been
renewed, updated, and re -issued on July 26", 2022, as attached. Please be aware that the renewal and re -issuance
of this stormwater permit does not imply that the site is currently in compliance.
This permit shall be effective until May Pt, 2030, which includes all available extensions, and does not supersede
any other agency permit that may be required. The project shall be subject to the conditions and limitations as
specified therein. This permit does not impose new or increased stormwater control requirements; it clarifies the
rules and requirements of this program to provide you with a better understanding of your obligations under this
permit. Failure to comply with these requirements will result in future compliance problems. Please note that this
permit is not transferable except after notice to and approval by the Division.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the
OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
This project will be kept on file at the Wilmington Regional Office. If you have any questions concerning this
permit, please contact Dylan McPeake in the Wilmington Regional Office, at [phone] or
[e-mail].
Sincerely,
� /(fin
CJ'rLf �Ltti�L Yl cX l'
5�; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
If ®ww ��� North Carolina Department of Environmental Quality I Division of Energy, Mineral and land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension 1 Wilmington, North Carolina 28405
N,parw c�neun�
910.796.7215

State Stormwater Permit No. SW8 970428
Page 2 of 2
Enclosures:
DES/DM:
cc:
Attachment C — Permitting History
Renewal Application Documents
%Stormwater\Permits & Projects\1997\970428 HD\2022 07 permit 970428
Wilmington Regional Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy. Mmeral and Land Resources
D E Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington. North Carolina 28405
910.796.7215

Post -Construction Stormwater Management
Permit No. SW8 970428
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
SR&R Environmental, Inc.
SR&R Environmental, Inc
4920 Highway 421 N., Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of 1 infiltration basin in compliance with the provisions of
15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and as outlined in the
application, approved stormwater management plans, supplement, calculations, operation and
maintenance agreement, recorded documents, specifications, and other supporting data (the
"approved plans and specifications") as attached and/or on file with and approved by the Division of
Energy, Mineral and Land Resources (the "Division" or "DEMLR"). The project shall be constructed,
operated and maintained in accordance with these approved plans and specifications. The approved
plans and specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until May 111, 2030 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until
the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.6 on page 3 of this permit. The stormwater control has been designed to
handle the runoff from 109,163 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and
per approved plans. The built -upon area for the future development is limited to 0 square feet.
4. All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements. The final plats for the project will be recorded showing all such
required easements, in accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
Page 1 of 5

Post -Construction Stormwater Management
Permit No. SW8 970428
6. The following design criteria have been permitted for the infiltration basin and must be
provided and maintained at design condition:
Project Name: Southeast Response & Remediation, Inc.
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Water Body Receiving Stormwater Runoff:
Classification of Water Body:
If Class SA, chloride sampling results:
Pond Depth:
Bottom Elevation:
Total Impervious Surfaces Allowed:
Offsite Area entering Pond:
Required Storage Volume:
Provided Storage Volume:
Temporary Storage Elevation:
Type of Soil:
Expected infiltration rate:
Elevation of Seasonal High -Water Table:
Time to Drawdown:
It. SCHEDULE OF COMPLIANCE
970428
New Hanover County
Mr. W. W. Murrell, Jr., President
Southeast Response & Remediation, Inc.
PO Box 221
Wilmington, NC 28402
May 1, 2008
Cape Fear River
"Sc.'
n/a
2 feet
23 MSL
109,163 square feet
None, per Engineer
2,979 cubic feet per hour
3,712 cubic feet per hour
25 MSL
Sand
.99 cubic feet/hour/square foot
15 FMSL
19 hours
Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
2. The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division.
3. If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility.
4. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
Page 2 of 5

Post -Construction Stormwater Management
Permit No. SW8 970428
Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted on
the Certification. A modification may be required for those deviations.
The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements. The permittee shall provide copies of revised plans and certification in
writing to the Director that the changes have been made.
No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or vegetative
conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in the
approved plans and specifications.
g. Other modifications as determined by the Director.
III. GENERAL CONDITIONS
CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems. These additional or replacement measures shall receive a permit from
the Division prior to construction.
PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
Page 3 of 5

Post -Construction Stormwater Management
Permit No. SW8 970428
TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This
request must be submitted within 90 days of the permit holder meeting one or more of
the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property
on which the permitted activity is occurring or will occur through foreclosure,
bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur;
V. The assignment of declarant rights to another individual or entity,
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit conditions have
been met and that the project and the on -site stormwater system complies with the
permit conditions. Records of maintenance activities performed to date may be
requested. Projects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property
during normal business hours to inspect all components of the permitted project.
C. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements. The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made.
Page 4 of 5

Post -Construction Stormwater Management
Permit No. SW8 970428
OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or ordinances,
which may be imposed by any other Local, State or Federal government agency having
jurisdiction. Any activities undertaken at this site that cause a water quality violation or
undertaken prior to receipt of the necessary permits or approvals to do so are considered
violations of NCGS 143-215.1, and subject to enforcement procedures pursuant to
NCGS 143-215.6.
Permit renewed and reissued this the 261 day of July, 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Brian Wrenn,
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Attachment C - Permitting History
SR&R Environmental, Inc.
Permit No. SW8 970428
Approval
Date
Permit
Action
BIMS
Version
Description of the Changes
7/28/1997
Original
Approval
1.0
5/1/2008
Renewal
2.0
Expires 5/1/2022 (Orginally 5/1/2018 before extension)
7/26/2022
Renewal
3.0
Expires 5/l/2030

JUN-04-1997 13:42 TAYLOR CONSTRUCTION
910 251 9197 P.04
DflMTRATiON POND MAINTFNANCE
Project Name: ou L o14
,N c—
Respmnsible Party Name: W 1.� • 01 �+ fl R e U Ta
4q� {}t•1_ �42� /J Ne PttooeNo:
Address:. q10- 7b3 bZ7'%
After every runoff producing rainfall event, or at least monthly, whichever comes first: \
1. Inspect the infiltration pomd(s) for erosion, trash accumulation, grass coveragc, and geed
condition of the facility.
2. Repair eroded areas immediately, reseed as necessary, keep side slopes and bottom mowed,
and remove trash_
3. Check any inlet piping, swales and catch basins. Repair broken piping, reseed swales, and
remove trash.
4. Inspect the bypass/overflow saumne for blockage and deterioration. Remove blockage sad
repair structure to originally approved design specifications.
5. Check the depth of the pond(s) every six months. if siltation has occurred to the point that
only 15% of the original design depth is provided, remove the excess silt to the original
depth. Do not over -excavate, as this may cause the required water table separation to be
reduced, and may affect the ability of the system to perform as designed.
agree to be responsible for performing
the maintenance items as listed above for this project. I agree to notify NCDWQ of any problems with
the system, or cbangm of the name of the project, name of the responsible party, or address.
Signature bare 6 'y 9
STORMWATER
a°""dam' E C E I V E D
E JUN 3 01997 D
D E M
PROJN
TOTAL P.04

IV. INFILTRATION BASIN OPERATION AND MAINTENANCE. AGREEMENT
I. After every runoff producing rainfall event and at least monthly inspect the infiltration system for erosion,
trash accumulation, vegetative cover, and general condition.
2. Repair eroded areas immediately, re -seed as necessary to maintain adequate vegetative cover, mow
vegetated cover to maintain a maximum height of six inches, and remove trash as needed.
3. After every runoff producing rainfall event and at least monthly inspect the bypass, inflow and overflow
structures for blockage and deterioration. Remove any blockage and repair the structure to approved design
specifications.
d. Remove accumulated sediment from the pretreatment system and infiltration basin annually or when depth
in the pretreatment unit is reduced to 75% of the original design depth. The system shall be restored to the
original design depth without over -excavating. Over -excavating may cause the required water table
separation to be reduced and may compromise the ability of the system to perform as designed. Removed
sediment shall be disposed of fit an appropriate manner and shall not be handled in a manner that will
adversely impact water quality (i.e. stockpiling near a stormwater treatment device or stream, etc.).
A benchmark shall be established in the pretreatment unit. The benchmark will document the original
design depth so that accurate sediment accumulation readings can be taken. The measuring device used to
determine the depth at the benchmark shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments. V":P— V AR _ ., p e
'.'hen the design depth reads I • 5 pretreatment in the retr�eatment unit, the sediment shall be
removed from both the pretreatment unit and the infiltration basin.
5. If the Division determines that the system is tailing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwatei
control devices as allowed by NCAC 211 .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the live
maintenance procedures listed above. I agree to notify DWQ of any problems with the systen or prior to any
changes to the system or responsible party.
Print Name all(]"title: ul. fu(Y(3,j�(_h�{Q_r,) k - V f`C-1 I
l(A
Address:_ &-1152— W
Phone:!3 to l -7Q z7Y Date:�_�rN/b�
Signature: I
Note: The legally respr i,le party should not he a homeowners association unless snore than 50% ofthe lots have heen sold and u
resident of the st idivision has been named the president.
I, 4241e l- 19. EWdE5 , a Notary Public for the State of,/fX7V7W M1-1A/9 , County of
do hereby ecrtify that personally appeared before me this 1414
day of and , �-"'� n and acknowledge hthhee�dduee execution of the lorgoing infiltration basin maimm�ancc requirements.
Witness my hand and official seal,
IC;Al SEAL
F' SIv1I. a- `"q North Carolina My commission cspires__
�' New Hanover
% Csro N. Eaves
i M Commms;on ires8/10/2010
��` 'OFFICIAL SEAL'
' �'� Notary Public. North Carolina 1=orm SWU-103 Rcv 399 Page 7 of 3 � County of New Hanover
e Carol A. Eaves
M CommissionEz ires8/10/2010

UEMLK USE UNLY
Date R ceive
Fee Paid
Permit Number
STATE STORMWATER:
PERMIT INFORMATION UPDATE APPLICATION FORM
There is NO FEE for updating project name or permittee information.
This form is to only to be used by the current permittee to notify the Division of:
1) changes to the Point of Contact (signing official) for the current permittee (LLC, Corporation, HOA or POA),
2) changes to the mailing address, phone number or email address of the current permittee;
3) changes to the name of the project; and
4) changes to the legal corporate name as documented by a Name Change or Merger filed with the NCSOS.
A. NEW PERMIT INFORMATION
State Stormwater Permit Number: SW8 970428
Are you updating
(check all that apply):
If so, please provide the updated information:
® Project name
SR&R Environmental. Inc.
® Corporation Name'
SR&R Environmental. Inc.
® Permit Contact Name2.3
William W. Murrell III
® Permit Contact Title
CEO
❑ Mailing Address'
❑ Phone number
® Email address
wmurrell(a)srrenviro.com
Provide documentation such as a Name Change /Merger filed with the NCSOS.
Provide supporting documentation such as NCSOS filing. The permit contact's position must be in accordance
with 15A NCAC 02H .1040(1).
If more than one point of contact or mailing address is being changed, please attach a separate sheet.
B. CERTIFICATION OF PERMITTEE
I, William W. Murrell III , the current permittee, hereby notify DEMLR that I am making the
changes as listed in Section A above. I rther attest that this application for an update to the permit information currently
on file is accurate and completg•to thjpt of my knowledge.
Signature: (L_
I,` z-mrnu G�rc
CouR)r
p8isongy�4aPI) d�f
r�i Aytio the forgot
2
��'%..�FR COVE •O•
Notary Siu dare
My commission expires
_, a Notary Public for the State of N01747k Ca.ro1 kn
W do hereby certify that ; I I i om w M urre,tI M
me this the a_ day of V , 20�, and acknowledge the due
trument. Witness my hand and official seal
CDf. f
JUL 2 5 2022
Stormwater Permit Information Update Form Page 1 of 1 May 11, 2017

• t� a
• "i
i.
�a.

ULMLK USL UNLY
Date ReVeiveq
Fee Paid
Permit Number
S
a
-it
0=
8
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NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 970428
2. Project name: Southeast Response & Remediation, Inc.
3. Project street address: 4920 Highway 421 N.
City: Wilmington County: New Hanover
ZIP: 28401
4. What, if any, changes have been made to the project as permitted?
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: htti)s://deg.nc.gov/about/divisions/energv-
mi neral-land-resources/energy-mineral-land-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/about/divisions/energy-mineral-land-
resources/enerov-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: Southeast Response and Remediation, Inc.
2. Signing Official's Name: William W. Murrell III
3. Signing Official's Title: CEO
4. Mailing Address: PO Box 221
City: Wilmington
28402
5. Street Address: 4920 Highway 421 N.
NC ZIP
City: Wilmington State: NC ZIP
28402
6. Phone: [phone] Email: wmurrellCa?srrenviro.com
ho iC � tr4r tL, "+i
JUL 2 5 2022
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
WwM 1. A permit application processing fee of $505.00 payable to NCDEQ.
(� 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a�/Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
WW-11 3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
Ww'M 4. O&M Agreements, Please select one:
® I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
WwM 5. Designer Certifications, Please select one:
® A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been RLeyinusV provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
t^'W't 6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
WwrA 7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
JUL 2 5 2022
ev.
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
4v. the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or t
rship All information provided on this permit renewal application is, to the best of my
knowledge, correct co te.
Signature: U" Date: 7-�/ 2_
NOTARIZATION:
a Notary Public for the State of
Igo!Hl cis.rolin0." County of QeAl) do hereby certify
that WW,iQ-'n W &rre-I l personally appeared before me
day of To 14 20�, and acknowledge the due
instrument. Witness my hand and official seal,
"14"NOTARY ', z 3
Z ' ota
sy ,Marcn2ti 'JR,
OVER
GO`
'Noti;Yy'Signettire: �Guanm.V uJ1c,101t.u1�
My commission expires Malt. of 02%
JUL 25 2�
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

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Project Name: _... Q�TN 1 PD(QS•.—.
Sttmnwaler Peiriit No.: ,� W g _ % 6 Z D
Designer's Certltieation
NONLicAtTi",J'R. P.,l�_%•aauly
Registered Professhmal L3ngineer in die State of North Carolina, (laving been authrriced to observe
(perioditslly/weekly/full tune)
the construction or the project, �C_uTj f !;:AST ^=SE
....—(Project) .
for _P.
(PfOJCCI CiNTl7)
hereby state that to the best of my abilities, due care and diligence was used in die observation of >th a and
project construction such that the construction was observed to he built within substantial comp
intent ofthe approved plans and �PO anions. �ptttt'' f d
SignatlUe_ (_'u'l>r,. 7
..1.. 2�.•epFESS�� {�
Registrmiun Ntunber QO_.
009524 -
Date
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cation Requirements:
.Tlhe drainage area to the system contains approximately therrp;gSe•
ff'��►►�_ :the drainage area to the.rystem contains no more than the permitted amount of built -upon area.
3.AII the built -upon area associated with the project is graded such that the runoff drains to the
,syssteemm.
( &44.�Allll roof drains are located such dint the runoffis directed into the system.
0"'uutlet/by)asy structure clevatitms are per the approved plan.
''i11b outict s1ruchre is located per the approval plans.
Amsli rack is provided on the outlet/t+ypass structure.
All slopm are grassed with permanent vegetation.
'''"(�J°Q°—!)°Q° .vegetated slopes are no steeper than 3:1.
000"""""""'_w J RTlte inlets am located per the approved plans and do not cause short-circuiting of the system.
I I •The permitted amounts of surface area and'or volume have been provided.
drawdown devices are correctly sized per die approved plans.
9,AI1 required design depths are phuvided.
requirod parts of the system are provided, such as a vegetated shelf, and a forebay.
,,,he required system dimensions are provided per the approved plans.