NCG190125_Application_20230216

FOR AGENCY USE ONLY n �i 6 /�
NCG19Q �_5 6-eoe'v�e
Assignedto: GOGK
ARO FRO MRO FRO WARD WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG190000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 373 [Ship and Boat Building and Repairing] and SIC 4493 [Marinas]. you can find
information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
MHC Boathouse NC L.P.
Everrett Butler
Street address:
City:
State:
Zip Code:
Chicam
IL
160606
Telephone number:
Email address:
12( 279-1400
environmental(d)eouitvlifestvle.com
Type of Ownership:
Government
®County ❑Federal ❑Municipal El State
Non -government
IIBusiness (If ownership is business, a copy of NCSOS report must be included with this application)
®1 ndividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Boathouse Marina
Hem Lue
Street address:
City:
State:
Zip Code:
2400 Lennoxville Road
Beaufort
NC
128516
Parcel Identification Number (PIN):
County:
731505178856000
Carteret
Telephone number:
Email address:
38-1
environmentaID-ea.uitylifestvie.com
4-digit SIC code: Facility is:
Date operation is to begin or began:
4 ©New ®Proposed MExisting
Latitude of entrance:
Longitude of entrance:
34 42' 6.18"N
76 37' 51.82"W
Brief description of the types of industrial activities and products manufactured at this facility:
r'na werations
If the Stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
O N/A
Page 1 of 5

Check all that are offered or allowed at this facility:
❑ Lodging
O Trash Collections
❑ Dump Station
❑ Sanding
O Restrooms
❑ Recycling
❑ Haul Out
❑ Sand Blasting
❑ Restaurant
0 Fish Cleaning Area
El Pump Out
❑ Painting
❑+ Vehicle/Equipment Washing
❑ Charter
O Fueling
❑ Boat Building
❑ Boat Pressure Washing
❑ Live Aboard
O Boat Ramp
El Transient Slips
121 Retail Store
El Dry Boat Storage
O Boat Hand Washing
❑ Boat Sales
0 Engine Repair
O Permanent Slips
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
4. Clutfall(s) At least one outfall is reauired to be elieible for coveraee
3-4 digit identifier: Name of receiving water:
Classification:
❑ This water is impaired.
Creek001
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
4 4 ' 4. "N
76 37' .98" W
Brief description of the industrial activities that drain to this outfall:
Stormwater runoff from rain
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes O No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
Creek
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
34 ' .1
1.4 "
Brief description of the industrial activities that drain to this outfall:
Stormwater runoff from rain
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? © Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Clutfalls" found on the last page of this NOL
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
0 This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
January 2023
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored:
Where material is stored:
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
EI
Check for $100 made payable to NCDEQ
ID
Copy of most recent Annual Report to the NC Secretary of State
O
This completed application and any supporting documentation
❑
A site diagram showing, at a minimum, existing and proposed:
a)
outline of drainage areas
b)
surface waters
c)
stormwater management structures
d)
location of stormwater outfalls corresponding to the drainage areas
e)
runoff conveyance features
f)
areas where industrial process materials are stored
g)
impervious areas
h)
site property lines
❑
Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($50,000).
Under penalty of law, I certify that:
El I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
❑O The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
O I will abide by all conditions of the NCG190000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
El I hereby request coverage under the NCG190000 General Permit.
Printed Name of Applicant: Everrett Butler
Title: Vice President
�1g1;w3
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMLR —Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4of5

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Receiving Body of Water: Taylor Creek
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Population Center
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Slate Route
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t Cemetery
_ Interstate/Unlimited Access
O Locale
s County Seat
Rhnw/Canal
Q Toll Highway
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Railroad
4 Airport —
Airfield
MHC Boathouse NC, LP Prepared By. Date. 0910212021
2400 Lennoxville Rd. Drawn By: Nathan Dosher
Beaufort, NC 28516 20 2 "Zo z`""' .'. visit By: B.J. Hayes

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T3 LIMITED LIABILITY COMPANY ANNUAL REPORT ■
HW017
NAME OF LIMITED LIABILITY COMPANY: Southern Marinas Boathouse NC, LLC
SECRETARY OF STATE ID NUMBER: 1872571 STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: 2020
SECTION A:
1. NAME OF REGISTERED AGENT: NC Corporate Connection, Inc.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E- Filed Annual Report
1872571
CA202011801897
4/27/2020 06:15
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
176 Mine Lake Court, Ste.100 176 Mine Lake Court, Ste.100
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B:
1. DESCRIPTION OF NATURE_ OF BUSINESS: Real Estate
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
610 Broadway, 6th Floor 610 Broadway, 6th Floor
New York, NY 10012 New York, NY 10012
6. Select one of the following If applicable. (Optional see Instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials In Section E.)
NAME: Southern Marinas Holdings, LLC NAME:
TITLE: Member TITLE:
ADDRESS:
610 Broadway, 6th Floor
New York, NY 10012
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personlbusiness entity.
Southern Marinas Holdings, LLC, by Natalie Birrell Authorized Person 4/27/2020
SIGNATURE DATE
Form most be signed by a Company Official listed under Section C of This torn.
Southern Marinas Holdings,LLC, by Natalie Birrell Authorized Person Member
Print or Type Name of Company Official Print or Type T61e of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 2762MB25

NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify the following upon the request for a Certificate of Authorization:
MHC BOATHOUSE NC, L.P.
is a limited partnership regularly created, organized and existing under the laws of
the state of Delaware having been formed on the IOth day of February, 2021; a certificate
of authority was issued to said limited partnership on the loth day of February, 2021 to
transact business under the name
MHC BOATHOUSE NC, L.P.
I FURTHER certify that the said limited partnership is in good standing insofar as
is disclosed by the records of my office.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 26th day of January, 2023.
Scan to verify online.
Certification# 115215840-1 Reference# 19415094- Page: 1 of I Secretary of State
Verify this certificate online at https!/www.sosnc.gov/verification

NORTH CAROLINA
as Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify the following upon the request for a Certificate of Authorization:
MHC BOATHOUSE NC, L.P.
is a limited partnership regularly created, organized and existing under the laws of
the state of Delaware having been formed on the 1 Oth day of February, 2021; a certificate
of authority was issued to said limited partnership on the loth day of February, 2021 to
transact business under the name
MHC BOATHOUSE NC, L.P.
I FURTHER certify that the said limited partnership is in good standing insofar as
is disclosed by the records of my office.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 26th day of January, 2023.
Scan to verify online.
Certification# 115215839-1 Reference# 19415094- Page: 1 of I Secretary of State
Verify Es certificate online at https://www.sosuc.gov/verification

Delaware
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THAT THE ATTACHED IS A TRUE AND
CORRECT COPY OF THE
OF CONVERSION OF A DELAWARE
Page 1
LIMITED LIABILITY COMPANY UNDER THE NAME OF "MHC BOATHOUSE NC,
L.L.C." TO A DELAWARE LIMITED PARTNERSHIP, CHANGING ITS NAME FROM
"MHC BOATHOUSE NC, L.L.C." TO "MHC BOATHOUSE NC, L.P.", FILED IN
THIS OFFICE ON THE FIFTH DAY OF FEBRUARY, A.D. 2021, AT 6:01
O'CLOCK P.M.
SR# 20210357450 ""'
You may verify this certificate online at corp.delaware.gov/authver.shtml
' JartmYW. ovex6&nex+ryd.Stat' .�
Authentication: 202456045
Date: 02-05-21

DocuSign Envelope. ID: 62F72EC2-E01 E-444A-AFBF-98B7C784A958
State of ' 1)elawa e
'Secretary of.State
Wislon of 6orpors6ns
Delhered 06:01 P1102105R021
FILED.-06:01 PM 0210512021
SR 20210M7450 FOeNumber7517561'
STATE OF'DELAWARE
CERTIFICATE OF CONVERSION
FROM AL IITED LIABILITY COMPANY
TO A LIMITED PARTNERSHIP PURSUANT TO
SECTION 17-217 OF THE LIMITED PARTNERSHIP ACT
1. The jurisdiction where the Limited Liability Company first formed is Delaware.
2. The jurisdiction immediately prior to filing this Certificate is. Delaware.
3. The date the Limited Liability Company first formed is July 16, 2019.
4. The name of the Limited Liability Company immediately prior to filingthis Certificate is
MHC Boathouse NC,'L.L.C6
5. The name of the Limited Partnership as set forth in the Certificate of Limited Partnership is
MHC Boathouse NC, L.P.
6. The conversion shall become effective on February 5, 2021.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of Conversion on the
5th day of February, 2021.
MHC Boathouse NC GP, L.L.C.,
General Partner
namalgred by:
B N&Ad 150 "
Name• c ae ailey
Its: Vice.President—Investments

Delaware Pagel
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE DO HEREBY CERTIFY THAT THE ATTACHED IS A TRUE AND
CORRECT COPY OF THE CERTIFICATE OF LIMITED PARTNERSHIP OF 'MHC
BOATHOUSE NC, L.P.' FILED IN THIS OFFICE ON THE FIFTH DAY OF
FEBRUARY, A.D. 2021, AT 6:01 O'CLOCK P.M.
7517561 8100V
SRN 20210357450
You mayverifythis certificate online at corp.delaware.gov/authver.shtml
.lather vtumu4s+acaurargute-
Authentication: 202456045
Date: 02-05-21

DoouSign Envelope to: 433324E5.4D45.41 FS-94FD-082A901578A9
.State of Delaware
Seeretary of State
Division of CorpNratloos --
Delivered :06:01 FM 02/0512021
CERTIFICATE OF L M I11-PARTNERSHIP
F1D357 o6:01 PM umber 21
SR 30210357450.-FOePom6er 7517561
OF
MHC BOATHOUSE NC, L.P.
The undersigned, desiring to forma limited partnership pursuant to and in accordance with the Delaware
Revised Uniform Limited Partnership Act ,(6 Del. C. § § 17-f01, et seMc .)i as amended from time to. time;
does ,hereby certify as follows:
FIRST
The name of the limited partnership is MHC Boathouse NC, L.P.
�IXKI►WK
The address of the limited partnership's registered office in the State ofDelaware is 1209'Orange Street,,in
the City of Wilmington, County of New Castle, 19801. The name'and address of the registered agent for
service of process on the limited partnership in -the State ofDelaware are The Corporation Trust Company,
1209 Orange Street, in the City of Wilmington, County of New Castle, 19801.
THIRD
The name and mailing address of the general partner are as follows:
MHC Boathouse NC GP., L.L.C.
2'North Riverside Plaza, Suite 800
Chicago,.IL 60606
FOURTH
The effective date shall be February 5, 2021.
IN WITNESS WHEREOF, the undersigned.being the general partner hereinbefore named, declaring and
certifying that the facts herein stated are true for the purpose of forming a limited partnership pursuant to
the Delaware Revised Uniform Limited Partnership Act, hereby makes this Certificate of Limited
Partnership as of the 5th day ofFebmary, 2021.
MHC Boathouse NC GP, L.L.C.,
General Partner
'Mushned by;
By: Ktt.6d 13
Namei`1q��Ei15$$°f'i �y
Its: Vice President — Investments

Delaware Pagel
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF TEE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF AMENDMENT OF 'SOUTHERN MARINAS
BOATHOUSE NC, LLC-, CHANGING ITS NAME FROM "SOUTHERN MARINAS
BOATHOUSE NC, LLC" TO "MHC BOATHOUSE NC, L.L.C.", FILED IN THIS
OFFICE ON THE FIFTH DAY OF FEBRUARY, A.D. 2021, AT 5:58 O'CLOCK
P.M.
7517561 8100
SR# 20210357412
You may verify this certificate online at corp.delaware.gov/authver.shtml
�em.yw,s�w,sxmormswx '
Authentication:202455596
Date:02-05-21

CERTIFICATE:OF AMENDMENT,
TO
CERTIFICATE" OF FORMATION
OF
,SOUTHERN MARINAS BOATHOUSE NC: LLC
It, is hereby certified pursuant to Section 18-'202 ofthe Deld*are Limited Liability
Company Act that:
FIRST
The name of the lin-dted,liablility company is -Southern Marinas Boathouse NC,.
LLC (the"Comp ?).
SECOND
Article First oMe Certificate of Formation, of thezCompany is hereby deleted in
its entirety, and amended to read, in full as follows-.,
"I. NAME: The name of the"limit6d'liability company is MHC:BoAthou§e,NC',
L.L.C."
Article Second of the
e, Certificate of Formation of the Company is, hereby deleted
units entirety. and amended toreadin full as follows,:
"I. REGISTERED OFFICE AND, AGENT: 'The address of the registered
office of, the Company in the State of Delaware is located at 1269 Orange Street,
Wilmington, Delaware, 1980.1 and the name of the registered agent for the
Company at such address is The,Corporation Trust Company. "
IN WITNESS WHEREOF, the undersigned hasr executed' this Certificate of
Amendment as of , this 5th day of February, 2021.
/s/ Sara Handibo -
Sara Handibode, an Authorized Person
State of Delaware
sec*ry f State
Dh1s6n corponflons
DeUvered 05:58PI1021 05126h
`-FILED 05:58FAI-02/OY2021
SR2021035741,1:- F&Nam.ber 751750L