SW8010314_CURRENT PERMIT_20230105

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 O103\4
DOC TYPE
® CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2023 w 05
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
DOUGLAS R ANSEL
Interim Director
January 5", 2023
CAP Investment Properties, LLC
Attn: Christopher Porter, Manager
5717 King David Court
Wilmington, NC 28412
NORTH CAROLINA
Envlranmenta[ Quapty
Subject: Permit Renewal
Post -Construction Stormwater Management Permit No. SW8010314
Carolina Eye Associates
New Hanover County
Dear Mr. Porter:
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on December 28'", 2022. The Division is hereby notifying you that permit SW8010314 has
been renewed, updated, and re -issued on January 5', 292, 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 August 10", 2031 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.
If you have any questions concerning this permit, please contact Aisia Freeman in the Wilmington Regional
Office, at phone # [phone] or [e-mail].
Sincerely,
. L
Douglas R. Ansel, Interim Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment C —Permitting History
Copy of the Renewal Application Documents
DES/af: \\\Stormwater\Permits & Projects\2001\010314 HD\2023 01 permit 010314
CC' Wilmington Regional Office Stormwater File
�tt North Carolina Department of Environmental Quality I Division of Energy, mneral and Land Resources
_ J/ Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
/"' v 910.796.7215

Post -Construction Stormwater Management
Permit No. SW8010314
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
CAP Investment Properties, LLC
Carolina Eye Associates
1994 S. 17' St., Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the provisions of 15A NCAC
2H .1000 (hereafter referred to as the "storm water 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 August 101", 2031 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
1. This permit is effective only with respect to the nature and volume of stormwater described in the
application and other supporting data.
2. The stormwater system has been approved for the management of stormwater runoff as described on
page 2. The stormwater control has been designed to handle the runoff from 34,937 square feet of
impervious area.
3. Approved plans and specifications for this project are incorporated by reference and are enforceable
parts of the permit.
4. The tract will be limited to the amount of built -upon area indicated in Section 1.2 and as listed on page 2
of this permit, and per approved plans.
Page 1 of 5

Post -Construction Stormwater Management
Permit No. SW8010314
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. A permit modification must be submitted and approved prior to
the construction of additional built -upon area from outside of the approved drainage area.
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
PROJECT DESIGN DATA SHEET
Project Name:
Permit Number:
Location:
Permittee:
Mailing Address:
Application Date:
Name of Receiving Stream/Index #:
Classification of Water Body:
If Class SA, chloride sampling results:
Basin Depth, feet:
Seasonal High Water Table, FMSL:
Bottom Elevation, FMSL:
Top Elevation, FMSL:
Drainage Area, acres:
Total Impervious Surfaces, ft':
Offsite Area entering Pond, ft':
Required Storage Volume, ft':
Provided Storage Volume, ft':
Infiltration Rate, In/hr:
Drawdown Time:
Carolina Eye Associates
SW8 010314
New Hanover County
CAP Investment Properties, LLC
c/o Christopher Porter, Manager
5717 King David Court
Wilmington, NC 27812
December 28'". 2022
Cape Fear / Jumpin Run / 18-76-1-3
"C Sw"
n/a
3
23.5
26.6
29.5
1.94
34,937
None, per Engineer
3,940
12,900
30"
.02 Days
Page 2 of 5

Post -Construction Stormwater Management
Permit No. SW8010314
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated and operational for
its intended use prior to the construction of any built -upon surface.
During construction, erosion shall be kept to a minimum and any eroded areas of the system will be
repaired immediately.
The permittee shall at all times provide the operation and maintenance necessary to assure the permitted
stormwater system functions at the design condition. The approved Operation and Maintenance Plan
must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of catch basins and piping.
4. Records of maintenance activities must be kept and made available upon request to authorized personnel
of the Division. The records will indicate the date, activity, name of person performing the work and what
actions were taken.
5. 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.
6. 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.
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.
Prior to the sale of any portion of the property, an access/maintenance easement to the stormwater
facilities shall be granted in favor of the permittee if access to the stormwater facilities will be restricted
by the sale of any portion of the property.
9. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable
built -upon area.
10. 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.
Page 3 of 5

Post -Construction Stormwater Management
Permit No. SW8010314
11. 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.
12. The permittee shall notify the Division of any name, ownership or mailing address changes within 30
days.
III. GENERAL CONDITIONS
1. 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.
2. 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.
4. 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.
a. 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),
Page 4 of 5

Post -Construction Stormwater Management
Permit No. SW8010314
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.
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.
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 transferred, updated, and reissued this the 51 day of January 2023.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
l J"Y1. uk�_ M
Douglas R. Ansel, I terim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 010314
Page 5 of 5

Attachment C - Permitting History
Carolina Eye Associates
Permit No. SW8 010314
Project / Drainage
Approval
Permit Action
BIMS
Description of the Changes
Modified Plan Sheets
Area (st)
Date
Version
8/10/2001
Original
1.0
High Density, 1995 Rules, one infiltration basin
84,506
Approval
12/8/2015
Renewal
2.0
Expires August 10, 2023
84,506
Transferred from Carolina Eye Associates to New
9/6/2016
Transfer
2.1
Hanover Real Properties, LLC
84,506
Transferred from New Hanover Real Properties, LLC to
7/29/2022
Transfer
2.2
CAP Investment Properties, LLC. Upon Inspection, site
was found compliant.
84,506
1/5/2023
Renewal
3.0
New expiration date 8/10/2031
Page 1 of 2

Built -Upon Area (BUA), sf
Buildings/
Lots
Streets
Parking
Sidewalks
Other
Existing
Off -site
Future
Total `'
Percent
BUA
11,390
19,100
4,447
34,937
41.3%
11,390
19,100
4,447
34,937
41.3%
11,390
19,100
4,447
34,937
41.3%
11,390
19,100
4,447
1 J
34,937
41.3%
Page 2 of 2

Operation & Maintenance Agreement
Project Name
Project Location
New hanover Real Properties, LLC ,`'J "
1994 S 17th Street Wilmington NC, 28401
I - Cover Page
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include (check all that apply & cc
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Bioretention Cell
Quantity:
Wet Pond
Quantity:
Stormwater Wetland
Quantity:
Permeable Pavement
Quantity:
Sand Filter
Quantity:
Rainwater Harvesting
Quantity:
Green Roof
Quantity:
Level Spreader - Filter Strip
Quantity:
Proprietary System
Quantity:
Treatment Swale
Quantity:
Dry Pond
Quantity:
Disconnected Impervious Surface
Present:
User Defined SCM
Present:
Low Density Present:
O&M sheets will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
ue aoueu
CLICK TO UPDATE O&M MANUAL
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
County of
personally appeared before me this
acknowledge the due execution of the
Witness my hand and official seal, _
� 118i
�•�m�� \K V VAqp°j°..
�c ........ m, ission �': ILL
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C) O =`
°'OF�B ERG CaV6:1
Seal
STORM-EZ
Version 1.5
Christopher Porter
Manager/ Member CAP Investment Properties, LLC
15150 Sapphire Hill Lane
Charlotte NC, 28277
704-807-7244
[e-mail]
My commission expires
Date:
a Notary Public for the State of l KM
do hereby certify that
day of �c�%�� and
nce Agreement.
BV•_
l?vAr C)c%l
r
O&M Agreement
3/15/2022
Page 1 of 1

r Infiltration Basin Maintenance Requirements
Important operation and maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the infiltration basin.
No portion of the infiltration basin will be fertilized after the initial fertilization that is required to establish
- the vegetation. Lime may be allowed if vegetation is planted on the surface of the infiltration basin and
soil test shows that it is needed.
- The vegetation in and around the basin will be maintained at a height of four to six inches.
After the infiltration basin is established, it will be inspected quarterly and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance shall be kept in a
known set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
The entire infiltration
Trash/debris is present.
Remove the trash/debris.
basin
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have
cover and water until it is established. Provide lime and a one -
The grass filter strip or
formed.
time fertilizer application.
other pretreatment area
Sediment has accumulated
Search for the source of the sediment and remedy the problem if
to a depth of greater than
possible. Remove the sediment and dispose of it in a location
three inches.
where it will not cause impacts to streams or the SCM.
The structure is clogged.
Unclog the conveyance and dispose of any sediment in a location
The flow diversion
where it will not cause impacts to streams or the SCM.
structure (if applicable)
Make any necessary repairs or replace if damage is too much for
The structure is damaged.
repair.
The inlet pipe is clogged (if
Unclog the pipe and dispose of any sediment in a location where
applicable).
it will not cause impacts to streams or the SCM.
The inlet pipe is cracked or
otherwise damaged (if
Repair or replace the pipe.
applicable).
The inlet device
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
erosion problems.
Stone verge is clogged or
Remove sediment and clogged stone and replace with clean
covered in sediment (if
stone.
applicable).
More than four inches of
Search for the source of the sediment and remedy the problem if
sediment has accumulated.
possible. Remove the sediment and dispose of it in a location
where it will not cause impacts to streams or the SCM.
The basin
Erosion of the basin
surface has occurred or
Provide additional erosion protection such as reinforced turf
riprap idisplaced.
s
matting or riprap if needed to prevent future erosion problems.
Water is standing more
Replace the top few inches of soil to see if this corrects the
than three days after a
standing water problem. If not, consult an appropriate
storm event,
professional for a more extensive repair.

Infiltratia Basin AViirtenance
Requireme—BMWEontinued)
SCM element:
Potential problem:
How to remediate the problem:
Shrubs or trees are
growing on the
Remove shrubs and trees immediately.
embankment.
An annual inspection by an
The embankment
appropriate professional
Make needed repairs immediately.
shows that the
embankment needs repair.
Clogging has occurred.
gg g
Clean out the outlet device and dispose of sediment in a location
where it will not cause impacts to streams or the SCM.
The outlet device
The outlet device is
Repair or replace the outlet device.
damaged
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water
Discharges from the
infiltration basin are
causing erosion or
Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.

Project Name:
Project Location:
New hanover Real Properties, LLC
11994 S 17th Street Wilmington NC, 28401
Cbve,,Page
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include (check all that apply & cc
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Bioretention Cell
Quantity:
Wet Pond
Quantity:
Stormwater Wetland
Quantity:
Permeable Pavement
Quantity:
Sand Filter
Quantity:
Rainwater Harvesting
Quantity:
Green Roof
Quantity:
Level Spreader - Filter Strip
Quantity:
Proprietary System
Quantity:
Treatment Swale
Quantity:
Dry Pond
Quantity:
Disconnected Impervious Surface
Present:
User Defined SCM
Present:
Low Density
Present:
O&M sheets will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
tixrrrzx
CLICK TO UPDATE O&M MANUAL
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
County of 11/6elVe-I
personally appeared before me this
acknowledge the due execution of the
Witness my hand and official seal, _
.r o°�pTgS ter' ;I
y.
Christopher Porter
Manager/ Member CAP Investment Properties, LLC
e 1t Kt v
k>:Irn Iv Z
704-807-7244
[e-mail]
Date: 2y
a Notary Public for the State of
do hereby certify that
day of/���f ��y /�S' x and
Agreement.
E/ JUN2t2012
t�
BY:
iTORWEZ
/ersion 1.5
My commission expires f/ 12,3/ /-&17
T /
O&M Agreement
3/15/2022
Page 1 of 1

DEMLR USE ONLY
Date eceiv d
Fee Paid
Permit Number
��
5. =5a5 '=
5a, r OL)3,
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 80.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 010314
2. Project name: Carolina Eye Associates
3. Project street address: 1994 S. 171h St.
City: Wilmington County: New Hanover
ZIP: 28412
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., https://deg.nc.gov/about/divisions/energy-
mi neral-land-resources/energv-mineral-la nd-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/energv-mineral-land-
resources/energv-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: CAP Investment Properties, LLC
2. Signing Official's Name: Christopher Porter
3. Signing Official's Title: Owner/Manager
4. Mailing Address: 5717 King David Court
City: Wilmington State: NC ZIP
28412
5. Street Address:
City:
6. Phone: [phone] Email: porterchristopher84(d)gmail.com
ZIP :
DEC 2 8 2022
t
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:
cwp 1. A permit application processing fee of $505.00 payable to NCDEQ.
cwp 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.
n/a 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.
cwp 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.
cwp 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 previously 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.
n/a 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.
cwp 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).
hftps://www.sosnc.gov/online services/search/by title/ Business Registration
DEC 2 8 2022
BY.-
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERM//ITTEE'S CERTIFICATION
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 ownership. All information provided on this permit renewal application is, to the best of my
knowledge, co and complete.
SignatureiL_�L� .�rt�� Date: 1�2-/7-2z
: � _
NOTARIZATION:
a Notary Public for the State of
�J R� CA28Efo County of m: C( (P^ 3 t "� do hereby certify
that L K Q. S' `p'ful v 0— personally appeared before me
this the ( -7 day of 04, 20 �, , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature:
My commission e).
' `,fP11 My Commission Expires
December 9, 2025
e,OTARy ti
n. PUBLIC
cc.;
I�
DEC Z 8 2011
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

A&K #00235
Permit No. 5%,) � (3 � () 3 i
State of North Carolina (to be provided by DwQ)
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWO Stormwater Management Plan Review:
A complete stormwater management plan submittal includes a stormwater application form, an
infiltration basin supplement for each system, design calculations, soils report and plans and
specifications showing all stormwater conveyances and system details.
I. PROJECT INFORMATION
Project Name: Carolina Eye Associates
Contact Person: Robert G. Martin Phone Number: [phone]
This worksheet applies to: Basin No. 1 in Drainage Area 1
(as idmitifred on plan) (from Form SWU-101)
IL DESIGN INFORMATION — Attach supporting calculations/documentation. The soils report must be
based upon an actual field investigation and soil borings. County soil maps are not an acceptable
source of soils information. All elevations shall be in feet mean sea level (fmsl).
Soils Report Summary
Soil Type r7E� ATTAGFlEI' -:�OuS ze—r I-r
Infiltration Rate 30 In/hr or ef/hr/sf (circle appropriate units)
SHWT Elevation 23.5 fmsl (Seasonal High Water Table elevation)
Basin Design Parameters
Design Storm 1 inch (1, S inch event for SA waters. I inch event for others)
Design Volume 3,940 c.f
Drawdown Time 0,02— Days
Basin Dimensions
Basin Size (ELF>I, Z7f
See Plan
ft. x
See Plan ft. =. ,2,850 .
sq. ft (bottom dimensions)
Basin Volume Provided
12,900
c.f.
F-Ley.
AwzA
Z-7
ZAW ;�Ta
Basin Elevations
�
`!_ Frz
Bottom Elevation
26.6
fmsl
Storage Elevation (1 ")
27.8
fmsl
10 yr = 28.0; 25 yr = 28.2; 50 yr = 28.5; 100 yr = 29.0
Top Elevation
29.5
fmsl
Form SWU-103 Version 3.99
Page 1 of 3

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the`StormwaterBest Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. Ifa requirement has not been met, attach justification.
Applicants Initials I , ,
A. System is located'50 feet from class SA waters and 30 feet from other surface waters
b.
System is located at least 100 feet from water supply wells. ,
S�- c.
Bottom of system is at least 2 feet above the seasonal high water table.
�— d.
., :.
Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
44 e.
System is not sited on or in fill material DWQ approval has been obtained.
2 f ;
.System is located in a recorded drainage easement for the purposes of operation and
= maintenance and has recorded access easements to the nearest publid right-of-way.
(Z g.
Drainage.area for the device is less than 5 acres.
h.
Soils have a minimum hydraulic conductivity, of 0.52•inches per hour and soils report is
'.
:.: 4
attached.
i.
System captures and infiltrates the,runoff.from the:first.l.0 inch of rainfall,(1.5 inch event
for areas draining to SA waters). Design volume and infiltration calculations attached.
j.
System is sized to take into account the runoff at the ultimate built -out potential from all'
surfaces draining to the.system,.including any off -site drainage. Calculations attached. 1
(L k.
All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V) -;.,:
(Z 1.
A pretreatment device such as a catch basin, grease trap, fiber strip, grassed swale or
sediment trap is provided.
in. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches.,
or dense vegetative cover is provided
N/A n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters
_ o. Flow distribution mechanism within the basinis provided.
2 p. A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
" N/A q. 'Runoff in excess of the design.volume bypasses off-line systems (bypass detaii'provided).
r. Systeme is designed to'6aw'down the design storage volume to the proposed bottom
el6ation under seasonal•high water conditions within five days. A soils report and all
1pertment draw -down calculations are attached.
(Z s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Version 3.99 Page 2 of 3

III. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants Initials
a. System is located 50 feet from class SA waters and 30 feet from other surface waters.
�._ b. System is located at least 100 feet from water supply wells.
P_ c. Bottom of system is at least 2 feet above the seasonal high water table.
�Z- d. Bottom of the system is 3 feet above any bedrock or impervious soil horizon.
44-- _ e. System is not sited on or in fill material DWQ approval has been obtained.
2
f. System is located in a recorded drainage easement for the purposes of operation and
maintenance and has recorded access easements to the nearest public right-of-way.
g. Drainage area for the device is less than 5 acres.
h. Soils have a minimum hydraulic conductivity of 0.52 inches per hour and soils report is
attached.
i. System captures and infiltrates the runoff from the first 1.0 inch of rainfall 0.5 inch event
for areas draining to SA waters). Design volume and infiltration calculations attached.
j. System is sized to take into account the runoff at the ultimate built -out potential from all
surfaces draining to the system, including any off -site drainage. Calculations attached.
(>— k. All side slopes stabilized with vegetated cover are no steeper than 3:1 (H:V).
(L 1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed Swale or
sediment trap is provided.
N/A
N/A
m. Bottom of the device is covered with a layer of clean sand to an average depth of 4 inches.
or dense vegetative cover is provided
n. Vegetated filter is provided for overflow and detail is shown on plans (Required minimum
length is 50 feet for SA waters, 30 feet for other waters
o. Flow distribution mechanism within the basin is provided.
p. A benchmark is provided to determine the sediment accumulation in the pretreatment
device.
q. Runoff in excess of the design volume bypasses off-line systems (bypass detail provided).
2- r. System is designed to draw down the design storage volume to the proposed bottom
elevation under seasonalhigh water conditions within five days. A soils report and all
pertinent draw -down calculations are attached.
2 s. Plans ensure that the installed system will meet design specifications (constructed or
restored) upon initial operation once the project is complete and the entire drainage area is
stabilized.
Form SWU-103 Version 3.99 Page 2 of 3

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.
4. 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 -excavation 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 in 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.
NCI = 2.4
When the design depth reads SCI = 2.1 feet in the pretreatment unit, the sediment shall be BM
removed from both the pretreatment unit and the infiltration basin. North Cl Top = 29.5 27.1
G1= CuR� SN L>=T South Cl Top = 30.2 27.5
5. If the Division determines that the system is failing, the system will immediately be repaired to original
design specifications. If the system cannot be repaired to perform its design function, other stormwater
control devices as allowed by NCAC 2H .1000 must be designed, approved and constructed.
I acknowledge and agree by my signature below that I am responsible for the performance of the five
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: Robert G. Martin, President
Address: 2170 Midland Road, Southern Pines, NC 28387
Phone: [phone] A t Date: y /
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold
and a resident of the subdivision has been nrmeed the president.
do hereby certify- that
Public for the State of /Nif County of
personally appeared before me this
>l
day of 1 ?0 6 / ,and acknowledge the due execution of the foregoing infiltration
basin maintenance requirements. Witness my hand and official seal.
SEAL My commi Sion expires'51//. 6
�,2
Form SWU-103 Version 3.99 Page 3 of 3

Project name Carolina Eye Associates a
County New Hanover I f1l jlJ I
Stormwater Permit No. SW8 project # 010314 I I
Designer's Certification
l John S. Tunstall, P.E. as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically / weekly /
full time) the construction of the project,
Carolina Eye Associates
(Project)
for Carolina Eye Associates (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Required Items to be checked for this certification to be considered complete are on
page 2 of this form.
Noted deviations from approved plans and specifications:
1. Stormwater infiltration basin still contains trees as indicated in original permitted plans.
2. Vegetative undergrowth from the stormwater basin has been removed.
3. Current infiltration basin bottom surface is leaves & pine straw. Based on site observation, the
stormwater basin appears to be functioning well.
4. Per Note #12 on the original plans, the City of Wilmington required aquatic plants were not
observed at th time of certification. SEAL
Signature �t�%
�rc o" G
Registration Number �lJ / 0`° 6N ^A O
Date & 1 ;2,�3 Il
cc: NCDENR DWQ Regional Office
inspector, county County Building Inspector
Chris Jordan / O'Connor Cc of NC, Inc. (by E-Mail Only)
JST/asn
15093 (00235)-06-23-16-s-sw-cert.
Page 1 of 2
19851
S...TVNS
ECEIVE
JUN 2 y 2016

Project name
County
Stormwaler Permit No. SW8 project # 010314
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
164-2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
*4. The outlet/bypass structure elevations are per the approved plan.
4-5. The outlet/bypass structure is located per the approved plans.
/46. Trash rack is provided on the outlet/bypass structure.
/ 7. All slopes are grassed with permanent vegetation.
�l//1JJ 8. Vegetated slopes are no steeper than 3:1.
Q_9. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
10. The permitted amounts of surface area and/or volume have been
provided.
11. Required drawdown devices are correctly sized per the approved plans.
/ 12. All required design depths are provided.
/V 13. All required parts of the system are provided, such as a vegetated shelf,
�fy and a forebay.
14. The dimensions of the system, as shown on the approved plans, are
I provided.
cc: NCDENR-DWQ
inspector, county County Building Inspector
Chris Jordan / O'Connor Co of NC, Inc. (by E-Mail Only)
�CF'VE
JUN242016
Page 2 of 2 By'---