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WQ0028666_Renewal (Application)_20240401
DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .0700 — HIGH -RATE INFILTRATION SYSTEM — RENEWAL FORM: HRIS-R 02-21 Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0700, and Division Policies. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format (PDF) file to httt)s:Hedocs.deu.nc.2ov/Forms/NonDischar2e-Branch-Submittal- Form-Ver2, or entailed to Non-Discharge.Renortsna,ncdenr.2ov if less than 20 megabytes (MB). SECTION I — APPLICANT INFORMATION 1. Applicant: Cannonsgate at Bogue Sound WWTP 2. Permit No.: WQ0028666 3. Signature authority: Brent Milliron Phone number: (704) 489-9404 Select Title: Environmental Compliance Director Email: bmiiron@aquaamerica.com 4. Mailing address: 202 MacKenan Circle City: Cary State: NC Zip: 27511- 5. Contact person: Brent Milliron Primary phone number: (704) 489-9404 Cell Email: bmilliron@aquaamerica.com Secondary phone number: ( ) - Select SECTION II — FACILITY INFORMATION 1. Physical address: 4201 US-24 City: Newport 2. Treatment facility coordinates to the sixth decimal degree: Latitude: 34.711895' Longitude:-76.988984' County: Carteret Parcel No.: 630501462176000 State: NC Zip: 28570- Method: Aerial photography with ground control SECTION III — FLOW INFORMATION 1. Permitted flow: 200,000 GPD (The maximum allowable flow based on what has been permitted) 2. As -built flow: 200,000 GPD (The maximum allowable flow based on what has been constructed) 3. Average flow: 38000 GPD (The average of all reported flows on the previous calendar year's NDMRs) 4. Hydraulic capacity: 19 % (Divide the average flow in Item 3 by the As -built flow in Item 2) 5. Wastewater composition: Domestic: 100 % Industrial: 0 % Stormwater: 0 % SECTION IV — BILLING INFORMATION 1. Billing address: 202 MacKenan Circle City: Cary State: NC Zip: 27511- 2. Verify the Applicant does not have any overdue annual fees: hUs://deg .nc. gov/aboutldivisions/water-re source s/water-resources-permits/wq-epayments Pursuant to 15A NCAC 02T .0120(c), permits for renewing facilities shall not be granted if the Applicant or any affiliation has an unpaid annual fee. FORM: HRIS-R 02-21 Page 1 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 SECTION V — OPERATOR IN RESPONSIBLE CHARGE (ORC) INFORMATION 1. ORC: Raymond Braxton Grade: IV Certification No.: 120116 Mailing address: 251 Merchants Circle, Building 24-I City: Hampstead State: NC Zip: 28443- Phone number: (336) 516-4890 Cell Email: rbraxtongaquaamerica.com 2. Back -Up ORC: Michael Cowell Grade: II Certification No.: 180241 Mailing address: 251 Merchants Circle, Building 24-I City: Hampstead State: NC Zip: 28443- Phone number: (910) 524-4976 Cell Email: mcowell@aquaamerica.com SECTION VI — OPEN -ATMOSPHERE STRUCTURES 1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if necessary. Type Parcel No. Volume (gal) Liner Type Freeboard (ft) Latitude Longitude 5-Day Upset 630501462176000 1,000,000 Full, synthetic 8 34.7118950 -76.9889840 Storage 630501462176000 73,580 Full, concrete 18 34.7121680 -76.9887090 Select Select 0- ° Select Select 0- ° SECTION VII — RELATED PERMITS 1. List all wastewater permits (i.e., sewer, collection system, NPDES, residuals) that have interactions with the renewing permit. Attach additional sheets if necessary. Permit Type Permit No. Relationship Type Collection System WQCS00367 Upstream sewer Collection System WQ0029821 Part of master plan Collection System WQ0037078 Discharging collection system Select Select SECTION VIII — MONITORING WELLS 1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary. Well Name Parcel No. Status Gradient Location Latitude Longitude 1 630501468161000 Active Downgradient On Compliance Boundary 34.7118880 -76.9867880 2 630504649370000 Active Downgradient Between CB and RB 34.7112810 -76.9889020 3 630502563322000 Active Downgradient On Compliance Boundary 34.7129390 -76.9856650 4 630504649370000 Active Cross gradient On Compliance Boundary 34.7133190 -76.9840660 5 630502660671000 Active Upgradient On Compliance Boundary 34.7130590 -76.9826130 6 630502661213000 Active Upgradient On Compliance Boundary 37.7120530 -76.9825640 7 630504649370000 Active Downgradient On Compliance Boundary 34.7118500 -76.9847050 8 630501459746000 Active Downgradient On Compliance Boundary 34.7109810 -76.9868090 9 630504649370000 Active Downgradient Between CB and RB 34.7123510 -76.9883610 Select Select Select ° - ° FORM: HRIS-R 02-21 Page 2 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 Select Select Select SECTION IX —INFILTRATION SITES 7-Listall infiltration sites associated with the renewing permit. Attach additional sheets if necessary. County Parcel No. Deeded Owner Area Cover Crop Latitude Longitude 1 Carteret 630504649370000 Cannonsgate at Bogue Sound Homeowners Association, Inc. 1.66 NA 34.7115280 -76.9878700 2 Carteret 630504649370000 Cannonsgate at Bogue Sound Homeowners Association, Inc 0.67 NA 34.7124950 -76.9845670 3 Carteret 630504649370000 Cannonsgate at Bogue Sound Homeowners Association, Inc 1.32 NA 34.7123890 -76.9834390 4 Carteret 630504649370000 Cannonsgate at Bogue Sound Homeowners Association, Inc 0.36 NA 34.7113720 -76.9854370 ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° FORM: HRIS-R 02-21 Page 3 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 0 0 0 0 0 0 Total Acreage: ATTACHMENT A — SITE MAP Was the facility originally permitted or had a major modification issued after September 1, 2006? ❑ Yes — Pursuant to 15A NCAC 02T .0105(d), submit a site map pursuant to the requirements in 15A NCAC 02T .0704(d). These requirements are: ❑ A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing all facility -related structures and fences within the wastewater treatment, storage, and infiltration areas. ❑ Soil mapping units shown on all infiltration sites. ❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage, and infiltration sites. ❑ Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108. ❑ Setbacks as required by 15A NCAC 02T .0706. ❑ Site property boundaries within 500 feet of all wastewater treatment, storage, and infiltration sites. ❑ All habitable residences or places of public assembly within 500 feet of all treatment, storage, and infiltration sites. ® No — Skip Attachment A. ATTACHMENT B — SIGNATURE AUTHORITY DELEGATION Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106(b)? ® Yes — Skip Attachment B. ❑ No — Submit a delegation letter pursuant to 15A NCAC 02T .0106(c) authorizing the signature authority to sign. ATTACHMENT C — FLOW REDUCTION Does the existing permit include an approved flow reduction? ❑ Yes — Submit a copy of the flow reduction approval letter, as well as the measured monthly average amount of wastewater flow contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A NCAC 02T .0114(f). ® No — Skip Attachment C. ATTACHMENT D — CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY Is the Applicant a Privately -Owned Public Utility? ® Yes — Pursuant to 15A NCAC 02T .0115(a)(1), submit the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. ❑ No — Skip Attachment D. ATTACHMENT E — OPERATIONAL AGREEMENT Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold? ❑ Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement (FORM: HOA). Pursuant to 15A NCAC 02T .0115(c), if the applicant is a legally formed Homeowners' or Property Owner's Association, submit a copy of the Articles of Incorporation, Declarations, and By-laws. ❑ Yes (Developer of Lots to be Sold) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement (FORM: DEW Pursuant to 15A NCAC 02T .0115(b), if the applicant is a developer of lots to be sold, submit a copy of the Articles of Incorporation, Declarations, and By-laws. ® No — Skip Attachment E. FORM: HRIS-R 02-21 Page 4 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 FORM: HRIS-R 02-21 Page 5 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 ATTACHMENT F — DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES 71she applicant a municipality, county, sanitary district, or public utility? Yes —Proceed to the next question. No — Skip Attachment F. Does the hydraulic capacity in Section III, Item 4 exceed 70%? ❑ Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to 15A NCAC 02T .01180 ), prior to exceeding 80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system, elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements. If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other measures to achieve waste flow reductions. ❑ Yes (the hydraulic capacity greater than 80%) — Proceed to the next question. ® No — Skip Attachment F. If answered Yes above, does the hydraulic capacity in Section III, Item 4 exceed 80%? ❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15A NCAC 02T .0118(2), prior to exceeding 90 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed, submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow reductions. ❑ No — Skip Attachment F. ATTACHMENT G — EASEMENT, ENCROACHMENT, AND LEASE AGREEMENTS Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, infiltration, and groundwater lowering (if applicable) system? ❑ Yes — Skip Attachment G. ® No — Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, infiltration, and groundwater lowering (if applicable) system on property not owned by the Permittee. ATTACHMENT H — AFFILIATIONS Are the Permittee's affiliations of record correct? Check affiliations. ® Yes — Skip Attachment H. ❑ No — Provide the corrected affiliations and their contact information. ATTACHMENT I — COMPLIANCE SCHEDULES Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit) ❑ Yes — Submit documentation that the compliance schedules have been met. ® No — Skip Attachment I. I ATTACHMENT J — CIVIL PENALTIES AND OUTSTANDING VIOLATIONS I Does the Permittee have any existing civil penalties or outstanding violations? ❑ Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request. ❑ Yes (violations) — Submit a copy of your response to the Notice of Violation. ® No — Skip Attachment J. FORM: HRIS-R 02-21 Page 6 of 6 DocuSign Envelope ID: 38A36936-9AC8-44BE-A36D-B7979DC357A3 ATTACHMENT K—INDUSTRIAL WASTEWATER Does the wastewater composition in Section III, Item 5 include any industrial wastewater? ❑ Yes — Proceed to the next question. ® No — Skip Attachment K. Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of new materials or chemicals, etc.)? ❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0704(h). Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ® No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ATTACHMENT L — SETBACK WAIVERS Does the existing permit include setback waivers? ❑ Yes — Pursuant to 15A NCAC 02T .0706(d), provide setbacks waivers that have been written, notarized, signed by all parties involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance with 15A NCAC 02L .0107. ® No — Skip Attachment L. APPLICANT'S CERTIFICATION I Brent Milliron attest that this application (Signature authority's name as noted in Section I, Item 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application package are not completed, and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance schedule in a permit, settlement agreement, or order; not paid an annual fee. Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. DocuSigned by: Signature: Date: 3/28/2024 17d9R7nRRnRRAPP THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Non-Discharl!e.Repo rts(&ncdenr.t!ov Laserfiche Upload: httn s:Hedo cs. deu.nc.gov/Fo rm s/NonDischar2e-Branch- Submittal-Form-Ver2 FORM: HRIS-R 02-21 Page 7 of 6 PREPARED BY AND MAIL TOc — uallorth Carolina Inc 202 MacKenan Court Carv, NC 25711 STATE OF NORTH CAROLINA COUNTY OF CARTERET PIN: 63 05.02.66.5 83 9000 Excise Tax: FOR REGIS7RHi1DN REGISTER OF DFEDS Jerry T. Hardesty Carteret County, NC. May , ESMT 01:4� :P 8 PM FEE! $2r.00 FILE # 1541478 DEED OF EASEMENT THIS DEED of EASEMENT made and entered into this 1.0" day of '" W_ 2016, by and between OCEAN AUTO MARINE, LLC, hereinafter referred to as "Grantor;". and AQUA NORTH CAROLINA, INC., a corporation with its principal office and place of business at 202 MacKenan Court, Cary, NC 27511, hereinafter referred to as "Grantee;" The designation of the Grantor and the Grantee as used herein shall include said parties, their successors and assigns, and shall include the singular and plural as required and the masculine, feminine and neuter gender as appropriate. WITNESSETH: WHEREAS, it is the desire of Grantor and Grantee to convey to Grantee, its successors and assigns, by this deed of easement, a perpetual easement for the installation, construction, interconnection, operation, maintenance, repair and replacement of a wastewater main and all appurtenant equipment. Wastewater Main Easement NOW THEREFORE, Grantor, for valuable consideration in the amount of 0- U D _, the receipt and sufficiency of which are hereby acknowledged, has and by these I resents does grant, bargain, sell and convey unto Grantee a (15) foot wide perpetual easement now and hereinafter for the installation, interconnection, construction, reconstruction, inspection, operation, maintenance, and repair of a wastewater main and all appurtenant equipment, upon, under and across the property of the Grantor, which easement is located on the property of Grantor, further described as 4027 NC Highway 24, Newport, NC 28570. The perpetual wastewater main easement granted to Grantee by Grantor is located off the public road known as North Carolina Highway 24 in Carteret County, North Carolina, shall be referred,to as the "Easement Propert,/', and is described as follows: BOOK] A Uq Commencing at an existing magnetic nail in the asphalt centerline of Pringle Road and N.C. Highway 24 and having coordinates of North = 357,294.39 and East = 2,606,624.99 NAD83(2011), thence leaving said asphalt centerline South 61 degrees 20 minutes 20 seconds West 243.35 feet to an existing iron pipe in the southern right-of-way line of N.C. Highway 24 and being the northernmost common comer of Cannonsgate at Bogue Sound as recorded in Deed Book 1285, Page 345 and Tuttle as recorded in Deed Book 1370, Page 178 of the Carteret County Registry and being THE TRUE POINT OF BEGINNING: thence from the above described true point of beginning and leaving said common corner and along the southern right-of-way line of N.C. Highway 24 North 73 degrees 21 minutes 59 seconds East 272.00 feet to a nonmonumented point in said southern right-of-way line and being the northernmost common corner of Tuttle as recorded in Deed Book 1370, Page 178 and Kirk as recorded in 1156, Page 341, thence leaving said southern right-of-way line and along the common line of Tuttle and Kirk South 16 degrees 38 minutes 01 seconds East 15.00 feet to a nonmonumented point in said common line, thence leaving said common line and crossing the property of Tuttle South 73 degrees 21 minutes 59 seconds West 272.03 feet to a nonmonumented point in the common line of Tuttle and Cannonsgate at Bogue Sound, thence along said common line North 16 degrees 30 minutes 55 seconds West 15.00 feet to an existing iron pipe in the southern right-of-way line of N.C. Highway 24 and being the northernmost common comer of Cannonsgate at Bogue Sound and Tuttle and being the point and place of.beginning and being a 15' utility easement containing 4080 square feet as calculated by Charles Francis Riggs, P.L.S. L-2991 on July 23, 2015. The courses contained within are correct in angular relationship and are referenced to NAD83(2011). The easement is further described on that certain survey entitled "EASEMENT SURVEY FOR JAMES S. TUTTLE, JR- AND WIFE LOUISE TUTTLE" and further described as "15' UTILITY EASEMENT ALONG SOUTHERN R/W OF NC HIGHWAY 24, WHITE OAK TOWNSHIP, CARTERET COUNTY" dated July 24, 2015 and prepared by Charles Francis Riggs, P.L.S. L-2981 which survey is attached hereto as Exhibit A and incorporated herein by reference for a more particular description. The 15' Utility Easement is a portion of the GRANTOR'S property described in a deed recorded in Deed Book 1519, Page 273, the same property as identified in Deed Book 1370, Page, 178, Carteret County Registry (GRANTOR'S LAND"). Grantor also conveys to Grantee a Temporary Construction Easement across the property adjacent to the Easement Property ("Adjacent Property") for the initial installation and maintenance of the wastewater main and appurtenant equipment. The Temporary Construction Easement is further described as follows: N/A Said Temporary Construction Easement shall expire immediately upon completion of the property and restoration of the Adjacent Property to its previous physical condition. Said Wastewater Main Easement is subject to the following terms and conditions: 1) The Grantee, its successors and assigns, shall be entitled to the use of the Easement Property as necessary and appropriate for the wastewater main and appurtenant utility equipment, including BOOK 15,41 PAGE LfA maintain the wastewater main and appurtenances. The wastewater main shall be installed underground. 2) The Grantee shall be entitled to use the Easement Property for access to the wastewater main; provided nothing herein shall convey to Grantee any right of access over other property of the Grantor except that described and conveyed herein. 3) The Grantee is authorized to remove and keep removed from the Easement Property all trees, roots, limbs, shrubs, underbrush and parts thereof or other obstacles, including buildings, fences and structures as necessary to install, maintain, repair, improve, replace, operate, or protect the wastewater utilities located therein. 4) Following completion of any wastewater utility improvements within the Easement Property, any disturbed lands will be restored in accordance with generally accepted wastewater utility, engineering and landscaping practices. Grantee acknowledges that this shall include grading, seeding and using straw as groundcover. 5) Grantee acknowledges that Grantor may convert its lot to a commercial use and, in conjunction with that use, Grantor may pave the surface area within the Easement so it can be utilized as parking for the commercial use. In the event any paved area within the Easement is disturbed by Grantee while maintaining, repairing or replacing the sewer main Grantee will replace the disturbed pavement in a manner consistent with the original paving and grading. Grantor will provide 30 days' notice to Grantee prior to such paving so that Grantee can determine whether to make any improvements to its sewer main prior to such paving. . 6) Grantee shall indemnify Grantor against any damages caused by Grantee in the exercise of its rights under this easement 7) In the event that the wastewater main was laid prior to the granting of the Easement hereunder, Grantor acknowledges that payment for this Easement by Grantee shall extinguish claims as Grantor may have against Grantee for trespass or the disturbance of Grantor's property. In the event that Grantee, upon its own determination, no longer needs the Wastewater Main Easement, Grantee shall execute a Termination and Withdrawal of Easement and record such document in the Carteret County Registry. TO HAVE AND TO HOLD the aforesaid perpetual easements unto the Grantee, its successors and assigns, and all privileges and appurtenances, thereunto belonging to the Grantee. The Grantor hereby, for themselves, their heirs and assigns, hereby warrant and covenant that they are the owners of the aforesaid premises, that they have the right to grant such easements and that with the exception of all restrictions and easements already on record with the Carteret County Register of Deeds, the premises are free and clear of any material encumbrances and will warrant and defend title to the same against lawful claims of all persons whomsoever. BOOK i 5L( ► PAGE q9q IN WITNESS WHEREOF, the Grantor has caused this instrument to be executed on the day and year first above written. C7�n! Q�, Jame . Tuttle�Jr— �A-n G is STATE OF NORTH CAROLINA COUNTY OF CARTERET I, the undersigned, a Notary Public of the County and State aforesaid, certify that James S. Tuttle, Jr. whose identity has been proven by satisfactory evidence, said evidence being: ❑ I have personal knowledge of the identity of the principal(s) ❑ I have seen satisfactory evidence of the principal's identity, by a current state or federal identification with the principal's photograph in the form of a 1VcpL A credible witness has sworn to the identity of the principal(s); personally came before me this day and acknowledged that he/she, in such capacity and being authorized to do so, voluntarily executed the foregoing on behalf of the corporation for the purpose stated therein and in the capacity indicated. Witness my hand and official stamp or seal this b4L day of _M 2016. c zO A. �� �.G�� qn Notary Public Signature Print Name:At!�IeS.jr. —T My Commission Expires: I -14- 2-o19 [AFFIX NOTARY SEAL BELOW -NOTE THAT SEAL MUST BE FULLY LEGIBLEi XP o �07',gR� A Lie L 1 aG`: 4 UNTq rr�rrnut��`� BOOK 1 A PAGE q 1S IN WITNESS WHEREOF, the Grantor has caused this instrument to be executed on the day and year first above written. dcxA+� A.u►o MAR+J: , Lt_L sz Louise Z. Tuttle - MLAEms, STATE OF NORTH CAROLINA COUNTY OF CARTERET I, the undersigned, a Notary Public of the County and State aforesaid, certify that Louise Z. Tuttle, whose identity has been proven by satisfactory evidence, said evidence being: ❑ I have personal knowledge of the identity of the principal(s) ❑ I have seen satisfactory evidence of the principal's identity, by a current state or federal identification with the principal's photograph in the form of a n/c121— A credible witness has sworn to the identity of the principal(s); personally came before me this day and acknowledged that he/she, in such capacity and being authorized to do so, voluntarily executed the foregoing on behalf of the corporation for the purpose stated therein and in the capacity indicated. Witness my hand and official stamp or seal this lb" -day of VV gjte , 2016.' Notary Public Signature Print Name: De,, v ,S A. A--p es My Commission Expires: R -'1 N -aa► 9 [AFFIX NOTARY SEAL BELOW -NOTE THAT SEAL MUST BE FULLY LEGIBLEI �„Iu+nn,,`�� ��•'' p PEE& •o `1OTAR��`9= U131LXG v, 5 COU z S OWNERS JAMES S. TUTTLE, Jr. w Co a LOUSE TUTTLE �" 0 ID H �GNWPH TAX 6305.0266.5B39 H•0, � w -a0 > REFERENCES pry° 8 i a U D.B. 1370, PG 178 Tr SKETCH NOT TO VIPROPOSED AQUA NO NOT PERMANENT 15' UTl 4080 Sq.Ft. (0.09 A .o� y\ UNITED STATES OF AMERICA THE DRAFTING OF THIS SURVEY MAP WAS COMPLETED PRIOR TO THE SETTING OF IRONS AT THE NON MONUMENTED POINTS /Q•I� / VI RTH CAROLINA, INC. // esI LITY EASEMENT CRES) D.B. 676, PG. 74 \\PO\\ // % m 0N73'2�1'69 CA INTERSECTION OF 27�00'\ / // >,'� PR INGLE RD 4 NC HIGHWAY 24 \ / .n H NORTHING: 367294.39' 'EMNFASTING. 2606524.88' 15.00' 2 o 56120'20'W C'� � op cmi � cTi •°: o C\G ?O GAP///��0f'�i R R LEGEND. - - - - CO CONTROL CORNER ECM = EXISTING CONCRETE MONUMENT (FOUND)(CONTROL CORNER) y R� SP m EXISTING IRON PIPE (FOUND) EIR a EXISTING IRON ROD (FOUND) EMN = EXISTING MAGNETIC NAIL (FOUND)(CONTROL CORNER) CANNONSGATE AT BOGUS SOUND EPK = EXISTING PARI�R-KALON NA L (FWND)((CONTROL CORNER) HOME OWNERS ASSOCIATION, INC ERRS = EXISTING RAILROAD SPINE (FOUNp) D.B. 1285, PG. 345 NMBL MP = NIBUILDING ON MONUMENTED POINT R/W = RIGHT OF WAY i SCM eSET CONCRETE MONUMENT (CONTROL CORNER) SP SET IRON PIPE SIR SET IRON ROD +� THIS SURVEY PREPARED WITHOUT SMN = SET MAGNETIC NAIL (CONTROL CORNEA) BENOT OF TITLE COMMITMENT NC HIGHWAY 24 SPK = SET PARKER-KALON NAIL (CONTROL CORNER) q CENTERUNE N 1, CHARIES FRAN�GS , PROFESSIONAL LAND 13 12-04 EASEMENT SURVEY FOR SURVEYOR, DO HEREBY CERTIFY TRap ayM,THAT I HAVE wm Jr. & WIFE � SURVEYED THE PROPERTY AS SHOWN HEREON IN DAMES S. TUTTLETTLE, cACCORDANCE WITH GRAN DS OF PRACTICE MAY 7, 2015 FOR IAND SUR�yN NIT ODNA. THAT LOUISE TUTTLE E THE RATIO OF�•RRkQFa10'� n' 7ED DY ,wvr+o oam 9, LATITUDES-Aio�pFPOAffl]t(R("5.O`.yy'•1, r` JUL 24, 2Dts 15' UTILITY EASEMENT ALONG z • a SEAL r : Sy SOUTHERN R W OF NC HIGHWAY 24 g ° a¢naner. WHITE OAK TOWNSHIP, CARTERET COUNTY, NC yZWLES FN ImnCHARLES F. RIGGS & ASSOCIATES, INC.(D-73o) 5 825/22 502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITE 217 9 ) P.O. BOX 1570 1213 CULBRETH DRIVE 30C D 3o0' w-mg JVAUKSUNVILLE, NC 28540-1570 WILMINGTON, NC 28405 i - 1" = 300' TELEPHONE: (910) 455-0877 TELEPHONE: (910) 681-744 E-MAIL: riggsland@blzec.rr.com BOOK I5gi PAGE_41g CHARLES F. RIGGS & ASSOCIATES, INC. Land Surveyors Charles P. Riggs, P.L.S. L-2981 Corporate License (C-730) lames A Lewis, P.L.S. L-4562 502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217 Jacksonville, North Carolina 28540 P.O. Box 1570 1213 Culbreth Drive (910) 455.0877. Jacksonville, North Carolina 28541 Wilmington, North Carolina 28405 charlesriggs r©riggsiandnc,ccm (910) 455-0877 (910) 681-7444 jamesiewis@riggslandne.com Tuttle 4080 Sq. Ft. Easement Deed Book 1370, Page 178 White Oak Township, Carteret County, North Carolina Commencing at an existing magnetic nail in the asphalt centerline of Pringle Road and N.C. Highway 24 and having coordinates of North = 357,294.39 and East = 2,606,624.88 NAD83(2011), thence leaving said asphalt centerline South 61 degrees 20 minutes 20 seconds West 243.35 feet to an existing iron pipe in the southern tight -of -way line of N.C. Highway 24 and being the northernmost common comer of Cannonsgate at Bogue Sound as recorded in Deed Book 1285, Page 345 and Tuttle as recorded in Deed Book 1370, Page 178 of the Carteret County Registry and being THE TRUE POINT OF BEGINNING: thence from the above described true point of beginning and leaving said common comer and along the southern right-of-way line of N.C. Highway 24 North 73 degrees 21 minutes 5.9 seconds East 272.00 feet to a nonmonumented point in said southern right-of-way line and being the northernmost common corner of Tuttle as recorded in Deed Book 1370, Page 178 and Kirk as recorded in 1156, Page 341, thence leaving said southern right-of-way line and along the common line of Tuttle and Kirk South 16 degrees 38 minutes 01 seconds East 15.00 feet to a nonmonumented point in said common line, thence leaving said common line and crossing the property of Tuttle South 73 degrees 21 minutes 59 seconds West 272.03 feet to a nonmonumented point in the common line of Tuttle and Cannonsgate at Bogue Sound, thence along said common line North 16 degrees 30 minutes 55 seconds West 15.00 feet to an existing iron pipe in the southern right-of-way line of N.C. Highway 24 and being the northernmost common comer of Cannonsgate at Bogue Sound and Tuttle and being the point and place of beginning and being a 15' utility easement containing 4080 square feet as calculated by Charles Francis Riggs, P.L.S. L-2981 on duly 23, 2015. The courses contained within are correct in angular relationship and are referenced to NAD83(2011). Charles Francis BOOK 15q.i "- :.... r NORTH CAROLINA, CARTERET COUNTY This instrument and this certificate are duly flied at the date and time nd in the Book and Page shown on the first page a eof. J T. He A t. Q=U46R-9T90'ei Dosch FOR REGISTRATION REGISTER OF DEEDS Jerry T. Hardesty Carteret County, NO October 19, 2015 .12:00:02 PM BWC DEED 6 P ' FEE: $26.00 NC REVENUE STAMP: $78.00 FILE # 1523076 PREPARED BY AND MAIL TO: Aqua North Carolina Inc 202 MacKenan Court, Cary, NC 25711 STATE OF NORTH CAROLINA COUNTY OF CARTERET DEED OF EASEMENT PIN: Part of 630504649370000 Excise Tax: $78.00 THIS DEED of EASEMENT made and entered into this 1*V1 day of October, 2015, by and between the CANNONSGATE AT BOGUE SOUND HOMEOWNER'S ASSOCIATION, INC., hereinafter referred to as "Grantor;" and AQUA NORTH CAROLINA, INC., a corporation with its principal office and place of business at 202 MacKenan Court, Cary, NC 27511, hereinafter referred to as "Grantee;" The designation of the Grantor and the Grantee as used herein shall include said parties, their successors and assigns, and shall include the singular and plural as required and the masculine, feminine and neuter gender as appropriate. WITNESSETH: WHEREAS, it is the desire of Grantor and Grantee to convey to Grantee, its successors and assigns, by this deed of easement, a perpetual easement for the installation, construction, interconnection, operation, maintenance, repair and replacement of a wastewater main and all appurtenant equipment. a] Wastewater Main Easement NOW THEREFORE, Grantor, for valuable consideration in the amount of Thirty -Nine Thousand and 00/100 Dollars ($39,000.00), the receipt and sufficiency of which are hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto Grantee a perpetual easement now and hereinafter for the installation, interconnection, construction, reconstruction, inspection, operation, maintenance, and repair of a wastewater main and all appurtenant equipment, upon, under and across the property of the Grantor, which easement is located on the property of Grantor, further known as the subdivision known as Cannonsgate at Bogue Watch Sound as described in Instrument Number 30832 and White Oak Map Book 30 Page 832 — 839 of the Official Records of Carteret County, North Carolina. The perpetual wastewater main easement granted to Grantee by Grantor is a 33,988 square foot easement located off the public road known as North Carolina Highway 24 in Carteret County, North Carolina, shall be referred to as the "Easement Property", and is further described as follows: Commencing at an existing magnetic nail in the asphalt centerline of Pringle Road and N.C. Highway 24 and having coordinates of North = 357,294.39 and East = 2,606,624.88 NAD83(2011), thence leaving said asphalt centerline South 61 degrees 20 minutes 20 seconds West 243.35 feet to an existing iron pipe in the southern right-of-way line of N.C. Highway 24 and being the northernmost common comer of Cannonsgate at Bogue Sound as recorded in Deed Book 1285, Page 345 and Tuttle as recorded in Deed Book 1370, Page 178 of the Carteret County Registry and being THE TRUE POINT OF BEGINNING: thence from the above described true point of beginning and leaving said southern right-of-way line and along the common line of Tuttle and Cannonsgate South 16 degrees 30 minutes 55 seconds East 15.00 feet to a nonmonumented point in said common line, thence leaving said common line and crossing Cannonsgate the following courses and distances: South 73 degrees 36 minutes 11 seconds West 653.44 feet, South 16 degrees 24 minutes 17 seconds East 12.00 feet, South 73 degrees 35 minutes 43 seconds West 340.09 feet, South 74 degrees 18 minutes 58 seconds West 199.60 feet, South 70 degrees 23 minutes 40 seconds West 471.53 feet, South 64 degrees 42 minutes 46 seconds West 535.65 feet, South 25 degrees 04 minutes 21 seconds East 34.79 feet, South 45 degrees 29 minutes 20 seconds West 15.91 feet and North 25 degrees 04 minutes 21 seconds West 55.05 feet to a nonmonumented point in the southern right-of-way line of N.C. Highway 24, thence along said southern right-of-way line the following courses and distances: North 64 degrees 42 minutes 46 seconds East 551.34 feet, North 70 degrees 23 minutes 40 seconds East 472.79 feet, North 74 degrees 18 minutes 58 seconds East 200.02 feet, North 73 degrees 35 minutes 43 seconds East 325.00 feet North 16 degrees 24 minutes 17 seconds West 12.00 feet, and North 73 degrees 36 minutes 11 seconds East 668.41 feet to an existing iron pipe in said southern right-of-way line of N.C. Highway 24 and being the northernmost common corner of Cannonsgate at Bogue Sound and Tuttle and being the point and place of beginning and being a 15' utility easement containing 33,988 square feet as calculated by Charles Francis Riggs, P.L.S. L-2981 on July 23, 2015. The courses contained within are correct in angular relationship and are referenced to NAD83(2011). The easement is further delineated on the Easement Survey for Cannonsgate at Bogue Sound Home Owners Association prepared by Charles F. Riggs and Associates, Inc. and attached hereto as Exhibit 'A'. Grantor also conveys to Grantee a Temporary Construction Easement across the property adjacent to the Easement Property ("Adjacent Property") for the initial installation and maintenance of the wastewater main and appurtenant equipment. The Temporary Construction Easement is further described as follows: A total width of Ten feet (10') evenly split with Five feet (5') on both sides of the Easement Property. Said Temporary Construction Easement shall expire immediately upon completion of the property and restoration of the Adjacent Property to its previous physical condition. Said Wastewater Main Easement is subject to the following terms and conditions: 1) The Grantee, its successors and assigns, shall be entitled to the use of the Easement Property as necessary and appropriate for the wastewater main and appurtenant utility equipment, including the right to construct, interconnect, install, improve, remove, replace, inspect, repair, operate and maintain the wastewater main and appurtenances. The wastewater main shall be installed underground. 2) The Grantee shall be entitled to use the Easement Property for access to the wastewater main; provided nothing herein shall convey to Grantee any right of access over other property of the Grantor except that described and conveyed herein. 3) The Grantee is authorized to remove and keep removed from the Easement Property all trees, roots, limbs, shrubs, underbrush and parts thereof or other obstacles, including buildings, fences and structures as necessary to install, maintain, repair, improve, replace, operate, or protect the wastewater utilities located therein. BOOK 60 PAGE �� 4) Following completion of any wastewater utility improvements within the Easement Property, any disturbed lands will be restored in accordance with generally accepted wastewater utility, engineering and landscaping practices. 5) Grantee shall indemnify Grantor against any damages caused by Grantee in the exercise of its rights under this easement. 6) In the event that the wastewater main was laid prior to the granting of the Easement hereunder, Grantor acknowledges that payment for this Easement by Grantee shall extinguish claims as Grantor may have against Grantee for trespass or the disturbance of Grantor's property. In the event that Grantee, upon its own determination, no longer needs the Wastewater Main Easement, Grantee shall execute a Termination and Withdrawal of Easement and record such document in the Carteret County Registry. TO HAVE AND TO HOLD the aforesaid perpetual easements unto the Grantee, its successors and assigns, and all privileges and appurtenances, thereunto belonging to the Grantee. The Grantor hereby, for themselves, their heirs and assigns, hereby warrant and covenant that they are the owners of the aforesaid premises, that they have the right to grant such easements and that with the exception of all restrictions and easements already on record with the Carteret County Register of Deeds, the premises are free and clear of any material encumbrances and will warrant and defend title to the same against lawful claims of all persons whomsoever. IN WITNESS WHEREOF, the Grantor has caused this instrument to be executed on the day and year first above written. Cannonsgate at Bogue Sound Homeowner's Association, Inc. Keith Mare dy, PresidenY BBC 5 d�.3 �G STATE OF NORTH CAROLINA COUNTY OF CARTERET I, the. undersigned, a Notary Public of the County and State aforesaid, certify that helih AMy-eGldCl , whose identity has been proven by satisfactory evidence, said evidence being: [31/ I have personal knowledge of the identity of the principal(s) ❑ I have seen satisfactory evidence of the principal's identity, by a current state or federal identification with the principal's photograph in the form of a ❑ A credible witness has sworn to the identity of the principal(s); personally came before me this day and acknowledged that he/she, in such capacity and being authorized to do so, voluntarily executed the foregoing on behalf of the corporation for the purpose stated therein and in the capacity indicated. Witness my hand and official stamp or seal this h day of 2015. �a, a-k— a u 4y - Not ry Public(Signbiture Print Name: 5AR4\1-1 TAyt_OE BLILLA My Commission Expires: 10—In —202CU [AFFIX NOTARY SEAL BELOW -NOTE THAT SEAL MUST BE FULLY LEGIBLE] ``\`�P�� pY LOB BG�� Co. NOTARY -IIJ91 IC �n . //����4f i l N6U��`\�� 1 tN VICINITY SKETCH NOT TO SCALE OWNERS CANNONSCATE AT SOCUE SOUND HOME OWNERS ASSOCIATION, INC 6305.04.64.9370 REFERENCES D.B. 12B5, PG. 345 This map is not a certified survey EXHIBIT A and has not been reviewed by a local government agency for compliance with any applicable land development regulations CA INTERSECTION OF PRINGLE RD k NC HIG NORTHING: 357294.30 EASING: 2608824.88' UNITED STATES OF AMERICA o D.B. 676, PG. 74 �p1 C�� NI824 O.p ,p OP 1 y0 O Pn Gi 0( �"OyG0�1i r'0Gip��' OI c3- P \ N7418'511"£'� 20a.o2'� a'1y i •ems 24 51930'55"E 15.00, NOW OR FORMERLY�f TUTTLE D.B. 1370, PG. 178 9j CANNONSGATE AT ROGUE SOUND UNITED STATES OF AMERICA 4// HOME 00 NER285S FOCI TION, INC D.B. 676, PG. 74 / PROPOSED AQUA NORTH CAROLINA, INC. j /% PERMANENT 15' UTILITY EASEMENT 33988 Sq.Ft. (0.78 ACRES) / CC - CONTROL CORNER 6 THE ECM - EXISTING CONCRETE MONUMENT (FOUND)(CONTROL CORNER) DRAFTING OF THIS SURVEY pp - EXISTING IRON PIPE (FOUND) 525TX4'21"E MAP WAS COMPLETED PRIOR TO EIR . EXISTING IRON ROD (FOUND) / J4.79' THE NON SETTING OF IRONS AT THE EMN - DUSTING MAGNETIC NAIL (FOUND)SSCONTROL CORNER) MONUMENTED POINTS NAIL )���CORNER)N25'04'21" EERRRS EMSTINO REXISIING AILROAD SPIKE (FOUND-KALON 111� 54529'20"W +fi.91' BUILDINGMBL MINIMUM NM - NON MONUMENTED PONT 55.05' R/W -RIGHT OF WAY SCM - SET CONCRETE MONUMENT (CONTROL CORNER) HME sip SET IRON PIPE SIR - SET IRON ROD THIS SURVEY PREPARED WITHOUT SMN - SET MACNEnC NAIL (CONTROL CORNER) BENEFIT OF TITLE COMMITMENT NC HIGHWAY 24 5PK -SET PARKER NAIL (CONTROL CORNER) CENTERLINE nmecr MAC 13-12-04 EASEMENT SURVEY FOR 1, r.HARLF-S FRANCIS RICs.S , PROFESSIONAL LAND VE SU�EETYHT IENHVEYEDTHE AS SHOWN EROIN CANNONSGATE AT BOGUE SOUND --I— ACCFOR LADS SURVEYING FOR RDA SURVEYING IN NORTH STANDARDS THE STANDARDS OF pRATHAT ODNA. THAT MAY 7, 2015 HOME OWNERS ASSOCIATION, INC. uunu am THE RATIO OF PRECISION f�g CALCULATED BY LATITUDES AND DEP.�YIIRE£1 1'/000 15' UTILITY EASEMENT ALONG \�\[Y ] CAR / JUL x4, xois yyc SOUTHERN R/W OF NC HIGHWAY 24 u AL r .. • = 981 WHITE OAK TOWNSHIP, CARTERET COUNTY, NC CHARLES F. RIGGS & ASSOCIATES, INC. (C-73D) JJJJJJ CHARLES �i��'�� •. 825/22 502 BRIDGESTREET LANDFALLEXECUTIVE217 PA. BOX CULBRETH DUI JACKSONVILLE, NC 28540-1570 WILMINGTON, NC 28405 300' -ILL 300 — _..........._. __.._ ___._ 1" = 300' TELEPHONE: (910) 455-0877 TELEPHONE: (910) 681-744 F-MAII• rin-Innrl(Dhl— rr. rnm BOOK 4E 70 . .l�lel�nie'.•�`i�ri.h�t:r. CA :•-`:JL''''.i}.ate •0V07/2008..::'; GR<.Y?7 082 a.f. <2.0" . ET'CbtjNTY • Oi11'4A, CARTER _ t�ORTt9 W ai tile' . shestrument and4his cgriiiicate artet3dlYfi :date and fte and in the Dootfand Pig . t a hereof. 'I t+Ys ... :• �.` (dieianJe •Pirthur, •R®gisie r of'i9s . 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W-218, SUB 240 BEFORE THE NORTH CAROLINA UTILITIES COMMISSION AQUA NORTH CAROLINA, INC. is granted this CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY to provide sewer utility service in CANNONSGATE AT BOGUE SOUND SUBDIVISION Carteret County, North Carolina subject to any orders, rules, regulations, and conditions now or hereafter lawfully made by the North Carolina Utilities Commission. ISSUED BY ORDER OF THE COMMISSION. This the 301h day of November., 2007. NORTH CAROLINA UTILITIES COMMISSION Gail L. Mount, Deputy Clerk L ' A Zyp # iF44.1 lb OIL t V - dF 5 y,# qr ERED BY sn , 4' •ti � t, � � 'uR►�� ;fin '�' x 1