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HomeMy WebLinkAboutSW8000825_CURRENT PERMIT_20230413 STORMWATER DIVISION CODING SHEET POST-CONSTRUCTION PERMITS PERMIT NO. SW8 X0 EaJ DOC TYPE 21 CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE 22623 64 l2 o YYYYMMDD ROY COOPER Governor ELIZABETH,S.-B18ER Secretary DOUGLAS R.ANSEL NORTH CAROLINA Interim Director Environmental Quality April 13, 2023 Thomberry Ventures, LLC Attn: William B. Fuller, Manager 321 N. Front Street, Suite 300 Wilmington,NC 28401 Subject: Permit Renewal Post-Construction Stormwater Management Permit No. SW8000825 Fuller Warehouse#9,#10,#11 & Fleetwood Pride New Hanover County Dear Mr. Fuller: Effective August 1, 2013 the Post-Construction Stormwater Management Program has been transferred from the Division of Water Quality("DWQ")to the Division of Energy,Mineral and Land Resources("DEMLR"). All previous references to DWQ will remain in older permits issued prior to August 1, 2013 until they are modified. Please note that this permit will now reference DEMLR as the Division responsible for enforcement of the permit. The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for the subject permit on March 24, 2023. The Division is hereby notifying you that permit SW8000825 has been renewed, updated, and re-issued on April 13, 2023, 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 April 25,2031 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 adjur icatory 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 OAR 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 #(910) 796-7318 or Aisia.freeman2ticdenceov. Sincerely, f Q Q c �ryW Douglas R. Ansel,Interim Director Division of Energy, Mineral and Land Resources . North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources Wilmington Regional Office 1 127Cardinal Drive Extension I Wilmington,North Carolina 28405 QW namw cvauNn 910.796.7215 Mate atormwater rerma iNo. awa vuuat:) Page 2 of 2 Enclosures: Attachment A—Designer's Certification Form Attachment C—Permitting History Copy of the Renewal Application Documents DES/af: \\\Stormwater\Permits&Projects\2000\000825 HD\2023 04 permit 000825 cc: John S.Tunstatl,PE;Norris&Turistall Wilmington Regional Office Stormwater File Mw , North Carolina Department of Environmental Quality I Division of Energy.Mineral and Land Resources Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington.North Carolina 28405 i � / - 910.796.7215 Post Construction Stormwater Management Permit No. SW8000825 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 Thornberry Ventures, LLC Fuller Warehouses #9, #10, #11, & Fleetwood Pride 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 "stormwater rules') 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 April 25, 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. This stormwater system has been approved for the management of stormwater runoff as described on page 2 of this permit, the Project Data Sheet. The stormwater control has been designed to handle the runoff from 119,849 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 on page 2 of this permit, and per approved plans. 5. The runoff from all onsite and offsite built-upon area permitted with this project must be directed into the permitted stormwater control system. Page 1 of 5 Post Construction Stormwater Management Permit No. SW8000825 DIVISION OF ENVIRONMENTAL QUALITY PROJECT DESIGN DATA SHEET Project Name: Fuller Warehouses #9, #10, #11, & Fleetwood Pride Permit Number: SW8 000825 Location: New Hanover County Applicant: Mr. William B. Fuller, Managing Partner Mailing Address: Thornberry Ventures, LLC 321 N. Front Street Suite 300 Wilmington, NC 28401 Application Date: March 24, 2023 Name of Receiving Stream/Index #: UT N.E. Cape Fear/ 18-74-(1) Classification of Water Body: "C SW' If Class SA, chloride sampling results: n/a Basin Depth, feet: 1.80 Bottom Elevation, FMSL: 12.30 Drainage Area, acres: 7.23 Total Impervious Surfaces, ft2: 119,849 Offsite Area entering Pond, ft': none, per Engineer Required Storage Volume, ft': 10,301 Provided Storage Volume, ft': 14,608 Temporary Storage Elevation, FMSL: 14.10 Type of Soil: Kureb / Lakeland Sands Expected Infiltration Rate: 25.20 Seasonal High Water Table Elevation: 8.00 Time to Draw Down, days: 0.1 Page 2 of 5 Post Construction Stormwater Management Permit No. SW8000825 II. SCHEDULE OF COMPLIANCE 1. The stormwater management system shall be constructed in it's entirety, vegetated and operational for its intended use prior to the construction of any built-upon surface. 2. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 3. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at 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 outlet structure, orifice device and catch basins and piping. g. Access to the outlet structure must be available at all times. 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. Decorative spray fountains will not be allowed in the stormwater treatment system, as the permanent pool volume is less than 30,000 cubic feet. 6. 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. 7. 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. 8. 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. 9. 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. 10. The permittee is responsible for verifying that the proposed built-upon area does not exceed the allowable built-upon area. 11. 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. SW8000825 12. 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. 13. 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. SW8000825 b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection will be conducted by Division personnel to ensure the permit conditions have been met and that the project and the on-site stormwater system complies with the permit conditions. Records of maintenance activities performed to date may be requested. Projects not in compliance with the permit will not be transferred until all permit and/or general statute conditions are met. 5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of this permit until the Division approves the transfer request. a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans, application, supplement, operation and maintenance agreement, all applicable recorded documents, and specifications shall be maintained on file by the permittee at all times. b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property during normal business hours to inspect all components of the permitted project. c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions of a stormwater management permit or the requirements of the stormwater rules is subject to enforcement procedures as set forth in NCGS 143 Article 21. d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an annual certification completed by either the permittee or their designee confirming the projects conformance with permit conditions e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of modified plans and certification in writing to the Director that the changes have been made. f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from complying with and obtaining any other permits or approvals that are required for this development to take place, as required by any statutes, rules, regulations, or ordinances, which may be imposed by any other Local, State or Federal government agency having jurisdiction. Any activities undertaken at this site that cause a water quality violation or undertaken prior to receipt of the necessary permits or approvals to do so are considered violations of NCGS 143-215.1, and subject to enforcement procedures pursuant to NCGS 143-215.6. Permit renewed, updated and reissued this the 1311 day of April 2023. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Douglas R. Ansel, Interim Director Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission Page 5 of 5 Post Construction Stormwater Management Permit No. SW8000825 Attachment A Fuller Warehouse#9, #10,#11, & Fleetwood Pride Stormwater Permit No. SW8 000825 New Hanover County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the project, (Project) for (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. The checklist of items on page 2 of this form is included in the Certification. Noted deviations from approved plans and specification: SEAL Signature Registration Number Date Page 1 of 2 Post Construction Stormwater Management Permit No. SW8000825 Certification Requirements: 1. The drainage area to the system contains approximately the permitted acreage. 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. 5. The outlet structure is located per the approved plans. 6. Trash rack is provided on the outlet/bypass structure. 7. All slopes are grassed with permanent vegetation. 8. Vegetated slopes are no steeper than 3:1. 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. 13. All required parts of the system are provided, such as a vegetated shelf, and a forebay. 14. The overall dimensions of the system, as shown on the approved plans, are provided. cc: NCDENR-DEMLR Regional Office Page 2 of 2 Attachment C-Permitting History Fuller Warehouses 9 10 11 and Fleetwood Pride Permit No.SW8 000825 Approval Permit Action BIMS Description of the Changes Date Version High Density Stormwater Project-construction,operation and maintenance of an 4/25/2001 Original 1.0 infiltration basin in compliance with the provisions of 15A NCAC 2H .1000.The Approval stormwater control has been designed to handle the runoff from 119,849 square feet of impervious area. Permit Renewal-construction, operation and maintenance of an infiltration basin in 12/12/2018 Renewal 2.0 compliance with the provisions of 15A NCAC 2H .1000, effective September 1, 1995. The stormwater control has been designed to handle the runoff from 119,849 square feet of impervious area with no allocation for future impervious area. 4/13/2023 Renewal 3.0 This permit shall be effective until April 25,2031 Page 1 of 1 - A&K #00195 ' Permit No. SwT OOoY'2 (to he provided by DIV& State of North Carolina 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 management permit application, 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 : Fuller Warehouse #11 Contact Person: Bill Fuller Phone Number: ( 910 ) 763-0380 This worksheet applies to: Basin No. 1 in Drainage Area 1 (as identified on plans) (from Form swu-101) II. 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 Kureb/Lakeland Infiltration Rate 95 70 in/hr or cf/hr/sf (circle appropriate units) SHWT Elevation * fmsl �Sefgsonal6lifh 1e a%TTabl66f at�Vface. -:14ot�ncountere i Basin Design Parameters Design Storm 1.0 inch (1.5 inch eventforSA waters, I inch eventforothers) Design Volume 114 LP07 �-- c.f. Drawdown Time %e 0.066 days Basin Dimensions /o0 2Z8.76 ZZ,878 Basin Size ft. x q$� ft. = iP$ sq. ft. (bottom dimensions) Basin Volume Provid ,�(e072� c.f. t Basin Elevations Bottom Elevation fmsl Storage Elevation fmsl Top Elevation 18-. " fmsl Form SWU-103 Rev 3.99 Page 1 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 that 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. Attach justification if a requirement has not been met. 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. 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. _ e. System is not sited on or in fill material or DWQ approval has been obtained. f. System is located in a recorded drainage easement for the purposes of operation and I _ maintenance and has recorded access easements to the nearest public right-of-way. l `J 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 (1.5 inch event for areas draining to SA waters ). Design volume and infiltration calculations attached. 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). _ 1. A pretreatment device such as a catch basin, grease trap, filter strip, grassed swale or sediment trap is provided. 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 LJ device. q. Runoff in excess bf the design volume bypasses off-line systems (bypass detail provided). r. System is designed to draw down the design storage volume to the proposed bottom elevation under seasonal high water conditions within five days. A soils report and all pertinent draw-down calculations are attached. _ 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 Rev 3.99 Paee 2 of 3 IV. INFILTRATION BASIN OPERATION AND MAINTENANCE AGREEMENT 1. 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-excavating may cause the required water table separation to be reduced and may compromise the ability of the system to perform as designed. Removed sediment shall be disposed of 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 sedimen 1.36 When the design depth reads fe in the pretreatment unit, the sediment shall be removed from both the pretreatment unit and the infiltration basin. 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: Bill Fuller, Managing Partner Address: Thornberry Ventures Inc. - 313 Market Street Wilpninqton, NC 28401 Phone: ( 10) 763-038 ' Date: Signature: 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 named the president. �t /1 1, Teria_ `In. Co f erna uy ,a Notary Public for the State of It or+k Carpknet ,County of ` 3C 0 H4nDVe r —do hereby certify that Bill personally appeared before me this IS� day of 4 at)On,and acknowledge the due execution of the forgoing infiltration basin maintenance requirements tn&Am��tl d official seal, }loot ) ce SEALOtAt3Y' $ UUMy commission expires / 000 ftBU Form SW 0�� ev 3.99 �. Page 3 of 3 '00, oYWaSoo DEMLR USE ONLY Date Re ived Fee Paid Permit Number I NC DEQ Division of Energy, Mineral and Land Resources STATE STORMWATER: PERMIT RENEWAL APPLICATION FORM In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398(SB 781) Section 60.(c). This application form is for permit renewals only. N&T#23042 A. PROJECT INFORMATION 1. State Stormwater Permit Number: SW8 000825 2. Project name: Fuller Warehouses#9, 410, #11 & Fleetwood Pride 3. Project street address: 3252 US Hwy. 421 North City: Wilmington County: NC ZIP : 28401 4. What, if any, changes have been made to the project as permitted? None 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/energv- mineral-land-resources/energy-mineral-land-ru les/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/abouUdivisions/energy-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: "rhornberryVentures, LLC 2. Signing Official's Name: William B. Fuller 3. Signing Official's Title: Manager 4. Mailing Address: 321 N. Front Street, Suite 300 City: Wilmington State: NC ZIP : 28401 5. Street Address: Same as Above City: State: -ZIP : 6. Phone: (910) 763-0380 Email: wbfulle jragmail.com ECEIVE MAR 2 4 2023 BY: 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: 1. A permit application processing fee of$505.00 payable to NCDEQ. �2. One original signed hard copy and one electronic copy of this completed form. The signing official named on this application to represent the current permittee must meet one of the following: a. Corporation —a principle executive officer of at least the level of vice-president; b. Limited Liability Company (LLC)—a manager or company official as those terms are defined in G.S. 570 "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. l 1 O&M Agreements, Please select one: 4 ® 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 ❑ 1 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. �}d Designer Certifications, Please select one: V ® 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. [IF APPLICABLE)When the permittee is a corporation or a limited liability corporation (LLC): Provide one hard copy and one electronic copy of documentation from the NC Secretary of State, or other official documentation, which supports the titles and positions held by the persons listed in Section C.2 per 15A NCAC 2H. 1043(3)(b). https://www.sosnc.gov/online services/search/by title/ Business Registration ECEI V I MAR 2 4 2023 Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018 D. PERMITTEE'S CERTIFICATION I, William B. Fuller. Manager 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,IForrect and complete. Signature: t!� � Date: NOT RIZATION: I, or S a Notary Public for the State of , County of X_ , do hereby certify that A- personally appeared before me this the I day of , 20 2- and acknowledge the due exdEufioFfpf the forgoing instrument. Witness my ha and official seal, ex c °1 aQtnSea d' �ss�Ogto'expires '`�q��e9tanut��•:t` ECEI V E MAR 2 4 2023 BY: Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018