SW8140108_HISTORICAL FILE_20230314

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8 1'kO1oS,
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
15� HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE 20 2 3 o 9> H
YYYYMMDD

vvNR* Headquarters
PENDER EMS
805 Ridgewood Avenue
^ *NC
13urgaw, NC 28425
(XJ�rTel: 9I0-259-0891 Pax: 910-259-9098
www.l)cnderemsandfiro.com
FIRE, INC. Ch James8ve Baysden Jr.
Chief
March 2, 2023 MAR 0 9 2M
North Carolina Department of Environmental Quality BY'
Attention: Stormwater Permits
127 Cardinal Drive
Wilmington, NC 28405
RE: Stormwater Permit Project No. S W8 140108
Dear Specialist:
Please find enclosed the executed State Stormwater Permit for Pender EMS and Eire. Inc.
Station 18- 11401 US Hwy 17 N, Wilmington, NC 28411 (Scotts Hill NC).
Also, find enclosed the NC State Secretary of State document showing the agent being
Chief James Everett Baysden, Jr.
Should you have ay questions or concerns, please don't hesitate to call my office,
Res Pully,
G��
lames Everett Bay den, Jr.
Chief
Enclosures
JEB/bjb

*, U . S . Fire Administration
Working for a fire-safe America
Mark Shannon Covil, Sr.
Division Chief
Division Chief Covil was exposed to COVID-19 during on-duty activities in the fire
station. He became ill and his health worsened. He died on Aug. 30, 2021, as a
result of COVID-19 complications.
Mark Shannon Covil, Sr. was included in the USFA's annual report
Firefighter Fatalities in the United States.
Department information
Pender EMS and Fire
805 Ridgewood AVE
Burgaw, North Carolina 28425
Chief: Everett Baysden
Age: 51
Rank: Division Chief
Classification: Career
Incident date: August 13, 2021 5:00 p.m.
Date of death: August 30, 2021

Cause of fatal injury: Exposure
Nature of fatal injury: Covid-19
Activity type: Other
Emergency duty: No
Duty type: Other On-Duty
Fixed property use: Store/Office
Last updated: July 07, 2022

Freeman, Aisia L
From: Freeman, Aisia L
Sent: Monday, March 6, 2023 3:54 PM
To: [e-mail]
Subject: Additional Information Request For Stormwater Permit
Attachments: 2023 03 addinfo 140108.pdf
Hi Eddie,
Attached is a request for additional information for Permit SW8140108. I know we have already talked about
SW8140315. Let me know if you have any questions!
Thanks!
Aisia Freeman (she/her/hers)
Stormwater Permit Renewal Specialist
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Direct: [phone]
[e-mail]
NO RTH CAROLINAD—E !'
OeOarUnenr of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
t

SLATE
ROY COOPER
Governor
ELIZABETH S.BISER .
Secretary � "'®•
DOUGLAS R.ANSEL NORTH CAROLINA
Interim Director ' ' Environmentai Quality
March 6, 2023
Via email only: Rescue(&penderems.com
Pender EMS and Fire Inc.
Attn: Eddie Thomas
805 Ridge Wood Ave.
Burgaw NC, 28425
Subject: Request for Additional Information
Stormwater Project No. SW8 140108
Station 29 Highway 421
Pender County
Dear Mr. Thomas:
The Wilmington Regional Office received and accepted a State Stormwater Management Permit Renewal
Application for the subject project on February 27,2023. A preliminary in-depth review of that information has
determined that the application is not complete and that additional information is needed. To continue the review,
please provide the following additional information in a single, hard copy submittal package:
Permit Renewal Process:
I. 15A NCAC 02H.1040(1)(a) and .1045(3)(a)(ii): The application was signed by Eddie Thomas; however
the provided documentation from the NC Secretary of State does not identify Mr. Thomas as a president
or vice-president of this corporation. In the case of a limited liability corporation(LLC), the application
must be signed by a manager or company official as defined in GS 571). Please either:
a. Provide official documentation showing that Mr. Thomas is a President or Vice- President and
authorized to sign for the corporation;
b. Have one of the identified president or vice-presidents of the corporation sign the application
documents; or
c. The signature by other agents shall be accepted on the application only if accompanied by a letter
of authorization signed by the appropriate authority. Provide a letter of authorization from one of
the identified members of this corporation authorizing Mr. Thomas to sign on their behalf.
2. 15A NCAC 02H.1045(3)(a)(ii) or(iii): Please confirm the following:
a. The mailing address for the property owner listed in Section 111.2.b of the application is not
consistent with the office mailing address on file with the Secretary of State. Please confirm the
mailing address for property owner listed in Section 111.2.b of the application is consistent with
the information on file with the Secretary of State.
Please remember to confirm that any revised information is presented consistently throughout the application
documents. Please also remember to provide a hard copy of any updated documents per 15A NCAC 02H.1045(3).
The requested information should be received in this Office by April 6, 2023 in accordance with 15A NCAC
02H.I 045(4)(a)(i). Please note that only two letters requesting additional information is allowed in the State
Stormwater Program, this being the first. If the required information is not satisfactorily provided by this date, the
project will be returned in accordance with 15A NCAC 02H.1045(4)(a)(ii). If the project is returned and you
wish to re-submit later,you will need to resubmit all required items at that time, including the application fee.
Please reference the State assigned application number on all correspondence. If you have any questions
concerning this matter, please feel free to call me at [phone] or email me at [e-mail].
North Carolina Department of Environinartal Quality I D1ylslon of Energy.Nneral and Laid Resmaces
D E I wRMngton Regional Office 1127 Cardinal Drive Extension I wllmington.North Carolina 28405
�\ 910.796.7215

State Stormwater Permit No. SW8 140108
Page 2 of 2
Sincerely,
dfio�a �ieeHracc
Aisia Freeman
Renewal Specialist
DES/af: \\\Stormwater\Permits& Projects\2014\140315 HD\2023 03 addinfo 140108
cc: Wilmington Regional Office Stormwater File
-1 North carolina DeOinrfiint of EnAr6nfi n al @taiity I Dlvtsion of EnergyAR, neral and nand Resources
..IV,
E J� Wilmington Regional Offlce 1 127 cardinal DrI"Extension I VVIWngton.North Carolina 28405
'� V 910.7%.7215

Burd, Tina J
From: Burd, Tina 1
Sent: Wednesday, March 1, 2023 12:18 PM
To: '[e-mail]'
Cc: Freeman, Aisia L
Subject: SW8 140108 - Station 18 Highway 17
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on February 27, 2023. The project
has been assigned to Aisia Freeman (cc'd) and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
na=i ccriespowlence !o and`rom this address is Silhiect to Lhe
i.olih cp1ot8?a i."uhix r'ecurds Lavv and way ile G'lSC!o,,cil t0 ;th'd :larties.
Website: httE.( de .nc.aov/about/divisions ener y-mineral land-resources/stormwater
Adany employees are working remotely or are on staggered shifts. Please check with the appropriate staff before visiting our
offices, as they may be able to handle your requests by phone or email.
1

Beasley, Michelle
From: Beasley, Michelle
Sent: Wednesday, February 22, 2023 2:08 PM
To: Audrea George
Subject: RE: [External] Fw: State Stormwater Permit SW8 140108 - Station 18 Highway 17
Attachments: D00O22223-02222023140217.pdf
Ms. George
Attached please find a scanned copy of the renewal application for SW8 140108. 1 have printed the scan of SW8 140315
and have matched up with the rest of your application packet. However,we do require original signatures on
applications so I will need to wait for the original to arrive to complete the review and move the next step in our
application process. Once it arrives, either I will be in touch with any other information we might need or you will be
contacted with the name of the reviewer who has been assigned to your application. You can always use the application
tracker linked below to get updates as well. Thanks so much!
Information, applications and forms can be found on our website (here).
Updates on submitted applications can be found through the Environmental Application Tracker I NC DEQ.
Current Stormwater Permittees can be found here: DEQ Maps & Permit Data: Maps & Permit Data I NC DEQ
The Stormwater Laserfiche Repository can be found here.
Thank you for your understanding in this matter. Should you have any questions and/or comments or need additional
information, please feel free to contact me.
Michelle Beasley(she/her/hers)
Stormwater Environmental Specialist
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Direct: [phone]
Address: 127 Cardinal Drive Ext., Wilmington, NC 28405
[e-mail]
NORTH GAROLINA �i
Oepartmenl of Environmental puality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
t

Beasley, Michelle
From: Audrea George <[e-mail]>
Sent: Wednesday, February 22, 2023 1:52 PM
To: Beasley, Michelle
Subject: [External] Fw: State Stormwater Permit SW8 140108 - Station 18 Highway 17
Attachments: Scan Feb 22, 2023 (2).pdf
}CAUTION External emaiL4Do not click Imks orsopen attachments unless end all suspioous'emeil as an'attachment.1z ..
From: Audrea George<[e-mail]>
Sent: Wednesday, February 22, 2023 1:42 PM
To: [e-mail]<[e-mail]>
Subject: Fw:State Stormwater Permit SW8 140108-Station 18 Highway 17
Good Afternoon,
I accidentally mailed you both copies of SW8 140108 and 1 kept both copies of SW8 140315. Can you email me
a copy of SW8 140108 back and I will mail out SW8 140315 along with the check for that one.
Audrea
From: Eddie Thomas<[e-mail]>
Sent: Wednesday, February 22, 2023 12:16 PM
To:Audrea George <[e-mail]>
Subject: Fwd: State Stormwater Permit SW8 140108-Station 18 Highway 17
Get Outlook for iOS
From: Beasley, Michelle <[e-mail]>
Sent: Wednesday, February 22, 2023 11:36:43 AM
To: Woody Sullivan <[e-mail]>; Eddie Thomas<[e-mail]>
Subject: State Stormwater Permit SW8 140108 -Station 18 Highway 17
The Wilmington Regional Office is in receipt of a renewal application packet for the above referenced permit. The check
included with the packet, check# 14933, was for twice the amount of the regular processing fee. There was also a letter
included in the packet that referenced both SW8 140108 and SW8 140315,the permit for Station 29 Highway
421. There was no application included for permit SW8 140315. We can either process the single renewal request for
SW8 140108, provided you can issue another check for$505 only, or we can process the renewal request for both
expired permits referenced in the letter, provided you can complete a renewal application request for SW8 140315. If
you prefer, we can return the entire packet to you as well. Please advise how you wish to proceed.
t

Beasley, Michelle
From: Audrea George <[e-mail]>
Sent: Wednesday, February 22, 2023 1:43 PM
To: Beasley, Michelle
Subject: [External] Fw: State Stormwater Permit SW8 140108 - Station 18 Highway 17
CAUTION rEx[emal emaiI2b notdi k linloss or open atttt chments unless:you venfy:Send all suspicious email as an`�attachment'to„a �:
s�� .`
Good Afternoon,
I accidentally mailed you both copies of SW8 140108 and I kept both copies of SW8 140315. Can you email me
a copy of SW8 140108 back and I will mail out SW8 140315 along with the check for that one.
Audrea
From: Eddie Thomas<[e-mail]>
Sent:Wednesday, February 22, 2023 12:16 PM
To:Audrea George <[e-mail]>
Subject: Fwd: State Stormwater Permit SW8 140108-Station 18 Highway 17
Get Outlook for iOS
From: Beasley, Michelle <[e-mail]>
Sent: Wednesday, February 22, 2023 11:36:43 AM
To: Woody Sullivan <[e-mail]>; Eddie Thomas<[e-mail]>
Subject:State Stormwater Permit SW8 140108 -Station 18 Highway 17
The Wilmington Regional Office is in receipt of a renewal application packet for the above referenced permit. The check
included with the packet, check#14933,was for twice the amount of the regular processing fee. There was also a letter
included in the packet that referenced both SW8 140108 and SW8 140315,the permit for Station 29 Highway
421. There was no application included for permit SW8 140315. We can either process the single renewal request for
SW8 140108, provided you can issue another check for$505 only,or we can process the renewal request for both
expired permits referenced in the letter, provided you can complete a renewal application request for SW8 140315. If
you prefer,we can return the entire packet to you as well. Please advise how you wish to proceed.
Information,applications and forms can be found on our website (here).
Updates on submitted applications can be found through the Environmental Application Tracker I NC DEQ.
Current Stormwater Permittees can be found here: DEQ Maps & Permit Data: Maps & Permit Data I NC DEQ
The Stormwater Laserfiche Repository can be found here.
1

Beasley, Michelle
From: Beasley, Michelle
Sent: Wednesday, February 22, 2023 11:37 AM
To: [e-mail]; [e-mail]
Subject: State Stormwater Permit SW8 140108 - Station 18 Highway 17
The Wilmington Regional Office is in receipt of a renewal application packet for the above referenced permit. The check
included with the packet, check# 14933, was for twice the amount of the regular processing fee. There was also a letter
included in the packet that referenced both SW8 140108 and SW8 140315, the permit for Station 29 Highway
421. There was no application included for permit SW8 140315. We can either process the single renewal request for
SW8 140108, provided you can issue another check for$505 only, or we can process the renewal request for both
expired permits referenced in the letter, provided you can complete a renewal application request for SW8 140315. If
you prefer,we can return the entire packet to you as well. Please advise how you wish to proceed.
Information, applications and forms can be found on our website (here).
Updates on submitted applications can be found through the Environmental Application Tracker I NC DEQ.
Current Stormwater Permittees can be found here: DEQ Maps & Permit Data: Maps & Permit Data I NC DEQ
The Stormwater Laserfiche Repository can be found here.
Thank you for your understanding in this matter. Should you have any questions and/or comments or need additional
information, please feel free to contact me.
Michelle Beasley(she/her/hers)
Stormwater Environmental Specialist
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Direct: [phone]
Address: 127 Cardinal Drive Ext., Wilmington, NC 28405
[e-mail]
NORTFI CAROLINAM E Qz
z>
Depart M of Environmental DuaD\ s-
Email correspondence toand from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
t

Non-Transfe Ap Ication Completes Review Checklist
Project Name: Date Delivered to W IRO:
Project County/Location: RIMS Received/Accepted Date:
Date Given to Admin: 1
Permit Action: New New Permit#2: RIMS Acknowledged Dates: J ( �V
❑Not located in the ETJ of the following delegated
and functioning programs:
NHC:Carolina Beach/Kure Beach/Wilmington/Wrightsville Beach
Bruns: Leland/Navassa(?)/Oak Island
Cart: Emerald Isle Onsl: Jacksonville Pend: Surf City D
Major M / Minor Mo Renewal Existing Permit#:
pplicant&Permittee are the same?3 Expiration Date°:
Permit Type: HD D/LD Overall/HD&LD Combo
General Permit/Off site/Exempt + Redevelopment �OffsIs to ite L
Development Type: Commercial/Residential Other �s Offsite Lot approved in Master Permit?
Subdivided?: Subdivision Ingle Lot
Rule(s): 1:12017 Coastal 2008 Coastal �1995 Coastal
Phase If Universal 1:11988 Coastal
P�ermitf2e Type&Documents Needed:
operty Owner(s) Purchaser Lessee =HOA =Developer
able? =Viable? =Viable? Viable? Viable?
ed =Purchase Agmt =Lease (� =Election Minutes
Paperwork /y�_�v /
k
ication Hl��/�\��5505(within 6mo) Check#(s): Nq_��
�No FeeSupplement (1 new form orfor olderforms:1 originoi pperSCM) /
F-1 O&M 2
Soils Report(Infil or PP) /
Calculations(signed/sealed) ✓
Deed Restrictions,if subdivided'
Project Narrative
F]USGS Map(or on file?) Subject to SA?: Y / N Subject to ORW?: Y / N
Plans(2 Sets)
NOTES:
1Enter BIMS Acknowledged Date on this Sheet
2For New Projects-Enter New Permit#on Supplements&Deed Restriction Templates.
3 If permittee is different,STOP. Needs to be transferred first.
°If w/in 6 months and they are requesting a mod,STOP. Needs a renewal first.
slf Lot not approved in master permit,STOP. Master permit needs mod.
EMAILED ENGINEER DATE: A Comments:
REVIEWER NAME:
G:\\\Reference Library\Procedures\Checklists\Completeness Review Checklist_2021 09 08

.,.srntr q
F
ROY COOPED
Governor
ELIZABETH,S.BISER
,,. .
secretary
DOUGLAS R.ANS_EL NORTH CAROLINA
interim Director Environmental Quality
February 6,2023
Pender EMS and Fire, Inc.
Attn: James E. Baysden,Jr.
805 Ridgewood Rd.
Burgaw,NC 28425
Subject: Stormwater Permit Renewal Request
Post-Construction Stormwater Management Permit No.SW8 140108
Post-Construction Stormwater Management Permit No. SW8 140315
Pender County
Dear Mr. Baysden:
Post-Construction Stormwater Management Permits SW8 140108 and SW8 140315 for the projects listed below
Will expire on the dates listed below. This is a reminder that permit renewal applications are due 180 days prior to
their expiration per 15A NCAC 2H.1045(3).North Carolina General Statutes and the Coastal Stormwater rules
require that this property be covered under a sormwater permit.Failure to maintain a permit subjects the owner to
assessment of civil penalties. More information about the Post-Construction State Stormwater Program can be
found on the following website: deq.nc.gov/SW
Permit No. Project Name Last Issued Expiration
Date
SW8 140108 Station 18 Highway 17 Ol/16 2014 O1/16/2022
SW8 140315 Station 29 Highway 421 1 3/26/2014 1 3/26/2022
Please submit a complete permit renewal form for each individual permit along with a$505.00 fee and other
submittal requirements within 30 days. The pennit_renewal form can be found under the Post-Construction
section of this website or at: https•//deq.iic.00v/about/divisions/eiierpy-mineral-and-land-
resources/sormwater/stomiwater-pro rg am/post-construction-2.
If you have any questions regarding this matter,please contact Ashley Smith or Aisia Freeman in the Wilmington
Regional Office either via email (ash [e-mail] or aisia.freeman(W'.ncdenr.gov) or phone at(910)
796-72.15.
Sincerely,
CAA
Douglas-R. Ansel, Interim Director
Division of Energy, Mineral and Land Resources
DES/mgb: \\\Stormwater\Permits&Projects\2014\140108 HM2023 02 req_ren 140108
\\\Stormwater\Permits&Projects\2014\140315 HD\2023 02 req_ren 140315
cc: Wilmington Regional Office Stormwater File
Ea� North Carolina Department of Environmental Quality I,Division of Energy,Kneral and Land Resources
r Wilmington Regional Office 1127Cardinal Drive Extension I Wilmington,North Carolina 28405
• r° eia\ 910.796.7215

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Non-Profit Corporation
Legal Name
Fender EMS and Fire, Inc.
Prev Legal Name
Fender Volunteer EMS and Rescue, Inc
Information
Sosld: 0644764
Status: Current-Active O
Date Formed: 9/9/2002
Citizenship: Domestic
Annual Report Due Date:
Registered Agent: Baysden, James Everett, Jr.
Addresses
Mailing Principal Office Reg Office Reg Mailing
805 Ridgewood Road 805 Ridgewood Road 805 Ridgewood Road 805 Ridgewood Road
Burgaw, NC 28425 Burgaw, NC 28425 Burgaw, NC 28425 Burgaw, NC 28425
Officers -