Loading...
HomeMy WebLinkAboutSW8940805_HISTORICAL FILE_20150507 STORMWATER DIVISION CODING SHEET POST-CONSTRUCTION PERMITS PERMIT NO. SW8 �I`10�505 DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS ® HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE ZU� 5 0 S 0'1 YYYYMMDD NC®VNR North Carolina Department of Environment and Natural Resources ---- -Pat McCrory----------- --- -- ------- --- -- -- ----- - ----..Donald-van.der Vaart . Governor Secretary May 7, 2015 Richard C. Andrews, Jr., President Andrews Properties, Inc. PO Box 1319 Wilmington, NC 28402 Subject: Stormwater Management Permit No. SW8 940806 Name Change / Ownership Change Andrews Mortuary- Hampstead Chapel Pander County Dear Mr. Andrews: Effective August 1, 2013 the State Stormwater 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 stormwater permits issued prior to August 1, 2013 until they are modified. Please note that DEMLR is now the Division responsible for issuance of the permit On March 25, 2015, the Wilmington Regional Office received a request to transfer the ownership of the permit from Andrews Mortuary, Inc. to Andrews Properties, Inc., for the subject state stormwater project. The Name/Ownership Change form was submitted as part of the January 9, 2015 proposed Plan of Action to address the deficiencies noted in the December 10, 2014 inspection report. This Office is hereby acknowledging the ownership change and to remind you that until the permit is modified, the existing November 28, 1994 permit remains in force and effect. The two (2) items listed in the January 9, 2015, Plan of Action have not yet been addressed. A request for a scoping meeting was submitted just today but has not been scheduled. No information regarding the status of the required maintenance has been provided. Please inform this Office in writing before June 8, 2015, of the specific actions that will be undertaken and the time frame that will be required to maintain the system and to submit the required permit modification. Failure to provide the requested information, or to respond to this letter by the due date, may initiate enforcement action including the assessment of civil penalties of up to $25,000 per day. If an updated Plan of Action or a permit modification is not submitted to this office by June 8, 2015, then DEMLR staff will re-inspect the site and issue a Notice of Violation if the listed deficiencies have not been addressed. If you have any questions please do not hesitate to call me in the Wilmington Regional Office at (910) 796-7215. Sincerely, Linda Lewis, E.1 Environmental Engineer III '( GDS/arl: G:1WQ1ShareMStormwatehPermits&Projects11994\940805 HM2015 05 letter 940805 /� cc: Denise Freund, P.E., WKDickson Wilmington Regional Office Stormwater File Division of Energy, Mineral,and Land Resources Land Quality Section-Wilmington Regional Office 127 Cardinal Drive Extension,Wilmington,North Carolina 28405 (910)796-7215/fax:(910)350-2004 - -- ' State of North Carolina Department of Environment and Natural Resources Division of Water Quality STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION 1. Stormwater Management Permit Number: SW8 940805 2. Project Name: Andrews Mortuary Hampstead Chapel and Access Road 3. Current Permit Holder's Company Name/Organization: Andrews Mortuary, Inc. 4. Signing Official's Name: Richard C. Andrews, Jr. Title: president 5. Mailing Address: PO Box 1319 City: Wilmington State: NC Zip: 28402 6. Phone: 910 ) 762.7788 Fax: 910 ) 762.0631 If. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION This request is for: (please check all that apply) RI Name change of the owner (Please complete Items 1, 2 and 3 below) ❑ Name change of project (Please complete Item 5 below) ❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below) ❑ Mailing address / phone number change. (Please complete Item 4 below) ❑ Other (please explain): 1 . Proposed permittee's company name/organization: Andrews Properties, Inc. 2. Proposed permittee's signing official's name: Richard C. Andrews, Jr. 3. Proposed permittee's title: President 4. Mailing Address: City: State: Zip: Phone: ( ) Fax: ( 5. New Project Name to be placed on permit: Please check the appropriate box. The proposed permittee listed above is: ❑ HOA or POA (Attach documentation showing that the HOA or PGA owns, controls, or has a recorded easement for all areas that contain stormwater system features. Print name of HOA or POA in #1 above and provide name of HOA/POA's authorized representative in #2 above) ® The property owner ❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on page 4) ❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be granted upon receipt of a copy of the recorded deed) ❑ Developer (Complete Property Owner Information on page 4) SSW N/O Change Rev24Sept2012 Page 1 of 4 RAR 2 5 206 III. REQUIRED ITEMS A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all of the applicable required items listed below are included with the submittal. Failure to provide the listed items may result in processing delays or denial of the transfer. 1. This completed and signed form. This certification must be completed and signed by botFi the current permit holder and the new applicant if this is a change of ownership) 2. Legal documentation of the property transfer to a new owner. 3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit. 4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from each DWQ Regional office), if required by the permit and if not already submitted to DWQ. 5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability company, or other corporate entity, provide documentation showing the authority of the named representative to act on behalf of the proposed permittee. 6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing fee is not required. Subsequent ownership transfers will require the $40.00 processing fee. IV. CURRENT PERMITTEE'S CERTIFICATION Please check one of the following statements and fill out the certification below that statement: ❑X Check here if the current permittee is only changing his/her/its name, the project name, or mailing address, but will retain the permit. I, Richara C. Andrews,Jr. the current permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing address and/or I am changing the name of the permitted project. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all requirrrdwi,0115n info ion and attachments listed above are not included, this application package wrri�fiincomplete. 22❑ Check here if current permittee is transferring the property to a new ow ot retail ownership of the permit. RV:__� -- I, , the current permittee, am submitting this application for a transfer of ownership for permit # . I hereby notify DWQ of the sale or other legal transfer of the stormwater system associated with this permit. I have provided a copy of the most recent permit, the designer's certification for each BMP, any recorded deed restrictions, covenants, or easements, the DWQ approved plans and/or approved as-built plans, the approved operation and maintenance agreement, past maintenance records, and the most recent DWQ stormwater inspection report to the proposed permittee named in Sections II and V of this form. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. I assign all rights and obligations as permittee to the proposed permittee named in Sections II and V of this form. I understand that this transfer of ownership cannot be approved by the DW/Q Mess and until the facility is in compliance with the permit. �,C/J� Signature: 4" " """ Date:�2` 11-S— I, '�)rtr(pfie, TGker , a Notary Public for the State of fJo KI-h Ca-r6ij,VL , County of 04?w�4"om✓ , do hereby certify that RICK C- A-YArcsoS, Yr personally appeared before me this the IS day of h^a_rck- 20 j5 , and acknowled9A,4hb dt xecution of the for oing� stru nt. ' ne s my hand and official seal, 3� OCPRC U€ Notary Signature Z N L\ SSW N/O Change Rev24Sept2012 Page 2 of 4 V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the Proposed Permittee for all transfers of ownership) I, , hereby notify the DWQ that I have acquired through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted stormwater management system, and, if applicable, constructing the permitted system. acknowledge and attest that I have received a copy of: (check all that apply to this permit) ® the most recent permit the designer's certification for each BMP ❑ any recorded deed restrictions, covenants, or easements ❑ the DWQ approved plans and/or approved as-built plans ❑ the approved operation and maintenance agreement Bpast maintenance records from the previous permittee (where required) DWQ stormwater inspection report showing compliance within 90 days prior to this transfer have reviewed the permit, approved plans and other documents listed above, and I will comply with the terms and conditions of the permit and approved plans. I acknowledge and agree that I will operate and maintain the system pursuant to the requirements listed in the permit and in the operation and maintenance agreement. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. Signature: Date: I, a Notary Public for the State of County of , do hereby certify that personally appeared before me this the day of 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature Additional copies of the original permit and the approved Operation and Maintenance agreement can be obtained from the appropriate Regional Office of the Division of Water Quality. This completed form, including all supporting documents and processing fee (if required), should be sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural Resources, Division of Water Quality, as shown on the attached map. Please note that if the Proposed Permittee listed above is not the property owner, the property owner must complete and sign page 4 of this document. Both the lessee/developer and the property owner will appear on the permit as permittees. ECEIVE PEAR 2 5 2015 SSW N/O Change Rev24Sept2012 Page 3 of 4 ay VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the Property Owner must provide his/her Contact Information below and sign this form: Printed Name: Organization: Title within the Organization: Street Address: City: State: Zip: Mailing Address: (if different from street address) City: State: Zip: Phone: Fax: Email: I certify that I own the property identified in this permit transfer document and have given permission to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy of the lease agreement or other contract, which indicates the party responsible for the construction and/or operation and maintenance of the stormwater system, has been provided with the submittal. As the legal property owner I acknowledge, understand, and agree by my signature below, that I will appear as a permittee along with the lessee/developer and I will therefore share responsibility for compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a developer, lessee or purchaser for the property. I understand that failure to operate and maintain the stormwater treatment facility in accordance with the permit is a violation of NC General Statute (NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6. Signature of the property owner Date: I, a Notary Public for the State of County of , do hereby certify that personally appeared before me this the day of 20 and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature ECEIVE MAR 2 5 2095 SSW N/O Change Rev24Sept2012 Page 4 of 4 do( S W®CKSON community infrastructure consultants May 7,2015 Ms. Linda Lewis Environmental Engineer III North Carolina Department of Environment and Natural Resources Division of Energy,Mineral and Land Resources - Land Quality Section Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 RE: Andrews Properties, Inc.- Hampstead Chapel Pond Maintenance Stormwater Permit No. SW8 940805 Dear Ms. Lewis: On December 16, 2014, Richard C. Andrews, Jr. received a Notice of Inspection letter from the North Carolina Department of Environment and Natural Resources (NCDENR) indicating that an inspection of the Andrews Mortuary — Hampstead Chapel revealed the site was not in compliance with the terms and conditions of State Stormwater Management Permit Number SW8 940805. Included in the Notice of Violation were items specific to the maintenance of the pond system. The owner has completed the required maintenance to the pond as noted in the items below. Deficiencies identified by NCDENR's Notice of Inspection are listed below in bold text with the owner's action following in italics. 1. Please maintain the pond system, check the sediment level, remove accumulated sediment,clean out the trash, restore the sideslopes and repair the undercutting. WK Dickson and the Owner have verified that the current pond depths are generally consistent with the permitted pond depths and removal of sediment is not required at this time. The Owner has removed the trash from in and around the ponds and has generally cleaned up the pond areas and slopes. This project was permitted in 1994 under the "innovative" system section of the 1988 stormwater rules with treatment of collected runoff from a piped collection system achieved using a series of three 909 Market Street Wifmington, NC 25401 ' Tel.910.762.4200 F,�x 910.762.4201 www.wk(ickson.com Aviation • Water Rcsourc s • Urbnn Developrncnt • Gcomalics Ms.Linda Lewis May 7,2015 Page 2 existing ponds as wet detention basins. The ponds were formed from three borrow pits that were excavated by the previous owners in the 1980's and no modifications were required to the ponds as a result of the permit submittal or approval. While the banks are relatively steep in comparison to wet detention basins designed and permitted through the traditional permit process, the banks are vegetated and have been stable since construction in the 1980's other than a few small areas of undermining. WK Dickson and the Owner are concerned that modifying the pond banks at this time to comply with the NOV will be in conflict with the issued permit and will create more erosion and slope failure potential than the current stable pond bank conditions. For these reasons, no modifications other than general cleanup and maintenance have been completed on the pond banks. Should you have any further comments or questions regarding the pond maintenance, please let us know. You can reach me via e-mail at dfreundC)wkdickson.com or by telephone at 910.762.4200. Sincerely, W.K. Dickson &Co., Inc. Denise L.Freund, PE Project Manager IDIICKSON Completeness Review Checklist Project Name: r nLrl k Received Date: ZS" -ois Project Location: Accepted Date: �}/I/emu .1 ?p(S Rule(s) ®2008 Coastal ®1995 Coastal ®Phase II (WiRO.) ®Universal El 1988 Coastal Type of Permit: New or Mod or PR Existing Permit#(Mod or PR): 9`I-(YSC6 OPE Cert on File? , Density: HD or LD Type: Commercial or Residential ®NCG: %: _j�Jm OK?) Stream Class: SA Map Offsite to SW8 Subdivided?: Subdivision or Single Lot ORW Map Exempt Paperwork Emailed Engineer on: ®Supplement(s) (1 original per BMP) BMP Type(s): O&M with correct/original signatures (1 original per BMP except LS/VFS and swales) pplication with correct/original signatures ®Deed ®Corp or LLC: Sig. Auth. per SoS or letter ®Email Address: Design Engineer 0$505 (within 6mo) —rns p� ®Email Address: Owner ®Soils Report with SHWT r �I��CC Note to Reviewer: ®Calculations (signed/sealed) w c�c- ��, �j�� J� �o ncSlc,,, +-a No obvious errors ®Density includes common areas, etc Deed Restrictions, if subdivided: �5 ®Signed & Notarized ®Correct Template(Comm/Res& HD/LD) or Dec. Covenants & Rest. Plans 2 Sets ®Details (roads, cul-de-sacs, curbs, sidewalks, BMPs, Buildings, etc) ®Grading ®Wetlands: Delineated or No Wetlands ®Vicinity Map ®Layout(proposed BUA dimensions) EDLegend ®DA Maps ®Project Boundaries Infiltration Wet Pond Offsite Soils.Report ®Soils Report ®PE Cert for Master Lot#: SHWT: ®SHWT: ®Deed Rest for Master ®Lot# Matches Master Bottom: PP: BUA Permitted (Master): sf Visited: BUA Proposed (Offsite): sf Additional Information: Permitted Proposed: Proposed: Proposed: BUA (sf) DA (sf) PP (el) SHWT(el) Depth (ft) SA(sf) �D CKSON community infrastructure consultants March 23, 2015 Ms. Linda Lewis Environmental Engineer III North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources-Land Quality Section Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 RE: Andrews Mortuary—Hampstead Chapel NCDENR State SW Permit Name/Ownership Change Form Stormwater Permit No. SW8 940805 Dear Ms. Lewis: In accordance with the action plan we submitted to you on January 9, 2015 for Permit No. SW8 940805, the Andrews Mortuary Hampstead Chapel and Access Road State Stormwater permit, enclosed please find the signed and notarized NCDENR State Stormwater Permit Name/ Ownership Change Form as well as a check made out to NCDENR in the amount of$40 for the application fee. Please let me know if you have any questions or need any additional information in order to process the name change. You can reach me at 910.762.4200 or via e-mail at dfreund@wkdickson.com. Sincerely, W.K. Dickson Co., Inc. (4 Denise L. Freund, PE rMAR CEIVE Project Manager 2 5 2095 Encl.: As noted above. BY: 909 Market Street Wilmington, NC 28401 Tel.910.762.4200 Fax 910.762.4201 www.wkdickson.com Aviation • Water Resources • Urban Development Geomatics rD CKS®N community infrastructure consultants {., EYVE FEB 18 2015 { ' February 18 2015 BY,_ Ms. Linda Lewis Environmental Engineer III North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources- Land Quality Section Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 RE: Andrews Mortuary—Hampstead Chapel 1995 Engineers Certification Stormwater Permit No. SW8 940805 Dear Ms. Lewis: We apologize for the delay experienced in responding to you in accordance with the action plan we submitted to you on January 9,2015. The unexpected delay was related to researching and recovering archived files from 1994—1995. The attached certification was prepared in 1995 upon the completion of the project. We request that NC DENR accept the certification. We have no record of previously submitting the certification to NC DENR. Sincerely, Ws.KK.. Dickson&Co., Inc. Daniel E. Dawson, PE,PLS Vice President Encl.: As noted above. 909 Market Street Wilmington,NC 28401 Tel.910.762.4200 Fax 910.762,4201 www.wkdickson.com Aviation e Water Resources e Urban Development e Geomatics rDICKSON community infrastructure consultants �CEIVE JAN 9 9 : . January 9,2015 �12 G�vr�2l� Ms.Linda Lewis Environmental Engineer III North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources-Land Quality Section Wilmington Regional Office 127 Cardinal Drive Extension Wilmington,NC 28405 RE: Andrews Mortuary—Hampstead Chapel Notice of Inspection Stormwater Permit No. SW8 940805 Dear Ms.Lewis: On December 16, 2014, Richard C. Andrews, Jr. received a Notice of Inspection letter from the North Carolina Department of Environment and Natural Resources (NCDENR) indicating that an inspection of the Andrews Mortuary — Hampstead Chapel site was not in compliance with the terms and conditions of State Stormwater Management Permit Number SW8 940805. The letter requested that Mr. Andrews provide a written response outlining the specific actions and.time frame to correct the deficiencies noted in the Notice of Inspection letter. Deficiencies identified by NCDENR's Notice of Inspection are listed below in bold text with the planned action and timeframe following in italics. 1. Please submit the Designer's Certification. WK Dickson will review the Dawson Engineering project archive files to locate the designer's certification and submit the certification to NCDENR If the designer's certification is not located in the project archive files, WK Dickson will review the existing permit conditions and the as-built condition of the pond. Following confirmation that the pond was constructed in accordance with the permit conditions and following completion of the pond maintenance to address the deficiencies identified in the Notice of Inspection, WK Dickson will prepare and submit the designer's certification. 909 Market Street Wilmington,NC 28401 . Tel.910.762.4200 Fax 910.762.4201 www.wkdickson.com Aviation • Water Resources • Urban Development • Geomatics Ms.Linda Lewis January 9,2015 Page 2 If the designer's certification is located in the project archive files, it will be submitted to NCDENR within 14 days. If the designer's certification is not located in the project archive files, it will be prepared and submitted to NCDENR within 15 days of the completion of the pond maintenance. 2. Please submit a permit modification to address the BUA that was added without benefit of approval from the Division,and which includes the proposed new storage building. WK Dickson will compile an inventory of the current impervious surfaces at the site and will compare the compiled impervious surface area with the permitted impervious surface area. Following the evaluation of the impervious surface areas, WK Dickson will meet with NCDENR staff to determine how to proceed with the permit modification. WK Dickson anticipates that a meeting will be scheduled with NCDENR staff to discuss the permit modification within 90 days. 3. Please maintain the pond system, check the sediment level, remove accumulated sediment,clean out the trash,restore the sideslopes and repair the undercutting. WK Dickson will work with the property owner to have the noted maintenance completed on the pond system. We anticipate that the pond maintenance will be complete within 60 days. In addition to addressing the deficiencies itemized in the Notice of Inspection letter, the property owner will prepare and submit a Name/Ownership change form to DEMLR. Thank you for the opportunity to submit this plan of action. Should you have any further comments or questions, please contact me at 910.762.4200. Sincerely, W.K. Dickson&Co., Inc. Daniel E.Dawson, PE, PLS Vice President %D IICKSON A PIMA jFA NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, III Governor Secretary December 10, 2014 Richard C. Andrews, Jr., President Andrews Properties, Inc. PO Box 1319 Wilmington, NC 28401 Subject: Notice of Inspection — Not Compliant Andrews Mortuary— Hampstead Chapel Stormwater Permit No. SW8 940805 Pender County Dear Mr. Andrews: On December 9, 2014, the Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (DEMLR) inspected Andrews Mortuary Hampstead Chapel at 17750 Hwy. 17 North, in Fender County to determine the status of compliance with the State Stormwater Management Permit Number SW8 940805 issued on November 28, 1994. DEMLR file review and site inspection revealed that the site is not in compliance with the terms and conditions of this permit. Please find a copy of the completed form entitled "Compliance Inspection Report" attached to this letter, which summarizes the findings of the recent inspection. As indicated in the attached inspection report, the following deficiencies must be resolved: 1. Please submit the Designer's Certification. 2. Please submit a permit modification to address the BUA that was added without benefit of approval from the Division, and which includes the proposed new storage building. 3. Please maintain the pond system, check the sediment level, remove accumulated sediment, clean out the trash, restore the side slopes and repair the undercutting. Please inform this Office in writing before January 10, 2015, of the specific actions that will be undertaken and the time frame that will be required to correct the deficiencies. Failure to provide the requested information, or to respond to this letter by the due date, may initiate enforcement action including the assessment of civil penalties of up to $25,000 per day. If a written plan of action is not submitted to this office by January 10, 2015 then DEMLR staff will re-inspect the site and issue a Notice of Violation if the listed deficiencies have not been addressed. Please be advised that you are required to comply with the terms, conditions and limitations of the Stormwater Management Permit under Title 15A North Carolina Administrative Code 2H .1003 and North Carolina General Statute 143-214.7, including operation and maintenance of the permitted stormwater system. Violations of the Stormwater Management Permit and/or the stormwater rules are subject to the assessment of civil penalties of up to $25,000 per day per violation. The Division notes that current owner of the property is Andrews Properties, Inc., however the 1994 permit was issued to Andrews Mortuary, Inc. Please note that it is your responsibility to notify the Division of any mailing address, ownership or project name changes by submitting a completed and signed Name/Ownership change form to DEMLR at least 30 calendar days prior to making the changes. The form is available on our website at: http://portal.ncdenr.org/web/Ir/state-stormwater- forms docs. Division of Energy, Mineral,and Land Resources Land Quality Section—Wilmington Regional Office 127 Cardinal Drive Extension,Wilmington,North Carolina 28405-(910)796-7215/Fax:(910)350-2004 Mr. Andrews ? December 10, 2014 If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-796-7215 or via email at Iinda.lewis(@-ncdenr.pov. Sincerely, Linda Lewis Environmental Engineer III Enc: Compliance Inspection Report ?-GDS1arl: 111StormwatehPermits& Projects119941940805 HM201412 CEI_deficient 940805 cc: Dan Dawson, P.E. Georgette Scott, Wilmington Regional Office Stormwater Supervisor WiRO Stormwater File Page 2 of 2 • Compliance Inspection Report Permit: SW8940805 Effective: 11/28/94 Expiration: Project: Andrews Mortuary Hampstead Owner: Andrews Mortuary Inc County: Fender Adress: 17750 US Hwy 17 Region: . Wilmington City/State/Zip: Hampstead NC 28443 Contact Person: Richard C Andrews Title: Phone: Directions to Project: Type of Project: Slate Stormwater-HD-Detention Pond State Stormwater-Low Density Drain Areas: 1 -(Old Topsail Creek) (03-06-24)(SA;HQW) On-Site Representative(s): - - - - Related Permits: Inspection Date: 12/09/2014 Entry Time: 04:15PM Exit Time: 04:25PM Primary Inspector: Alicia R Lewis Phone: 910-796-7215 'Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: State Stormwater Facility Status: ❑ Compliant ® Not Compliant Question Areas: ® State Stormwater (See attachment summary) page: 1 w Permit: SW8940805 Owner-Project: Andrews Mortuary Inc Inspection Date: 12/09/2014 Inspection Type Compliance Evaluation Reason for Visit: Routine Inspection Summary: The inspection was conducted after receiving a copy of the site development application that was submitted to Pander County in preparation of building a new storage building. The file review and inspection revealed the following deficiencies: 1.The project has not been certified by an appropriate designer. Please submit the designer's certification. 2.Additional built-upon area has been constructed without benefit of an approved plan. Please submit a permit modification to address the past additions of built-upon area and the current proposed storage building. 3.The alternative design pond system needs to be checked for sediment accumulation,the trash needs of be removed and the side slopes need to be repaired to address the steepness and the undercutting. page: 2 permit SW8940805 Owner-Project: Andrews Mortuary Inc • Inspection Date: 12/09/2014 Inspection Type Compliance Evaluation Reason for Visit Routine File Review Yes No NA NE Is the permit active? ■ ❑ ❑ ❑ Signed copy of the Engineer's certification is in the file? ❑ 0 ❑ ❑ Signed copy of the Operation&Maintenance Agreement is in the file? 0 ❑ ❑ ❑ Copy of the recorded deed restrictions is in the file? ❑ ❑ ■ ❑ Comment: 1 The required Designer's Certification has not been provided Built Upon Area Yes No NA NE Is the site BUA constructed as per the permit and approval plans? ❑ ® ❑ ❑ Is the drainage area as per the permit and approved plans? ® ❑ ❑ ❑ Is the BUA(as permitted)graded such that the runoff drains to the system?—.._... _ __ _ ._ __.__-_._____ __..__-®..❑_❑.❑_._ Comment: 2 Additional parking lot a new mausoleum area sidewalks and a building expansion have occured. contributing more runoff to the pond system than it was designed for SW Measures Yes No NA NE Are the SW measures constructed as per the approved plans? ® ❑ ❑ ❑ Are the inlets located per the approved plans? ® ❑ ❑ ❑ Are the outlet structures located per the approved plans? ■ ❑ ❑ ❑ Comment: Operation and Maintenance Yes No NA NE Are the SW measures being maintained and operated as per the permit requirements? ❑ ■ ❑ ❑ Are the SW BMP inspection and maintenance records complete and available for review or provided to ® ❑ ❑ ❑ DWQ upon request? Comment: 3 A large amount of debris was observed on the overflow structure between Pond#2 and Pond#3. 4 A large red plastic gas can was observed flroating in Pond#3 5 A bunch of plastic flowers was observed laving at the water's edge in Pond#2. 6 When was the sediment level in this system last checked? 7 The slopes are relatively steep above the water surface and are being undercut Other Permit Conditions Yes No NA NE Is the site compliant with other conditions of the permit? ❑ ■ ❑ ❑ Comment: 7 The permit is required to be modified prior to the construction of additional built-upon area The additional parking lot building expansion mausoleum area and sidewalks were constructed without benefit of approval from the Division. page: 3 PIMA NC®ENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, III Governor Secretary December 2, 2014 Richard C. Andrews, Jr., President Andrews Properties, Inc. PO Box 1319 Wilmington, NC 28401 Subject: Request for Permit Modification - Proposed Building Addition Andrews Mortuary Hampstead Chapel - 17750 Hwy. 17 North Stormwater Permit No. SW8 940805 Pender County Dear Mr. Andrews: Effective August 1, 2013, the State Stormwater program was 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 stormwater permits issued prior to August 1, 2013 until they are modified. Please note that this letter references DEMLR as the Division responsible for issuance of the permit. On November 28, 1994, the former Division of Water Quality issued a stormwater management permit to Andrews Mortuary for the construction of 1.65 acres of built-upon area. The permit allowed an overall low density of 30% for the amount of BUA, however, due to the proposed piped collection system, the permit also required treatment for the collected runoff. This treatment was permitted as a series of three interconnected existing wet detention ponds, under the "innovative' system section of the 1988 stormwater rules. On November 21, 2014, a minor site development application was submitted to Fender County for a proposed 1650 square foot building located within Tract A-1. The addition of this building will require a modification to the SW8 940805 permit. The overall density of the site must remain at or below the originally permitted 30%. The 2008 stormwater rules allow you to claim your full BUA allocation of 30% on the modified application, or 5.13 acres. After accounting for the parking lot expansion and the new building, please designate the remaining BUA as "Future" on the application. In addition, the Google map provided with the Pender County site development application appears to show that the parking lot has been expanded. There is nothing in the stormwater file to indicate that this expansion was ever submitted to or approved by the Division. Please note that per the second paragraph of the November 28, 1994, permit, any modification of the plans submitted to and approved by tthethis parkkiffice requires a iing lot expansion BUA aermit s acation and nafter-thean approval part of theprior to requ red permit construction. modifi account for modification for the building addition. For your records, please find enclosed a copy of the original November 28, 1994 Certification of Compliance, i.e., the permit, the application, the signed operation and maintenance agreement, the monitoring point location map, the attachment describing the innovative stormwater system approach, and the second set of the originally approved plans. Division of Energy, Mineral,and Land Resources Land Quality Section-Wilmington Regional Office 127 Cardinal Drive Extension,Wilmington, North Carolina 28405•(910)796-7215/Fax:(910)350-2004 Mr. Andrews December 2, 2014 The fifth paragraph of the permit requires the submission of an Engineer/Designer/Owner Certification to verify that the permitted stormwater controls, project layout and the amount of impervious area are in substantial compliance with the approved plan. To date, this Certification has not been provided. Please include the required Certification with the modified permit application request. The original 1994 permit was issued to Andrews Mortuary, Inc. The Pender County site development application lists the owner as Andrews Properties. The NC Secretary of State has a listing for this corporation as Andrews Properties, Inc. Since the owner's company name has changed, it is your responsibility as the permittee to submit a completed and signed Name/Ownership change form to DEMLR at least 30 calendar days prior to making the changes. These forms are available on our website at: http://portal.ncdenr.orq/web/Ir/state-stormwater-forms does. Please submit the modified permit application and the signed Name/Ownership Change Form by January 2, 2015. You are required to obtain the modified state stormwater permit prior to any construction. If you have any questions, please do not hesitate to call me at (910) 796-7343 or email me at Iinda.lewisaamcdenr.gov. Sincerely, Linda Lewis Environmental Engineer III GDS\arl: G:\WQ\\Shared\Stormwater\Permits& Projects\1994\940805 HD\201412 letter 940805 cc: Denise Freund, P.E., WK Dickson Andy Christy, Pender County Planning WiRO Stormwater File Page 2 of 2 North Carolina Secretary of State Page 1 of 2 v°M ' North Caralm <� Elaine F. Messhall DEPARTIV ENT OF-m Secretary S ECRETARY Oa=STATE PO ftK29022 PA601l.NO2M2"= 49191H07.2000 Account Login Register Date: 12/2/2014 i Click here to: View Document Filings I File an Annual Report I JPrint a pre-populated Annual Report Form I Amend A Previous Annual Report i Corporation Names Name Name Type NC ANDREWS PROPERTIES, LEGAL INC. Business Corporation Information SOSID: 0229952 Status: Current-Active Effective Date: 6/1 511 9 8 8 Citizenship: DOMESTIC State of Inc.: NC Duration: PERPETUAL Annual Report Status: CURRENT Registered Agent Agent Name: ANDREWS SR,RICHARD C Office Address: 1617 MARKET ST. WILMINGTON NC 28401 Mailing Address: PO BOX 1319 WILMINGTON NC 28401 Principal Office Office Address: 1617 MARKET ST. WILMINGTON NC 28401 Mailing Address: PO BOX 1319 WILMINGTON NC 28401 Officers/Company Officials Title: PRESIDENT Name: RICHARD C ANDREWS JR Business Address: PO BOX 1319 WILMINGTON NC 28401 Title: SECRETARY Name: LAURA ANDREWS GAINEY Business Address: PO BOX 1319 WILMINGTON NC 28401 Title: VICE PRESIDENT Name: JSCOTANDREWS Business Address: PO BOX 1319 WILMINGTON NC 28401 Stock http://www.secretary.state.ne.us/corporations/Corp.aspx?PitemId=4839822 12/2/2014 North Carolina Secretary of State Page 2 of 2 Class Shares No Par Value Par Value COMMON 100000 1 This website is provided to the public as a part of the Secretary of State Knowledge Base(SOSKB)system.Version: 4715 i http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=4839822 12/2/2014 CA201407G03251 SOSID: 11229952 Date Filed:3/17/2014 1:52:01) PM BUSINESS CORPORATION ANNUAL REPOR Elaine F.Marshall North Carolina Secretary of State NAME OF BUSINESS CORPORATION: Andrews Properties,Inc. CA2014 076 03251 Fang Onke use my SECRETARY OF STATE ID NUMBER: 0229952 STATE OF FORMATION: NC REPORT FOR THE FISCAL YEAR END: 12/31/2013 SECTION A:REGISTERED AGENTS INFORMATION ® Changes 1.NAME OF REGISTERED AGENT: RICHARD C ANDREWS,JR. 2.SIGNATURE OF THE NEW REGISTERED AGENT: SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED OFFICE STREET ADDRESS e,COUNTY 4.REGISTERED OFFICE MAILING ADDRESS 1617 Market St. PO Box 1319 Wilmington,NC 28401 NEW HANOVER Wilmington,NC 28401 SECTION B:PRINCIPAL OFFICE INFORMATION 1.DESCRIPTION OF NATURE OF BUSINESS: Cemetery 2.PRINCIPAL OFFICE PHONE NUMBER: (910)762-7788 3.PRINCIPAL OFFICE EMAIL: 4.PRINCIPAL OFFICE STREET ADDRESS&COUNTY 5.PRINCIPAL OFFICE MAILING ADDRESS 1617 Market St. PO Box 1319 Wilmington,NC 28401 NEW HANOVER Wilmington,NC 28401 r SECTION C:OFFICERS(Enter additional Officers in Section E.) NAME: Laura Andrews Gainey NAME: Richard C Andrews Jr NAME: 1 Scot Andrews TITLE: Secretary TITLE: President TITLE: Vice President ADDRESS: ADDRESS: ADDRESS: PO Box 1319 PO Box 1319 PO Box 1319 Wilmington,NC 28401 Wilmington,NC 28401 Wilmington,NC 28401 SECTION D:CERTIFICATION OF ANN A E T Section D must be completed in its entirety by a person/business entity. C 31;azj SIGNATURE bATE' Form must be signed by an officer listed under Section C of this form. d/Ws� .0 • Andrews Sc. �ceS d2n� Print or Type Name of Officer TITLE SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF 12 II III IIIIIIIIIII�IIIIIIIIIIIIIIII MAIL TO:Secretary of State, Corporations Division, Post Office Box 29525. Raleigh,NC 2762"525 N s Lewis,Linda From: Andy Christy <achristy@pendercountync.gov> Sent: Monday, November 24, 2014 4:38 PM To: Allen Serkin (Cape Fear COG); Bill McDow (Wilmington MPO); Bill Wilder(Duke Energy); Bryan McCabe; Carson Smith Ext; Charles Newman; Sams, Dan;Jones, Daniel F; David Smith (PC Schools); Dee Turner; Grady, Don H; Racine, Douglas W; Emily Greer (USACE); Gene Jackson (gene.jackson@ncmail.net); GRAY,WALLACE; Blake, Hagen; Coats, Heather; Jaki Pace; Upchurch, James H;Jan Dawson; Jason Turner;Jimmy Smith - Four County; Steenhuis, Joanne; Lewis,Linda; Dunn, Maria T.; Michael Mack; Mike Kozlosky (mike.kozlosky@wilmingtonnc.gov); Mike Taylor; Henry, Nathan; Randy Hoffer; Robert Walker; Scott Sills (ssills@penderems.com); Tom Collins; Tommy Batson;Tommy Garriss; James, Trentt; Vencent Dodge Cc: Kyle Breuer; Megan O'Hare Subject: Minor site development- Andrews Mortuary utility building Attachments: 11308 Minor site dev submittal.pdf Pender County TRC, Please find attached a minor site development application for the addition of a 1650 square foot utility building for Andrews Mortuary(case number 11308), submitted by applicant, Andrews Properties.The property is located at 17750 US HWY 17 in Hampstead and can be identified by Pender County PIN 4203-18-1274-0000.The property is zoned PD, Planned Development zoning district. Project Scope: Applicant is adding a 55 x 30'stick-built,vinyl-sided utility building to the site for storage of cemetery maintenance equipment. I've attached the application for this proposal including a site plan and aerial. Please have all comments to staff no later than December 4, 2014. If you need any further information, please do not hesitate to contact me.Thank you. Andy Christy Planner I Pender County Planning and Community Development 805 South Walker Street Burgaw, North Carolina 28425 910-259-1408 Disclaimer:Pursuant to North Carolina General Statutes,Chapter 132,etseq.,this electronic mall message and any attachments hereto,as well as any electronic mall messagels)that may be sent In response to it may be considered public record and as such are subject to requests for review.If you are not the intended recipient,please destroy this message and Inform the sender immediately.The information contained In this email may be confidential and,In any event,is intended only for the use of the entity or individual to whom it is addressed. 1 Pender County Planning and Community Development Planning Division 805 S. Walker Street Phone: 910-259 1202 PO Box 1519 Fax: 910-259-1295 Burgaw, NC 28425 www.oendercountvnc.gov SITE DEVELOPMENT APPLICATION CASE 0.+r* : //30e, THIS SECTION FOR OFFICE USE Date: // - 21 -/4 Permit Number: Permit Fee: I So- Receipt Number: 142e7 *Zoning Approval ONLY: <ffM. NO Final Zoning Compliance Approved: YES / .NO SUD Type of Site Development Plan ❑ Major Minor ❑ Up Fit - O Chan e Change of Current Use: ❑ Yeos Does Not Apply Previous Use: SECTION 1: GENERAL INFORMATION G, Applicant's Name: Owner's Name: A•ir)actJ5 ?RUPerL ,E5 5,AwoC Applicant's Address: Owner's Address: City,State, &Zip '1 City, State, &Zip HAr�PS�C-AA 4L 2b�143 SJ�a Phone Number: 9I0- )-70- N(o02 Phone Number: Sc- Legal relationship of applicant to landowner: AP101,1W1 IS -rlit 1,A40 !lWAA&L SECTION 2: PROJECT INFORMATION 4203 - lg - 127 4 - 000v PIN(Property id tti: Total property acreage: �`� , '7 Zoning : Acreage to be disturbed: vii-041- Ful h1 r Directions to Site: Oo2 If Faom RAMP 6i,,An Uri L.l`/ 70 $$17'L 04 y!!G IGe Lot Size: Sq Ft of Building: 1(0 SO. Building Height: �20", Setbacks I Front : of l �RV)3 _q Side : LS R 5 (j &-) 1 Rear: 3X- " NAICS Code/Use: Business Name: R��tt%Ws P20pAvlicS Describe activities to be undertaken on project site: Mh7LlU/FLAjD -eve M NI Owne hip: Number of Employees: Number of Members: Seating Private Capacity: ❑ Public sf/the appl/cant Is not the owner of the property,a notarized letterfrom Me property owner maybe required. *Zoning approval is for the use being proposed ONLY,other department approvals maybe required I.e.fire Marshal, Environmental He�alth,-PeermItting,etc... Page ] � i I SECTION 3: CONDITIONS OF PERMIT STAFF ONLY Check all that apply Subject to compliance with all local state and federal regulations ✓ Compliance with the site plan and application submitted for this permit ✓ Compliance with setbacks Located within the Special Flood Hazard Area (SFHA): No ❑ Yes SFHA Zone: AE, A, VE, AEFW (circle one) Cl Flood-proofing Certification Required ❑ Elevation certificate required ❑ No-Rise Certification Required ❑ Electrical and Mechanical to be Elevated ❑ Hydrostatic Openings Required Foundation survey required / Pender County Environmental Health Approval / ❑ Septic Permit ❑ Well Permit Community Water System Approval ❑ Pender County Utilities(PCU)Water ❑ Private Water Community Wastewater Approval ❑ Pender County Utilities(PCU) Sewer ❑ Private Wastewater Sediment and Erosion Control Permit if required) Storm Water Permit if required) / NC DOT Driveway Permit Army CorpEngineers Wetland Permit CAMA permit required Landsca a buffer, parking compliance required Compliance w Special Use Permit Case Number : if already issued Variance approval Sin Permit if b •K ;as U,d .Additional Use Plot Plan Additional Conditions staff or TRC : Additional Conditions staff or TRC : Additional Conditions staff or TRC : SECTION 4: ADDITIONAL COMMENTS SECTIONS: SIGNATURES Applicant: Date:Owner: Date: Date: Planning Staff: Date: -2i-/ Permit Technician: Date: Final Zoning Compliance Date: Approved By: Page 2 Print Form i 125' LOT DEPTH 25'-0" B5'-O" SETBACKS r w o w r � w V ASSUMED PROPERTY LINE _ 0 a o I D SIDE SETBACK --------------------------7 0 o r----------- 17'-8" j BLDG TO S.B. N VO I 07 j ' BUILDING BLDG PAVING TBD i I � NEW I 32'-8"i TO S. I 3 CONTRACTOR TO LOCATE i o 0 SLAB ELEVATION MIN �1C io B" ABOVE FINISHED GRADE i C Pe I I WINDOW WAIL I 1 � I 1 I J- 6 O tD v J ui r- m r wI- w w L ul d J1,.. : i J ' O r, -a co :'I (L 60 00 a F m z Io m.. Z I I I I I I i ----------------------T- a i QV►IAiJL � �•.� I I 'Tmct A-1 S —lF— I @ I \ Tract as I I I \ 1 I jIj �d TractS \\ e- Tract \ B-2 ♦ I r'g% \\ , i i I ---_L- 1_ -- ------1------------- _ I us H.Y. 17 / NC Hq 210 m Ius V. ------------------------------------------------------------------------------------ m.adsr.s.+ersv.� mmiurmw.*r atc Mortuary, rui rm Andrewss Mortuary, Inc. _�rw W�S,mr r, MiYWs�• ,�yrw,r+r1 ilwwrrrrr�r 0. :may-'„fie, "^' "'s.r u-------+•�- Andrews Properties, Inc. itpM ieMe.Iw<V�ly O Yw sWY ® bw.C>a1M Ta1Dot L"d SU eJtng. P.C. --— TTT. a:r i '' � 3S Pg ! MEMBER NATIONAL Rubrew Aortuarp � M SELECTED MORTICIANS ESTABLISHED 1050 POST OFFIGF BOX 1319 WILMINGTON, NORTH CAROLINA 281 �j 9 May 31, 1995 �U JUG . 2 �995 Mr. Dave Adkins -'""" ----- Water Quality Supervisor Wilmington Regional Office Division Environmental Management Water Quality Section 127 Cardinal Drive Extension Wilmington, NC 28405-3845 REGISTERED MAIL Dear Mr. Adkins: In accordance with your letter of November 28, 1994 and the Stormwater Operation and Maintenance Plan for Andrews Mortuary - Hampstead Chapel, I enclosed herewith a copy of the semiannual Report of Analysis from Environmental Chemists, Inc. I trust that these results will be in compliance with you required specifications, however, if you have any questions, please do not hesitate to give me a call. Sincerely, Richard C. Andrews RCA/lag MARKET STREET CHAPEL VALLEY CI LAPEL HAMPSTP.AD CHAPEL SEA LAWN MEMORIAL PARK 1617 Market Street 4108 South College Road 17730 Highway 17 North 17750 Highway 17 North 910/762-7788• Pout 910/762-0631 910/791-7055 • Fax 910/791-9656 910/270-3401 • Fax 910/270-2984 910/270-4602• Fax 910/270-2984 FROM INDUSTRIAL NFINTENWICE CORP. 05. 30. 1995 11146 f� JUN `-2 1995 GMSEMM Environmental Cbel -fists'-Jrg�. lqqlmmgw�4 MAILING ADDRESS: THLEPHONB: _ SHIPPING ADDRESS: OONCONSULTING P,O.Box 1037 (910)236.3934(Office) 6602 Windmill Way CNSULTIN WrlghmIlleBeach, (910)192.0223(Lab) Wilmington, North Carolina 28480 (9i0)392.4474(Pare) North Droline 28405 981 REPORY t9P �N LYS15 - CurrowuANDREWS, MORTUARY — SEALAWN DAYS SAwruo. 5/16195 DArr Or Rroalrr, 5/30/95 UU, }1 BAmnmdn Client i >1_ratead, NC 26493� � RironrTo; Mr. Gainey Rcrv" of., 0579 (Resulttl below are in ppm unless dtherwiae noted . ) 41,689-1691 ' 41-692-1694 rain pipe un der 01 off" Hwy 17 to ditch existing pond BASS ....... .. ..--- -- - -- M Chloride , C1 Conductivity, III nho9/CN7 Ammonia Nitrogen , _N11-q-N - 0 .13 0 .21 TotAl K eldah)h Igitrogon- (TKN) 1 . 22 1 . 34 Nitrate Nitrorren ,,., NUS-N T - 0 .04 0 . 05 Nitrite Nitro on ,_ NOa-N c 0 . 02 0 .-02 _T4.tA.1 Nitrogen 011 and c3rease , it Y.cil2C4x1�ons - 1 .0 z 1 , 0 , --- Phenol Total Phoeyhoxuw , r ........_ _ Q .lo 0 .10 m;iho phosphorus.- P _ SQt;xl Disa(olvg(l,, Solid.,_ TDS) _ _Total Suggended.,.`<olid.e. Tss) _ Sulfate . SO4_-_- 6urfact;�nte Fecal o i o m� Col 100m1 Ton 900 ,�f r r,q �a' •+• lditrit(! NO3+N0a—N Fertilizer (TKN+P0 +K) 2 . 11 2 . 41 PotaeeiumLX _ ` 0 . 58 0 . 76 .,j 1 •I L. --��) Y i w w � 4' A e" f w1� Scale: 1:200 �e�i�r Co�ia� PIN: 4203-18-1274-0000 PLAT: 00200057 NAME: ANDREWS PROPERTIES et al ACCOUNT: 32800.000000 ADDR: P O BOX 721 TOWNSHIP: 102 CITY: HAM PSTEAD TNSH DESC:TOPSAIL STATE: NC ACRES: 17.64 ZIP: 28443 LAND VALUE: $181,527.00 PROPERTY ADDRESS: US 17 HWY BUILDING VALUE: $248,136.00 PROPERTY DESCRIPTON: PT TR A PB 20/57 SEA TOTAL VALUE: $429,663.00 LAWN MEM PARK CEMETERY DEFERRED VALUE: $0.00 DATE: 6/2 3119 88 SUBDIVISION: Null SALE PRICE: $170,000.00 ZONE: PD TAX CODES: G01 F22 R40 Y /