HomeMy WebLinkAboutSW8970224_Current Permit_20240312 60,41641+1SrATZ
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ELIZABETH S.BISER
Secretary
WILL1 14L1A1 a TOBY VINSON,JR NORTH CAROLINA
interim Director EnvironmentalQuail'
March 12,2024
Quality Oil Company,LLC
Attn: Mr.Graham Bennett,Manager
1540 Silas Creek Parkway
Winston Salem,NC 27127
Subject: Permit Transfer under N.C.G.S. 143-214.7(c5)and Renewal
Post-Construction Stormwater Management Permit No.SW8 970224
GoGas Murrayville.
New Hanover County
Dear Mr.Bennett:
The Division of Energy,Mineral and Land Resources received a Permit Transfer Application and a Permit
Renewal Application according to the following Schedule.
Permit Accepted
Action Date Issue Date
Transfer 11/17/2023 3/11/2024
Renewal 3/11/2024 3/12/2024
Permit Transfer:
The Division of Energy,Mineral and Land Resources received a complete Permit Transfer Application on March
5,2024 requesting to transfer ownership of the subject permit under the provisions of 15A NCAC 02H.1045(1)(c)
and N.C.G.S. 143-214.7(c5). Staff inspected the project on December 14,2023,reviewed the available
documentation,and confirmed that the requirements of N.C.G.S. 143-214.7(c5)have been met,including:
1. The successor-owner of the property has submitted a written request for the transfer of the permit.
Reference is made to the attached signed Permit Transfer Application form;
2. The current permit holder,K.E.Austin Corporation,has sold the property on which the permitted activity
is occurring.
3. The successor-owner holds title to the property on which the permitted activity is occurring or will occur.
Reference is made to the deed recorded on August 18,2015 in DB 5912 PG 2532 with New Hanover
County.
4. There will be no substantial change in the permitted activity.
5. The project is currently not in compliance with the terms and conditions of the state stormwater permit.
However,the successor-owner will be correcting the compliance issues within one calendar year
following the schedule of compliance documented in Attachment D,which includes the requirement to
submit an application to modify the permit to bring the project into compliance.
Permit Renewal:
The Division is hereby notifying you that permit SW8 970224 has been renewed,updated,and re-issued on
March 12,2024,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.
By signing the Permit Transfer Application and the Operation and Maintenance Agreement,and providing the
schedule of compliance to correction of the deficiencies outlined in the enclosed inspection report,you have
accepted the responsibility for complying with the terms and conditions outlined in this permit. Since the
requirements of N.C.G.S. 143-214.7(c5)have been met,permit SW8 970224 has been transferred,updated,and
re-issued on March 12,2024,as attached.
North Carolina Department of Environmental Quality I Division of Energy,Mirieraland Land Resources
E Oil Wilmington Regional Office 1127 Card nal.Drive Extension I Wilmington,North Carolina 28405
o .rmr®.rraoax 910:796.7215
State Stormwater Permit No.SW8 970224
Page 2 of 2
This permit remains effective until May 19,2030 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,which includes a
condition to bring this project into compliance as described in Attachment D. This permit does not impose
new or increased stormwater control requirements or design standards; 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 you have any questions concerning this permit,please contact Kelly Johnson in the Wilmington Regional
Office,at(910)796-7215 or Kelly.p.johnson@deq.nc.gov.
Sincerely, 2}
021:0A7,1,
William E.Toby Vinson,Jr. PE,CPM,Interim Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment A—Designer's Certification Form
Attachment C—Permitting History
Attachment D—Schedule of Compliance
copy of the Transfer Application documents including Transfer Application Form,Operation&Maintenance Agreement
copy of the latest compliance inspection report
copy of the latest application documents
DES/kpj: 11\Stormwater\Permits&Projects'1997\970224 HD\2024 03 permit 970224
cc: Engineering Department,City of Wilmington
Wilmington Regional Office Stormwater File
,.DE _.... , North Carolina Department of Environmental Quality I Division of.Energy,Afters!and Land Resources
1NdmingtonRegionaloffice G f27Cardal Drive.Extension � YV1[mington,North Caroliria284QS
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u�w...bamngr 910.796:7215
Post-Construction Stormwater Management
Permit No. SW8 970224
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
Quality Oil Company LLC
GOGAS Murrayville
2424 N. College Rd., New Hanover County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules") and as
outlined in the application, approved stormwater management plans, supplement, calculations,
operation and maintenance agreement, recorded documents, specifications, and other
supporting data (the "approved plans and specifications") as attached and/or on file with and
approved by the Division of Energy, Mineral and Land Resources (the "Division" or"DEMLR").
The project shall be constructed, operated and maintained in accordance with these approved
plans and specifications. The approved plans and specifications are incorporated by reference
and are enforceable part of this permit.
This permit shall be effective from the date of issuance until May 19, 2030 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.
CORRECTIONS NEEDED and SCHEDULE OF COMPLIANCE. To bring this project into
compliance with the Stormwater Regulations and design criteria, these deviations will be
corrected within the proposed schedule of compliance as documented in Attachment D. The
schedule must be adhered to unless an extension or revised plan of action is submitted and
approved by the Division.
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 in Section 1.6 on page 2 of this permit. The stormwater control has been
designed to handle the runoff from 33,039 square feet of impervious area.
3. The tract will be limited to the amount of built-upon area indicated on page 2 of this
permit, and per approved plans. The built-upon area for the future development is limited
to 0 square feet.
Page 1 of 5
Post-Construction Stormwater Management
Permit No. SW8 970224
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with the approved plans.
5. The runoff from all built-upon area within the,permitted drainage area of this project must
be directed into the permitted stormwater control system.
6. The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
Project Name: GOGAS Murrayville
Permit Number: 970224
Location: New Hanover County
Applicant: Mr. Graham Bennett, Manager
Mailing Address: Quality Oil Company, LLC
1540 Silas Creek Parkway
Winston Salem, NC 27127
Application Date: November 17, 2023
Water Body Receiving Stormwater Runoff: Smith Creek
Classification of Water Body: "C Sw"
If Class SA, chloride sampling results: N/A
Pond Depth: 6 feet
Permanent Pool Elevation: 32.75 MSL
Total Impervious Surfaces Allowed: 33,039 square feet
Outparcels N/A square feet
Future N/A square feet
Offsite Area entering Pond: N/A square feet
Required Surface Area: 1,907 square feet
Provided Surface Area: 3,500 square feet
Required Storage Volume: 2,633 cubic feet
Provided Storage Volume: 3,297 cubic feet
Temporary Storage Elevation: 33.6 MSL
Controlling Orifice: 1" pipe
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built-upon surface.
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 time provide the operation and maintenance necessary to
assure the permitted stormwater system functions at the design condition. The approved
Operation and Maintenance Plan must be followed in its entirety and maintenance must
occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
c. Mowing and re-vegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader,
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 DEMLR. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
Page 2 of 5
Post-Construction Stormwater Management
• Permit No. SW8 970224
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 receivod 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_ Access to the stormwater facilities shall be maintained via appropriate easements at all
times.
10. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in the
notice, the permittee shall submit a written time schedule to the Director for modifying
the site to meet minimum requirements. The permittee shall provide copies of revised
plans and certification in writing to the Director that the changes have been made.
11. No person or entity, including the permittee, shall alter any component shown in the
approved plans and specifications. Prior to the construction of any modification to the
approved plans, the permittee shall submit to the Director, and shall have received
approval for modified plans, specifications, and calculations including, but not limited to,
those listed below. For changes to the project or SCM that impact the certifications, a
new or updated certification(s), as applicable, will be required and a copy must be
submitted to the appropriate DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size
including the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of
the project and/or property area as reported in the approved plans and
specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not
included in the approved plans and specifications.
g. Other modifications as determined by the Director.
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.
Page 3 of 5
Post-Construction Stormwater Management
Permit No. SW8 970224
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:
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);
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
Page 4 of 5
Post-Construction Stormwater Management
Permit No. SW8 970224
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 transferred, renewed, updated and reissued this the 12th day of March 2024.
NORTH CA OLINA EN�[I,ROQQNQQMENTAL MANAGEMENT COMMISSION
r/]7/
William E. Toby Vinson, Jr., PE, CPM, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 970224
Page 5 of 5
Post-Construction Stormwater Management
• Permit No. SW8 970224
Attachment A
GOGAS Murrayville
Stormwater Permit No. SW8 970224
New Hanover County
Designer's Certification
, 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. SW8 970224
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. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting of
the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDEQ-DEMLR Wilmington Regional Office
New Hanover County Building Inspection
Page 2 of 2
Post-Construction Stormwater Management
Permit No. SW8 970224
Attachment C—Permitting History
Page 1 of 1
Attachment C-Permitting History
GoGas Murrayville
Permit No.SW8 970224
AiTrov 1 BRAS I
Permit Aetion DeesVanceDescaipC� M er the Changes Modified Flan Sheets High Density Commercial Stormwater Project-construction,operation and maintenance of a Detention
4/1/1997 Original 1.0 Pond in compliance with the provisions of 15A NCAC 2H.1000.The stormwater control has been GS
Approval designed to handle the runoff from 33,039 square feet of impervious area.Additional volume has been
provided to make up for the inability of the project to direct all of the impervious area to the pond.
High Density Project-construction,operation and maintenance of a wet detention pond in compliance
with the provisions of 15A NCAC 2H.1000.The stormwater control has been designed to handle the
5/19/2008 Renewal 2.0 runoff from 33,039 square feet of impervious area.The tract will be limited to the amount of built-upon
area indicated on page 3 of this permit,and per approved plans.The built-upon area for the future
development is limited to 0 square feet
3/11/2024 Transfer 2.1 to Quality Oil Company,LLC
3/12/2024 Renewal 3.0 Expiration Date:May 19,2030
Page 1 of 1
Attachment D
Schedule of Compliance
Quality Oil Company has applied for a State Stormwater Permit Transfer for SW8 970224 for GoGas
Murrayville. The compliance inspection by the Division of Energy,Mineral,and Land Resources
(DEMLR)on December 14, 2023, identified the following non-compliant items. As the incoming
permittee, I understand that I will be transferred,a In-compliant permit, and I agree to resolve these
items to bring the project into compliance by 1 Ts- (Choose and insert a due date within one year
prior to resubmittal.)
Non-Compliant Items:
1. Certification[Permit Condition II(7)and 15A NCAC 02H.1008(j)effective September 1, 1995]:
A copy of the certification for the most recent version of the permit could not be found in the file.
The pond will be certified.
2. Maintenance Needed [15A NCAC 02H.1045(2)(d)]: The pond will be maintained per the O&M
agreement.
3. Modification Needed[Permit Condition Il(7)]: The permit will be modified to ensure the
constructed condition matches the permitted condition.
a. The inlet at the northwest entrance is different than the permitted plan.
b. The inspector could not locate the daylight of the pipe at the highway.
c. The catch basin nearest the road does not appear to catch the drainage area.
d. There are two areas where additional impervious area has been constructed. The areas
circles below contain impervious area that is not on the permitted plans. A modification
is needed to reflect the constructed condition.
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Graham nnett, Manager
rcheek@gocnc.com
336.408.9303 BY:
POND MAINTENANCE REQUIREMENTS
Project Name: ( D� (� S '' Orr ,' VI hie
Permittee: t % s ;� ;,-P.
Address: 3&; C ir-a i . `i f f( Orilf�. lots,1 1� f.. Z 4-v PhoneNo. 4:70C'
Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it is not functioning.
B. Inspect and clear the orifice of any obstructions. If a pump is used as the drawdown
mechanism, pump operation will be checked. A log of test runs of the pump will be kept
on site and made available to DWQ personnel upon request.
C. Inspect the pond side slopes and grassed inlet swales; remove trash, and repair eroded areas
before the next rainfall event.
D. If the pond is operated with a vegetated filter, the filter will be checked for sediment
accumulation, trash accumulation, erosion and proper operation of the flow spreader
mechanism. Repairs/cleaning will be done as necessary.
II. Quarterly (Four times a year):
A. Inspect the collection system (ie. catch basins, piping, grassed swales) for proper
functioning. Accumulated trash will be cleared from basin grates, basin bottoms, and piping
will be checked for obstructions and cleared as required.
B. Pond inlet pipes will be checked for undercutting. Riprap or other energy dissipation
structures will be replaced, and broken pipes will be repaired.
III. Semi-annually (twice a year):
A. Accumulated sediment from the bottom of the outlet structure will be removed.
B. The forebay depth will be checked at various points. Sediment removal is required when the
depth is reduced.to 75% of the original forebay design depth of - '.
C. Grassed swales, including the vegetated filter if applicable, will be reseeded twice a year as
necessary. flECEIVEfl
MAR 0 5 2024
BY:
POND MAINTENANCE REQUIREMENTS
PAGE 2
N. Annually (Once a year):
A. The pond depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75% of the original design depth or 3', whichever is greater. Design
depth is G ' ', measured vertically from the orifice down to the pond's bottom.
Sediment must be removed to at least the original design depth.
V. General:
A. Mowing of the side slopes will be accomplished according to the season. Maximum grass
height will be 6".
B. Cattails are encouraged along the pond perimeter, however they will be removed when they
cover more than 1/2 the surface area of the pond. The best time to cut them is at the end of
the growing season, in November. Environmentally sensitive chemicals for use in killing
cattails can also be used. Contact your nearest Agricultural Extension Agent.
C. The orifice/pump is designed to draw down the pond in 2-5 days. If drawdown is not
accomplished in that time, the orifice will be replaced with a larger or smaller orifice. Slow
drawdown may be attributed to a clogged system. The source of the clogging will be found
and eliminated.
D. All components of the detention pond system will be kept in good working order. Repair
or replacement components will meet the original design specifications as per the approved
stormwater plan. If previously approved components are determined to be ineffective, the
component must be redesigned and/or replaced.
VI. Special Requirements: flEGEIVE
MAR 0 5 2024
BY:
I, KE. 444-ri o<2.,Po R..A-' ) , hereby acknowledge that I am the fmancially
(please print or type name clearly)
responsible party for maintenance of this detention pond. I will be responsible for the performance of the
maintenance as outlined above, as part of the Stormwater Management Permit received for this project.
(;)
Signature: � � - 49.2-- Date: 3 l i it7
Revised 2/25/97
Permit Number: 5 D en 0 2 2-4
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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.
Project name:
BAIT drainage area number:
Print name: iQ1� {-l�Q/YjRzn,-)e,411-
Title: !,f A)QQmAN ez-d
Address: /5-9V QS' �'�G�i� i,�74,k4 s"k z.'7 12.7
Phone: 33 ( - ' Z, - 3
Signature.•
Date: Ziff'Ziff4 f Z4f
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.
, a Notary Public for the State of
e r4) C r e* j „2 , County of ID Q�; e , do hereby certify that
r r,., � e_,- ., e +4 personally appeared before me this
day of , 0.;211, and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
BETH MACEY
NOTARY PUBLIC
Davie County
North Carolina I
My Con•.faieslor Expires APrn 28,2028
SEAL RECEIVE!)
MAR 0 5 2024
My commission expires 4 g / 6 BY:
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4
DEMLR USE ONLY
Date Rece ed Fee Paid Permit Number
11 i`7lgb 4-D1RiR'51 jf 7�� Sin)ir q76 9-.2(1
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items(with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at:httn.//dea.nc.gov/contact/reciional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.);or
3. in the case where a transfer falls under G.S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official(for current and proposed permittee) must meet the following:
• Corporation-a principal executive officer of at least the level of vice-president;
• Limited Liability Company(LLC) -the designated manager,. (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality-a ranking official or duly authorized employee;
• Partnership or limited partnership-the general partner;
• Sole proprietor;
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW8 970224
2. Project name: GO GAS MURRAYVILLE
Is this an updated project name from the current permit? ❑ Yes ® No
3. Reason for the permit transfer request:
NEW OWNERSHIP
flECEIVE
NOV 17 2023
BY:
Stormwater Pemiit Transfer Application Form Page 1 of 7 April 27,2018
B. PERSON(S)WHO HAVE SIGNED THIS FORM (select only one response below)
❑ 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F&G).
In accordance with G.S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
El Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent(50%)of the units or lots to owners other than
a declarant(provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act(see§47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
® 3. Only the proposed permittee (skip Part D below).
In accordance with G.S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
® a. The proposed permittee is either(select one of the following):
® The successor-owner who holds title to the property on which the permitted activity is
occurring or will occur;
❑ The successor-owner who is the sole claimant of the right to engage in the permitted
activity.
® b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
M A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other(please explain):
® c. The proposed permittee agrees to the following requirements (all must be selected):
® There will be no substantial change in the permitted activity.
® The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
® The successor-owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
flECEIVEn
NOV 1 7 2023
BY:
Stormwater Permit Transfer Application Form Page 2 of 7 April 27,2018
•
C. SUBMITTAL REQUIREMENTS
Please mark"Y"to confirm the items are included with this form. Please mark"X"if previously provided. If not
applicable or not available, please mark N/A.: A 75 o
Y 1. A processing fee of five hundred and five dollars ($5%498) per G.S. 143-215.3D(e)(2).
Y 2. Two hard copies(with original signatures) and one electronic copy of this completed form and the
required items.
Y 3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
N/A 4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s)from the proposed permittee, as required by the permit.
Y 5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas)or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
N/A 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
N/A 7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built-upon area or the maximum
allowed total built-upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
N/A 8. If transferring under G.S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals(not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
N/A 9. If transferring under G.S. 143-214.7(c5) (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
N/A 10. A copy of the lease agreement if the proposed permittee is the lessee.
N/A 11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
N/A 12. A copy of the development agreement if the proposed permittee is the developer.
flECEIVE
NOV 17 2023
BY:
Stormwater Permit Transfer Application Form Page 3 of 7 April 27,2018
D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization:
2. Signing Official's Name:
3. Signing Official's Title:
4. Mailing Address:
City: State: ZIP :
5. Street Address:
City: State: ZIP :
6. Phone: ( ) Email:
I, , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as-built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
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)
flECEIVEJI
Notary Signature: NOV 1 7 2023
My commission expires BY
Stormwaier Permit Transfer Application Form Page 4 of 7 April 27,2018
E. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
® Property owner(Also complete Part F.)
❑ Home Owners Association (HOA), Property Owners Association (POA),or Unit Owner Association
(UOA) (Also complete Part F.)
❑ Lessee-Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F&G.)
❑ Purchaser-Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F& G.)
❑ Developer-Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co-permittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F& G.)
2. Proposed permittee name (check one of the following and provide the name):
® Corporation, LLC, Partnership, Municipality name: Quality Oil Company LLC
❑ HOA/ POA/UOA name:
❑ Sole Proprietor
2
3. Proposed permittee contact information:
Please be sure to provide Email.
a. Signing Official's Name/C ' `� rokk m F. ftgrais -r]
b. Signing Official's Title: "<iriQ - Z
c. Mailing Address: 1540 Silas Creek Pkwv
City: Winston Salem State: NC ZIP : 27127
d. Street Address: 1540 Silas Creek Pkwv
City: Winston Salem State: NC ZIP : 27127
e. Phone: (336)408-9303 Email: rcheeknaocnc.com
4. If there is a Management Entity that manages the property for an HOA, POA or UOA, please provide:
Please be sure to provide Email.
a. Management Company or Business name: N/A
b. Contact Name: Title:
c. Mailing Address:
d. City: State: ZIP:
e. Phone: (_) Email:
rECEIVE
NOV 17 2023
BY:
Stormwater Permit Transfer Application Form Page 5 of 7 April 27,2018
F. PROPOSED PERMITTEE CERTIFICATION/L
I, �� QG77 , hereby notify the DEMLR that I have acquired through sale, lease,
development agreement, or other legal transfer, the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as-built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
❑ Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule"addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule"must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built-upon area as shown on the
approved plans; and I will {construct}, operate and maintain the approved stormwater management system
pursuant to the requi e is listed in theSeryyrlt and in the operation and maintenance agreement.
Signature:L 1 Date: III 13l 2 3
I, 13e 4-h -)ace , a Notary Public for the State of r V n Y--�. Co ,0 j, net— ,
County of Da_v ; e_ , do hereby certify that Crc A 0_ m 13 e n n e -I- 4--
personally appeared before me this the 13 ' day of N c ,z,r, b e r- , 20 c 3 , and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
--.- - -�--- -
BETH MACEY
(Notary Seal) NOTARY PUBLIC
Davie County
North Carolina
Commission Ex�pirresyApri128,2028
Notary Signature / / IC�,„6
My commission expires L 1.. 8' 1. $
flECEIVEn
NOV 17 2023
BY:
Stormwater Permit Transfer Application Form Page,6 of 7 April 27,2018
G. PROPERTY OWNER INFORMATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization:
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City: State: ZIP :
Phone: (_) Email:
I, , hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner Date:
, 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
My commission expires
rrCEIVE
NOV 17 2023
BY:
Stormwater Permit Transfer Application Form Page 7 of 7 April 27,2018
DEMLR USE ONLY
Date Rweiv d Fee Paid Permit Number
�I g3 1Pvlg[g51 75D sw (fioaaq
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.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8 970224
2. Project name: GO GAS MURRAYVILLE
3. Project street address: 2424 COLLEGE ROAD N
City: WILMINGTON County: NEW HANOVER
ZIP : 28405
4. What, if any, changes have been made to the project as permitted? N/A
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://deq.nc.gov/about/divisions/energy-
mi neral-land-resources/energy-mineral-land-rules/stormwater-prop ram/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://deq.nc.gov/about/divisions/energy-mineral-land-
resources/energy-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: Quality Oil Company LLC
2. Signing Official's Name: be2..a I h -i'ii R.�!fer -
3. Signing Official's Title: /724n'i47GE4-
4. Mailing Address: 1540 Silas Creek Pkwy
City: Winston Salem State: NC ZIP :
27127
5. Street Address: 1540 Silas Creek Pkwy
City: Winston Salem State: NC ZIP
27127
6. Phone: (336)408-9303 Email: rcheek(c gocnc.com
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/ORV10. 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$.
V 1. A permit application processing fee of$f9G.99'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;
Limited Liability Company (LLC)—a manager or company official as those terms are defined
in G.S. 57D"North Carolina Limited Liability Company Act;"
c. Public Entity—a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership—the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a—e above authorizing the
signature of another entity.
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.
4. O&M Agreements, Please select one:
❑ I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
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.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/bv title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018
D. PERMITTEE'S CERTIFICATION
I, 4a4ffi"77 -Re-,/24c , 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 pr 'ded on this permit renewal application is, to the best of my
knowledge, correct a c
Signature. Date: 1.1113 123
NOTARIZATION:
I, e e 4- i (Y)ae ey , a Notary Public for the State of
Ne, r 4-h 0 u-P•c 1;.•, , County of Day ; e , do hereby certify
that C r a A a_r,, 0 e in r,e 4- I personally appeared before me
this the 13 day of IN „ . �l b.z r-- , 20 , , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
BETH MACEY
NOTARY PUBLIC
(Notary Seal) Davie County 1
North Carolina
ConurJdssion�Expires April 28,2028
Notary Signature: _ /1 1 J )aC.z.)
My commission expires 4 J
a I�� S
Stormwater Permit kRei ewai Application Form Page 3 of 3 May 11,2018
Project Name: 6 S MuAA/3.1V)Lu .
Stormwater Permit No.S J$ 11 0 2 Z.4
Designer's Certification
1, DAv 1 D . C.-321 $lE . ,as a duly
Registered Professional Engineer in the State of North Carolina,having been authorized to observe
(periodically/weekly/full time)
the construction of the project,LI$ IT 07(1 $ -Teofhly 6 yp L.V 1$W f}l°PA•oV,L j OLIO 5
F.A 6.oc 5 ir) h1ofici26-1 V/Cdr (Project)
for 14•E . /9VSj P4 cpAro94)1 9 (Project Owner)
hereby state that to the best of my abilities,due care and diligence was used in the observation of the
project construction such that the construction was observed to be bviitearia n substantial compliance and
intent oft pt ns and specificat. _ r C ARo �,��,i
Signature �i— ` ��,��bEE O,g3�l%.
U I ) ••
SEAL
Registration Number G. Z '7 d
11270
Date D GTV E j 4- / 2 —7S Gl1t •
`
sy 0'•. k 1,
Certification Requirements: yin E. CRC-v.•�
if U61/ 1.The drainage area to the system contains approximately the pet f?Med acreage.
✓pa, 2.The drainage area to the system contains no more than the permitted amount of built-upon area.
✓0tio 3.All the built-upon area associated with the project is graded such that the runoff drains to the
system.
✓Q41//4.All roof drains are located such that the runoff is directed into the system.
✓101!/S.The outlet/bypass structure elevations are per the approved plan.
/Aitiot.The outlet structure is located per the approved plans.
latio 7.Trash rack is provided on the outlet/bypass structure. V# S ►'r i1I6a 1P 0,4 p.oS
1/414i8.Al1 slopes are grassed with permanent vegetation. w‘j1 OK P col •$: 412404 gt tri9w1260
OL.9.Vegetated slopes are no steeper than 3:l. \Ni 12`IpeAP
."44Ll OThe inlets are located per the approved plans and do not cause short-circuiting of the system.
✓SQtdrl 1.The permitted amounts of surface area and/or volume have been provided.
✓014.42.Required drawdown devices are correctly sized per the approved plans.
1/ 13.Al1 required design depths are provided.
"014,14.All required parts of the system are provided, such as a vegetated shelf,and a forebay.
`✓ f115.The required system dimensions are provided per the approved plans.
I acknowledge and agree by my signature below that I am responsible for the
performance of the 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:K. E. Austin Corporation by Reginald D. Stanley
Title:Vice President
Address:33O1 Burnt Mill Drive Wilmington,NC 28403
Phone:910-762-4700
Signature: Am:o-eV [�
Date: /°KF/a /
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.
I, 1..1)Jc k S. %--ta tgul ,a Notary Public for the State of
C-* o1:Nk , County of �.p�„) �I,t v , do hereby certify that
Rest).ogIA b. S+tt u l- personally appeared before me this i
day of '+*06eY+ ,2,00"1 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
S
NOTARY y 4,
%, .=
w Zaf:40:4D e4.14A6
r0i1Fp1.o i-A
SEAL
My commission expires i1 2 O l 1