SW8070509_APPROVED PLANS_20201012

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 07v5&-'
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
'Zd ZD 10 ( Z
YYYYMMDD

- NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby
certify that
GENERAL ELECTRIC COMPANY
a corporation organized under the laws of New York was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the
l 6th day of October, 1913.
I FURTHER certify that the said corporation's certificate of authority is not
suspended for failure to comply with the Revenue Act of the State of North Carolina; that
the said corporation's certificate of authority is not revoked for failure to comply with the
provisions of the North Carolina Business Corporation Act; that its most recent annual
report required by G.S. 55-16-22 has not been delivered to the Secretary of State; and
that a certificate of withdrawal has not been issued in the name of the said corporation as
of the date of this certificate.
k7— 9 d :,
ocI 0 6 2020
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 16th day of September, 2020.
T .i
Scan to verify online.
Certification# 108193600-1 Reference# 16521561- Page: 1 of 1 Secretary of State
Verify this certificate online at httpsVtwww.sosne.gov/verification

�•NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
(Long Form)
1, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify that
GENERAL ELECTRIC COMPANY
a corporation organized under the laws of New York was authorized to transact business in
the State of North Carolina by issuance of a certificate of authority on the 16th day of October, 19I3,
with its period of duration being Perpetual, under the name
General Electric Company
and the following documents have been filed since that date:
Date
Event
10/16/1913
Creation Filing
1/12/1956
Survivor
6/7/1984
Survivor
7/17/1987
Amendment
7/31 / 1987
Amendment
12/31/1987
Survivor
2/26/1988
Survivor
5/31/1988
Amendment
4/2/1990
Survivor
7/2/1990
Amendment
1/2/1992
Annual Report
1/5/1993
Annual Report
1/12/1994
Annual Report
1/4/1995
Annual Report
1 /8/ 1996
Annual Report
1 / 17/ 1997
Annual Report
Scan to verify online.
Filed Document
Application for Certificate of Authority
Articles of merger
Articles of merger
Change of Address of Registered Office/Agent
Articles of Amendment
Articles of merger
Articles of Merger
Articles of Amendment
Articles of merger
Change of Address of Registered Office/Agent
Annual Report
Annual Report - �f
Annual Report
Annual Report OCT 4 6 2020
Annual Report
Annual Report BY.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seat at the City
of Raleigh, this l6th day of September, 2020.
Certification# 108193601-1 Referenced 16521561- Page: 1 of Secretary of State
Verify this certificate online at https://www.sosne.govlverification

/ r
GENERAL ELECTRIC COMPANY
ATTESTING SECRETARY'S CERTIFICATE
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The undersigned, an Attesting Secretary of GENERAL ELECTRIC COMPANY, a New York Corporation (the
"Corporation"), does hereby certify that:
1) 1 am duly elected and qualified to act as Attesting Secretary of the Corporation and as such have
access to the minute books and records of the Corporation;
2) the following, extract is a true and correct copy of the resolutions adopted at the meeting of the
Board of Directors of the Corporation held on April 26,1988 and are in full force and effect:
(A) Any contract, lease, license, assignment, bond or other obligation, conveyance, power of
attamey, guarantee, proxy, court pleading, release, tax return and related documents, or
other instruments may be executed an behalf of this Company by the Chairman of the
Board, a Vice Chairman of the Board, an Executive Vice President, a Senior Vice President
a Vice President reporting directly to the Chairman or a Vice Chairman of the Board, the
Comptroller, the Treasurer, the Secretary or any Vice President who is a corporate staff
f
officer of the Company, all of the above -named individuals tieing hereinafter called
"Authorized Persons'.
In addition to the foregoing, any Operational Officer may sign any instrument of the type
described in this Paragraph (A) which relates to the component or function to which such
Operational Officer is assigned, and any Iv1anager, or formally designated Acting
Wriager, of any Division or Department level organization component may sign any such
instrument which relates to that component. Each Operational Officer and each such
Manager or Acting Manager is authorized to delegate to others, authority to execute on
behalf of the Company, the types of contracts or other instruments which relate to the
function or component to which such Operational Officer, Manager or Acting Manager is
assigned which are of the some types as the contracts and other instruments listed in
Paragraph (C) below.
c
BY;

0 NORTH CAROLINA
Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
1, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby
certify that
GENERAL ELECTRIC COMPANY
a corporation organized under the laws of New York was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the
16th day of October, 1913.
I FURTHER certify that the said corporation's certificate of authority is not
suspended for failure to comply with the Revenue Act of the State of North Carolina; that
the said corporation's certificate of authority is not revoked for failure to comply with the
provisions of the North Carolina Business Corporation Act; that its most recent annual
report required by G.S. 55-16-22 has not been delivered to the Secretary of State; and
that a certificate of withdrawal has not been issued in the name of the said corporation as
of the date of this certificate.
11�
'l�ri'
i
OCT 0 6 2020
i
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 16th day of September, 2020.
Scan to verify online.
Certification# 108193600-1 Reference#! 16521561- Page: 1 of I Secretary of State
Verify this certificale online at httpsJlwww.sosnc.govlverificalion

0 HITACHI
September 30, 2020
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
GE Hitachi Nuclear Energy
Drew Holbrook
Facility Engineering Specialist
3901 Castle Hayne Road
P.D. Boa 780
Wilmington, NC 28402
USA
T 910 292.8019
Andrew.holbrookfgn( com
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8070509 — SCM Inspection
To Whom It May Concern:
This letter is to certify that the SCM's applicable to Stormwater Management Permit #SW 9070509
have been inspected, and that they have been built and maintained in accordance with the permit.
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely,
Andrew L. Holbrook, P.E.
Facility Engineering Specialist
t P. E .
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a SEAL
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cc: Original plus one copy
File
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HITACHI
October 5, 2020
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
Attn: Christine Hall
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
GE Hitachi Nuclear. Energy
Karen Williams
EH5 Specialist
3901 Castle Hayne Road, M/C A55
P.O. Box 780
Wilmington, NC 29402
USA
T 910 547.2758
[e-mail]
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8070509
Dear Ms. Hall:
ECEIVE
0CT0620M
BY:
Enclosed please find the Stormwater management permit renewal application for GE Hitachi
Nuclear Permit # SW 8070509. Please note the check for associated permit fees is currently being
held at the NC DEQ office.
The associated documentation required for the permit renewal that is attached includes:
• Permit Renewal Application Form, signed and notarized;
• NC Dept of Secretary of State Certificate of Authorization;
• SCM Inspection Verification — signed/sealed;
If you have any questions regarding the permit renewal application, please contact me at
(910) S47-2758.
Sincerely,
4 �� wi 10-52a
Karen Williams
EHS Specialist
cc: Original plus one copy
File

0 H ITACH
October 5, 2020
North Carolina Department of Environment, and Natural Resources
Division of Energy Mineral & Land Resources
Attn: Christine Hall
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
GE Hitachi Nuclear Energy
Karen Williams
EHS Specialist
3901 Castle Hayne Road, M/C ASS
P.O. Box 780
Wilmington, PIC 28402
USA
T M 547-2758
Ka ren.wi Iliam s@ ge.COm
Subject: Stormwater Management Permit Renewal Application
Permit #SW 8070509
Dear Ms. Hall:
Enclosed please find the Stormwater management permit renewal application for GE Hitachi
Nuclear Permit # SW 8070509. Please note the check for associated permit fees is currently being
held at the NC DEQ office.
The associated documentation required for the permit renewal that is attached includes:
• Permit Renewal Application Form, signed and notarized;
• NC Dept of Secretary of State Certificate of Authorization;
• SCM Inspection Verification — signed/sealed;
If you have any questions regarding the permit renewal application, please contact me at
[phone].
Sincerely,
Karen Williams
EHS Specialist
CC' Original plus one copy
File
RECEIVED
OCT 0 S 2020
NCDEQ
WILMINGTON RO

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Director
October 12, 2020
NORTH CAROLINA
Environmental Quality
General Electric Company
Mr. Russell Stokes, SVP, President and CEO, GE Power
P.O. Box 780 M/C A55
Wilmington, NC 28401
Subject: Permit Renewal
Stormwater Permit No. SW8 070509
GE FCO Cafeteria
High Density Project
New Hanover County
Dear Mr. Stokcs:
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal
Application for the subject project on. The Division is hereby notifying you that permit SW8 070509 has been
renewed on October 12, 2020, and shall be effective until May 23, 2029. For your records, please find enclosed a
renewed, updated, and re -issued permit and a copy of the renewal application. Please keep this permit on file at
all times. Please note that the renewed, updated, and re -issued permit does not impose new or different terms; it
merely restates some of the previous terms to provide you with a better understanding of your obligations under
the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with
the terms and conditions of this state stormwater permit. The plans originally approved on May 23, 2007, will
remain in full force and effect in accordance with the regulations set forth in Title 15A NCAC 2H.1000.
This permit is subject to the conditions and limitations as specified therein. Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to
establish an adequate system for operation and maintenance of the stormwater management system, to record
deed restrictions, to transfer the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the
OAH within thirty (30) days of receipt of this permit, You should contact the OAH with all questions regarding
the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center,
Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless
such demands are made this permit shall be final and binding.
If you have any questions, need additional copies of the permit or approved plans, please contact Daniel Sams in
the Wilmington Regional Office, at [phone] or [e-mail].
Sincerely,
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Renewal Application Documents
DES/dan:IllStormwaterlPermits &c Proiects120071070509 HD12020 10 permit 070509
cc: Wilmington Regional Office Stormwater File
ME �-. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
auNA NORTH anR
0-. " a �+�� 910,796,7215

State Stormwater Management Systems
Permit No. SW8 070509
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE 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
General Electric Company
GE CFO Cafeteria
Castle Hayne Road, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of an underground infiltration trench in
compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Energy, Mineral and Land Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 23, 2029, and shall be
subject to the following specified conditions and limitations:
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 3 of this permit. The stormwater
control has been designed to handle the runoff from 9,232 square feet of
impervious area. The infiltration trench must be operated with a 30 foot
vegetated filter.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans. This permit makes no allocation for any
future built -upon area.
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.
Page 1 of 6

State Stormwater Management Systems
Permit No. SW8 070509
N.
The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
The following design criteria have been provided in the infiltration trench and
must be maintained at design condition:
a
b.
C.
d.
e.
f.
9-
h.
i.
1•
k.
I.
m
n.
o.
Drainage Area, acres:
Onsite, ft2:
Offsite, ft2:
Total Impervious Surfaces, ft2:
Design Storm, inches:
Trench Dimensions, L x W x H, ft:
Perforated Pipe Diameter/Length-
Bottom Elevation, FMSL:
Bypass Weir Elevation, FMSL:
Permitted Storage Volume, ft3:
Type of Soil:
Expected Infiltration Rate, inlhr:
Seasonal High Water Table, FMSL
Time to Draw Down, hours:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
0.28
12,226
0
9,232
1.0
133.5 x 9.5 x 1.0
15"01390 feet
38.1
39.1
747
Onslow
10
36.1
1.5
NE Cape Fear River/ CPF23
18-74-(52.5)
"C SW"
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 times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. 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:
4
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation 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 bypass structure, filter media, flow
spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all times.
Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
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.
Page 2 of 6

State Stormwater Management Systems
Permit No. SW8 070509
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
7. 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.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
12. 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.
III. GENERAL CONDITIONS
0
This permit is not transferable to any person or entity except after notice to and
approval by the Director. The permittee shall submit a completed and signed
"Permit Transfer Application Form" (available on the Division website)
accompanied by the required fee and supporting documentation as listed on the
form, to the Division at least 60 days prior to any one or more of the following
events:
a. The sale or conveyance of the project area in whole or in part, except in
the case of an individual lot sale that is made subject to the recorded
deed restrictions and protective covenants;
Page 3 of 6

State Stormwater Management Systems
Permit No. SW8 070509
b. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS
55-14-05 or NCGS 57D-6-07 and 08,
c. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121.
3. The permittee is responsible for compliance with all of the terms and conditions
of this permit until such time as the Director approves the transfer request.
Neither the sale of the project nor the conveyance of common area to a third
party constitutes an approved transfer of the stormwater permit.
4. Any individual or entity found to be in noncompliance with the provisions of this
stormwater management permit or the requirements of the Stormwater rules is
subject to enforcement procedures as set forth in NCGS 143 Article 21.
5. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal), which have jurisdiction.
6. This permit shall become void unless the facilities are constructed in accordance
with the conditions of this permit, the approved plans and specifications, and
other supporting data.
7. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
8. 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 permit conditions.
9. Permittee grants permission to staff of the Division to access the property for the
purposes of inspecting the stormwater facilities during normal business hours.
10. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
12. 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).
Permit reissued this the 12th day of October 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Management Systems
Permit No. SW8 070509
GE FCO Cafeteria
Stormwater Permit No. SW8 070509
New Hanover County
Designer's Certification
I, as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Management Systems
Permit No. SW8 070509
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 bypass structure elevations are per the approved plan.
6. The bypass structure is located per the approved plans.
7. A 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. All required design depths are provided.
.13. All required parts of the system are provided.
_14. The required system dimensions are provided per the approved plans.
CC' NCDENR-DWQ Regional Office
Tony Roberts, New Hanover County Building Inspections
Page 6 of 6

r-
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: SSW 807Q§Q4
2. Project name: ECO-Cafeteria
3. Project street address: 3901 Castle Havne Rd.
City: Wilmington County: New Hanover
ZIP: 28401
4. What, if any, changes have been made to the project as permitted? None
If the project has changed from the original approved plans, please complete SWU-101 fora Major
Modification or Minor Modification Application form available at: h_tips:Hdeg.nc.gov/about/divisions/energy-
mineral-land-resources/energy-mineraHand- rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: htts://de .nc. ov/about/divisions/ener -mineral-land-
re$urces/energy-mineral-land-rules/stormwater-program/posl-construction. State Stormwater Permits do not
automatically transfer with the sale of the property. -
1. Current Permit Holder's Company Name/Organization: General Electric Company
2. Signing Official's Name: Russell Stokes
3. Signing Official's Title: SVP. President and CEO. GE Power
4. Mailing Address: General Electric, P.O. Box 780 M/C A55.
City: Wilmington State: NC ZIP,
28402
5. Street Address: 3901 Castle Havne Rd
City: Wilmington -,,,,-_State: NC ZIP:
28402
6. Phone: [phone] Email: russell.stokes®ge.com
Stormwater Permit Renewal Form I Page 1 of 3
ECEIVkt:`
OCT 0 6 2020
BY:
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 HQ W/ORK9. 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:
'fS 1. A permit application processing fee of $505.00 payable to NCDEQ.
0(5 2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
In G.S. 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.
NIA 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.
Of5 4, O&M Agreements, Please select one:
® 1 have a copy of the current recorded O&M Agreement for all SCMs, and 1 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 certifications) 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.
OT5 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
i�'- r5 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).
httgs:/lwww.sosnc.gov/online services/search/by title/ Business Registration
ECE E "r
OCT 0 6 2020
BY:
Stormwater Permit Renewal Application Form page 2 of 3 May 11, 2018

I
D: PERMITTEE'S CERTIFICATION
I,,S'�SEu-SToS the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, correct and complete.
Signature; / _ Date: �Z3�Z�7o
NOTARIZATION:
i,
that /ols5Cll -r Vyk-eS
a Notary Public for the State of
County of WG74dYr— , do hereby certify
personally appeared before me
this the zi P-W day of 7Gf?�LirY7 , 20_� and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature:
My commission e7
BETH GRIFFITH
NOTARY PUBLIC
STATE OF OHIO
Recorded in
Warren County
My Comm. Exp. 11/13/2022
r
OCT 0 6 2020 �
BY:
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

Central Files.. APS _ SWP _
10/9/2020
Permit Number SW8070509
Program Category
State SW
Permit Type
State Stormwater
Primary Reviewer
dan.sams
Coastal SWRule
Permitted Flow
Facility
Permit Tracking Slip
Status
Project Type
Active
Renewal with major mod
Version
Permit Classification
2.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Wilmington -Castle Hayne CFO Cafeteria Minor Wilmington
Location Address County
3901 Castle Hayne Rd
New Hanover
Facility Contact Affiliation
Wilmington NC 28401
Owner
OName �P`I4,��° Owner Type
—Qt Zrar uclear Fuel —Americas. C Non -Government
Owner Affiliation
Brad Beard
3901 Castle Hayne Rd
Dates/Events Wilmington NC 28402
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/23/2007 10/6/2020 10/8/2020 10/8/2020 5/23/2029
Regulated Activities Requested /Received Events
State Stormwater - Infiltration System
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

IDS
T
1s o� T
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C514A)A loci %2v55tLL ��oKES"s
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to
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does~
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a Valid 6oine-r/
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a+6
d�1

Burd, Tina J
From: Burd, Tina J
Sent: Thursday, October 8, 2020 8:17 AM
To: [e-mail]
Subject: SW8 070509 - Wilmington/Castle Hayne CFO Cafeteria
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on October 6, 2020. The project has
been assigned to Dan Sams and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Ernail correspondence to and From this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

Application Completeness Review Checklist (Non -Transfers) - Short Version
Project Name: ±-A g,-�}At. p4lACara—C�STLt; %�A`�1J� CFc7 � ,���DateDeliveredtoWlRO: �p/(p 2C,2-0
Project County/Location: 4 5tb A/)rl� BWS Received/Accepted Date:
Rule(s): F�2017 Coastal �2008 Coastal F�1995 Coastal RIMS Acknowledged Date':
ElPhase II Universal El1988 Coastal
Permit Action: New New Permit #z:
�� ,�M??a--jor Mod / Minor Mod newal ® Existing Permit #: Str�� Qy5d�
Permit Type: Cam'/ LD / LD Overall / HD &LD Combo Expriation Date3: rJ Z3 �p z
General Permit / Offsite / Exempt / Rescission
Development Type: Commercial / Residential / Other
Subdivided?: Subdivision or Single Lot
Permittee Type & Documents Needed:
moffsite to SW8:
Lot is in Master Permit?
E3PE Cert on File?
'Property Owner(s) Purchaser Lessee 1_1HOA El Developer
Viable? Viable? OViabie? Viable? Viable?
Deed Purchase Agmt ElLease F lection Minutes
Not Subdivided: Deed
Subdivision: Common Area Deed
Paperwork
Ei Application
©Fee: 12$505 (within 5mo) Check#(s): 0z1,0 El
No Fee
F]Supplementz (1 new form or for older forrns: 1 original per SCM)
EIO&Mz
E]Soiis Report (lnfil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided
Project Narrative
F-1USGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?: Y / N
Plans (2 Sets)
FTE Certification
Electronic Copies
Easements, Recorded (2017 Rules)
NOTES:
'Enter BUS Acknowledged Date on this Sheet
ZFor New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
3If w/in 5 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE:
REVIEWER NAME:
Comments:
G:WQ\\\Reference Libra ry\Procedures\Checklists\Completeness Review Checklist_2020 01 31