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HomeMy WebLinkAboutSW8080829_CURRENT PERMIT_20081003STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW8 G � 0 % 2 q DOC TYPE [ CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE 2008 l00 YYYYMMDD ' bOF W ATFa G r 1 Michael F Easley, Governor William G Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins Director Division of Water Quality October 3, 2008 Dr. John D. Ward, DDS P.O. Box 418 Shallotte, NC 28459 Subject: State Stormwater Management Permit No. SW8 080829 Ward -Wood Waste Project Low Density Stormwater Project Brunswick County Dear Dr. Ward: The Wilmington Regional Office received a complete State Stormwater Management Permit Application for Ward -Wood Waste Project on August 22, 2008. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Session Law 2006-246 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 080829 dated October 3, 2008, for the construction of the subject project. This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein, and does not supercede any other agency permit that may be required. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding. If you have any questions, or need additional information concerning this matter, please cont,)d either Aisha Lau or me at (910) 796-7215. Edward Beck Regional Supervisor Surface Water Protection Section ENB/ahl: S:\WOS\STORMWATER\PERMIT\080829.oct08 cc: Mr. Tyler Phillips — East Coast Engineering & Surveying, P.C. Brunswick County Inspections Jeff Phillips, Brunswick County Engineering Wilmington Regional Office Central Files ` VCarohna rrrally North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone (910) 796-7215 Customer Service Wilmington Regional Office Internet: www ncwateraualay.org Fax (910) 350-2004 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50%Recycled/10% Post Consumer Paper State Stormwater Management Systems Permit Number SW8080829 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY STATE STORMWATER MANAGEMENT PERMIT LOW 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 Dr. John D. Ward, DDS Ward -Wood Waste Project 749 Stanley Rd., Lockwood Folly, Brunswick County FOR THE construction, operation and maintenance of a low density development in compliance with the provisions of Session Law 2006-246 and 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 Water Quality and considered a part of this permit. The Permit shall be effective from the date of issuance until rescinded and shall be subject to the following specific conditions and limitations: I. DESIGN STANDARDS This permit covers the construction of 75,480 square feet of built -upon area. 2. The overall tract built -upon area percentage for the project must be maintained al 24%, as required by Session Law 2006-246 and Section .1005 of the stormwater rules. 3. Approved plans and specifications for projects covered by this permit are incorporated by reference and are enforceable parts of the permit. 4. The only runoff conveyance systems allowed will be vegetated conveyances such as swales with minimum side slopes of 3:1 (H:V) as defined in the stormwater rules and approved by the Division. 5. No piping is allowed except that minimum amount necessary to direct runoff beneath an impervious surface such as a road or to provide access. 6. The built -upon areas associated with this project shall be located at least 30 feet landward of all perennial and intermittent streams. 7. Roof drains must terminate at least 30 foot from the Mean High Water line. For those swales that have flowrates which exceed the non -erosive flowrate for the 10 year storm, a Level Spreader is required prior to discharging to surface waters. Page 2 of 5 State Stormwater Management Systems Permit Number SW8080829 9. No direct discharges to class SA or SR Waters are allowed. Diffuse flow of stormwater at a nonerosive velocity to a vegetated buffer or other natural area capable of providing effective infiltration of the runoff from the 1 year 24-hour storm shall not be considered a direct point of stormwater discharge. II. SCHEDULE OF COMPLIANCE 1. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -upon area. 2. 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. 3. This project may not be sold or subdivided in whole or in part without first receiving a permit modification from the Division. 4. The following deed restrictions must be recorded with the Office of the Register of Deeds: a. The following covenants are intended to ensure ongoing compliance with State Stormwater Management Permit Number SW8 080829, as issued by the Division of Water Quality under NCAC 21-1.1000. b. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to maintain compliance with the Stormwater Management Permit. C. These covenants are to run with the land and be binding on all persons and parties claiming under them. d. The covenants pertaining to stormwater may not be altered or rescinded without the express written consent of the State of North Carolina, Division of Water Quality. e. Alteration of the drainage as shown on the approved plans may not take place without the concurrence of the Division of Water Quality. f. This project is permitted for a total of 75,480 square feet of built -upon area. Construction of additional built -upon area in excess of this amount will require a permit modification. Future development is allocated a maximum of 53,018 square feet. g. This project may not be sold or subdivided, in whole or in part, without first receiving a permit modification from the Division. h. Construction of additional impervious areas such that low -density requirements are no longer met will require a permit modification prior to construction. An engineered system will be required to collect and treat the runoff from all built -upon area associated with the project, including that area permitted under the low density option. i. Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with this development, except for average driveway crossings, is -strictly prohibited by any persons. j. The built -upon areas shall be located a minimum of 30 feet landward of all perennial and intermittent surface waters. — A copy of the recorded restrictions must be received in this Office within 30 days of the date of sale. Page 3 of 5 State Stormwater Management Systems Permit Number SW8080829 6. Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with the permitted development, except for average driveway crossings, is strictly prohibited by any persons. 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 the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area. e. Further subdivision, acquisition, or sale of the project area in whole or in part. The project area is defined as all property owned by the permittee, for which Sedimentation and Erosion Control Plan approval was sought. f. Filling in, altering or piping any vegetative conveyance shown on the approved plan. 8. Swales and other vegetated conveyances shall be constructed in their entirety, vegetated, and be operational for their intended use prior to the construction of any built -upon surface. 9. During construction, erosion shall be kept to a minimum and any eroded areas of the swales or other vegetated conveyances will be repaired immediately. 10. The permittee shall at all times provide the operation and maintenance necessary to operate the permitted stormwater management systems at optimum efficiency to include: a. Inspections b Sediment removal. C. Mowing, and re -vegetating of the side slopes. d. Immediate repair of eroded areas. e. Maintenance of side slopes in accordance with approved plans and specifications. 11. Within 30 days of completion of the project, the permittee shall certify in writing that the project has been constructed in accordance with the approved plans. 12. The permittee shall submit all information requested by the Director or his representative within the time frame specified in the written information request. III. GENERAL CONDITIONS This permit is not transferable to any person or entity except after notice to and approval by the Director. The Director may require modification or revocation and re -issuance of the permit to change the name and incorporate such other requirements as may be necessary. In the event of a name or ownership change, a completed Name/Ownership Change form, signed by both parties, must be submitted to the Division of Water Quality accompanied by the supporting documentation as listed on page 2 of the form. The approval of this request will be considered on its merits, and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until the Director approves a transfer of ownership. Neither the sale of the project nor the transfer of common areas to a third party, such as a homeowner's association, - constitutes an approved transfer of the stormwater permit. Page 4 of 5 State Stormwater Management Systems Permit Number SW8080829 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division of Water Quality, in accordance with North Carolina General Statutes 143-215.6A to 143-215.6C. 4. 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 as allowed by the laws, rules, and regulations contained in Session Law 2006- 246, Title 15A of the North Carolina Administrative Code, Subchapter 2H.1000; and North Carolina General Statute 143-215.1 et. al. 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 the Division, such as the construction of additional or replacement stormwater management systems. 6. The permittee grants permission to DENR Staff to enter the property during normal business hours, for the purpose of inspecting all components of the stormwater management facility. 7. The permit issued shall continue in force and effect until revoked or terminated. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and re -issuance, or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the swales must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 10. 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. 11. The permittee shall notify the Division in writing of any name, ownership or mailing address changes at least 30 days prior to making such changes. Permit issued th the 3rd day of October, 2008. NO H CAROLINLzONMENTAL MANAGEMENT COMMISSION -- - -- -- - - -- -- ---------------- for Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Page 5 of 5 _f DWQ USE ONLY Date Received Fee Paid Permit Number 1 S,1 .oO �DOZ53,7 State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM This form may be photocopied for use as an original I. GENERAL INFORMATION 1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): Dr. John D. Ward, DDS 2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance): Dr. Tohn D. Ward DDS (Owner) 3. Mailing Address for person listed in item 2 above: City:Shallotte State:NC Zip:28459 Phone: (910 ) 754-6453 Fax: ( ) 4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Ward -Wood Waste Project 5. Location of Project (street address): 749 Stanley Rd (SR 1130) City:Lockwood Folly County:Brunswick Zip:28469 6. Directions to project (from nearest major intersection): This project is located on SR 1119 (Stance Road) approximately 0.40 miles SW of the intersection of SR 1130 Mt Pisgah Road) and SR 1119 (Stanley Road) in Supply North Carolina 7. Latitude:33° 58' 44.9" N Longitude:78° 17' 49.1" W of project 8. Contact person who can answer questions about the project: Name:Tyler Phillips Telephone Number: (910 ) 754-8029 Email:tphilhps@eces.biz II. PERMIT INFORMATION: Form SWU-101 Version 03.27.08 Page 1 of ORIGIN `1. Specify whether project is (check one): ®New ❑Renewal ❑Modification 2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the existing permit number and its issue date (if known) 3. Specify the type of project (check one): ®Low Density ❑High Density ❑Redevelop []General Permit ❑Universal SMP ❑Other 4. Additional Project Requirements (check applicable blanks; information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748): ❑CAMA Major ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Stormwater III. PROJECT INFORMATION 1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative (one to two pages) describing stormwater management for the project. Stormwater runoff will sheet flow from impervious areas to grass lined swales that will serve to convey the stormwater runoff to a 100 LF located at the outlet of the sediment basin prior to leaving the project area via an existing ditch on the NE side of the project 2. Stormwater runoff from this project drains to the Lumber River basin. 3. Total Property Area:10.0 acres 4. Total Wetlands Area: 2.78 acres 5. 100' Wide Strip of Wetland Area: acres (not applicable if no wetlands exist on site) 6. Total Project Area**:7.22 acres 7. Project Built Upon Area: 24 8. How many drainage areas does the project have? 1 9. Complete the following information for each drainage area. If there are more than two drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. For high density projects, com lete the table with one drainage area for each engineered stormwater device. Basin Information Drainage Area 1 Drainage Area 2 Receiving Stream Name Little Doe Creek Stream Class & Index No. C, SW, HQW Total Drainage Area (so 7.22 AC or 314,503 SF On -site Drainage Area (so 0 Off -site Drainage Area (so 0 Existing Impervious* Area (so 0 Proposed Impervious*Area (so 75,480 % Impervious* Area (total) 24 Impervious* Surface Area Drainage Area 1 Drainage Area 2 On -site Buildings (so 0 On -site Streets (so 22,462 On -site Parking (so 0 On -site Sidewalks (so 0 Other on -site (so 0 Off -site (so (Future Impervious) 53,018 Total (so: 75480 Form SWU-101 Version 03.27.08 Page 2 of Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas, sidewalks, gravel areas, etc. "Total project area shall be calculated based on the current policy regarding inclusion of wetlands in the built upon area percentage calculation. This is the area used to calculate percent project built upon area (BUA). 10. How was the off -site impervious area listed above derived?N/A IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS One of the following deed restrictions and protective covenants are required to be recorded for all subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment. Forms can be downloaded from htto://h2o.enr.state.nc.us/su/bmp forms.htm - deed restrictions. Form DRPC-1 High Density Commercial Subdivisions Form DRPC-2 High Density Developments with Outparcels Form DRPC-3 High Density Residential Subdivisions Form DRPC-4 Low Density Commercial Subdivisions Form DRPC-5 Low Density Residential Subdivisions Form DRPC-6 Low Density Residential Subdivisions with Curb Outlets By your signature below, you certify that the recorded deed restrictions and protective covenants for this project shall include all the applicable items required in the above form, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the State, and that they will be recorded prior to the sale of any lot. V. SUPPLEMENT FORMS The applicable state stormwater management permit supplement form(s) listed below must be submitted for each BMP specified for this project. Contact the Stormwater and General Permits Unit at (919) 733-5083 for the status and availability of these forms. Forms can be downloaded from htto://h2o.enr.state.nc.us/su/bmp forms.htm. Form SW401-Low Density Form SW401-Curb Outlet System Form SW401-Off-Site System Form SW401-Wet Detention Basin Form SW401-Infiltration Basin Form SW401-Infiltration Trench Form SW401-BioretenHon Cell Form SW401-Level Spreader Form SW401-Wetland Form SW401-Grassed Swale Form SW401-Sand Filter Form SW401-Permeable Pavement Low Density Supplement Curb Outlet System Supplement Off -Site System Supplement Wet Detention Basin Supplement Infiltration Basin Supplement Underground Infiltration Trench Supplement BioretenHon Cell Supplement Level Spreader/Filter Strip/Restored Riparian Buffer Supplement Constructed Wetland Supplement Grassed Swale Supplement Sand Filter Supplement Permeable Pavement Supplement Form SWU-101 Version 03 27.08 Page 3 of VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. The complete application package should be submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the interactive online map at http://h2o.enr.state.nc.us/su/msi maps.htm) 1. Please indicate that you have provided the following required information by initialing in the space provided next to each item. In'tia • Original and one copy of the Stormwater Management Permit Application Form • Original and one copy of the Deed Restrictions & Protective Covenants Form (if required as per Part IV above) • Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP • Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD) payable to NCDENR • Calculations & detailed narrative description of stormwater treatment/management • Copy of any applicable soils report Pf • Two copies of plans and specifications (sealed, signed &dated), including: - Development/ Project name - Engineer and firm -Legend - North arrow - Scale - Revision number & date - Mean high water line - Dimensioned property/project boundary - Location map with named streets or NCSR numbers - Original contours, proposed contours, spot elevations, finished floor elevations - Details of roads, drainage features, collection systems, and stormwater control measures - Wetlands delineated, or a note on plans that none exist - Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations - Drainage areas delineated - Vegetated buffers (where required) VII. AGENT AUTHORIZATION If you wish to designate authority to another individual or firm so that they may provide information on your behalf, please complete this section. (ex. designing engineer or firm) Designated agent (individual or firm):East Coast Engineering & Surveying, PC Mailing Address:Post Office Box 2469 Phone: (910 ) 754-8029 Email:!phillips@eces.biz VIII. APPLICANT'S CERTIFICATION State:NC Zip:28459 Fax: (910 ) 754-8049 I, (print or type name of person listed in General Information, item 2) Dr. John D. Ward, DDS certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of 15A NCAC 21-1.1000. Signature: C� A'�"ti'f Date: W Form SWU-105 Version 03.27.08 Page 4 of I Permit No �Cv 1?1---? (to be provided by DWQ) State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM LOW DENSITY SUPPLEMENT This form may be photocopied for use as an original A low density project is one that meets the appropriate criteria for built upon area and transports stormwater runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be found in 15A NCAC 2H .1005 through .1007. 1. PROJECT INFORMATION Project Name : Ward -Wood Waste Project Contact Person: Tyler Phillips, East Coast Engineering & Surveying Phone Number: (910) 754-8029 Number of Lots: 1 Allowable Built Upon Area Per Lot*: 53,018 SF *If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot. The attachment must include the project name, phase, page numbers and provide area subtotals and totals. IL BUILT UPON AREA See the Stormwater Management Permit Application for specific language that must be recorded in the deed restrictions for all subdivisions. For uniform lot sizes, complete the following calculation in the space provided below where: • SA Site Area - the total project area above Mean High Water. Wetlands may be excluded when the development results in high density pockets. • DF Density Factor - the appropriate percent built upon area divided by 100. • RA Road Area - the total impervious surface occupied by ioadways. • OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc. • No. Lots - the total number of lots in the subdivision. • BUA/Lot - the computed allowable built upon area for each lot including driveways and impervious surfaces located between the front lot line and the edge of pavement. Form SWU-104 Rev 3.99 Pagel of 2 �d c�W�,b Calculation: (SA x DF*)- RA — OA = BUA No. Lots Lot {[(314,503x 0.24) — 22,4621) = 53,018 SF PROPOSED 22,462 SF SOIL INTERNAL ACCESS ROAD FUTURE DEVELOPMENT=53,018 TOTAL ALLOCATION FOR PROPERTY = 75,480 SF I11. REQUIRED ITEMS CHECKLIST Initial in the space provided to indicate that the following requirements have been met and supporting documentation is provided as necessary. If the applicant has designated an agent on the Stormwater Management Permit Application Form, the agent may initial below. Applica s Initials a. A 30 foot vegetative buffer is provided adjacent to surface waters. Projects in the Neuse River basin may require additional buffers. b. Deed restriction language as required on form SWU-101 shall be recorded as a restrictive covenant. A copy of the recorded document shall be provided to DWQ within 30 days of platting and prior to sale of any lots. c. Built upon area calculations are provided for the overall project and all lots. d. Project conforms to low density requirements within the ORW AEC (if applicable). [15A NCAC 2H .I007(2)(b)] Form SWU-104 Rev 3.99 Page 2 of 2 INFORMATION PERTAINING TO DEED RESTRICTIONS AND PROTECTIVE COVENANTS For Ward -Wood Waste Project Brunswick County, North Carolina In accordance with Title 15 NCAC 21-1.1000, the Coastal Stormwater Management Regulations, deed restrictions and protective covenants are required for Low Density Commercial Subdivisions where lots will be subdivided and sold. Deed restrictions and protective covenants are necessary to ensure that the development maintains a "built -upon" area consistent with the permitted maximum to maintain overall low density. 1, lohn D. Ward acknowledge and affirm by my signature below, that 1 will cause the following deed restrictions and protective covenants to be recorded prior to the sale of any lot within the project know as Ward -Wood Waste Project 1. The following covenants are intended to ensure ongoing compliance with State Stormwater Management Permit Number .-SGJ J;9 , as issued by the Division of Water Quality under NCAC 21-1.1000. 2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary- to maiutain compliance with the Stormwater management permit. 3. These covenants are to run with the land and be binding on all persons and parties claiming under them. 4. The covenants pertaining to stormwater may not be altered or rescinded without the express written consent of the State of North Carolina, Division of Water Quality. 5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence of the Division of Water Quality. G. The maximum allowable built -upon area is 53,018 square feet. This allotted amount includes am built -upon area constructed within the lot property boundaries, and that portion of the right-of-way between the front lot line and the edge of the pavement. Built upon area includes, but is not hinited to, smicaires, asphalt, concrete, gravel, brick, stone, slate, and coquina, but does not include raised, open wood decking, or the water surface of swimming pools. 7. 1n the case of a lot within CAMA's regulated AFC, where the Division of Coastal Management calculates a different maximum allowable builtuponarea for that lot than is shown herein, the governing maximum built - upon area for that lot shall be the most restrictive of the two. S. Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with the development except for average driveway crossings, is strictly prohibited by any persons. 9. Each lot will maintain a 30' wide vegetated buffer between all impervious areas and surface waters. 10. All roof drains shall terminate at least 30' from the mean high water mark of surface waters. I I. Each lot, whose ownership is not retained by the permittee, shall submit a separate low density stormNrater permit application to the Division of Water Quality and receive a permit prior to construction. 12. No lot shall be allowed to exceed the maximum allowable built -upon area unless the permit is modified to high density for all of the lots in the permitted subdivision. Signature: _ t�� Date A 8-/ I, Sabrina B. I3abson a Notary Public for the County of Brunswick in the State of North Carolina , do hereby certify that John D. Ward personally appeared before me this the 21st day of August execution of the foregoing instrument. Witness my hand and official seal, NOTARY P U B O,t-1 l- 2c� My Commission the due �"` 'IlltVIY 7