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HomeMy WebLinkAboutSW8060702_HISTORICAL FILE_20060707STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO SW8 0�90-102 DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS NP HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE 20010 0"1 Ol YYYYMMDD A TF9 OG M chael F Easley Go emor W II am G Re s Jr Sec et ry North Carolina Department of En ironment and Natural Resources 'C Vitr1 Alan W Klimek P E Director _ D v s on of Water Quality July 7 Ms Rosalind N Fuller Manager Birdsey Napier Investment Group LLC 106 Martingdale Lane Wilmington NC 28405 Subject Stormwater Permit No SW8 060702 Lot 6 Island Park High Density Project New Hanover County Dear Ms Fuller The Wilmington Regional Office received a complete Stormwater Management Permit Application for Lot 6 Island Park on July 5 2006 Staff review of the plans and specifications has determined that the project as proposed will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H 1000 We are forwarding Permit No SW8 060702 dated July 7 2006 for the construction of the subject project This permit shall be effective from the date of issuance until July 7 2016 and shall be subject to the conditions and limitations as specified therein Please pay special attention to the Operation and Maintenance requirements in this permit Failure to establish an adequate system for operation and maintenance of the stormwater management system 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 adtudicatory hearing upon written request within sixty (60) 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 contact Paul Bartlett or me at (910) 796 7215 Sincerely Edward eck Regional Supervisor Surface Water Protection Section ENB/ptb S \WQS\STORMWATER\PERMIT\060702 july06 cc Tim Clinkscales P E Paramounte Engineering Inc Tony Roberts New Hanover County Building Inspections City of Wilmington Stormwater Services Beth E Wetherill New Hanover County Engineering Paul T Bartlett P E Wilmington Regional Office Central Files o N thCaroltna J�atura!!y North Carolina Di ision of Wate Quality 127 Cardi at Dn a Extension Wilmington NC 28405 Pho e (910) 796 7215 C sto me Sery cc Wilmington Reg onal Office Internet u%M1 nc aterouahivor�_y Fa (910) 350 2004 1 877 -623 6748 An Equal Opportumly/A(frmahve Action Employer 50/Recycled/70/ Post Consumer Paper State Stormwater Management Systems Permit No SW8 060702 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY 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 Rosalind N Fuller and Birdsey Napier Investment Group LLC Lot 6 Island Park 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 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 This permit shall be effective from the date of issuance until July 7 2016 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 16 on page 3 of this permit The stormwater control has been designed to handle the runoff from 142 441 square feet of impervious area 3 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 101 598 square feet which is included in the total permitted impervious area of 142 441 square feet 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 Page 2 of 7 State Stormwater Management Systems Permit No SW8 060702 6 The following design criteria have been provided in the wet detention pond and must be maintained at design conditions a Drainage Area 9cres 444 Onsite ft 193 406 Offsite ft2 None b Total Impervious Surfyes ft2 142 441 OS Buildings ft 12 000 OS Parking/roadways ft2 27 912 OS Sidewalks ft 931 Future Buildout @ 90% ft2 101 598 c Design Storm inches 1 0 d Pond Depth feet 40 e TSS removal efficiency 90% f Permanent Pool Elevation FMSL 260 g Permanent Pool Surface Area ft2 27 052 h Permitted Storage Volume ft3 11 997 1 Temporary Storage Elevation FMSL 268 t Controlling Orifice 1 5 0 pipe k Permitted Forebay Volume ft3 16 091 1 Receiving Stream/River Basin UT Prince George Creek / Cape Fear m Stream Index Number 1874 53 n Classification of Water Body C Sw 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 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 a Semiannual scheduled inspections (every 6 months) b Sediment removal c Mowin.9 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 outlet structure orifice device flow spreader catch basins and piping g Access to the outlet structure must be available at all times Page 3 of 7 State Stormwater Management Systems Permit No SW8 060702 4 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 5 Decorative spray fountains will be allowed in the stormwater treatment system subject to the following criteria a The fountain must draw its water from less than 2 below the permanent pool surface b Separated units where the nozzle pump and intake are connected by tubing may be used only if they draw water from the surface in the deepest part of the pond c The falling water from the fountain must be centered in the pond away from the shoreline d The maximum horsepower for a fountain in this pond is 1/3 horsepower 6 The facilities shall be constructed as shown on the approved plans This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit the approved plans and specifications and other supporting data 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 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 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 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 Protect 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 protect area The protect 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 11 The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans prior to construction 12 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 Page 4 of 7 State Stormwater Management Systems Permit No SW8 060702 13 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 This permit is not transferable except after notice to and approval by the Director In the event of a change of ownership or a name change the permittee must submit a formal permit transfer request to the Division of Water Quality accompanied by a completed name/ownership change form documentation from the parties involved and other supporting materials as may be appropriate The approval of this request will be considered on its merits and may or may not be approved The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request 2 Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143 215 6A to 143 215 6C 3 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) having jurisdiction 4 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 5 The permittee grants DENR Staff permission to enter the property during normal business hours for the purpose of inspecting all components of the permitted stormwater management facility 6 The permit may be modified revoked and reissued or terminated for cause The filing of a request for a permit modification revocation and reissuance or termination does not stay any permit condition 7 Unless specified elsewhere permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual 8 Approved plans and specifications for this protect are incorporated by reference and are enforceable parts of the permit 9 The permittee shall notify the Division any name ownership or mailing address changes within 30 days Permit issued this the 7th day of July 2006 NORT>QAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION /or Alan Klimek P E Director Division of Water Quality By Authority of the Environmental Management Commission Page 5 of 7 State Stormwater Management Systems Permit No SW8 060702 Lot 6 Island Park Stormwater Permit No SW8 060702 Page 1 of 2 New Hanover County Designers 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 protect (Protect) for (Protect Owner) hereby state that to the best of my abilities due care and diligence was used in the observation of the protect 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 6 of 7 State Stormwater Management Systems Permit No SW8 060702 Page 2 of 2 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 NCDENR DWQ Regional Office Tony Roberts New Hanover County Building Inspections Page 7 of 7 OFFICE _ . NLY 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 I Applicant s name (specify the name of the corporation individual etc who owns the project) Investment Group LLC 2 Print Owners/Signing Official s name and title (the person legally responsible for facility and compliance) Rosalind N Fuller Manaeer 3 Mailing Address for person listed in item 2 above 106 Martmsale Lane City Wilmington State Telephone Number 910 763 0380 NC Zip 28405 4 Project Name (subdivision facility or establishment name should be consistent with project name on plans specifications letters operation and maintenance agreements etc ) Lot 6 Island Park 5 Location of Project (street address) 5632 Barbados Blvd City County New Hanover 6 Directions to project (from nearest major intersection) The site is located just south of the intersection of Holly Shelter Road and Barbados Blvd inside Island Park 7 Latitude 034 21 00'N Longitude 077 52 30 W 8 Contact person who can answer questions about the project Name Tim Clinkscales PE II PERMIT INFORMATION 1 Specify whether project is (check one) X New Telephone Number (910) 791 6707 of project Renewal Modification Form SWU 101 Version 3 99 Page 1 of 4 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 I Applicant s name (specify the name of the corporation individual etc who owns the project) Investment Group LLC 2 Print Owners/Signing Official s name and title (the person legally responsible for facility and compliance) Rosalind N Fuller Manaeer 3 Mailing Address for person listed in item 2 above 106 Martmsale Lane City Wilmington State Telephone Number 910 763 0380 NC Zip 28405 4 Project Name (subdivision facility or establishment name should be consistent with project name on plans specifications letters operation and maintenance agreements etc ) Lot 6 Island Park 5 Location of Project (street address) 5632 Barbados Blvd City County New Hanover 6 Directions to project (from nearest major intersection) The site is located just south of the intersection of Holly Shelter Road and Barbados Blvd inside Island Park 7 Latitude 034 21 00'N Longitude 077 52 30 W 8 Contact person who can answer questions about the project Name Tim Clinkscales PE II PERMIT INFORMATION 1 Specify whether project is (check one) X New Telephone Number (910) 791 6707 of project Renewal Modification Form SWU 101 Version 3 99 Page 1 of 4 1 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 X High Density _Redevelop _General Permit _ Other 4 Additional Project Requirements (check applicable blanks) CAMA Major —Sediment/Erosion Control _404/401 Permit _NPDES Stormwater Information on required state permits can be obtained by contacting the Customer Service Center at 1 877 623 6748 III PROJECT INFORMATION I 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 The stormwater will be treated by conveying the stormwater by sheet flow through a storm dram system into a wet detention pond for the entire site The project will be permitted for the entire site 2 Stormwater runoff from this project drams to the Cape Fear River basin 3 Total Project Area 493 Acres 4 Project Built Upon Area 6552 % 5 How many drainage areas does the project have? 2 6 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 Drovided in the same format as below Basin Information Drainage Area Total DA #1 DA #2 Receiving Stream Name Prince Georges Creek Prince Georges Creek Prince Georges Creek Receiving Stream Class C Sw C Sw C SW Drainage Area 4 93 acres 4 44 acres 0 49 acres Existing Impervious* Area N/A N/A N/A Proposed Impervious* Area 3 27 acres 3 27 acres 0 0 acres % Impervious* Area (total) 6633 73 65 00 Impervious* Surface Area Drainage Basin Total DA # 1 DA #2 On site Buildings 12 000 sf 12 000 sf 0 sf On site Asphalt 0 sf 0 sf 0 sf On site Parking 27 912 sf 27 912 sf 0 sf On site Sidewalks 931 sf 931 sf 0 sf Other on site 0 sf 0 sf 0 sf Future Bmldout 101 598 sf 101 598 sf 0 sf Total 142 441 sf 142 441 sf 0 sf Form SWU 101 Version 3 99 Page 2 of 4 Impervious area is defined as the built upon area including but not limited to buildings roads parking areas sidewalks gravel areas etc 7 How was the off site impervious area listed derived? IV DEED RESTRICTIONS AND PROTECTIVE COVENANTS N/A The following italicized deed restrictions and protective covenants are required to be recorded for all subdivisions out parcels and future development prior to 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 I The following covenants are intended to ensure ongoing compliance with state management permit number as issued by the Division of Water Quality These covenants my not be changed or deleted without the consent of the State 2 No more than square feet of any lot shall be covered by structures or impervious materials Impervious materials include asphalt gravel concrete brick stone slate or similar material but do not include wood decking or the water surface of swimming pools 3 Swales shall not be filled in piped or altered except as necessary to provide driveway crossings 4 Built upon area in excess of the permitted amount requires a state stormwater management permit modification prior to construction 5 All permitted runoff from out parcels or future development shall be directed into the permitted stormwater control system These connections to the stormwater control system shall be performed in a manner that maintains the integrity and performance of the system as permitted By your signature below you certify that the recorded deed restrictions and protective covenants for this project shall include all the applicable item required above 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 Form SWU 102 Wet Detention Basin Supplement Form SWU 103 Infiltration Basin Supplement Form SWU 104 Low Density Supplement Form SWU 105 Curb Outlet System Supplement Form SWU 106 Off Site System Supplement Form SWU 107 Underground Infiltration Trench Supplement Form SWU 108 Neuse River Basin SupplementForm SWU 109 Innovative Best Management Practice Supplement Form SWU 101 Version 3 99 Page 3 of 4 VL 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 Regional Office 1 Please indicate that you have provided the following required information by initialing in the space provided next to each item • Original and one copv of the Stormwater Management Permit Application Form • One copv of the applicable Supplement Form(sl for each BMP • Permit application vrocessine fee of S420 (navable to NCDENR) • Detailed narrative description of stomiwater treatment/management • Two copies of plans and specifications mcludmg Development/Project name Engineer and firm Legend North arrow Scale Revision number & date Mean high water line -. ngtials C C. G T6G G 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) VI 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 Designated agent (individual or firm) Paramounte Engineering Inc Mailing Address 5911 Oleander Drive City Wilmington State NC Zip 28403 Phone (910) 791 6707 Fax (910) 763 6760 VIII APPLICANT S CERTIFICATION I (print or type name of person listed in General Information item 2) Rosalind N Fuller 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 propo pro ect complies with the requirements of ISA NCAC 2H 1000 I Signature i Date/ Form SWU 101 Version 3 99 Page 4 of 4 P 1 * COMMUNICATION RESULT REPORT ( JUL 10 2006 11 26AM ) TTI NCDENR WIRO FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE -------------------------------------------------------------------------------------------------- 762 MEMORY TX 9-7916760 OK P 16/16 REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION State of North Department of Environnne d Natural Resources Wlh=gton Regional Office Michael F Easley, Governor (910) 796 7215 Willlam G Ross Jr, Secretary FAX COVER SHEET Date 07/10/2006 To 11111 Clinks- 1-CO Paramounte En peenn Inc. FAX # 9101791_6 REMARKS # pages (excluding cover) (5 From _Mxnam Hughes Division Express I'e1-luir n FAX# 910-3_ g�O4 127 Cardinal Drive Extension WOmmgtan N C 28405-3845'nlephone (910) 796 7304 Fax(910) 390.2004 An Equal opportunity Alnrmauve Action Employer TopoZone The Web s Topographic Map Page 1 of 1 r) V U b 1 2 1 8 2 4 3 km 0 0 4 0 8 1 2 1 6 2 mi Map center is 340 21 00 N 770 52 30 W (WGS84/NAD83) Castle Hayne quadrangle M=-9 04 Projection is UTM Zone 18 NAD83 Datum G=-1 624 http //www topozone com/pnnt asp?z=18&n=3804710&e=235553&s=100&size=m&u=6& 7/7/2006 ]P_XRAMOUNI E N G I N E E R I N G 1 N 5 9 1 1 OLEANDER DRIVE S U I T E W I L M I N G T O N N C 2 8 4 0 3 9 1 0 7 9 1 6 7 0 7( O) 9 1 0 7 6 3 6 7 6 0 ( F ) L E T T E R O F T R A N S M I T T A L To NCDENR Date 1 7/05/06 Re Lot 6 Island Park Ann Rob Gordon Project No 1 06135 PEI e are seadm ❑ Originals he following items ❑ Correspondence ® Pnnts ❑ Shop Drawings ® Calculations ® Plans ❑ Specifications ❑ Other as listed b low L Quantity Date Dwg No Description 2 6/08/06 Stormwater Plans 2 6/08/06 Design and Stormwater Narrative Rt 1 6/08/06 Original and Copy of SWU101 1 6/08/06 Original and Copy SWU 102 1 $4000 check (410785) r� Issue Stains ® For Approval ❑ As Requested ❑ Construction ❑ Bid ❑ For Your Use ❑ 1 or Review and Comment ❑ Approved as Noted ❑ See Remarks enon Taken ❑ No Fxcepuons Taken ❑ Make Corrections Noted ❑ lmend & Resubmit ❑ Rejected See Remarks ❑ Approved as Submitted ❑ Other Remarks Cc lit-✓ Cc -1 5ignui Tim Clmkscales PE RECEIVED JUL � 5 ZU06 ' (W g 00070 2 F3v LOT 6 — ISLAND PARK NEW HANOVER COUNTY, NC DESIGN AND STORMWATER NARRATIVE Prepared for BIRDSEY-NAPIER, LLC 371 NORTH FRONT STREET WILMINGTON NC 28401 Prepared by 5911 Oleander Drive Suite 201 Wilmington NC 28403 Project #06135 PE July 2006 T AWN 0 5 Nub 5W 8 pco070Z LOT 6 — ISLAND PARK NEW HANOVER, NORTH CAROLINA Project 406135 PE Table of Contents Design Narrative Proposed Improvements Maintenance NC DENR Calculations Wet Detention Pond Storm Drainage Calculations Outlet Protection Calculations New Hanover County Soils Map USGS Map Page LOT 6 - ISLAND PARK NEW HANOVER, NORTH CAROLINA Project #06135 PE DESIGN NARRATIVE Birdsey Napier LLC is proposing to develop a warehouse facility on a 4 93 acre parcel in New Hanover County The site is located on Barbados Boulevard inside Island Park The project will consist of 3 27 acres of impervious area and 4 93 acrs of the site will be disturbed The site will be permitted for the entire site but the initial buildout will consist of 2 32 acres of disturbance and 0 94 acres of impervious acres The rest of the site will be permitted based on 90 /o impervious area of the site The site is currently a fairly covered grassland lot It is bordered by Barbados Boulevard on the west Lots within Island Park on the north and south and wetlands to the east The project is within a drainage basin that drains to an unnamed tributary of Prince Georges Creek (C SW 10 ) All stormwater will be conveyed through a stormdrarn system into a wet detention pond for treatment and storage The wet detention pond has been designed to meet the New Hanover County Storm Water Management Ordinance and NCDENR s design requirements PROPOSED IMPROVEMENTS/ STORMWATER All stormwater will be conveyed through the means of a stormdrarn system which will serve to convey the runoff into the wet detention pond The pond will outlet through a riser barrel structure which has been designed to hold back the 1 storm for the required 2 5 day drawdown In addition the outlet structure has been designed to discharge the 25 year storm event at a flow rate less than pre development and the 100 year storm event will overflow through the means of an emergency spillway The soil type for the site is Leon (Le) All supporting drainage calculations and drainage basin information are provided within the following pages of this report For treatment calculations the procedure in the NCDENR Stormwater Best Management Practices Manual was used to determine the pond surface area volume and depth The pond s designed length to width ratio is approximately 3 1 and includes a forebay of at least 20°/ of the basin s overall volume Pond side slopes are 3H to 1V with 6H to 1V planted littoral shelf The permanent pool depth is 4 feet Stormwater in excess of the design storm will overflow the pond and discharge to the outfall waterway Page 1 The outlet structure for the pond is configured to detain the 10 runoff volume The permanent pool elevation for the pond was determined to be at elevation 26 00 and the 1 runoff volume to be at elevation 26 76 In respect to these elevations a 150 orifice will draw down the 1 runoff volume in 3 65 days In addition to the state stormwater requirements the pond is designed to meet New Hanover s County 25 year pre/post requirement A pre development curve number of 69 was used which resulted in a peak flow of 2717 cfs This curve number was developed based upon the property having a type B soil (Leon) and open space with fair cover A post development curve number of 90 3 was used which resulted in a peak flow of 34 59 cfs This curve number was developed based upon calculating a weighted curve number for the Lot 6 Upon routing the pond the peak flow which resulted is 14 13 cfs The elevation for the riser weir structure was placed at 26 80 This elevation permits the post development flow to be less than the pre development conditions for the 2 10 and 25 year events An emergency spillway is placed at an elevation of 27 70 The top of the pond is placed at 29 00 with the 100 year elevation of 27 90 this maintains the 0 5 feet of freeboard that is required for the 100 year event All supporting calculations and results are provided in the following pages of this report MAINTENANCE Contractors shall be responsible for periodic inspection and maintenance of all indicated erosion control devices In addition inspection and any necessary maintenance will be required immediately following any significant storm event Any erosion control measure that fails to function as intended shall be repaired immediately Upon completion of construction and the establishment of stabilized ground cover the property owner shall be responsible for any on going site maintenance Page 2 Basin #1 Wet Detention Pond Calculations NC DENR Retention Requirements Objective design a wet detention basin with the following characteristics a permanent water pool depth between 3 and 6 feet a surface area that meets TSS removal requirements (values set by NC DENR and included here) a forebay that is approximately 20/ of the total pond volume a temporary water pool sized to detain the initial 1 inch of rainfall runoff an outlet device that drains the temporary water pool within 2 5 days and a length to width ratio of approximately 3 1 Step 1 Determine the surface area required for 90/ TSS removal Post Development Conditions Total Drainage Area 444 ACRE Impervious Drainage Area 327 ACRE Impervious Cover 73 6% Elevation of Permanent Pool Surface 260 FT Depth of Permanent Pool 40 FT Value from CAD Value from CAD Impervious Cover --(Impervious Drainage Area)/(Total Drainage Area) 100/ Value selected by designer Value selected by designer Elevation of Wet Detention Pond Bottom 220 FT (Bottom Elevation)=(Permanent Pool Surface Elevation) (Depth of Permanent Pool) Approximate Pond Length 290 FT Value from CAD A roximate Pond Width 119 FT Value from CAD Len th Width Ratio 2 1 Ratio=(Length)/(VV1dth) 1 Rpnuirpd .AinA Rahn fnr an / TAR Rpmnval n z,n Value from chart Reference 90/ TSS - - - - -- Removal Required Permanent Pool Surface Area 12 281 SF Required Surface Area=(Required SAIDA Ratio) (Total Drainage Area) Provided Permanent Pool Surface Area 27 052 SF Interpolated value from stage storage calculations Step 2 Determine the 1 inch runoff elevation within the wet detention Dond Runoff Coefficient Rv 0 713 MIN Rv=O 05+0 009 (/ Impervious) Required 1 Runoff Volume (Volume of Temporary 11 489 CF 1 Runoff Volume=l inch Rv 1 foot/12 Pool) inch (Total Drainage Area) Value from stage storage calculations Volume Below Permanent Pool 0 CF (cumulative pond volume at permanent pool elevation) Tntai Vniump to hP Cnntrnilpd 11 eac r`F Total Volume to be Controlled=(Volume Below --""----_---- -- _- ----- ------ "" --- -. Permanent Pool+ 1 Runoff Volume Value is interpolation based upon stage storage Storage Elevation at Required Volume 26 76 FT values See stage storage calculations P \Prolects\Atlantic Brokerage\06135 PE Lot 6 Island Park\Documents\Design Calculations\Hydro\Wet Detention Pond Step 3 Calculate the reouired forebav volume (18 221 of total pond volume) and compare to the forebav volume orovided Total Pond Volume 83 310 CF Value from stage storage calculations Required Foreba Volume 16 662 CIF Forebay Volume=(Total Pond Volume) 20/ vid Proed Foreba Volume 16 091 CIF Value from stage storage calculations Provided Forebay Volume Total Pond Volume 19 / (Provided Forebay Volume)/(Total Pond Volume) 100/ SteD 4 Venfv that time reouired to drawdown the 1 inch runoff volume is within 2 to 5 days Diameter of Proposed Low flow Orifice 1 50 IN Value chosen by designer Weir Elevation of Outlet Structure 2676 FT Value chosen by designer (Total Elevation Head Above Onfice)=(Weir Total Elevation Head Above Onfice 076 FT Elevation) (Elevation of Permanent Pool Surface) (Average Elevation Head Above Onfice)=((Storage Elevation at Required Average Elevation Head Above Orifice 038 FT Volume)+(Elevation of Permanent Pool Surface)]/2 (Storage Elevation at Required Volume) Cd Coefficient of Discharge 060 Value chosen by designer Q Flowrate Through Low flow Orifice 004 CFS Q=Cd (Pi) ((Diameter of Orifice) (1 ft/12 IDrawdown Time for l inch Runoff 365 DAYS I,- -""" """""' " " " " I P \Pro)ectsWtlantic Brokerage\06135 PE Lot 6 Island Park\Documents\Design Calculations\Hydro\Wet Detention Pond LOT 6 ISLAND PARK Stage Storage Calculations for Proposed Wet Detention Pond determine the storage capacity and characteristics of the proposed wet detention pond Pond side slope above Permanent Pool 3 Planted shelf 2 below Permanent Pool 6 Side Slope below planted shelf 3 of contour interval age/Storage Above Permanent Pool (Including Forebay) Cumulative Contour Incremental Volume S Contour Area (SF) Volume (CF) (CF) 2600 0 0 0 Permanent Pool 2676 11 489 Temporary Pool 2680 11 997 Weir 2700 29 993 14 997 14 997 2800 31 119 30 556 45 553 2900 33 414 32 266 77 819 P \Pro/ects\Atlantic Brokerage\06135 PE Lot 6 Island Park\Documents\Design Calculations\Hydro\Wet Detention Pond LOT 6 ISLAND PARK Stage Storage Calculations for Proposed Wet Detention Pond Stage/Storage Total Pond (Including Forebay) Cumulative Contour Incremental Volume S Contour Area (SF) Volume (CF) (CF) 220 15 864 0 0 Pond Bottom 230 18 152 17 008 17 008 240 20 573 19 362 36 370 250 23 127 21 850 58 220 260 27 052 25 090 83 310 + Permanent Pool Forebay Only (20% of Total Pond Cumulative Contour Incremental Volume S Contour Area (SF) Volume (CF) (CF) 220 2571 8223 0 0 Bottom Elev 230 3233 9086 2 903 2 903 240 3 968 3 601 6 504 250 4 776 4 372 10 876 260 5 655 5 215 16 091 Forebay Volume P \Protects\Atlantic Brokerage\06135 PE Lot 6 Island Park\Documents\Design Calculations\Hydro\Wet Detention Pond ® �i ��0000000��00©� STORM TABLE Page 1 of 2 7/3/20065 51 PM OUTLET PROTECTION NY DOT DISSIPATOR METHOD PROJECT LOCATION Lot 6 Island Park New Hanover County OUTLET ZONE RIPRAP APRON NUMBER DIA (in) Q (cfs) V (fps) Dso (I CLASS I Dmax (in) THICKNESS (m) LENGTH (ft) WIDTH (ft) FES#5 24 71 23 1 4 A 6 9 10 6 FES#7 18 128 72 1 4 A 6 9 10 5 FES#8 18 100 57 1 4 A 6 9 10 5 NOTES 1 ) Minimum apron length of 10 ft shall be installed 2) Dmax = D50 x 1 5 3) Thickness = Dmax x 1 5 4) Width = 3 x Pipe Dia ,um ,� , 1 1 034 20 0 00 N I I I 1 1 034 21 0 00 N I I I 1 034 22 0 00 N I I I I I �y,+r�.p' '1b� t �✓� itt �' r I�''y� 1{ .t41 S4 ""„��„Jv!� �--._�.�' /�. �ts� A p ,y,, .k`J,17 � 3 ,�f•'"}� u�' 3+�' it t���W{3��yV�rlp{'�')7 h � p „ bI%Zf ,�a 1 } .y ` �M ��Y br�_:Tg� rS C" '� 9 .N �� � > kly r ti zi � A j $(? ��4i" Yam] \ j�yl,ry��}�nS��,;(r' t �13rt 'aa✓'� ��6gf. vd• 3� � / a .y ki { { kN �' i � ' '�. � "{Scc�✓�„� tom'^ ,y "'Si.l.>4 s}¢¢§ �J ° t&Y�.4 ��^ �;�� P'���� \�^4r`�`,F.t ? '�I � \\ 1 ���,.� 3"T�5��{t ��++ �d G-�I 1l� � 4 X � ✓��� �' +4/ �b � � r � 21 3 � y., � Sh %-� �" '. S3` R5Y i •^ R �� 1%� W �`h� #�'L�p\``i� �M1'i � y �e�9�[yYl',y'y�yT"�N '�Jq�1 4'51�� } `ly �A�y �LX xT t q'�{'�tyNl Y, AN �� N t-ROB x3'4 1' t�Sz, �fi� >t t3'� -•• 'fir ,'"4' 4.i a+ 3 ` tk `� � ,i�Jne�•,'�.w 2* a 'y a ✓1 j�j� " '� 4 ""' "�°` �',±7?;' �J j /,y r F1 Y� � �Y S� �} �N t .�. „ v,%' } ti Fy/� J Vi y ➢` ii ))��r},1\ }�Y f "AF r ,_`kLy,,�+ p `� �,. {� ➢ Y" << 1 � V �t�i \y' �. a Tg1 N, i• F � IINS 2 /L/./. ~ ♦; i. .1 r +Ft'yWy{cl' 1¢y j4 I Z hI,1 I 1 1 034 2010 00 N 1 1 1 1 1 034 21 J 0 00 N 1 1 1 1 1 034 2210 00 N 1 1 1 1 1 CP,N,5 I�N1111tl��N 111111 20SM4202 FOR RECISTRRTIUN REGISTER OF DEEDS REBECCR R SMITH NEW HRNOVER COUNTY ,CF"� NC 2006 9EP " 93 " 67 " p 5 2006 02 &K 4W6 PG 2467 24STW69 FEE $17 v10 R1RUIM # 4M064102 Excise Tax Recording Time. Book and Page Tax Lot No R01100 008-026 000 PIN R01100-008 026 000 Verified by County on the _ day of 20 by Mail after recording to Franklin E Martin Esq Mannuig Fulton & Skinner P A P 0 Box 929 Wilmington North Carolina 28402 This instrument was prepared by Franklin E Martin, Esq of Mammng Fulton & Skinner P A P O Box 929 Wilmington North Carolina 28402 Brief description for the Index Lot 6 Island Park NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this 'it0 day of September 2005 by and between QUALITY CHEMICAL LABORATORIES, LLC a North Carolina limited liability company Grantor and BIRDSEY NAPIER INVESTMENT GROUP LLC, a North Carolina limited liability company Grantee whose mailing address is 371 North Front Street Wilmington NC 28401 WITNESSETH that the Grantor for a valuable consideration paid by the Grantee the receipt of which is hereby acknowledged has and by these presents does grant, bargain sell and convey unto the Grantee in fee simple all that certain lot or parcel of land situated in New Hanover County North Carolina and being more particularly described as follows BEING all of Lot 6 Island Park as shown on a map recorded in Map 41 at Page 390 New Hanover County Registry to which map reference is made for a more particular description. SUBJECT TO that DECLARATION OF RESTRICTIONS COVENANTS AND CONDITIONS OF ISLAND PARK recorded in Book 1996 at Page 667 New Hanover County Registry 458245 13880 T22732 �� \ v RETURN TO /w+�u,ui limo J Being the property conveyed to Grantor by Warranty Deed recorded in Book 3161 at Page 464 New Hanover County Registry TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple And the Grantor covenants with the Grantee that Grantor is seized of the premises in fee supple has the tight to convey the same in fee simple that title is marketable and free and clear of all encumbrances and that Grantor will wan -ant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated Title to the property hereinabove described is subject to the following exceptions 1 Ad valorem taxes for the year 2005 and subsequent years 2 Enforceable easements restrictions and tights of way of record affecting title to the property conveyed herein IN WITNES S WHEREOF the Grantor has caused this instrument to be duly executed and delivered QUALITY CHEMICAL LABORATORIES, LLC Lo STATE OF NORTH CAROLINA COUNTY OF NEW HANOVER I the undersigned Notary Public of the County and State aforesaid certify that Thomas H Wright, Ill personally appeared before me this day and acknowledged the execution ofthe foregoing uistniment as Managing Member on behalf of the Company Witness my hand and official stamp or seal this 204—"' day of September 2005 ell , ER 0 M��'', e. M> i rM'AR►. wrr� pOak-,G = ti •,9VER '�0 G C� v •,,_ '.r 459245 1388O T72732 — V r Wr,ublic ..01 REBECCA P SMITH REGISTER OF DEEDS NEW HANOVER 216 NORTH SECOND STREET WILMINGTON NC 28401 Filed For Registration 09/20/2005 03 3107 PM Book RE 4906 Page 2467 2469 Document No 2005054202 DEED 3 PGS $17 00 NC REAL ESTATE EXCISE TAX $1 000 00 Recorder ANDREA CRESWELL State of North Carolina County of New Hanover The foregoing certificate of JENNIFER O MCGEE Notary is certified to be correct This 20TH of September 2005 REBECCA P SMITH REGIS OF DEEDS By 4-dxz Deputy/Aselelant Register of Deeds YELLOW PROBATE SHEET IS A VITAL PART OF YOUR RECORDED DOCUMENT PLEASE RETAIN WITH ORIGINAL DOCUMENT AND SUBMIT FOR RE RECORDING *2005054202* 2005054202 Page 1 of 1 North Carolina Elaine F Marshall DEPARTMENT or I"HE Secretary SECRETARY of STATE Corporations *Corporations Home °Important Notice °Corporate Forms/Fees *Corporations FAQ *Tobacco Manufacturers *Dissolution Reports *Non Profit Reports *Verify Certification *Onlme Annual Reports *KBBE B2B Annual Reports Links *Secretary Of State Home *Register for E Procurement *Dept of Revenue Legislation *1999 Senate Bills *2001 Bill Summaries *Annual Reports 1997 *Corporations 1997 *Other Legislation Search *By Corporate Name *For New Corporation •By Registered Agent Online Orders *Start An Order *New Payment Procedures Contact Us *Corporations Division *Secretary of State s web site Print *Printable Page PO Box 19622 Raleigh NC 27626-0622 (919)807 2000 Date 6/16/2006 Click here to View Document Filings I 21Print apre populated Annual Report Form I Annual Report Count I Fil an Annual Report I Corporation Names Name Name Type INC Birdsey Napier Legal Investment Group LLC Limited Liability Company Information SOSID Status Date Formed Citizenship State of Inc Duration Registered Agent Agent Name Registered Office Address Registered Mailing Address Principal Office Address Principal Mailing Address 0513273 Current Active 11 /30/1999 Domestic NC Perpetual Fuller Rosalind N 106 Martingale Ln Wilmington NC 28409 2020 106 Martingale Ln Wilmington NC 28409 2020 106 Martingale Ln Wilmington NC 28409 2020 No Address For questions or comments about the North Carolina Secretary of State s web site please send a marl to Webmaster file //P \Prolects\Atlantic Brokerage\06135 PE Lot 6 Island Park\Documents\Permit Apps\S 7/4/2006 ACDENR North Carolina Department of Environmont and Natural Resources 127 Cardinal Drive Wilmington NC 28405 (910) 796.7307 FAX (910) 350 2004 Request for Express Permit Review RAN i FILL IN all information below and CHECK required Permit(s) FAX or email to Cameron Weavert(dncmail net along with a narrative and vicinity man of the project location Projects must be submitted by 9 00 A M of the review date, unless prior arrangements are made APPLICANT Name Mr William Fuller, President Company Birdsev Nadler LLC Address 313 N Front Street City/State Wilmington, NC Zip 28401 County New Hanover Phone 910 791 6707 Fax 910-792 6152 Email PROJECT NAME Lot 6, Island Park PROJECT SYSTEM(S) TRIBUTARY TO PRINCES GEORGE CREEK (STREAM NAME) Cape Fear ENGINEER/CONSULTANT Tim Cllnkscales, PE Company Paramoute Engineering Inc Address 127 Racine Dnve, Suite 202 City/State Wilmington Zip NC County 28403 Phone (910) 791.6707 Fax (910) 763A517 Email tchnkscales(a)paramoute eng com State or National Environmental Policy Act (SEPA NEPA) — EA or EIS Required ❑ Yes ❑ No ❑ STREAM ORIGIN Determination, # of stream calls Stream Name ® STORMWA TER ❑ Low Density M High Density Detention Pond ❑ High Density Other Wetlands MUST be addressed below ❑ Low Density Curb & Gutter ❑ High Density Infiltration ❑ Off Site ❑ COASTAL '^ ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information MANAGEMENT ❑ Upland Development ❑ Manna Development ❑ Urban Waterfront ❑ LAND QUALITY ® Erosion and Sedimentation Control Plan with acres to be disturbed WETLANDS (401) Wetlands on Property ❑ Yes ® No Isolated Wetlands on Property ❑ yes ❑ No Check all that app1V Wetlands Will Be Impacted ❑ Yes ❑ No Wetland Impacts _ Acre(s) Wetlands Delineation has been completed ❑ Yes ❑ No ❑ Buffers Impacted Acre(s) USACOE Approval of Delineation completed ❑ Yes ❑ No 404 Application in process w/USACOE ❑Yes ❑No I Permit received from USAGE ❑Yes [:]No 401 Application required ❑Yes ❑ No If Yes ❑ Regular ❑ Express Additional fees not to exceed 50% of the original Express Review permit application fee may be charged for subsequent reviews due to the insufficiency of the permit applications For DENR use only SUBMITTAL DATES Fee Split for multiple permits SW $ CAMA $ LOS $ 401 $ Total Fee Amount $ 2000 LO 39tid 3dn1D31IH0dV 3ISI7 LTSb£9LOT6 E0 LT 900L/0£/S0 Lot 6, Island Park, Barbados Boulevard Express Stormwater Narrative May 30, 2006 Project Narrative Birdsey Napier LLC is proposing to develop an industrial park on a 4 93 acre parcel in New Hanover County The site is located inside the Island Park development on Barbados Boulevard The site is located lust south of the intersection of Holly Shelter Road and Barbados Boulevard The impervious area for the site will be 4 23 acres The site is currently a fairly wooded lot The project is within a drainage basin that drains to an unnamed tributary of Prince Georges Creek (C SW 1 0' runoff) The stormwater will be conveyed by a stormdrain system and overland flow into a wet detention pond The wet detention pond has been designed to meet the New Hanover County Storm Water Management Ordinance and NCDENR s design requirements E0 39tid 3ani031IH3b1V 31SII LTS4E9LOTG 60 LT 900Z/0E/S0 IN! 05/30/2006 17 03 9107634517 LISLE ARCHITECTURE a V I�$ 92 INK AN w] M W 1$ 0 I I t vNl I0,0111111nN 177U vn v "T Ut ] DITIA� m v 1"1111711VN k'SCMtq 9 T YN I OV4'1 1 9 m V� 11 7S'I R'U ],lU■hlWll Mrt s I \ I PAGE 05 N o U e ie -UNT-tr+ _ARA OP* E N B N E E R N a I N C FAX COVER SHEET To Cameron Weaver Affihauon NCDENR Exprc ,% Pcamtnng Fax # 350 2004 Numbcr of pages (Including Cover) 3 Date May 30 2006 l•rom. 'lim Chnkscales RE Express Stomzwater Express Form USGS quad map Site Plan of proposed development Protect No 06135 PEI Comments Cameron Enclosed is the mfonnanon for stomawater review for Lot 6 inside Island Park If you hat a any questions please feet frLL to call me at 791 6707 thanks for your tune and have a great days Tun Chnkscales y 9 q A C N E O g 1 V C U T E t❑ 2 w I L M I N 6 T❑ N N C 2 a P H 9 1❑ 7 V 1 6 70 7 f w Y 9 ❑ 1 9. 3 Y o 1 7 T6 35tld 3dni031IHDNV 3"1SI-1 LTS7E9LOT6 CO LT 900Z/0E/50 State of North Carolina CORP ID # — -Z 73 Department of the Secretary of State = FILE 09 3 1 9 0 U% 8 ARTICLES OF ORGANIZATION N3 0 'y Limited Liability Company Effective Pursuant to §57C 2-20 of the General Statutes of North Carolina, the undersigned does Articles of Organization for the purpose of forming a limited liability company The name of the limited liability company is Birdsey Napier Investment Group LLC If the limited liability company is to dissolve by a specific date the latest date on which the hmited liability company is to dissolve (If no date for dissolution is specified there shall be no hm:tion the duration of the limited liability company) (Optional) The name and address of the initial member(s) of the limited liability company is �s follows 4 The name and address of each person executing these articles of organization is as follows (State whether each person is executing these articles of organization in the capacity of a member or an organizer) Stephep T Byrd 3605 Glenwood Avenue Suite 500 Raleigh NC 27612 (Organizer) The street address and county of the initial registered office of the limited liability company ij i Number and Street 106 Martingale Lane City State Zip Code Wilmington NC 28409-2020 County New Hanover 6 The mailing address if differentfrom the street address of the initial registered office is 7 The name of the initial registered agent is Rosalind N Fuller Check one of the following (i) Member -managed LLC all members by virtue of their status as members shall 1� managers of this limited liability company x (n) Manager -managed LLC except as provided by N C G S Section 57C-3 20(a) the members of this limited liability company shall not be managers by virtue of their status as members mbers (Revised July 1999) Form L-01 CORPORATIONS DMSION P O BOX 29622 RALEIGIL NC 27626-0622 9 Any other provisions which the limited liability company elects to include are attached 10 These articles will be effective upon filing unless a date and/or time is specified This is thq-LL day of A404b, 1999 Birdsey Napier Investment Group LLC Ogh#iwe Stephen T Byrd Organizer Type or Print Name and Title NOTES I Filmg fee is S125 This document and one exactor conformed copy of these articles must be Sled with the Secretary of State (Revised July 1999) Form L-01 LIMITED LIABILITY COMPANY (LLC) ANNUAL REPORT NAME OF LIMITED LIABILITY COMPANY BIRDSEY NAPIER INVESTMENT GROUP LLC STATE OF ORGANIZATION NC SECRETARY OF STATE L LC ID NUMBER 0513273 23 SOSID 0513273 Date FdLd 3/31/2003 9 14 00 AM Elaine F Marshall North Carolina Secretary of State 230900620 FISCAL YEAR ENDING 12/31/2002 MONTHIDAYNEAR FEDERAL EMPLOYER ID NUMBER 56 2169415 IF THIS IS THE INITIAL ANNUAL REPORT FILING YOU MUST COMPLETE THE ENTIRE FORM IF YOUR LLC S INFORMATION HAS NOT CHANGE SINCE THE PREVIOUS REPORT PLEASE CHECK THE BOX R AND COMPLETE LINE 8 ONLY 1 REGISTERED AGENT & REGISTERED OFFICE MAILING ADDRESS 2 STREET ADDRESS AND COUNTY OF REGISTERED OFFICE 3 IF THE REGISTERED AGENT CHANGED SIGNATURE OF THE NEW AGENT SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 4 ENTER PRINCIPAL OFFICE ADDRESS HERE ADDRESS CRY ST ZIP 5 ENTER PRINCIPAL OFFICE TELEPHONE NUMBER HERE PLEASE INCLUDE AREA CODE 6 ENTER NAME TITLE AND BUSINESS ADDRESS OF MANAGER(S) HERE NAME ADDRESS - TITLE CITY ST ZIP NAME ADDRESS - TITLE CITY ST LP NAME ADDRESS - TITLE CITY ST ZIP 7 BRIEFLY DESCRIBE THE NATURE OF BUSINESS 8 CERTIFIC TION OF ANNUAL R PORTJIM�UUSS/nT�, BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES �k FORM M T BE SIGNED BY A MANAGER OF L L C DATE O sO.a I ❑A 1\� TCL I r TYPE OR PRIM NAME TYPE OR PRI TITLE ANNUAL REPORT FEE $200 00 MAIL TO Seaetaryof State • Corporations Dimslon • Post Office Box 29525 • Raleo NC 2762&0525 203920 1 000 39