SW8141106_HISTORICAL FILE_20221205

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 �"Ai 1\ 0\o
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
® HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2022/205
YYYYMMDD

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Limited Liability Company
Legal Name
Hazy's Plaza, LLC
Information
Sosld: 1094291
Status: Current -Active O
Date Formed: 4/24/2009
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: CT Corporation System
Addresses
Reg Office Reg Mailing Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 779 Commerce Place
Raleigh, NC 27615 Raleigh, NC 27615 Myrtle Beach, SC 29577-6541
Principal Office
779 Commerce Place
Myrtle Beach, SC 29577-6541
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Secretary Manager
KAREN ELIA Yehezkel Elia
3788 waterford dr 3788 waterford Drive
myrtle beach SC 29577 Myrtle Beach SC 29577

Burd, Tina J
From: Burd, Tina J
Sent: Thursday, January 5, 2023 12:03 PM
To: [e-mail]
Subject: SW8 141106 - Hazy's Plaza
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 December 28, 2022. The project
has been assigned to Aisia Freeman 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
Email cotrespondence to and from this address is subjec, to the
Noilh Ctarnlina Puttlic Records Law and ivay be disclosed to third panics.
Website: http://deq.nc.goy/about/divisions/energy-mineral-land-resources/stormwater
Many employees are working remotely or are on staggered shifts. Please check with the appropriate staff before visiting our
offices, as they may be able to handle your requests by phone or email.

Application Completeness Review Checklist
Project Name:
Project
Permit Action: New New Permit #2:
Not located in the ETJ of the following delegated
and functioning programs:
Date Delivered to WIRO:
BIMS Received/Accepted Date:
Date Given to Admin: Ir—;
BIMS Acknowledged Date': (
N RC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isle Onsl: Jacksonville
MajorM / Minor Mo / Renewal
pplicant & Permittee are the same?3
Permit Type: H D / LD Overall / HD &LD Combo
Pend: Surf City
Existing Permit #:
Expiration Date°:
General Permit / Offsite / Exempt + Redevelopment
Development Type: mmerci sident�ial / Other
Subdivided?: Subdivision Sineor�� le Later
Rule(s): ( 12017 Coastal
Coastal
ElOffsite to SWB:
0Is Offsite Lot approved in Master Permit?s
uPhase II LiUniversal u1988 Coastal
Permifo�ype &Documents Needed:
perty Owner(s) Purchaser Lessee F_1HOA Developer
Viable? Viable? viable? QVlable? QViable?
ed QPurchase Agmt QLease Election Minutes
Paperwork ll 1 ✓
*e:
plication / " FCIS505 (within 6mo) Checkk(s): z�q0 ENO FeeFSupplement<a (I new form or for older forms: 1 original per SCM)
EO&M
ISO
Soils Report (Infil or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided
Proj ect Narrative
FJUSGS Map (or onfile?) Subject to SA?: Y / N Subject to ORW?: Y / N
Plans (2 Sets)
NOTES:
Enter BIMS Acknowledged Date on this Sheet
2For New Projects -Enter New Permit # on Supptements & Deed Restriction Templates.
3If permittee is different, STOP. Needs to he transferred first.
°If w/in 6 months and they are requesting a mod, STOP. Needs a renewal first.
slf Lot not approved in master permit, STOP. Master permit needs mod.
EMAILED ENGINEER DATE:
REVIEWER NAME:
i
Comments:
G\\\Reference Library\Procedures\Checklists\Completeness Review Checklist 20210908

CARO LI NA Engineering —Planning
SITE DESIGN, Inc.
284 Holden Beach Road
Shallotte, NC 28470
910-200-4199
910-754-8082 Fax
Send To Steve Pusey
Company Name
NCDENR-DWQ
Address
127 Cardinal Drive Ext
City
Wilmington, NC 28405
WE ARE SENDING YOU ® Attached
®Plans
❑Report
Date November 30, 2016
Re:
❑ Diskette
❑ Proposal
Hazy's Plaza - Holden Beach - SW8 141 106
❑ Under separate cover via US Mail the following:
❑ Copy of Letter
El
Date
Copies
Description
3/26/16
1
Designer's Certification w/re uirement checklist
3/24/16
1
As -Built Survey by Bobby M. Long & Assoc.
THESE ARE BEING TRANSMITTED AS INDICATED BELOW:
❑ As Requested ❑ For Your Comments ❑ Returned After Loan to
® For Approval ❑ Approved As -Is ❑ For your signature
❑ For Your Use ❑ Returned with Corrections ❑ For Bids Due
Comments: Steve,
The enclosed is provided for final certification for this stormwater permit.
Please call if you have any questions or require additional information.
:CEI V
DEC 18 80
r