SW8950506_Current Permit_20210929 (3)

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BRIAN WRENN NORTH DNA
Director Esorkunmentutfautulity
September 29,2021
Country Club of Landfall
Attn:Jack Barto,President
800 Sun Runner Place
W w_ II NC 28405
Subject: Permit Renewal
State Stormwater Management Permit No.SW8 950506
Landfall Clubhouse
New Hanover County
Dear Mr.Barto:
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on September 20,2021.The Division is hereby notifying you that permit SW&950506 has been
renewed on September 29,2021,and shall be effective until September 10,2028. 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 July 25, 1995 and most recently
modified and transferred on June 27,2018,will remain in full force and effect in accordance with the regulations set
forth in Title 15A NCAC 211.1000.
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 Ashley Smith in the
Wilmington Regional Office,at(910)796-7215 or [e-mail].
Sincerely,
091 .1,1 )4
. Brian Wrenn,Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment C—Permitting History
Renewal Application Documents
DESlams: 1\1Stormwater\Permits&Projects\1995\950506 HD\2021 09 permit 950506
cc: NCDEQ-DEMLR Wilmington Regional Office
North Carolina DeQm Unit of Environmental Quality i Division of Energy,Mineral and Land:Resources
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State Stormwater Management Systems
Permit No. SW8 950506
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Country Club of Landfall
Landfall Clubhouse
800 Sun Runner Place, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of one (1) wet detention pond ("stormwater control measure"
or"SCM") in compliance with the provisions of Title 15A NCAC 2H .1000 effective January 1, 2017
(the "stormwater rules") and the approved stormwater management plans, application, supplement(s),
specifications, and other supporting data (the "approved plans and specifications") as attached and/or
on file with and approved by the Division of Energy, Mineral and Land Resources (the "Division" or
"DEMLR") and considered an enforceable part of this permit.
This permit shall be effective from the date of issuance until September 10, 2028, and shall be subject
to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the management and volume of stormwater
described in the approved plans and specifications. The maximum amount of built-upon area
(BUA) allowed for the entire project is 450,502 square feet.
2. The drainage area for the on-site stormwater control measure will be limited to the amount of
built-upon area indicated in this permit and the approved plans and specifications. The runoff
from all built-upon area within the permitted drainage area of this project must be directed into
the permitted stormwater control measure. The stormwater control measure has been designed
using the runoff treatment method to handle the runoff volume from a maximum of 450,502
square feet of impervious area. This permit does not provide any allocation of built-upon area for
future development.
3. The drainage area of the permitted SCM includes 10 lots off Sun Runner Place, each allowed
50% of the lot area as built-upon area (total lot impervious of 189,640 ft2); the clubhouse project,
including buildings, cart paths, sidewalks, and parking at a total of 204,754 ft2; and Sun Runner
Place Extension at 56,108 ft2.
4. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
Page 1 of 5

State Stormwater Management Systems
Permit No. SW8 950506
5. The following design criteria have been approved for the permitted SCM and must be
maintained at design condition:
a. Drainage Area, acres: 19.56
Onsite, ft2: 852,034
Offsite, ft2: 9,079,646 (SCS)
b. Total Impervious Surfaces, ft2: 450,502
Clubhouse: 204,754
Sun Runner Place: 56,108
10 lots @50%: 189,640
c. Average Pond Design Depth, feet: 5.5
d. TSS Removal Efficiency: 90%
e. Design Storm, inches: 3,137 @1.5"447,365 @1.0"
f. Permanent Pool (PP) Elevation, FMSL: 10.65
g. Permitted PP Surface Area, ft2: 62,500
h. Temporary Storage Elevation, FMSL: 11.10
i. Permitted Storage Volume, ft3: 25,657
j. Controlling Orifice, inch 0 pipe: 3 @2" each
k. PP Volume, ft3: n/a (1995 rule)
I. Forebay Volume, ft3: n/a (1995 rule)
m. Maximum Fountain Horsepower: n/a
n. Receiving Stream/River Basin: UT Howe Creek
(Pembroke Jones Lake)
CPF24
o. Stream Index Number: 18-87-23
p. Classification of Water Body: C (freshwater)
II. SCHEDULE OF COMPLIANCE
1. 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.
2. The project's built-upon area and SCM shall be constructed, operated and maintained in
accordance with the conditions of this permit and the approved plans and specifications.
3. The on-site stormwater system shall be entirely constructed, vegetated, and operational prior
to the construction of any development within the drainage area, per the approved plans and
specifications.
4. During construction of the project, erosion shall be kept to a minimum and any eroded areas of
the on-site stormwater system will be repaired immediately. If the stormwater system is 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.
5. All stormwater control measures, stormwater collection systems, vegetated conveyance
systems, and/or maintenance accesses must be located in public rights-of-way, dedicated
common areas that extend to the nearest public right-of-way, and/or permanent recorded
easements that extend to the nearest public right-of-way for the purpose of inspection,
operation, maintenance, and repair.
6. The permittee shall provide and perform the operation and maintenance necessary, as listed
in the signed Operation and Maintenance Agreement, to assure that all components of the
permitted on-site stormwater system functions at the approved design condition. The
approved Operation and Maintenance Agreement is incorporated by reference into this permit
and must be followed in its entirety and maintenance must occur at the scheduled intervals.
Page 2 of 5

State Stormwater Management Systems
Permit No. SW8 950506
7 Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
8. The permittee is responsible for verifying that the proposed built-upon area for the entire
project does not exceed the maximum allowed by this permit.
9. Upon completion of the project, the permittee shall determine whether or not the project is in
compliance with the permitted plans and take the necessary following actions:
a. If the permittee determines that the project is in compliance with the permitted
plans, then within 45 days of completion, the permittee shall cause the completed
and signed Designer's Certification to be submitted noting that the modifications
approved by this permit have been completed in accordance with the approved
plans and specifications. Any noted deviations may require additional approval
from the Division; A modification may be required for those deviations.
b. If the permittee determines that the project is not in compliance with the permitted
plans, the permittee shall either submit an application to modify the permit within 30
days of completion of the project or provide a plan of action, with a timeline, to bring
the site into compliance.
10. The permittee shall assure that the following deed restriction statements are recorded such
that they apply to all ten (10) of the existing Sun Runner Court lots within the drainage area of
this pond:
a. The built-upon area is limited to a maximum of 50% of the lot area.
b. Built-upon area includes that portion of the right-of-way between the lot line and the
edge of pavement, structures, pavement, walkways of brick, stone, or slate, but not
including open wood decking.
c. The covenants pertaining to stormwater regulations may not be changed or deleted
without concurrence of the State.
d. Alteration of the drainage as shown on the approved plan may not take place without
the concurrence of the State.
e. All runoff on the lot must drain into the permitted system. This may be accomplished
through providing roof drain gutters which drain to the street, grading the lot to drain
toward the street, or grading perimeter swales and directing them into the pond or
street. Lots that naturally drain into the system are not required to provide these
measures.
11. A copy of the recorded deed restrictions must be submitted to the Division within 30 days of
the date of recording the plat. The recorded copy must be signed by the Permittee, dated,
stamped with the deed book number and page, and bear the stamp/signature of the Register
of Deeds.
12. Decorative spray fountains will be allowed in the stormwater treatment system if calculations
are provided documenting the permeant pool volume is greater than 30,000 cubic feet.
13. Prior to transfer of the permit, a file review and site inspection will be conducted by Division
personnel to ensure the permit conditions have been met and that the project and the on-site
stormwater system complies with the permit conditions. Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer. Records of maintenance activities
performed to date may be requested.
Page 3 of 5

State Stormwater Management Systems
Permit No. SW8 950506
14. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. Adding the option to use permeable pavement or#57 stone within the lots as a
permeable surface. The request may require a proposed amendment to the deed
restrictions and protective covenants for the subdivision to be submitted and recorded.
g. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications.
h. Other modifications as determined by the Director.
III. GENERAL CONDITIONS
1. Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21.
2. The issuance of this permit does not preclude the permittee from complying with and obtaining
any other permits or approvals that are required for this development to take place, as
required by any statutes, rules, regulations, or ordinances, which may be imposed by any
other Local, State or Federal government agency having jurisdiction. Any activities undertaken
at this site that cause a water quality violation or undertaken prior to receipt of the necessary
permits or approvals to do so are considered violations of NCGS 143-215.1, and subject to
enforcement procedures pursuant to NCGS 143-215.6.
If the facilities fail to perform satisfactorily, the permittee shall take immediate corrective
actions. This includes actions required by this Division and the stormwater rules such as the
construction of additional or replacement on-site stormwater systems. These additional or
replacement measures shall receive a permit from the Division prior to construction.
4. Permit Transfer: 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;
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;
5. Current Permittee Name or Address Changes: The permittee shall submit a completed
"Permit Information Update Application Form" (available on the Division website) to the
Division within 30 days to making any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
Page 4 of 5

State Stormwater Management Systems
Permit No. SW8 950506
c. A mailing address change of the permittee;
6. The permittee is responsible for compliance with all terms and conditions of this permit until
the Division approves the transfer request. Neither the sale of the project, in whole or in part,
nor the conveyance of common area to a third party constitutes an approved transfer of the
permit.
7. The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project.
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. Approved plans, application documents, supplements, calculations, operation and
maintenance agreement, and specifications for this project are incorporated by reference and
are enforceable parts of the permit. A copy of this permit, application, supplements, operation
and maintenance agreement, and approved plans and specifications shall be maintained on
file by the permittee.
10. Unless specified elsewhere, permanent seeding requirements for the on-site stormwater
system must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual.
11. The issuance of this permit does not prohibit the Director from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit for cause as allowed by the
laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
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 renewed, updated and reissued this the 29th day of September 2021.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
CRI) „ 94,0
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Attachment C Permitting History
Landfall Clubhouse
Permit No.SW8 950506
Approve Permit Action BIMS
Description of the Champs
Date Version
7/25/1995 Original 1.0
Approval
9/10/1998 Transfer 1.1 from Landlfall Associates to Landfall Subdivision II
Owners Association,Inc.
in a net decrease in paved areas of 9,530 sf and a net
increase in buildings/structures of 9,060 sf. This
4/6/2006 Plan Revision 1.2 results in an overall decrease in impervious area of
470 sf;this amount is now available for future
development of the clubhouse project.
5/12/2016 Renewal 2.0
2/23/2018 Transfer 2.1 from Landfall Subdivision II Owners Association,
Inc.to Country Club of Landfall
The addition of 3137 sf of net gain built-upon area
6/27/2018 Modification 2.2 for the construction of the Dining Terrace expansion
at the back of the Clubhouse.
9/29/2021 Renewal 3.0

STORMWATER
POND MAINTENANCE REQUIREMENTS D E C E 1 V E
AUG 2 8 199
Project Name: r.andfAf Cl"bbouse 8
E M
Permittee. T.anrifa�i Subdi�isinn rT n C PROJ#
�aTt7 e r Sys SOr r a t i Tn . -'�'-'�-----�-a,
Address: 1616 Dye Place Wilmington, NC 28405 PhoneNo. (910) 256-7646
Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it is not functioning.
B. Inspect and clear the orifice of any obstructions. If a pump is used as the drawdown
mechanism, pump operation will be checked. A log of test runs of the pump will be kept
on site and made available to DWQ personnel upon request.
C. Inspect the pond side slopes and grassed inlet swales; remove trash, and repair eroded areas
before the next rainfall event.
D. If the pond is operated with a vegetated filter, the filter will be checked for sediment
accumulation, trash accumulation, erosion and proper operation of the flow spreader
mechanism. Repairs/cleaning will be done as necessary.
II. Quarterly (Four times a year):
A. Inspect the collection system (ie. catch basins, piping, grassed swales) for proper
functioning. Accumulated trash will be cleared from basin grates, basin bottoms, and piping
will be checked for obstructions and cleared as required.
B. Pond inlet pipes will be checked for undercutting. Riprap or other energy dissipation
structures will be replaced, and broken pipes will be repaired.
III. Semi-annually (twice a year):
A. Accumulated sediment from the bottom of the outlet structure will be removed.
B. The forebay depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75% of the original forebay design depth of 5.5 feet'
•
C. Grassed swales, including the vegetated filter if applicable, will be reseeded twice a year as
necessary. f.
rtF.CEIVE
MAR 2 8 2018
BY:

POND MAINTENANCE REQUIREMENTS
PAGE 2
IV. Annually (Once a year):
A. The pond depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75% of the original design depth or 3', whichever is greater. Design
depth is 5.5 fee measured vertically from the orifice down to the pond's bottom.
Sediment must be removed to at least the original design depth.
V. General:
A. Mowing of the side slopes will be accomplished according to the season. Maximum grass
height will be 6".
B. Cattails are encouraged along the pond perimeter, however they will be removed when they
cover more than 1/2 the surface area of the pond. The best time to cut them is at the end of
the growing season, in November. Environmentally sensitive chemicals for use in killing
cattails can also be used. Contact your nearest Agricultural Extension Agent.
C. The orifice/pump is designed to draw down the pond in 2-5 days. If drawdown is not
accomplished in that time, the orifice will be replaced with a larger or smaller orifice. Slow
drawdown may be attributed to a clogged system. The source of the clogging will be found
and eliminated.
D. All components of the detention pond system will be kept in good working order. Repair
or replacement components will meet the original design specifications as per the approved
stormwater plan. If previously approved components are determined to be ineffective, the
component must be redesigned and/or replaced.
11,
VI. Special Requirements: F C E I IE
MAR 2 8 2016
BY:
I, S_ Keith 000par, President , hereby acknowledge that I am the financially
(please print or type name clearly)
responsible party for maintenance of this detention pond. I will be responsible for the performance of the
maintenance as outlined above, as part of the Stormwater Management Permit received for this project.
Signature: J, 6-i-eL Date: )S' AAA(� G1 g
Revised 2/zst_ip resident, Landfall ubdivision II owners Association, Inc.

DEMLR USEONLY
Date R ved Fee Paid Permit Number
�01 At A-1,131 4 sa5 swn'cm-05000
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: S% 9 OSo(p
2. Project name: LPc1J�FPt CLJfS #c S�
3. Project street address: OO SUS.) QUtJ Af L �v4CC"
City: L 3 1(--m i Qcp-rt.,0 County: N EU-) Fcft %/ --P. ZIP : 40.5
4. What, if any, changes have been made to the project as permitted? 1JC-
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https://de4.nc.gov/about/divisions/enerQv-
mineral-land-resources/enerav-mineral-land-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:https://dec.nc.aov/about/divisions/enercy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: C_OCit. `1 Q t j(3 0 F Lev,s6P4LL
2. Signing Official's Name: Vt"«-
3. Signing Official's Title: (D lack-tkL mcog./0.00
4. Mailing Address: %OO ScA3 Zoo 1,J
City: kA3 t LM i N .(-00 State: WC ZIP : a.R4-CZ
5. Street Address:
City: State: ZIP :
6. Phone: (9l0 ) c Cc-- (IEmail: i. li TL-Q.( CouIJTt QeLLN:sOFc bP tLL.. .Ccxri
le ilk
SEP 0 9 2021
Stormwater Permit Renewal Form Page 1 of 3 May 11,2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office(Coastal, SA Waters)or DEMLR
Central Office(Urbanizing Areas Ph 2, USMP, Non-Coastal HQ W/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
In! 'a -=ch item below to indicate that the required information is provided in the application package:
Il/ 1. A permit application processing fee of$505.00 payable to NCDEQ.
/ /,i 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
aI/ signature of another entity.
-, 3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
11 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
(11(. and protective covenants will be submitted at a later date.
--
4. O&M Agreements, Please select one:
❑ I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
Aft5. Designer Certifications, Please select one:
❑ A copy of the certification(s)confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s)confirming that the project was built in accordance with the
approved plans are enclosed; or
,I�r ❑ The project has not yet been built.
% ` 6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
,` �c inspected, and that they have been built and maintained in accordance with the permit.
•N\ 7. [IF APPLICABLE]When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation,which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
8 SEP0 g 2021 lel
i
BY
Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018

D. PERMITTEE'S CERTIFICATION
I, ,s. Q , 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, corr and compl / 1 Signature: , If Date: q131z1
NOTARIZATIO :
I, ! -e,4 C Won
n f , a Notary Public for the State of
TTNO Y43 W,r i I 1n.‘,. , County of N Q t-iokt go vJ r , do hereby certify
th2i% AL personally appeared before me
this the .3 day of &..e-t hr4 102.1e. ,20 2- I , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
hAL..1114.41e-,
rNotary Signature: k---14 A.P,-
My commission expires l Z( VD
IliIL. ilk a Vsf 4 ,
. i
SEP 0 9 2021 it)
BY
Stormwater Permit Renewal Application Form Page 3 of 3 May 11,2018