SW3170601_Ltr to Permitee re Transfer of Permit_20190329

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Interim Director
Mel Graham
Graham Enterprises of the Carolinas, LLC
PO Box 78926
Charlulie, Not Carolina 28271
NORTH CAROLINA
Environmental Quality
March 29, 2019
Subject: Stormwater Permit No. SW3170601
Moore Farm
I Jnion County
Dear Mr. Graham,
Your October 24, 2018 letter to Mr. Mike Randall has recently been given to me for review and action.
Per Rule 15A NCAC 02H.1045 Requirements for Permit Transfers and Renewals, we require the
following to transfer State stormwater permit S W3110601:
• Permit Transfer Fee in the amount of $505;
• Completed and signed Permit Transfer Application;
• Documentation showing MD7 Moore Farm LLC is in good standing with the North Carolina
Secretary of State;
• Documentation showing titles and positions held by persons signing the application;
• Legal documentation of the property transfer;
• Signed and notarized operations and management agreement;
• Recorded deed of restrictions and protective covenants;
• Letter from qualified person stating the stormwater management system has been inspected and
determined to be built and maintained according to the approved plans.
I have included with this letter a copy of Rule 15A NCAC 02H.1045, State Stormwater Permit and
Application Fee schedule, and a blank State Stormwater Permit Transfer Application Form. Once a
complete package is received, the Stormwater Program will review your application and contact you if we
need additional information. If you have questions about this matter, please contact Annette Lucas at
919-707-3639.
Sincerely,
Suzanne McCoy
Administrative Assistant
O-P, D North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
E Q 512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
NORTH CAROLINq
ow.^+MaF+�*rxww� /, 919.707.9200

Graham Enterprises of the Carolinas, LLC
PO Box 78926
Charlotte, NC 28271
October 24, 2018
Mr. Mike Randall
NCDEMLR - Stormwater Section
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Stormwater Permit No. SW3170601
Moore Farm, Union County
Dear Mr. Randall:
This letter is provided to advise the NCDEMLR Stormwater Section that MD7 Moore
Farm LLC has purchased the Moore Farm property including all development rights.
The contact for MD7 Moore Farm, LLC is:
MD7 Moore Farm LLC
8905 Primula Drive
Gaithersburg, MD 20882
Attn.: Brian Foster
Telephone: [phone]
Email: [e-mail]
OCR'' 3 0 20,J MVZD
DENR-L4NU (DUAL! ; Y
STORMWATER PERMITTINC
Please do not hesitate to contact me at 704-552-5338 if you have questions that I may
be able to address for you.
Sincerely,
Mel Graham
cc: Brian Foster, MD7 Moore Farm LLC
John Ross, PE, Eagle Engineering
NCDEMLR - Mooresville Regional Office

15A NCAC 02H .1045 REQUIREMENTS FOR PERMIT TRANSFERS AND PERMIT RENEWALS
This Rule contains the requirements for the transfer and renewal of State stormwater management permits that have
been issued by the Division, including those issued under the standard and fast -track permitting processes.
(1) CONDITIONS UNDER WHICH A PERMIT SHALL BE TRANSFERRED. Permit transfer
applications shall be accepted by the Division under the following scenarios:
(a) upon the request of the current and proposed permittees;
(b) upon the request of a permitted declarant of a condominium or planned community to the
unit owners association, owners association, or other management entity identified in the
condominium or planned community's declaration in accordance with G.S. 143
214.7(c2);or
(c) upon the request for a transfer without the consent of the permit holder to a successor -
owner of the property on which the permitted activity is occurring or will occur as
provided in G.S. 143-214.7(c5).
(2) PERMIT TRANSFER APPLICATION SUBMITTAL REQUIREMENTS. The applicant shall
submit a permit application fee in accordance with G.S. 143-215.313 and two signed hard copies
and one ehOlouic copy orc-ach of tho folh%viuL<-
(a) a completed and signed Permit Trausfbr Application Form. This fbrm may be obtained on
the Division's website at http:Hportal.ncdenr.org/web/Ir/stormwater and shall include the
following information:
(i) current stormwater permit number;
(ii) current project name;
(iii) current permittee name and contact information; and
(iv) proposed permittee name and contact information.
(b) when the applicant is a corporation or limited liability corporation (LLC):
(i) Documentation showing the corporation or LLC for the proposed permittee is an
active corporation in good standing with the NC Secretary of State; and
(11) Documentation from the NC Secretary of State or other official documentation,
showing the titles and positions held by the person who signed the application
pursuant to Rule .1040 of this Section;
(c) legal documentation of the property transfer to a new owner;
(d) a copy of a signed and notarized operation and maintenance agreement from the proposed
permittee;
(e) a copy of the recorded deed restrictions and protective covenants where required by the
permit. If the project has been built, documentation that the maximum allowed per lot
built -upon area or the maximum allowed total built -upon area has not been exceeded. If
the project has not been built, the new owner shall provide a signed agreement to submit
final recorded deed restrictions and protective covenants; and
(f) if the project has been built, a signed, sealed, and dated letter from a licensed professional
or other qualified person in accordance with Rule .1050 of this Section stating that the
stormwater management system has been inspected and that it has been built and
maintained in accordance with the approved plans.
(3) PERMIT RENEWAL APPLICATION SUBMITTAL REQUIREMENTS. Permittees shall submit
a permit renewal application to the Division a minimum of 180 days prior to the permit's
expiration date. The applicant shall submit a permit application fee in accordance with G.S. 143-
215.31) and two signed hard copies and one electronic copy of each of the following:
(a) a completed and signed Permit Renewal Application Form. This form can be obtained on
the Division's website at http://portal.ncdenr.org/web/Ir/stormwater and shall include the
following information:
(i) project name and stormwater permit number;
(ii) permittee name and contact information;
(iii) owner name, title, and contact information;
(iv) information about the physical location of project;
(v) description of SCMs used on the project; and
(vi) if applicable, description of any changes made to the project as permitted.
(b) when the applicant is a corporation or limited liability corporation (LLC):

(i) Documentation showing the corporation of LLC is an active corporation in good
standing with the NC Secretary of State; and
(ii) Documentation from the NC Secretary of State or other official documentation,
showing the titles and positions held by the person who signed the application
pursuant to Rule .1040 of this Section.
(c) documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built -upon area has not been exceeded;
(d) a signed, sealed, and dated letter from a licensed professional or other qualified person in
accordance with Rule .1050 of this Section stating that the stormwater management
system has been inspected and that it has been built and maintained in accordance with
the approved plans;
(e) a copy of the current signed and notarized operation and maintenance agreement where
required by the permit;
(f) a copy of the recorded deed restrictions and protective covenants, where required by
permit; and
(e) if the project is out of complianr`e with permit conditions, a avI ittc:u sdIt-dIII e uractioII. to
being the piojec,t iiiLo coirihliance.
(4) DIVISION REVIEW OF APPLICATIONS. The Division shall follow tliese procedures in
reviewing and approving applications for permit transfers and renewals.
(a) The Division shall take one of the following actions upon receipt of the application:
(i) notify the applicant that the application is incomplete, and specify the additional
information required as set forth in Items (2) or (3) of this Rule for the Division
to determine whether the project complies with this Section. The Division shall
provide a list of the additional information required. The applicant shall have 30
days from the date the letter was sent to submit the additional information to the
Division;
(ii) return the application if the required information listed in Items (2) or (3) of this
Rule is not provided or if information the Division has requested per Sub -item
(4)(a)(i) is not provided. In this case, the application shall be deemed denied,
and the applicant shall be required to resubmit a complete application with a
new application fee; or
(iii) issue an updated permit in accordance with this Section if the application is
complete and the project is in compliance with its permit conditions and
approved plans.
(b) The applicant shall allow the Division safe access to the records, lands, and facilities of
the applicant. The Division may conduct any inquiry or investigation it considers
necessary before acting on an application and may require an applicant to submit plans,
specifications, and other information the Division considers necessary to evaluate the
application.
(c) If the Division fails to act within the response times set forth by G.S. 143-215.1, then the
application shall be considered approved unless:
(i) the applicant agrees, in writing, to a longer period;
(ii) the project being transferred or renewed is out of compliance with the
stormwater permit;
(iii) a public notice or public hearing is required by the Director;
(iv) the applicant fails to furnish information necessary for the Division's decision in
accordance with this Rule; or
(v) the applicant refuses the staff access to its records or premises for the purpose of
gathering information necessary for the Division's decision.
History Note: Authority G.S. 143-214.1; 143-214.7; 143-215.1; 143-215.3(a);
Eff. January 1, 2017 (portions of this Rule previously codified in 15A NCAC 02H.1003).

State Stormwater Permit
Standard Process Application Fees
Effective March 1, 2017
Permit Service
Fee
New or Updated
Expiration Date for High Density Permits
Permit Issued?
(Low Density Permits do not Expire)
New permit
$505
Yes
New permits will expire 8 years later after
issuance. [15A NCAC 02H. 1 040(4)(b)]
1, 2 Major modifications
$505
Yes
Modified permits determined to be in
compliance will have the current permit's
expiration date unless the current permit
expires in 180 clays or less. lii that case,
the modified permit's expiration date will be
8 years after the current permit's expiration
date. [15A NCAC 02H.1045(3)]
1, 3 Transfer
$505
Yes
Transferred permits determined to be in
compliance will have the current permit's
expiration date unless the current permit
expires in 180 days or less. In that case,
the transferred permit's expiration elate will
be 8 years after the current permit's
expiration date. [15A NCAC 02H.1045(3)]
1, 2,3 Renewal
$505
Yes
Renewed permits will expire 8 years after
the current permit's expiration date.
[15A NCAC 02H.1045(3)]
Permit Information Update
$0
No
As specified in current permit
Minor modification
$0
No
As specified in current permit
Rescission
$0
No
NA
Separate permit renewals are required and cannot be combined with major modifications and transfers when:
The permit is expired. Allowing a stormwater permit to expire is a violation of state stormwater rules and
may result in an enforcement action. In addition, expired permits must be renewed before they can be
modified or transferred.
2 A major modification is submitted to correct a non -compliant permit inspection or violation.
A transfer application is submitted to correct a non -compliant permit inspection or violation OR a file
review/site inspection for a transfer determines the site is not compliant. Non -compliant permits cannot be
transferred until they are brought into compliance. If a permit is non -compliant and it is within the 180-day
window for expiration, then the renewal is a separate action. If a transfer is submitted with a request for a
renewal, and it is found to be in violation during a file review or site inspection, then the transfer will be
withdrawn until it becomes compliant and the fee will be used for the renewal only. A new fee for the transfer
will be required upon compliance.

New permit means issuing a permit for a project that has never received a stormwater permit or for
which a previously -issued permit cannot be renewed. In order to issue a new permit, DEQ staff
conduct a technical review of plans and calculations.
Major modification means Issuing a permit for a currently -permitted project that has an increase in
the BUA, a change in the SCM design, or any other change that does not meet the definition of "minor
modification." In order to issue a major modification, DEQ staff conduct a technical review of plans
and calculations.
Transfer means issuing a permit to a new permittee because ownership of the project has changed.
In order to transfer a permit, DEQ staff review the transfer application and usually visit the site to
ensure that the project complies with all of its penrnil curidiliuiis acid the appruved plans.
Renewal means re -issuing a permit with a new permit term upon request of the permittee. This
typically occurs at the end of the current permit term and may involve a compliance check by DFQ
stormwater staff.
Permit Information Update means administrative changes to the: Name of the project; Legal
corporate name (not including name changes due to change in ownership, which require a transfer);
Mailing address, phone number or email address of the permittee; or Point of Contact (signing official)
for the permittee.
Minor modification means the approval of a change of the state stormwater permit that neither
increases the BUA nor changes the SCM design. An example of a minor modification is relocating
BUA without a not increase in BUA. In the past, minor modifications have been called "plan revisions."
Rescission means the termination of a permit upon request by the permittee. Before a permit can be
rescinded, DEQ stormwater staff review the project to determine if rescission is allowable.

i
DEMLR USE ONLY
Date Received Fee Paid Permit Number
NC DEQ Division of Energy, Mineral and Land Resources
STATE ATE s
IT TRANSFER APPLICATION
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deg.i7c,govlcontactlregional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not he transferred until
1. the cull&nt permittee /&solves all lJon-comphaiwe issues identified in the inspectiull /&pint,
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G. S. 143-214. i c2i (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager, (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee;
• Partnership or limited partnership - the general partner,
• Sole proprietor,
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Stormwater Permit Number:
2. Project name:
Is this an updated project name from the current permit? ❑ Yes ❑ No
3. Reason for the permit transfer request:
Stormwater Perrnit Transfer Application Form Page 1 of 7 April 27, 2018

B. PER ON( WHO HAVE SIGNED THIS FOR (select only one response below)
❑ 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143 214.7(c2) (see also SL 2011 256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
❑ The stormwater management System is in compliance with the. stormwater permit
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the, Duc;laiwil. ulwuscs to use: tlrls type: of trarrsler, the deteririliialluri roust be lrr
writing, signed by the attorney, and submitted to DEMLR with this form.
❑ 3. Only the proposed permittee (skip Part D below).
In accordance with G. S. 143-214.7 c5) (see also SL 2013-121), this type of transfer is allowed only
when a// of the following items can be truthfully checked:
❑ a. The proposed permittee is either (select one of the following):
❑ The successor -owner who holds title to the property on which the permitted activity is
occurring or will occur;
U I he successor -owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other (please explain):
❑ c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
Stormwater Permit Transfer Application Form Face 2 of 7 April 27, 2018

C. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark X" if previously provided. If not
applicable or not available, please mark N/A.:
1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143.21 ,.3LD.(e)_(2�.
2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
.ppl.ic ..ble O M g2re ernes t s) from the proposed permittee, as required by the permit.
5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the properly, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built upon area has not been exceeded. If the project has not been built, the now
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
8. If transferring under C.S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
9. If transferring under C.S. 143-214.7 c5 (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
10. A copy of the lease agreement if the proposed permittee is the lessee.
11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
12. A copy of the developrnerrt agreement if the proposed perrnittee is the developer.
Stormwater Permit Transfer Application Form Page 3 of 7 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization:
2. Signing Official's Name:
3. Signing Official's Title:
4. Mailing Address:
City:
5. Street Address:
State: ZIP:
City: State:
6. Phone: (_) Email:
ZIP:
I, , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application I hereby notify DFMl R of the sale or other legal transfer of the propertylproject
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
U a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signature: Date:
, a Notary Public for the State of
County of , do hereby certify
that personally appeared before me
this the day of 20 , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature:
My commission expires
Stormwrater Permit Transfer Application Form Page 4 of 7 April 27, 2018

E. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
❑ Property owner (Also complete Part F.)
❑ Home Owners Association (HOA), Property Owners Association (POA), or Unit Owner Association
(UOA) (Also complete Part F.)
❑ Lessee - Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser - Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F & G.)
❑ Developer - Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co-permittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F & G.)
2
Proposed permittee names (uhuuk one of the following and provide the narrre):
❑ Corporation, LLC, Partnership, Municipality name:
❑ HOA / POA / UOA name:
❑ Sole Proprietor
3. Proposed permittee contact information:
Please be sure to provide Email.
a. Signing Official's Name:
b. Signing Official's Title:
c. Mailing Address:
City:
d. Street Address:
City:
e. Phone: (_)
Email:
State: ZIP:
State: ZIP:
4. If there is a Management Entity that manages the property for an HOA, POA or UOA, please provide:
Please be sure to provide Email.
a. Management Company or Business name:
b. CoiilacL Naive.
c. Mailing Address:
d. City:
e. Phone: (_)
mail:
Title.
State: ZIP:
Stormwater Permit Transfer Application Form Page 5 of 7 April 27, 2018

F. PROPOSED PERMITTEE CERTIFICATION
I, , hereby notify the DEMUR that I have acquired through sale, lease,
development agreement, or other legal transfer, the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
❑ Uheck heie it the proposed pwinittee agrees to be the entity respoirsible tvi addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a `plan of action and schedule" addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written `plan of action and
schedule" must be received by the Division before the Division will transfer the permit.
I have reviewed ttre permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built -upon area as shown on the
approved plans; and I will {construct}, operate and maintain the approved stormwater management system
pursuant to the requirements listed in the permit and in the operation and maintenance agreement.
Signature:
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the day of , 20 , and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires
Stor mwater Permit Transfer Application Form Page 6 of 7 April 27, 2018

O. PROPERTY OWNER INFORMATION ATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization:
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City:
Phone: (_) Email:
State: ZIP:
I, , hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, develupirry lire property urr rrry behall, mid/or leasing lire property Irum rrre. A cupy ui tl€e purc;lrase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to he in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner
I, , a Notary Public for the State of
Date:
, County of , do hereby certify that
personally appeared before me this the day of
, 20 , and acknowledge the due execution of the forgoing instrument. Witness
my hand and official seal,
(Notary Seal)
Notary Signature,
My commission expires
3tormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018