SW3191205_SSW-SWU-101-Application-Scaned_2/11/2020

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Tim Foley, PE
Henson Foley Design
8712 Lindholm Dr. #202A
Huntersville, NC 28078
NORTH CAROLINA
Environmental Quality
January 13, 2020
Subject: Request for Additional Information
Stormwater Permit No. SW3191205
Windsong Subdivision
Union County
Dear Mr. Foley:
The Division of Energy, Mineral and Land Resources (DEMLR), received a Stormwater
Management Permit Application for the subject project on December 31, 2019. A review of that
information has determined that the application is not complete. The following information is
needed to continue the stormwater review:
1. This project is in the Goose Creels watershed and thus must comply with the Goose Creels
Rules for stormwater management (15A NCAC 02B .0602). These rules require the
project to use stormwater controls to infiltrate runoff unless it can be proven by a
geotechnical investigation that it is not feasible on site.
2. On Page 1 of the SWU-101 application, please provide the closest city and the zip code
of the project.
3. On Page 2 of the SWU-101 application form, the applicant was listed as the developer.
Because the property is owned by the applicant, the box for property owner should be
checked.
4. On Page 6 of the SWU-101 application, please have the applicant complete the
Applicant's Certification instead of the Property Owner's Certification. The Property
Owner's Certification is only required when the applicant is not the property owner. The
Applicant's Certification is required for all applications.
5. Please submit a signed and sealed hardcopy of the Supplement EZ form. Please ensure
the information in the Supplement EZ form is complete and updated in accordance with
any revisions requested in this letter.
E�"' North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
NORTH CAPUNA �r
bop,ld. WofEnvlrofl—Wqualuy 919.707.9200

6. Please provide full size (at least 22 inches by 34 inches) copies of the pre -development
and post -development drainage areas.
7. Please provide the name of the individual signing the Deed Restrictions and Protective
Covenants Form at the top of the form.
8. The easements for each SCM must extend to the nearest public right-of-way (General
MDC 9).
9. Please provide a geotechnical investigation to show that the distance between the lowest
point of the sand filter system and the seasonal high water table is at least two feet (Sand
Filter MDC 1).
10. The sand filter must include a sediment chamber and a sand chamber. The storage in the
two chambers shall be equivalent. The sediment chamber can be oversized to provide
detention storage as long as there is sufficient storage volume in the sand chamber to hold
at least 50% of the design volume below the first outlet (Sand Filter MDC 2 and 3).
Please provide stage storage data for both chambers to verify this.
1.1. Please specify on the plans that the sand to be used for the sand chamber must meet the
specifications of ASTM C33 or the equivalent and revise the plans to have the sand cover
the entirety of the sand chamber bottom (Sand Filter MDC 6).
12. Provide pdfs of all revisions, 2 hardcopies of revised plan sheets, and 1 hardcopy of other
documents. Pdfs must be uploaded using the form at:
https:Hedocs.deq.nc.gov/Forms/SW Project Submittal
Please note that this request for additional information is in response to a preliminary review.
The requested information should be received by this Office prior to February 12, 2020, or
the application will be returned as incomplete. The return of a project will necessitate
resubmittal of all required items, including the application fee. Please reference the State
assigned project number SW3191205 on all correspondence.
If you need additional time to submit the information, please submit your request for a time
extension to the Division at the contact below. The request must indicate the date by which you
expect to submit the required information. The Division is allowed 90 days from the receipt of
a completed application to issue the permit.
The construction of any impervious surfaces, other than a construction entrance under an
approved Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and is subject
to enforcement action pursuant to NCGS 143-215.6A.
If you have any questions concerning this matter please feel free to contact me at
CoreAnen(a�ncdenr.gov or [phone].

Sincerely,
Corey Anen
Environmental Engineer
Stormwater Program
cc: Mooresville Regional Office

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1, Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Windsong Subdivision
2. Location of
Road (NC HWY 218), Indian Trail, NC 280
city: N/A County: Union zip:
3. Directions to project (from nearest major intersection):
From the intersection of Interstate 485 & Fairview Road (NC 218), East on Fairview
for approx. 2.5 miles. Site is on the left (North)
4. Latitude: 35 & 09 ' 55 " N Longitude: 8019 35 , 29 " W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tReneoals with modifications also requires SWLI--102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* "provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ©High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major
❑NPDES Industrial Stormwater
X❑Sedimentation/Erosion Control: 18.24 ac of Disturbed Area
X❑404/401 Permit: Proposed Impacts 141 LF & 0.03 AC
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:_ (404) Windsong Development - SAW-2019-00553 - 9/11 /2019
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI: 1-ittp:H2ortal.ncdenr.org/web/hr/rules-and-regulations
Form SWU-10 t Version Oct. 31, 2013 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Wellspring Carolina Investments LLC
Signing Official & Title+ Mark Boyce
b. Contact information for person listed in item 1a above:
Street Address: 2133 Garden View Lane
City: Matthews, State: NC Zip; 28104
Mailing Address (if applicable)+
City: State: Zip:
Phone: ( 980 ) 269 - 6609 Fax: ( 704 ) 919 - 5099
Email: [e-mail]
c. Please check the appropriate box. The applicant listed above is:
EM The property owner (Skip to Contact Information, item 3a)
❑ Lessee' (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser' (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer°•' (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization: Wellspring Carolina Investments LLC
Signing Official & Titlei Mark Boyce
b. Contact information for person listed in item 2a above:
Street Address: 2133 Garden View Lane
City: Matthews, State: NC Zip: 28104
Mailing Address (if applicable):
City: State: Zip:
Phone: (_ 980 _) 269 - 6609 Fax: ( 704 ) 919 - 5099
Email: [e-mail]
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project
Other Contact Person/Organization: Henson Foley Design
Signing Official & Tit6 Tim Foley
b. Contact information for person listed in item 3a above:
Mailing Address: 8712 Lindholm Dr #202A
City: Huntersville, State: NC Zip: 28078
Phone: ( 704 ) 875 - 1615 Fax: )
Email: [e-mail]
4. Local jurisdiction for building permits: Union County
Point of Contact: Lee Jenson
Phone #: ( 704 ) 283 - 3564
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
In the space provided below, briefly summarize how the stormwater runoff will be treated.
The entire built upon area will be either piped or swaled to a SCM with a sand filter
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Yadkin Pee -Dee
River basin.
4. Total Property Area: 53.70 acres 5. Total Coastal Wetlands Area: N/A acres
6. Total Surface Water Area: 13.17 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+g 40.53 acres
Total project area shall be calculated to exclude the following; the normal pool of irn ounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NIM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 14.41
9. How many drainage areas does the project have? 3 (For high density, count 1 for each proposed engineered
stormzvater BMP. For law density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area
Receiving Stream Name
Duck Creek
Duck Creek
Duck Creek
_
Stream Class
C
C
C
Stream Index Number *
13-17-18-3
13-17-18-3
13-17-18-3
Total Drainage Area (sf)
665,596
331,056
267,022
On -site Drainage Area (sf)
661,222
287,140
246,760
Off -site Drainage Area (sf)
4,374
43,916
20,262
Proposed Impervious Area** (so
135,617
70,310
48,640
% Impervious Area** total
20.37 %
21.23 %
18.21 %
Impervious" Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Draina e Area
On -site Buildings/Lots (sf)
104,000
56,000
40,000
_
On -site Streets (so
31,617
14,310
8,640
On -site Parking (so
0
0
0
On -site Sidewalks (sf)
0
0
0
Other on -site (so
0
0
0
Future (sf)
0
0
0
Off -site (so
0
0
0
Existing BUA*** (sf)
0
0
0
Total (so:
135,617
70,310
48,640
8° Stream Class and Index Number can be determined at: http.&ortal,nedenr.org zvebhurl/ps/csu/classifications
rul ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BLIA that will remain after development. Do not report any existing BLIA that
is to be removed and which will be replaced by new BLIA.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
EndangeredSpecies watershed that may be subject to more stringent stormwater requirements aspen 15A NCAC 02B .0600.
SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromhtt2://portal.ncdenr.org web/wq/ws/su/bmp-manual,
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
hU.:ZZ12ortal.ncdeiir.org/web/`L,\:qZ.ws/su/statesw/``forms dots:, The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at littp://12ortal.ncdenr.org/web/wq/­­`wsZsu/```nial2s,)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http:/ /2ortal.ncdenr or web/w /ws/su/statesw/forms dots,
1. Original and one copy of the Stormwater Management Permit Application Form. Initials
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 belort))
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR, (For an Express review, refer to
hW2://www.envheII2.orR/vaaes/onesto]2exl2ress.htm] for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief sununary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines,
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters..
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
Copy of any applicable soils report with the associated SFIWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs: Include an 8.5"x1.1" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 7207 Page No: 459
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e):
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned,
ht!p://www.secretary.state.nc.us/Cori2orations/CSearch.,tsl2x
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://portal.ncdenr org/web/lr/state-stormwater-
forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, 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 NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Tim Foley
Consulting Firm: Henson Foley Design
Mailing Address: 8712 Lindholm Dr #202A
City: Huntersville,
Phone: ( 704 ) 875 - 1615
Email:[e-mail]
State: NC Zip: 28078
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or hjpe reanze of person listed in Contact Infornuuton, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the subnuttal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version Oct. 31, 2013 Page 5 of

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
a Notary Public for the State of
do hereby certify that
Date:
County of
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Neary.
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCA; 2H .1000 and any other applicable state stormwater requirements -
Signature:
'y' "" Date: 2 "�(�'j`�2'0 ,
I, �r ��" ' a Notary Public for the State of County of
do hereby certify that _ personally appeared
before me this L day of - `l t t GtJ :!ZQ, and ackn�ledge the due executitio of the application for
a stormwater permit. Witness my hanand official seal,
rI uiRd
° ®,VAR L.
My Comm. Exp•
11/612022
PUBi,
AMA
11 f ililn 1111111100
�
SEAL
My commission expires_ I ) "' to - 2-W 2—
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6