SW3140101_HISTORICAL FILE_20140421

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. SWyQ�O�
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ .COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

LOW DENSITY STORMWATER MANAGEMENT
PERMIT APPLICATION AND SUPPORTING
DOCUMENTATION
Anderson Health Service
Hasty Road Development
Marshville, North Carolina
January 15, 2014
Revised April 1, 2014
Prepared by:
Flehan
Engineering
Inc.
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5408 Guildbrook Road • Charlotte, North Carolina 28226 • 704-364-3842 (Fax) 704-364-3843

Table of Contents
1. SSW-SWU-101 LOW DENSITY APPLICATION
2. SSW -PERMIT LOW DENSITY SUPPLEMENT
3.
NARRATIVE
4.
USGS MAP
5.
CALCULATIONS
6.
DEED
7.
SOILS REPORT
8.
PLANS
5408 Guildbrook Road • Charlotte, North Carolina 28226 • 704-364-3842 (Fax) 704-364-3843

SSW-SWU-101
LOW DENSITY APPLICATION
5408 Guildbrook Road • Charlotte, North Carolina 28226 •704-364-3842 (Fax) 704-364-3843

DWQ 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 0-
Division of Water Quality z
STORMWATER MANAGEMENT PERMIT APPLICATION FORMi
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
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
Hasty Road
City:Marshville County:L
3. Directions to project (from nearest major intersection):
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US 74 to White Street, south on White Street and travel 0.5 miles. Turn left(east) onto Hasty Road. Travel
1 mile Site is on north side of Hasty Road.
4. Latitude:34° 58' 40.19" N Longitude: -800 20' 29.90" W of the main entrance to the project.
It. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modification}
tRene ,als With niodifcations also requires SPVU-102 — Renewal Application Farm
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number SW3140101 , its issue date (if known) February 6, 2014 , and the status
of construction: ❑Not Started ®Partially Completed* ElCompleted* *provide a designer's certification
2. Specify the type of project (check one):
®Low Density ❑I-Iigh 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 DWQ
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):
❑LAMA Major ®Sedimentation/Erosion Control:19 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
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:Sedimentation/Erosion Control
Hasty Road Development, Project ID: UNION-2013-052
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/wq/ws/su/statesw/rules laws
FormSWU-101 Version06Aug2012 Page I of

III. CONTACT INFORMATION
I. 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:Anderson Behavioral Health
Signing Official & Title: Alfred Owens
b.Contact information for person listed in item la above:
Street Address:9635 Southern Pines Boulevard, Suite 152
City: Charlotte State: NC Zip: 28273
Mailing Address (if applicable): SAME
City:
Phone: (704 ) 907-3162
Email:
State:
Fax: (704 ) 749-3482
c. Please check the appropriate box. The applicant listed above is:
®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:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City: State,
Mailing Address (if applicable):
City: State.
Phone: ( ) Fax:
Zip:
Zip:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Charles Cooley. Anderson Health Services Inc.
Signing Official & Title: Alfred Owens - President/CEO
b. Contact information for person listed in item 3a above:
Mailing Address:9635 Southern Pines Blvd
City:Charlotte State: NC Zip: 28273
Phone: (704 ) 900-9585 Fax: (704 ) 583-6165
Email: [e-mail]
Form SWU-101 Version 06Aug2012 Page 2 of

4. Local jurisdiction for building permits: Union County
Point of Contact: Terry Griffin
IV. PROJECT INFORMATION
Phone #: (704 ) 283-3816
1. In the space provided below, briefly summarize how the storm water runoff will be treated.
Stormwater will be treated in roadside ditches and cross pipes. There will be no curb and gutter along
driveway and less than 24% of site will be developed.
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: 36.15 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area':36.15 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landumrd from the NHW (or MHV� line. The resultant project area is used to
calculate overall percent built upon area (BUA). Nou-coastal zoetlarids landeoard of the NHW (or MHW) lime may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =10.88 %
9. I-Iow many drainage areas does the project have?7 (For high density, count 1 for each proposed engineered
storueoater BMP. For low 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.
Form SWU-101 Version 06Aug2012 Page 3 of 7

Basin Information
Drainage Area 1-
Drainage Area _
Drainage Areas
Drainage Area
Receiving Stream Name
Yadkin/PeeDee
Stream Class *
C
Stream Index Number
Total Drainage Area (sf)
(3,195347)
On -site Drainage Area (sf)
1,574,694
Off -site Drainage Area (sf)
(1,597,653)
Proposed Impervious Area** (so
200,307
% Impervious Area** total
12.72
Impervious— Surface Area
Drainage Area
Drainage Area
Drainage Area
Drainage Area
On -site Buildings/Lots (so
34,719
On -site Streets (so
47,563
On -site Parking (so
40,122
On -site Sidewalks (so
14099
Other on -site (so
10,080
Future (so
53,724
Off -site (so
(1,118,357)
Existing BUA*** (so
0
Total (so:
200,307
Stream Class and Index Number can be determined at: l,ttp://portaLnedettr.org webfrnn/ys/csu/classi ieatinns
Impervious 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 BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. GIS topo. Autocad
file. Assumed C=0.85 for 70% developed on off -site future development in storm/swale calculations.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B .0600.
V. 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
from http://portiil.ncdenr.or�,,/web/wq/ws/su/bap-manual.
VI. 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. A detailed application instruction sheet and BMP
checklists are available from http://portaLncdenr.org,/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at littp://portiil.iicdeiir.org/s%,eb/,A,ci/ws/sLi/mzips.)
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 fromhtto://portaImcdennorg/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. mil'
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below) /A
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M C tl
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html 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.)
Form SWU-101 Version 06Aug2012 Page of

5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
/,k�
the project. This is required in addition to the brief summary 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
(�Cf
receiving stream drains to class SA waters within'/z mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
4�We
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
LA(z
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. 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).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT 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"x11" 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 DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No: _
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 Ia, 2a, and/or 3a per 15A NCAC 21-1.1003(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.
http:/ /www.secretary.state.nc.us/Corporations/CSearch.aslx
VIL 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.ncdennorg/web/wq/ws/su/statesw/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 DWQ and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 06Aug2012 Page 5 of 7

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:Cynthia A Flehan
Consulting Firm: Flehan Engineering, Inc.
Mailing Address:5408 Guildbrook Road
City:Charlotte State:NC Zip:28226
Phone: (704 ) 364-3842
EmaiLcindyQflehanen ing eering.com
Fax: (704 ) 364-3843
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been fitted out, complete this
section)
I, (print or type name of person listed in Contact Information, 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 In) with (print or type name of organization listed in
Contact Information, items 1n) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ 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 j"pemjdlties` of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
Date: '7'
A" . t — , a Notary Public for the State of )J County of
1s;1,rr , do hereby certify that o,,.E,cs personally appeared
before me this 3 day of ARA,� dv" and acknow e theAe execution of the application for
a stormwater permit. Witness my hand and official seal, '/�
PHILLIP D AMMONS II
NOTARY PUBLIC
GASTON COUNTY
NORTH CAROLINA
MY COMMISSION EXPIRES MAY 31, 2016
SEAL
My commission expires M^-t ,?) X016
Form SWU-101 Version 06Aug2012 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or hype nanie of person listed in Contact Information, item Ia) Alfred Owens
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 storm I nder 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Signature- % Date: U _-3- / /
I, ?k".Sp ,) /-j,.,,. J'.s , a Notary Public for the State of
County of
Fns do hereby certify that ALFn E-J C) -.. > personally appeared
before me this 3 day of APim 2or , and no 1 e the-decuf of the application for
a stormwater permit. Witness my hand and official sea
PHILLIP 0 AMMONS It
NOTARY PUBLIC
GASTON COUNTY
NORTH CAROLINA
MY COMMISSION EXPIRES MAY 31, 2016
SEAL
My commission expires (11A-( ? ( ?-0 "(;,
Form SWU-101 Version 06Aug2012
Page 7 of 7

NIMA
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
February 6; 2014
Mr. A I fre C1 ta'.'en.$
Anderson Behavioral Health, Inc.
9635 Southern Pines Blvd., Suite 152
Charlotte, North Carolina 28273
Subject: Stormwater Permit No. SW3140101
Hasty Road Development„ Union. County
Dear Mr. Owens:
DIVISION OF LAND
SECTION ES
FEB 17 2014
DE Mqv 'Vr c.�r,rWNMEN
_ . � oemttfo(?Eq
The Stormwater Program under the Division of Energy, Mineral, and Land Resources (DELMR),
received a complete Stormwater Management Permit Application for the subject project on January
16, 2014. Staff review of the plans and specifications has determined that the project, as proposed,
will comply with the Stormwater Regulations set forth in Title 1SA NCAC 2H.1000 and Session Law
2006-246. We are forwarding Permit No. SW3140101, dated February 6, 2014. This permit shall be
effective from the date of issuance, and shall be subject to the conditions and limitations as
specified therein, and does not supersede any other agency permit that may be required.
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. Per NCGS 143-215(e) the petition must be filed with the OAH within thirty (30) days of
receipt of this permit. You should contact the OAH with all questionsregarding 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.
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or
need additional infnrmatinn concerning this matter, please contact harry Wade PE. at (919) F07-6375; or
tarry. wade@ncd e nr. go v.
Sincerely,
for Tracy E. Davis. PE, CPM, Director
cc: SW3140101 File
Mooresville Regional Office
ec: Flehan Engineering, Inc.
Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:l/portal,ncdenr.org/web/Ir/
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

State Stormwater Permit
Permit No.SW3140101
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
!r. accordance with the prcvisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Latins, Rules and Regulations
PirRNIISSION IS HEREBY GRANT=!? I O
AND
Anderson Behavioral Health . 01�1>A'ND OF [Ty RESOURCE
QUALLITY SECTION
Hasty Road DevelopmOCPIcII l�hent ,
Hasty Rd., Union County 9E FEB 17 2014
i!!nnr! Ur- ..
FOR THE 46444t. 'r,invNMEN
P"
construction, operation and maintenance of a low density development in compliance
with the provisions of 15A NCAC 2H .1000 and. S.L. 2006-246 (hereafter referred to as
the "stormWaterrules') and the approved stormwater management plans and
specifications, and other supporting data as attached and on file with and approved by
the State. and, considered a part of this permit.
The Permit shall be effective from the date of issuance until rescinded and shall be
subject to the following specific conditions and limitations:
I. DESIGN STANDARDS
1. The overall tract built -upon area percentage for the project must be maintained
below 24%, as required by Session Law 2006-246 of the stormwater rules.
3. Approved plans and specifications for projects covered by this permit are
incorporated by reference and are enforceable parts of the permit.
4. The only runoff conveyance systems allowed will be vegetated conveyances
such as swales with minimum side slopes of 3:1 (H:V) as defined in the
stormwater rules and approved by the Division.
5. No piping is allowed except that minimum amount necessary to direct runoff
beneath an jmperr.e!:s surface such as a road or to provide access.
6. All roof dl 1!f!S !Y!r.!Sl: iNfr! Irlate ai least 30 foot froln the mean hiyh wale! mai K.
7. The built-upor, areas associated 'with this project shall be located at least 30 feet
landward of all perennial and intermittent streams.
8. All swales shall that discharge into a wetland shall do so at a non -erosive velocity
for the 10 year storm.
II. SCHEDULE OF COMPLIANCE
The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area.
Page 1 of 4

State Stormwater Permit
Permit No.SW3140101
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.
This project may not be sold or subdivided in whole or in part without first
receiving a permit modification.
4. T he following deed restrictions must be recorded with the Office of the Register
o,Deeds:
seeds:
a. Ir.T, P following covenants are intended to ensure ongoing complianr-.e with
State Stormwater Management Permit Number SW3140101.
-b., ' The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
c.. These covenants are to run with the land and be binding on all persons
"and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the State.
f. This. project may not be sold or subdivided, in whole or in, part, without first
receiving a permit modification from the Division.
h. Construction of additional impervious areas such that low -density
requirements are no longer met will require a permit modification prior to
construction. An engineered system will be required to collect and treat
the runoff from all built -upon area associated with the project, including
that area permitted under the low density option.
i.: Filling in or piping of any vegetative conveyances (ditches, swales; etc.)
associated with this development, except for average driveway crossings,
is strictly prohibited by any persons.
j. The -built -upon areas shall be located a minimum of 30 feet landward of all
perennial and intermittent surface waters. ,
5. A -copy of the recorded restrictions must be received in this Office within 30 days
of the date of sale.
Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with the permitted development, except for average driveway
crossings, is•strictly prohibited by any persons.
F L ... L,.no
h?. panr,ittee shall su��m'a�t ��.. .DlrBGtOr and shall have received approval
F nil'
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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, or sale of the project area in whole or in
part. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering or piping any vegetative conveyance shown on the
approved plan.
Page 2 of 4

State Stormwater Permit
Permit No.SW3140101
During construction, erosion shall be kept to a minimum and any eroded areas of
the swales or other vegetated conveyances will be repaired immediately.
9. The permittee shall at all times provide the operation and maintenance
necessary to operate the permitted stormwater management systems at
optimum efficiency to include:
a. Inspections
b Sediment removal.
c. Uowina, and rr 'vegetatil:g of the side slopes.
d. Iill.,Iiediete repel; (if emderi areas.
in. Maintenance of side g:ooas in Pccoi'dance with FpproVc d plans a ,11
specifications.
10. Within ;30 days of completion of the project, the.permittee shall certify in writing
that the project has been constructed in, accordance. with the approved plans.
11. The oermittee shall submit a!! information requested by the Director or his
representative within the time frame: specified. in the written information request.
III. GENERAL CONDITIONS
1.. This permit is not transferable to any person or.entity except after notice to and
approval by the Director. The Director may require. modification or revocation and
re -issuance of the permit to change the name and incorporate such other
requirements as may be necessary. In the event of a name or ownership
change, a completed Name/Ownership Change form, signed by both parties,
must be submitted to the State accompanied by the supporting documentation
as listed on page 2 of the form. The approval of this request will be considered
on its merits, and may or may not be approved. ,
2. _ The permittee. is responsible for compliance with all permit conditions until the
Director approves a transfer of ownership. Neither the sale of the project nor the.
transfer of common areas to a third party, such as ahomeowner's association,
constitutes an approved transfer of the stormwater permit.
3.. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to an enforcement action in accordance with North
Carolina General Statutes 143-215.6A to 143-215.6C.
4.. -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
as allowed by the laws, rules, and regulations contained in Session Law 2006-
L n ♦r_ ♦ n n1 ♦ 0,
?_46, ��Itle '1Jr, Of the Nor��� i.3i�JIi��Ei ti,!tftililiSarati'�!e L�oLe, .�LiiiC:ha(Jir:r �ri.1G�w,
and North Carolina General Statute 143-215.1 at. al.
5. 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 the State, such as the construction of
additional or replacement stormwater management systems.
The permittee grants permission to DENR Staff to enter the property during
normal business hours, for the purpose of inspecting all components of the
stormwater management facility.
The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
Page 3 of 4

State Stormwater Permit
Permit No.SW31401ti1
filing of a request for a permit modification, revocation and re -issuance, or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the swales
must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of [his permit does not preclude the f ermittee from complying with
any and a!! statutes, riles, regulations, or O`dinances, w1 ich may be imposed by
other govefmment agencies (local, state and federal), Wr..ir"; i.ni; 'uiisdi� ion.
11. The permiftee shall notify the Division in writing of any nalrie, ovwtership or
mailing address changes at least 30 days prior to making such changes.
Permit issued this the 6th day of February, 2014.
for Tracy E. Davis, P.E., CPM
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

AMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM
Director
Pat McCrory, Governor
John E. Skvarla, III, Secretary
O�G
s�OL
'�o�'L �2 j�o ' • sc3.2�L�s
IQ
y
OG9n 2
The Stormwater Program under the Division of Energy, Mineral, and Land Resources (DELMR)V
received a complete Stormwater Management Permit Application for the subject project on January
16, 2014. 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 2HA 000 and Session Law
2006-246. We are forwarding Permit No. SW3140101, dated February 6, 2014. This permit shall be
effective from the date of issuance, and shall be subject to the conditions and limitations as
specified therein, and does not supersede any other agency permitthat may be required.
February 6, 2014
Mr. Alfred Owens
Anderson Behavioral Health, Inc.
9635 Southern Pines Blvd., Suite 152
Charlotte, North Carolina 26273
Subject: Stormwater Permit No. SW3140101.
Hasty Road Development, Union County
Dear Mr. Owens:
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 1SOB of the North Carolina General
Statutes. Per NCGS 143-215(e) the petition 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.NCOAfLcom.
Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or
need additional information concerning this matter, please contest I,ariy Wadc PI_ at [phone]; or
lany.wade ti)ncdenr.vov.
Sinrerely,
ftw 1l-acy E. Davis. PE, Cpivi, Director
cc: SW3140101 File
Mooresville Regional Office
cc: Flchan Engineering, Inc.
Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 1 919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:/Iportal.ncdenr.org[web/Ir/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

State Stormwater Permit
Permit No. SW3140101
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
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
O�
PERMISSION IS HEREBY GRANTED TO Q
Anderson Behavioral Health dc<`o �� O,
Hasty Road Development
Hasty Rd., Union County^ ` 2f
FOR THE
construction, operation and maintenance of a low density development in compliance
with the provisions of 15A NCAC 2H .1000 and S.L. 2006-246 (hereafter referred tows
the "stormwaterrules'� and the approved stormwater management plans and F
specifications, and other supporting data as attached and on file with and approved b ��
the State and considered a part of this permit.
The Permit shall be effective from the date of issuance until rescinded and shall be
subject to the following specific conditions and limitations:
I. DESIGN STANDARDS
The overall tract built -upon area percentage for the project must be maintained
below 24%, as required by Session Law 2006-246 of the stormwater rules.
3. Approved plans and specifications for projects covered by this permit are
incorporated by reference and are enforceable parts of the permit.
4. The only runoff conveyance systems allowed will be vegetated conve.vances
such as swales with minimum side slopes of 3:1 (H:V) as defined in the
stormwater rules and approved by the Division.
5. No piping is allowed except that minimum amount necessary to direct runoff
beneath an imper,io.:s arface such as a road or to provide access.
!7. All roof draitig -nosf at ;east 30 foot front the rr"e; rn hig'1 vVBigr rnarii.
7. The built-upor, areas associated with this project shall be located at least 30 feet
landwa.*d of a!! perennial and intermittent streams.
8. All swales shall that discharge into a wetland shall do so at a non -erosive velocity
for the 10 year storm.
II. SCHEDULE OF COMPLIANCE
The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area.
Page 1 of 4

State Stormwater Permit
Permit No, SW3140101
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.
3. This project may not be sold or subdivided in whole or in part without first
receiving a permit modification.
The following deed restrictions must be recorded with the Office of the Register
of Deeds:
a. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW3140101.
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
G. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the State.
f. This project may not be sold or subdivided, in whole or in part, without first
receiving a permit modification from the Division.
h. Construction of additional impervious areas such that low -density
requirements are no longer met will require a permit modification prior to
construction. An engineered system will be required to collect and treat
the runoff from all built -upon area associated with the project, including
that area permitted under the low density option.
i. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with this development, except for average driveway crossings,
is strictly prohibited by any persons.
The built -upon areas shall be located a minimum of 30 feet landward of all
perennial and intermittent surface waters.
A copy of the recorded restrictions must be received in this Office within 30 days
of tt.c date of sale.
6. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with the permitted development, except for average driveway
crossings, is strictly prohibited by any persons.
The permittee Shall suhmit fl}e Dire-,ti.�r ?fifJ St',a':I have.reCBiVrri apFii0v8i foi"
rwised Plans, specification s, anC. CaiCUlai)OnS prior w eonstruction, for any
modification to the approved plans, including, but net limited to, those listed
below:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision, acquisition, or sale of the project area in whole or in
part. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering or piping any vegetative conveyance shown on the
approved plan.
Page 2 of 4

State Stormwater Permit
Permit No,SW3140101
S. During construction, erosion shall be kept to a rninimum and any eroded areas of
the swales or other vegetated conveyances will be repaired immediately.
The permittee shall at all times provide the operation and maintenance
necessary to operate the permitted stormwater management systems at
optimum efficiency to include:
a. Inspections
b. Sediment removal.
c. Mowing, and re -vegetating of the side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
10. Within 30 days of completion of the project, the permittee shall certify in writing
that the project has been constructed in accordance with the approved plans.
11. The permittee shall submit all information requested by the Director or his
representative within the time frame specified in the written information request.
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. The Director may require modification or revocation and
re -issuance of the permit to change the name and incorporate such other
requirements as may be necessary. In the event of a name or ownership
change, a completed Name/Ownership Change form, signed by both parties,
must be submitted to the State accompanied by the supporting documentation
as listed on page 2 of the form. The approval of this request will be considered
on its merits, and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until the
Director approves a transfer of ownership. Neither the sale of the project nor the
transfer of common areas to a third party, such as a homeowner's association,
constitutes an approved transfer of the stormwater permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to an en' emcrf action to aocordance with No,t t
Carolina General Statutes 143-215.6A to 143-215.6C.
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
as allowed by the laws, rules, and regulations contained in Session Law 2006-
248, Title 15.A of the Nortti Caii,ii ; ac1++,iY iS:r:ati•!e Oode, Suix:hao?9r "16 10_r+,
and North Carolina General :statute 143-215.1 at. al.
In the event that the facilities fail to perforrn satisfactoriiv, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by the State, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants permission to DENR Staff to enter the property during
normal business hours, for the purpose of inspecting all components of the
stormwater management facility.
The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
Page 3 of 4

State Stormwater Permit
Permit No. SW3140101
filing of a request for a permit modification, revocation and re -issuance, or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the swales
must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. 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), which have jurisdiction.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
Permit issued this the 6'" day of February, 2014.
for Tracy E. Davis, P.E., CPM
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

SSW -PERMIT
LOW DENSITY SUPPLEMENT
5408 Guildbrook Road • Charlotte, North Carolina 28226 • 704-364-3842 (Fax) 704-364-3843

Application Completeness Review
a' First Submittal ErRe-submittal Date Received: /2.SO-IS Date Reviewed: / lo• 14 By Larry.Wade
Development/Project Name: 4AST`/ ROAD 7_'e./eLoVFAEI l'r
Receiving stream name Classification:
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds)
Latitude and Longitude: 3q ° 58'�lo.l9°til -'moo Ze" 29. 4J
Project Address: IJA!� RD. MARSNViLLr-
Engineer name and firm: G)(v rula Q. FL Nd l > t 6Na1J EQ:i
Jurisdiction pv400RE5yiLLE Ro
Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction?'❑ Yes oe ❑ No
Y� Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets ❑ High Density ❑ Other
❑ 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
BUA lo.0b
ei Check for $505.00 included
[Original signature (not photocopy) on application
e Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.tis/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
Y. Copy of property deed showing ownership or control
❑ . For subdivided projects, a signed and notarized deed restriction statement
a' Sealed, signed & dated calculations
❑ Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
01ow Densitv
Curb Gutlet
❑ Off -Site
❑ NCDOT Linear Road
Two sets of sealed, signed & dated layout & finish gradiilg plans with appropriate detaiis
Narrative Description of stormwater management ,provided
r Scils report, geotech information provided
❑ Wetiands delineated or a note on the plans or in the accompanying documents that nune exist'cn site
adjacent property
,3� Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
3' Dimensions & slopes provided 1,,AR 1 0 2014
❑ Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of higl
a' BMP operation and maintenance agreements provided
a�'Application complete ❑ Application Incomplete Returned:
Comments 6t/4rriA)4 oil ADD-l�.1
h.
N/
April 26, 2013 Revision, Bill Diuguid

SL 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
Low-densitv oroiects
❑ No more than two dwelling units per acre or 24% built -upon area;
❑ Vegetated conveyances to the maximum extent practicable;
❑ Built -upon areas at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures.
High density oroiects
❑ Control and treat runoff from the first one -inch of rain.
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
❑ Achieve 85% average annual removal of total suspended solids.
❑ For BMPs that require a separation from the seasonal high-water table (SHWT), the separation shall include
at least 12 inches of naturally occurring soil above the SHWT.
❑ Stormwater management measures must comply with the General Engineering Design Criteria ForAll.
Projects requirements listed in 15A NCAC 2H .1008(c),
❑ All built -upon areas are at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures
❑ Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Goose Creek, Six Mile Creek and Waxhaw Creek Watersheds
Buffer Requirements
❑ Undisturbed riparian buffers within 200 feet of water bodies within the 100-Year Floodplain and within 100 feet
of water bodies that are not within the 100-Year Floodplain. Exceptions to the undisturbed buffer
requirements are set forth in 15A NCAC 02B .0607
Stormwater Controls as required by 15A NCAC 02B .0602
❑ Control and treat the difference between the pre -development and post -development conditions for the one-
year, 24-hour storm with structural controls.
❑ Development and redevelopment shall implement stormwater management measures that promote infiltration
of flows and ground water recharge for the purpose of maintaining stream base flow.
❑ 85% average annual removal of total suspended solids.
❑ Draw down the treatment volume no faster than 48 hours, but no slower than 120 hours, for detention ponds.
❑ Discharge the storage volume at a rate equal or less than the pre -development discharge rate for the one-
year, 24-hour storm.
❑ Meet design or stormwater management measures set forth in 15A NCAC 2H .1008.
High Density Projects that require a 401/404 within an NSW
❑ 85% TSS
❑ 30% TN
❑ 30% TP
April 26, 2013 Revision, Bill Diuguid -

La
From: Wade, Larry
Sent: Friday, January 10, 2014 12:08 PM
To: '[e-mail]'
Cc:'[e-mail]'. Diuguid, Bill
Subject: Hasty Rd. Development
Hello Ms. Flehan,
The subject project was received in our office December 30, 2013. After a preliminary review of the submittal, I have
found it to be incomplete. Please provide us with the additional _items listed below so we can move forward with a
review of the project.
1. Please complete section IV item 10. on the application.
2. Application section VI item 2. Has been initialed but no deed restrictions are found in your submittal. No
future development has been noted for this property. Please indicate if future development is planned, and
provide the deed restrictions if required.
3. Application section VI item 3. Provide an Operation and Maintenance Agreement.
4. Application section VI item 4. The check provided from Anderson Behavioral Health Inc. #1197 dated 7-9-13
is stale. Please provide an updated check. Also advise me of your preference to dispose of check #1197.
5. Application section VI item 5. Please provide a detailed narrative.
6. Application section VI item 6. Please provide a USGS map of the project site location.
7. Application section VI item 9. Not required for low density projects.
8. Application section VII. Please review this section as it relates to item 2. In this letter.
9. Please provide the Low Density Supplement to the application.
DENR policy is to return incomplete application packages. To expedite the process, I can hold your project in our office
to wait on the above information if you plan to provide the information in a timely manner. Please respond to this email
to inform me of when you will provide the information, and how you wish to proceed.
If you have any question, let me know.
Larry W. Wade PE Telephone: [phone]
Fax: [phone]
Stormwater Permitting -Program
North Carolina Department of Environment & Natural Resources
Division of Energy Mineral and Land Resources
161.2. Mail Service Physical Address - 51.2 N. Salisbury St. Room
9425
Raleigh, NC 21699-1612 Raleigh, NC 27604
is a government E-mail address****************************
*********E-mails sent and received from this address can be disclosed to third parties************

DWQ 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 Water Quality
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 consi ct name
specifications, letters, operation and maintenance agreements, etc.):
Hasty Road Development --
2. Location of Project (street address): JAN 1 6 7014
City:Marshville County:L
3. Directions to project (from nearest major intersection):
US 74 to White Street, south on White Street and travel 0.5 miles. Turn left(east) onto Hasty Road. Travel
1 mile. Site is on north side of Hasty Road.
4. Latitude:34° 58' 40.19" N Longitude: -800 20' 29.90" W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenemals with modifications also requires SWU-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 DWQ
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):
❑LAMA Major
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 19 ac of Disturbed Area
❑404/401 Permit: Proposed Impacts
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 permitSedimentation/Erosion Control
Hasty Road Development, Project ID: UNION-2013-052
5. Is the project located within 5 miles of a public airport? ®No [-]Yes
Ifyes,seeS.L.2012-200,PartVl:littpJ/portil.nccienr.or=web/wq/ws/su/stateswh'uleS IaWS
Pone SWU-101 Version 06Aug2012 Page I of

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:Anderson Behavioral Health
Signing Official &
b.Contact information for person listed in item 1a above:
Street Address:9635 Southern Pines Boulevard, Suite 152
City: Charlotte State: NC Zip: 28273
Mailing Address (if applicable): SAME
Citv: State: Zip:
Phone: (704 ) 907-3162 Fax: (704 ) 749-3482
Email:
c. Please check the appropriate box. The applicant listed above is:
® 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
Signing Official &
b.Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City: State:
Phone: ( ) Fax:
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Charles Cooley Anderson Health Services Inc.
Signing Official & Title: Alfred Owens - President/CEO
b.Contact information for person listed in item 3a above:
Mailing Address:9635 Southern Pines Blvd
City:Charlotte State: NC Zip: 28273
Phone: (704 ) 900-9585 Fax: (704 ) 583-6165
Email: owensconsultantObellsouth.net
Form SWU-101 Version 06Aug2012 Page 2 of 7

4. Local jurisdiction for building permits:
Point of Contact: Terry Griffin Phone #: (704 ) 283-3816
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be treated in roadside ditches and cross pipes. There will be no curb and gutter along
driveway and less than 24% of site will be developed.
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: 36.15 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*:36.15 acres
Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below, the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal u)etlands landeward of the NHW (or MHW) lime may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 10.88 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low 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.
Form SWU-101 Version 06Aug2012 Page 3 of 7

Basin Information
Drainai4eAreal
Draina e Area _
Drainage Area.
—Drainage Area_
Receiving Stream Name
Yadkin/PeeDee
Stream Class *
C
Stream Index Number *
Total Drainage Area (so
(3,195347)
On -site Drainage Area (so
1,574,694
Off -site Drainage Area (sf)
(1,597,653)
Proposed Impervious Area** (so
171,297
% Impervious Area*' total
10.88
Impervious— Surface Area
Draina e Area _
Draina e Area
Draina e Area
Draina e Area
On -site Buildings/Lots (so
34,719
On -site Streets (so
47,563
On -site Parking (so
40,122
On -site Sidewalks (so
14099
Other on -site (so
10,080
Future (so
24,714
Off -site (so
(1,118,357)
Existing BUA*** (so
0
Total (so:
171,297
Stream Class and Index Number can be determined at: Idh�://nortalAtcdenr.orp/Toeb/tog/t)s/csu/clnssifcntions
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that anount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by neTv BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. GIS topo. Autocad
file. Assumed C=0.85 for 70% developed on off -site future development in storm/swale calculations.
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements its per 1511 NCAC 02B .06W
V. 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
from http://portaLiicdonr.org/web/wq/ws/su/bap-manual.
VI. 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. A detailed application instruction sheet and BMP
checklists are available fromhttp://portal.ncdennor¢/web/wq/ws/su/statesw/forms does. Thecomplete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at http://portal.ncdennorg/web/wq/ws/su/maps.)
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://portal.iictietir.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. aIV-,_
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants t-
Form. (if required as per Part VII below)
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 D
http://www.envhelp.org/pages/onestopexpress.html 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.)
Form SWU-101 Version 06Aug2012 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor�
the project. This is required in addition to the brief summary 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
6ik
stream drains to class SA waters within lh mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
C
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 Haters 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.
I. 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).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT 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"x11" 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 o site visit for DWQ to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: M Page No: 153 A-6_
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC _iAla
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item Ia, 2a, and/or 3a per 15A NCAC 21-1.1003(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.
http:/ /www.secretary.state.nc.us/Corporations/CSearch.aWx
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://poitiiLncclemtorg/web/wq/ws/suZstatesw/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 DWQ and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 06Aug2012 Page 5 of

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:Cynthia A. Flehan
Consulting Firm: Flehan Engineering Inc.
Mailing Address:5408 Guildbrook Road
City:Charlotte State:NC Zip:28226
Phone: (704 ) 364-3842
Email:[e-mail]
Fax: (704 ) 364-3843
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, connplete this
section)
i, (print or type name of person listed in Contact Infornatiou, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or hype uanne of person
listed in Contact information, item la) with (print or type nacre of organization listed in
Contact Information, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
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 DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ 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.
a Notary Public for the State of , County of
do hereby certify that
before me this _ day of
personally appeared
and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
Fonn SWU-101 Version 06Aug2012 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item Ia) Alfred Owens
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 storm er les under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.Signature: ie� l-� C
Date: —�— /
I, a Notary Pub ', for he State of �� County of
// , L o hereb rtify that 64.) Eta personally appeared
before me this �bday of04;0AA)JL'�and acknowl xecution of the application for
a stormwater permit. Witness my hand and official seal,
_ - �fMtnrp
a.
F
SEAL
My commission expires
Form SWU-101 Version 06Aug2012 Page 7 of 7

NARRATIVE
5408 Guildbrook Road • Charlotte, North Carolina 28226 •704-364-3842 (Fax) 704-364-3843

Flehan Engineering, Inc.
Civil Engineering • Hydrology • Site Plan Design
Date: April 1, 2014
Attention: Mr. Larry Wade
NCDENR
Reference: Hasty Road Development
Marshville, North Carolina
Re: Water Quality Narrative (Revision to Plans)
Flehan Engineering, Inc. has been contracted by Owens Consulting, to provide the on -site Civil
Site Engineering for the project. The total site is approximately 36.15 acres. The development
will include an administration building, six residential cottages, playing fields and associated
parking and drives. Total impervious area proposed on site on the revised plan is 4.6 acres or
12.72% of the project area. This is an increase from the 10.93% previously approved, but still well
below the 24% BUA threshold for Low Density Projects.
Stormwater runoff at the proposed development is primarily sheet flow, with some conveyance
through grassed swales and stormwater pipes. The main drive is crowned to drain to roadside
swales. A limited number of storm drains and culverts were installed to convey flow under the
drive. These crossings discharge outside of any stream buffers. This option closely mimics the
original conditions of the site through its use of ditches, no curb and gutter and no pipe systems
and is consistent with DWQ's Low Density objectives.
Trees were preserved on approximately 16.5 acres of the site, providing a buffer from adjacent
properties and mature tree cover for the proposed use. The existing vegetation reduces the
impacts of stormwater runoff and erosion control from the site. New landscaping will also be
provided along the new infrastructure to meet the Town of Marshville requirements.
If additional construction is planned at the site in the future, Anderson Health will submit an
application for permit modification.
If you have any questions or require additional information please contact me
Sincerely,
J
Cindy A. Flehan, P.E.
Flehan Engineering, Inc.
5408 Guildbrook Road • Charlotte, North Carolina 28226. 704-364-3842 (Fax) 704-364-3843

USGS MAP
5408 Guildbrook Road • Charlotte, North Carolina 28226 •704-364-3842 (Fax) 704-364-3843

CALCULATIONS
5408 Guildbrook Road • Charlotte, North Carolina 28226 •704-364-3842 (Fax) 704-364-3843

Flehan Engineering. Inc.
Date: March 24, 2014
Re: Hasty Road Development
Revised Water Quality Calculations
Development Area
Administrative Building
13,365 SF
Cottages (6 @ 3,559 SF)
21,354 SF
Asphalt/Curb
82,279 SF
Concrete Driveway
5,070 SF
Dumpster Pad
336 SF
Concrete Sidewalk
14,099 SF
Basketball/Tennis
10,080 SF
Future Track
20,714 SF
Future Concessions
4,000 SF
Future Cottages/Office
29,010 SF
TOTAL
200,307 SF 4.60 ACRES
TOTAL SITE AREA
1,574694 SF 36.15 ACRES
4.60/36.15 = 12.72% Impervious Cover
5408 Guildbrook Road • Charlotte, North Carolina 28226 •704-364-3842 (Fax) 704-364-3843

Permit No.
State of North Carolina
(to be provided by Dll'Q)
Department of Environment and Natural Resources
Division of Water Quality �
a
STORMWATER MANAGEMENT PERMIT APPLICATION FORM 7 v o0
po
LOW DENSITY SUPPLEMENT
This fond may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transportsA storm 'water
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors canmbe
found in Session Law 2008-211, 15A NCAC 214 .1000, Session Law 2006-246, and the DWQ BMP Manual.
Curb and gutter systems are allowed provided they meet the requirements in 15A NCAC 21`1 .1008(g).
PROJECT INFORMATION
Project Name : Hasty Road Development
Contact Person: Cindy Flehan Phone Number: ( 704-904-1832 )
Number of Lots:I Allowable Built Upon Area (BUA) Per Lot*: 171,297 SF
Number of Dwelling Units Per Acre**:
Low Density Development (check one): ® without curb & gutter ❑ with curb & gutter, outlets to (check one):
❑ Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
**(Phase 11 Post -Construction (non -SA) only)
II. BUILT UPON AREA
Refer to DWQ's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects. (http://h2o.enr.state.nc.Lls/su/bmp_forms.htni)
Complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water.
• DF Density Factor - the appropriate percent built upon area divided by 100.
• RA Road Area - the total impervious surface occupied by roadways.
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non -uniform lots.
Form SW401-Low Density-Rev.3-2/10/09 Page I of 4

Calculation:
For uniform lot sizes:
(SA: ft2 x DF: ) - (RA: ft') - (OA: ft2) = BUA per Lot = ft2
(No of Lots: )
For non -uniform lot sizes:
a. (SA: 1574694 ft2 x DF:.24) - (RA: 0 ft2) - (OA: 0 ft) = Total allowable lot BUA = 377,927 ft2
b. Total BUA from lot listing: 200,307 sf. b must be < a
Ill. DESIGN INFORMATION
Complete the following table. If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
ol'North Carolina Erosion and Sediment Control Planning and Design Manual or at -
http://hdsc.nws.noaa.gov/hdsc/pfds/
Table 1. Swale design information based on the 10-year storm.
Swale No.
Drainage
Area (ac)
Impervious
Area (ac)
Grassed
Area (ac)
C
Q
(cfs)
Slope
(%)
Vallow
(fps)
Vac❑,ai
(fps)
Flow
De th (ft)
1
AA 1.13
0.50
4.10
5.0
3.65
0.61
2
BB 0.27
0.70
1.37
5.0
2.78
0.41
3
CC 0.34
0.85
2.10
10.0
4.00
1 0.42
4
DD 0.48
0.85
2.96
5.0
3.37
0.54
5
EE 1.21
1
0.50
4.39
5.0
1
3.71
0.63
6
FF 0.41
0.85
2.53
7.5
3.76
0.47
7
GG 0.94
0.85
5.80
3.5
3.48
0.75
8
HH 0.98
0.70
4.98
5.0
3.83
0.66
9
II 0.20
1 0.70
1.02
2.5
1.99
0.42
10
JJ 0.35
0.70
1.78
2.5
1
2.28
0.51
11
KK 0.64
0.50
2.32
2.0
2.25
0.59
12
LL 1.76
0.50
6.39
1.5
2.60
0.91
13
MM 0.19
0.50
0.69
1.0
1.28
0.42
14
NN 1.54
1 0.85
9.50
0.75
2.21
1.20
15
006.75
6.85
41.65
3.5
5.70
1.56
16
PP 2.39
0.70
12.15
2.0
3.40
1.09
17
18
19
20
Form SW401-Low Density- Rev.3-2/10/09 Page 2 of 4

IV. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 214.1000, NCDENR BMP Manual (2007), Session Law 2006-246, and Session Law 2008-211.
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met,
then justification must be attached. Only complete items n through p for projects wilh curb outlets.
Page/Plan
Initials Sheet No.
N/A a.' For projects in the 20 coastal counties: Per NCAC 2H.1005, a 50 foot wide vegetative buffer
is provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided.
N/A b.For HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative buffer
is provided adjacent to surface waters.
X c.' For Phase II Post -Construction projects: All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters.
N/A d. Deed restriction language as required on form SWU-l01 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
Cl e. Built upon area calculations are provided for the overall project and all lots.
X f. Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H .1007)
C4 g. Side slopes of swales are no steeper than 3:1; or no steeper than 5: 1 for curb outlet sivales.
C4 h. Longitudinal slope of swales is no greater than 5%; for non -curb outlet projects, calculations
for shear stress and velocity are provided if slope is greater than 5%.
C4 i. At a minimum, swales are designed to carry the 10 year storm velocity at a non -erosive rate.
N/A j. Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non -erosive is velocity < 2 ft/s).
C4 k. Swale detail and permanent vegetation is specified on the plans.
C4/C14 1. Swale detail provided on plans; includes grass type(s) for permanent vegetative cover.
C7/C8 m. Swales are located in recorded drainage easements.
N/A n.T' Length of swale or vegetated area is at least 100 feet for each curb outlet.
C14A o.tt The system takes into account the run-off at ultimate built -out potential from all surfaces
draining to the system (delineate drainage area for each swale).
N/A p." Curb outlets direct flow to a swale or vegetated area.
' Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
'+ Only complete these items for projects with curb outlets.
Form SW401-Low Density-Rev.3-2/10/09 Page 3 of 4

V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
3. Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Water Quality.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: Alfred Owens, CEO
Address: 9635 Southern Pines Blvd
Phone: Date: �34W
it T
Note' The legally responsible party should not be a homeowners association unless more than 50% oJ7he lots have been .cold and a
resident of the subdivision has been named the president.
I, �� , a Nota�)/y� bl-icc for P le State of . County of
ae , do hereby certify that personally appeared before me this_�T�_
day of �d acknowledge the due execution of the forgoing swale maintenance requirements.
nission expires q 7
Form SW401-Low Density- Rev.3-2/10/09 Page of 4

Flehan Engineering, Inc.
Civil Engineering • Hydrology • Site Plan Design
Date: March 24, 2014
Re: Hasty Road Development
Revised Water Quality Calculations
Development Area
Administrative Building
13,365 SF
Cottages (6 @ 3,559 SF)
21,354 SF
Asphalt/Curb
82,279 SF
Concrete Driveway
5,070 SF
Dumpster Pad
336 SF
Concrete Sidewalk
14,099 SF
Basketball/Tennis
10,080 SF
Future Track
20,714 SF
Future Concessions
4,000 SF
Future Cottages/Office
29,010 SF
TOTAL
200,307 SF
TOTAL SITE AREA 1.574694 SF
4.60/36.15 = 12.72% Impervious Cover
4.60 ACRES
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5408 Guildbrook Road • Charlotte, North Carolina 28226. 704-364-3842 (Fax) 704-364-3843