HomeMy WebLinkAboutSW3201003_Application_20201028 DEMLR USE ONLY
Date Received Fee Paid Permit Number
lo-Z�-2v�,v 5D t00d1 SW32ol0o3
• 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 Mgmt 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.):
Auto Finance&Car Care Center
2. Location of Project(street address):
2032 Union Beltway Road
City:Indian Trail County:NC Zip:28079
3. Directions to project(from nearest major intersection):
Head Northwest on Highway 74 from the intersection of Highway 74 and Indian Trail Fairview Road,
turn right after 0.5 miles onto Union Beltway Road.The property is 0.1 mile on the right
4. Latitude:35°05'24.08"N Longitude:80°39'49.88"W of the main entrance to the project.
II. PERMIT INFORMATION:
1.a.Specify whether project is(check one): New [Modification ❑Renewal w/ Modificationt
tRenewals 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
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 ❑Sedimentation/Erosion Control: 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
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/lr/rules-and-regulations
Form SWU-101 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:DMK Holdings
Signing Official&Title:David Algood,Manager
b.Contact information for person listed in item la above:
Street Address:12719 Lindrick Lane
City:Charlotte State:NC Zip:28277
Mailing Address(if applicable):
City: State: Zip:
Phone: (980 ) 297-1200 Fax: ( )
Email:david.algood@autofinancecenter.com
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: Zip:
Mailing Address(if applicable):
City: State: Zip:
Phone: ( ) Fax: f )
Email:
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:Metorlina Builders,Inc.
Signing Official&Title:Dennis Norwood, Project Executive
b.Contact information for person listed in item 3a above:
Mailing Address:425 Hebron Street
City:Charlotte State:NC Zip:28273
Phone: (704 ) 553-0834 Fax: (704 ) 553-2096
Email:DNorwood@metrolinabuilders.com
4. Local jurisdiction for building permits:Union County Building Standards
Point of Contact:Jim King Phone#: (704 ) 283-3605
Form SWU-101 Version Oct.31,2013 Page 2 of 6
IV. PROJECT INFORMATION
1. In the space provided below,briefly summarize how the stormwater runoff will be treated.
Stormwater runoff will be treated and detained in a sand filter.WQV treated,1,2,and 10 year storms
detained. 1'of freeboard provided in the 100 year storm
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 River basin.
4. Total Property Area:5.717 acres 5. Total Coastal Wetlands Area:0 acres
6. Total Surface Water Area:0 acres
7. Total Property Area(4)-Total Coastal Wetlands Area(5)-Total Surface Water Area(6)=Total Project
Area+:5.717 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
(MI-W)line,and coastal wetlands landward from the NHW(or MHW)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 =53.8 %
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.
Basin Information Drainage Area 1 Drainage Area Drainage Area Drainage Area
Receiving Stream Name South Prong
Clark Crek
Stream Class * C
Stream Index Number* 13-17-4-2
Total Drainage Area(sf) 211701
On-site Drainage Area(sf) 196484
Off-site Drainage Area(sf) 15086
Proposed Impervious Area**(sf) 113994
% Impervious Area**(total) 53.8
Impervious**Surface Area Drainage Area Drainage Area_ Drainage Area_ Drainage Area
On-site Buildings/Lots(sf) 42500
On-site Streets (sf)
On-site Parking (sf) 67604
On-site Sidewalks (sf) 3190
Other on-site (sf) 700
Future(sf)
Off-site (sf)
Existing BUA***(sf) 0
Total (sf): 113994
* Stream Class and Index Number can be determined at: http://portal.ncdenr.org/web/wq/ps/csu/classifications
** Impervious area is defined as the built upon area including, but not limited to,buildings,roads,parking areas,
sidewalks,gravel areas,etc.
Form SWU-101 Version Oct.31,2013 Page 3 of 6
***Report only that amount of existing B LIA that will remain after development.Do not report any existing B LIA that
is to be removed and which will be replaced by new B LIA.
11. How was the off-site impervious area listed above determined?Provide documentation.
N/A
Projects in Union County: Contact DEMLR Central ice 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 1SA 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://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
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs. 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 http://portal.ncdenr.org/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.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. ✓ V 6 K.
2. Original and one copy of the signed and notarized Deed Restrictions&Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s)(sealed,signed and dated)and O&M ✓ \JGIL
agreement(s)for each BMP.
4. Permit application processing fee of$505 payable to NCDENR. (For an Express review,refer to ✓\KV—
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.)
5. A detailed narrative(one to two pages)describing the stormwater treatment/management for b�L
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 1/2
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: J&'L
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).
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 DEMLR to verify the SHWT prior
to submittal, (910) 796-7378.)10. A copy of the most current property deed.Deed book: 153" Page No:ColV+ VOL
For corporations and limited liability corporations(LLC):Provide documentation from the NC NA
Secretary of State or other official documentation,which supports the titles and positions held
by the persons listed in Contact Information,item la,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.
http://www.secretary.state.nc.us/Corporations/CSearch.aspx
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 docs.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:Vincent G Keene
Consulting Firm:Yarbrough-Williams&Houle,Inc.
Mailing Address:P.O.Box 1198
City:Pineville State:NC Zip:28134
Phone: (704 ) 556-1990 Fax: ( )
Email:vincek@y-wh.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) t) h+D ALt oo p ,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) P ffviti, j) as with (print or type name of organization listed in
Contact Information, item 1a) 17YYn1L 1.40 ,a co( 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.
Form SWU-101 Version Oct.31,2013 Page 5 of 6
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 violatio f C General Statue 143-215.1 and may result in appropriate enforcement
action including the as s ent openalties of up to$25,000 per day,pursuant to NCGS 143-215.6.
Signature: /// Date: /0/ /2
S C ' 1141k55&-)/ ,a Notary Public for the State of NiO 01{ edikkounty of
U Ni 10 N ,do hereby certify that Dakil ) 4 (--6-6U_,0 personally appeared
before me this day of OCE b '( , 207$nd ackno edge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
`ca: s SEAL
NorAR),
: AUBLIG -
O •fibr 7th •`� I a �
''••e••••••••cout,�a / My commission expires '7 20 2—
X, APPLICANTS CERTIFICATION
-f
I,(print or type name of person listed in Contact Information, item la) i h G ti 4 6—- 1 C-"t-
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 covena will be recorded,and that the proposed project complies with the requirements of the
applicable stormwa es under 15A NCAC 2H.1000 and any other applicable state stormwater require ents.
Signature: Date: 046 ILO
L ,a Notary Public for the State of N-'/t-Pi 694,0 /N f ,County of
Iti►PLc� • ,do hereby certify that v(a a``1"'T- ` At d personally appeared
before me this el.day of bCp 06 ,.Z+" ,and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
(747 SEAL
JOSEPH E. WHALEY, JR.
NOTARY PUBLIC
Iredell County, North Carolina
My commission expires /?• 25'' Z-°Z)
Form S WU-101 Version Oct.31,2013 Page 6 of 6
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❑ Shop drawings El Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
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Fora royal ❑ Approved as submitted ❑ Resubmit copies for approval
O For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested El Returned for corrections 0 Return corrected prints
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❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
fi'4.5- Sierm-r-m-c
77-62/40
COPY TO /�= — /
SIGNED: _ �/� C/�/4 4/45
If enclosures are not as noted,kindly notify us at once.
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Limited Liability Company
Legal Name
DMK Holdings LLC
Information
Sosld: 1886465
Status: Current-Active O
Date Formed: 8/29/2019
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: McGrath and Spielberger, PLLC
Addresses
Mailing Principal Office Reg Office
12719 Lindrick Lane 12719 Lindrick Lane 6201 Fairview Road, Suite 330
Charlotte, NC 28277 Charlotte, NC 28277 Charlotte, NC 28210
Reg Mailing
6201 Fairview Road, Suite 330
Charlotte, NC 28210
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Chief Executive Officer
David Ross Algood
12719 Lindrick Lane
Charlotte NC 28277
https://www.sosnc.gov/online_services/search/Business_Registration_Results 11/3/2020