SW3140303_CURRENT PERMIT_20140324

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

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM
Director
Mr. N. Michael Garbark
CIP Program Manager
500 N. Main Street
Monroe, North Carolina 28112
Pat McCrory, Governor
John E. Skvarla, III, Secretary
March 24, 2014 �1V1Sll)N OF LAND RESOD
' 4ND QUALITY SECTIOCES N
Subject: Stormwater Permit No. SW3140303
Weddington Elevated Water Tower in Union County
Dear Mr. Garbark:
APR j 1 2014
�crhn�mgri Vr
A•+o ry"n'^GYvI^L ?sE50URCF,§
The Division of Energy, Mineral, and Land Resources (DELMR), received a complete Stormwater
Management. Permit Application for the subject project on March 14, 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 2H.1000 and Session Law 2006-246. We are forwarding Permit No.
SW3140303, dated March 24, 2014, for the construction, operation and maintenance of the subject project
and the stormwater system. 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 questions regarding the filing fee (if a filing fee is required)
and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via
telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made
this permit shall be final and binding.
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 contact Mike Randall at [phone]; or
[e-mail].
Sincerely,
for Tracy E. Davis, PE, CPM, Director
cc: SW3140303 File, Mooresville Regional Office
cc: Robert M. Baysden, HDR Engineering of the Carolinas, 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.SW3140303
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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
PERMISSION IS HEREBY GRANTED TO U?jllTygEn t�NCE,3
Union County
APR1 IC
Weddington NC, Union County `� �014
FO R TH E �o � ^rgduRG�NT
Weddington elevated Water Tank project in compliance with the provisions of 15A
NCAC 2H .1000 and S.L. 2006-246 (hereafter referred to as the "stormwater rules')
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. Approved plans and specifications for projects covered by this permit are
incorporated by reference and are enforceable parts of the permit.
2. 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.
3. No piping is allowed except that minimum amount necessary to direct runoff
beneath an impervious surface such as a road or to provide access.
4. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent streams.
5. 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
1. The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area.
2. 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.
Page 1 of 4

State Stormwater Permit
Permit No.SW3140303
3. This project may not be sold or subdivided in whole or in part without first
receiving a permit modification.
4. 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 SW3140302.
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. 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.
6. The permittee shall submit to the Director and shall have received approval for
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.
During construction, erosion shall be kept to a minimum and any eroded areas of
the swales or other vegetated conveyances will be repaired immediately.
Page 2 of 4

State Stormwater Permit
Permit No.SW3140303
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. 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.
Ill. 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.
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.
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-
246, Title 15A of the North Carolina Administrative Code, Subchapter 2H.1000;
and North Carolina General Statute 143-215.1 et. al.
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
filing of a request for a permit modification, revocation and re -issuance, or
termination does not stay any permit condition.
Page 3 of 4

State Stormwater Permit
Permit No.SW3140303
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 24`h day of March, 2014.
for I racy E. Uavis, N.E., UFJM
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
03 HN 1IL4
15 soy s
SW 3 ► 4 o S0-�
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph 11- Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters []Universal Stormwater Management Plan
fd Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources p 19 BIN C
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FO Z MAR 1 4 2914
This fonu may be photocopied for use as an original
I. GENERAL INFORMATION I wlperMa 14 sitanwo
1. Project Name (subdivision, facility, or establishment name.- should be consistent with project name on plans,
specifications, letters, operation and maintenance agreenien�ts Nu D�etcl)"UALITY SLAND RESOURCES .
Weddington Elevated Storage Tank ^^n'.,, ,T _ ECTION
2. Location of Project (street address): APR y 1
5025-5229 Hemby Road nFa,,.. 1 2014
.,•,ncivi
City:Weddington County:Umn:,onv,, bwt.. _cr_vv"1U NfVIFN'l 7ip:28704
wy4nL�
3. Directions to project (from nearest major intersection):
From I-485, take Providence Road INC 16) South 2 miles. Take Left onto Hemby Road (SR 1346) Site is on the
Right 1.5 Miles down next to the Providence Volunteer Fire Department.
36, () 3 l0 5 -xo . '7/4 31 l u
4. Latitude:35° 02' 11.45" N Longitude:80° 44' 37.88" W of the main entrance to the project.
II. PERMIT INFORMATION
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenev,als anth nmdificatlons also requires SWU-102 - Reneeoal 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:ZJ/ac of Disturbed Area (Utv sl lam)
❑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: httl2://12ortal.ncdenr.org/web/Ir/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page I of 6

- ---...__.r.�"�`f

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:Union County, NC
Signing Official & Title:N. Michael Carbark, IV, PE - CIP Program Manager
b.Contact information for person listed in item 1a above:
Street Address:500 N.:Main Street
State:NC Zip:28112
Mailing Address (if applicable):
City: State: Zip:
Phone: ( )
Email:
Fax: (
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: f 1
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:
Signing Official &
b. Contact information for person listed in item 3a above:
Mailing Ad
Phone: ( 1 Fax:
Email:
4. Local jurisdiction for building permits: Weddington, NC
Point of Contact:Iordan Cook Phone #: [phone]
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwa ter runoff will be treated.
Storm water is treated through the use drive side vegetated swales and an extended dry detention pond.
Gravel (while still impervious) was utilized instead of pavement. Trees and shrubs have been added to the
site (required by code); however, only cropland existed before with no permanent vegetation.
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 11 - Post Construction
3. Stormwater runoff from this project drains to the Catawba River basin.
4. Total Property Area: 3.92 acres 5. Total Coastal Wetlands Area: N/A acres
6. Total Surface Water Area: N/A acres
7. Total Property Area 4 Total Coastal Wetlands Area 5 Total Surface Water Area 6 Total Project
Area+:3.92 acres S`i`
` Total project are"
shall be calculated to exclude the followinQ the normal pool of impounded structures, the area
between the books 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 wetlands landurnrd of the NHW (or MHW) tine nay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 7.14 %
9. How many drainage areas does the project have? 1 (For high densihj, carat 1 for each proposed engineered
stonnwnter BMP. For low densihl mid other projects, use 1 for the whole properhj 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
Six Mile Crock
Stream Class *
C
Stream Index Number*
11-138-3
Total Drainage Area (so
537991
On -site Drainage Area (so
1.06722
Off -site Drainage Area (so
431269
Proposed Impervious Area** (so
12465
% Impervious Area** total
7.14
Impervious** Surface Area
Drainage Area _
Drainage Area
Drainage Area
Drainage Area
On -site Buildings/ Lots (so
1762
On -site Streets (so
10374
On -site Parking (so
720
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (so
32107
Existing BUA'* (so
Total (so:
1 44963
Stream Class and Index Number can be determined at: Ittly://nortaLncdenr.or weblzwglps/csu/classifications
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

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 rnnount ofexisting BUA that will reninin 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. Used survey data
combined with the Union County CIS utilizing the aerial background turned on. Have provided Drainage
Area Figures in the calculation package.
Projects in Union County: Contact DEMLR Central Of staff to check if (he project is located within a Threatened
Endangered Species watershed that mrav be subject to more stringent slormwater requirements as per 15A n'CIIC 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://12ortal.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
littp://portal.ncdenr.org/web/wq/ws/su/statesw/forms_ does. 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 httl2://12m4al.ncdenr.org/web/wq/ws/su/statesw/forms does.
1. Original and one copy of the Stormwater Management Permit Application Form. l
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
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDFNR. (For an Express review, refer to
ht!p://www.envlielp.org/pages/oneqtopexpress.litiiiI 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.) (h
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
receiving stream drains to class SA waters within 1h 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:
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.
It. 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.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

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 Draina e areas delineated (included in the main set of lans not as a se Irate document)
gp < p< <
p. Vegetated buffers (where required). m
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"xll." 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, [phone].)
10. A copy of the most current property deed. Deed book: 6136 Page No: 377-378
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 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.
httl2://www.secretary.state.nc.us/Corporations/CSearcii.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 httl2://12ortal.ncdenr.org/web/­irlstate-stormwater-
forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Robert M. Baysden, PE, LEED AP BD+C
Consulting Firm: HDR Engineering of the Carolinas, Inc.
Mailing Address:440 South Church Street, Suite 1000
City:Charlotte State:NC Zip:28202
Phone: (704 ) 973-6883
Email:[e-mail]
Fax: (704 ) 338-6760
Form SWU-10i Version Oct. 31, 2013 Page 5 of

IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 las been filled out, complete this
section)
I, (print or hjpe nanne of person listed in Contact Information, item 2a) I certify that 1
own the property identified in this permit application, and thus give permission to (print or hjpe nanne of person
listed in Contact Information, item la) with (print or hipe name of organization listed in
Contact Information, item in) 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 signatu re below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
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
Form SWU-101 Version Oct. 31, 2013
Page 6 of 7

X. APPLICANT'S CERTIFICATION
1, (print or hype name of person listed in Contact Information, item in) n • M1Ct{Ae— GA'Z,g
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 st rmwater r Ie�155AA NN-CAC 2H .1000 and any other applicable state stormwater requirements.
Signature:
a Notary Public for/thee State of el'& �4ro�`t^4', County of
` c9 s do hereby certify that /W /°%,-C-L I ((tea+ �..iC l ✓?E personally appeared
before me this Z�clay ofya'C4 O / and ac�le��ue 4ccuObn of the application for
a stormwater permit. Witness my hand and official seal,
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Form SWU-101 Version Oct. 31, 2013 Page 7 of 7

Permit Name:
(to be provided by DWQ)
Drainage Area Number:
Grassed Swale Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
� OGq�srpv
Important maintenance procedures: `2i.
— The drainage area of the grassed swale will be carefully manag"ed�[o � du -1t
sediment load to the grassed swale. `
— After the first-time fertilization to establish the grass in the Swale, fe h tl ier willo�
not be applied to the grassed swale. NL u
The grassed swale will be inspected once a quarter. Records of operation and
maintenance will be kept in a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire length of the
Trash/debris is present.
Remove the trash/debris.
swale
Areas of bare soil and/or
Regrade the soil if necessary to
erosive gullies have formed.
remove the gully, and then re -sod
(or plant with other appropriate
species) and water until established.
Provide time and a one-time
fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an
the bottom of the swale.
area that will not impact streams or
BMPs. Re -sod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
-
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Grassed Swale O&M-Rev.3
Page I of 2

Permit Number:
(to be provided by DWQ)
acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Weddington Elevated Storage Tank
BMP drainage area number:
Print name:N. Michael Garbark, IV, PE
Title:Union County CIP Program Manager
Address:500 N. Main Street, Monroe, North Carolina 28112
Signature:
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, 'e IleA-Z , a Notary Public for the State of
'4r/z Lazo%kIc . County of /,Lh : c.._ do hereby certify that
U./4 e/��etrOar k / K tOE personally appeared before me this 7
day of /!%, and acknowledge the due execution of the
forgoing grassed, wale maintenance requirements. W itn s my handand official seal,
C+ @• a°eeeeesa ro s
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My commission expires 9- a 9- a evs
Form SW401-Grassed Swale O&M-Rev.3 Page 2 of 2

Permit Number:
(to be provided by DA'Q)
Drainage Area Number:
Dry Extended Detention Basin ')I�'SIpN(,),
Operation and Maintenance Agreement OZI DR,
I will keep a maintenance record on this BMP. This maintenance recordtwill be kelit in/a
log in a known set location. Any deficient BMP elements noted in the ittspctiotl will'Ue�
corrected, repaired or replaced immediately. These deficiencies can affect tlie�tintegrity�
of structures, safety of the public, and the removal efficiency of the BMP. CS661 V0 by
The dry extended detention basin system is defined as the dry detention basin, outlet
structure, pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
® does ❑ does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— The drainage area will be managed to reduce the sediment load to the dry
extended detention basin.
— Immediately after the dry extended detention basin is established, the vegetation
will be watered twice weekly if needed until the plants become established
(commordy six weeks).
— No portion of the dry extended detention pond will be fertilized after the first
initial fertilization that is required to establish the vegetation.
— I will maintain the vegetation in and around the basin at a height of
approximately six inches.
— Once a year, a dam safety expert will inspect the embankment.
After the dry extended detention basin is established, it will be inspected once a quarter
and within 24 hours after every storm event greater than 1.0 inches (or 1.3 inches if in
a Coastal County). Records of operation and maintenance will be kept in a known set
location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the dry
Areas of bare soil and/or
Regrade the soil if necessary to
extended detention
erosive gullies have formed.
remove the gully, and then plant a
basin
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Form SW401-Dry Detention O&M-Rev3 Page I of 4

BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth
possible. Remove the sediment and
(see diagram below).
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth
possible. Remove the sediment and
(see diagram below).
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Revegetate disturbed
areas immediately with sod
(preferred) or seed protected with
securely staked erosion mat.
Water is standing more than
Check outlet structure for clogging.
5 days after a storm event.
If it is a design issue, consult an
appropriate rofessional.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
Form SW401-Dry Detention 0&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblem:
How 1 will remediate theproblem:
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
Grass cover is unhealthy or
Restore the health of the grass cover
eroding.
- consult a professional if necessar .
Signs of seepage on the
Consult a professional.
downstream face.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
The measuring device used to determine the sediment elevation shall be such that it will
give an accurate depth reading and not readily penetrate into accumulated sediments.
When the basin depth reads 0.33 feet in the main pond, the sediment shall be removed.
When the basin depth reads 0.33 feet in the forebay, the sediment shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
ill in the blanks)
Temporary Pool Elevation 716.60
3 Te pora Pool "temporary ool
olume Sediment Removal Elevation 715.73 1 Volume
.00 25 0
Sediment Bottom Elevation 715.40 125% ediment
Storage Stomge
FOREBAY MAIN POND
Form SW401-Dry Detention O&M-Rev.3 Page 3 of 4

Permit N
(to be provided by DWQ)
1 acknowledge and agree by my signature below that 1 am responsible for the
performance of the 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.
Projecl name:Weddington Elevated Storage Tank
BMP drainage area number:
Print name:N. Michael Garbark IV, PE
Title:Union County - CIP Program Manager
Address:500 N. Main Street, Monroe- North Carolina 28112
Signature:��
Date -
Note: The legally responsible party should not be a homeowners association unless more than 50%of
the lots have been sold and a resident of the subdivision has been named the president.
1,� �2 X IX F-L a Notary Public for the State of
County of do hereby certify that
/1, dric-/ / {/ ?F personally appeared before me this % 7
day of 177a� 4, and acknowledge the due execution of the
forgoing dry
seal,
ee°•eeeeoO° 0 NOTARY
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SEAL
`n m�e requirements. Witness my hand and official
My commission expires J?'02% 1:701Sr_
Form SW40I-Dry Detention O&M-Rev.3 Page 4 of 4