SW5100602_Application Form_20230526

DEMLR USE ONLY
Date Received Fee Paid Permit Number
STORMWATER PERMITTING FORM 7:
MINOR MODIFICATION
Standard Permitting Program — No Fee for Minor Modification
Express Permitting Program — See Express Fee Schedule
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deq.nc.gov/contact/regional-offices.
This form is to only to be used by the current permittee to notify the Division of a minor
modification. Pursuant to Rule 15A NCAC 02H. 1002, a minor modification is a change to the project that:
1) does not increase the net built -upon area; and/or
2) does not change the size or design of the SCM(s).
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW5100602
2. Current Permit Holder's Company Name/Organization:
3. Signing Official's Name:
4. Signing Official's Title:
5. Mailing Address:
City: Cary
Israel Flores
ABB Inc.
Health, Safety and Environment Manager
305 Gregson Drive
State: NC ZIP: 27511
6. Street Address (if different):
City: �� vV State: NC _ ZIP: 2 sd
7. Phone: ( 252 ) 366-4122 Email: [e-mail]
8. Describe the minor modifications that you are requesting, including any revised BUA allocations (attach
additional pages or supporting tables similar to Section IV.10 of the original application, if needed):
In the previous application from 2018 we allocated 41,688 sf to "Future use" impervious area (see Stormwater Application, page 3).
We will use 31,925 sf of that area in the proposed parking lot expansion.
B. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark `X" if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. Two hard copies (with original signatures) and one electronic copy of this completed form.
Y 2. Two hard copies and one electronic copy of the revised plan sheets (must be a revision of the
originally approved plan sheets).
N/A 3. If there is reallocation of lot BUA, a copy of the revised recorded deed restrictions and protective
covenants OR the proposed recorded deed restrictions and protective covenants documenting
the changes and a signed agreement to provide the final recorded document.
NIA 4. If applicable, the appropriate Express review fee.
Stormwater Permit Form 7: Minor Modification Page 1 of 2 July 14, 2017

C. CONTACT INFORMATION
1. The Design Professional who is authorized to provide information on the Applicant's behalf:
Design Professional's Name: J. Michael Stocks
Consulting Firm: Stocks Engineering
Mailing Address: P.o Box 1108
City: Nashville State: NC Zip: 27856
Phone: ( 252 ) 459 - 8196 Fax:
Email:: [e-mail]
2. [OPTIONAL] If you would like to designate another person to answer questions about the project:
Name & Title: Kevin Varnell
Organization: Stocks Engineering
Mailing Address: P.o Box 1108
City: Nashville
Phone: ( 252
Email:: [e-mail]
State:_
459 - 819E
NC
ax:
Zip: 27856
D. CERTIFICATION OF PERMITTEE
I, 17';fCl M � , SQ 11LC5 , the current permittee, certify that I have authorized the minor modifications listed
in Section A and shown in the attached revised plan sheets. I further attest that this information is accurate and
complete to the best of my knowledge.
Signature:
Date: ()S/25/?(3 -
I, X . V-v-4 . v, V ow w -VI , a Notary Public for the State of 4,41,
County of do hereby certify that s� c_l Pt
personally appeared before me this the Z day of aj,, 20 23, and
acknowledge the due execution of the forgoing instrument. Witness my qand and official seal,
J. KEVIN VARNELL
(Notary &NOtary Public
North Carolina
Edgecombe County LI
Notary Signature 4&�Z)
My commission expires ?j/I S Z&
Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017