SW3200401_$505.00 Check # 9903W-00019313 Payalbe to NCDENR WQ_20200612

RouanCou1 Rowan CountY Environmental Management Department DEv
P.D. 8o enceo, NC 28039-0430
,,at SP
Reference
Date invoice
" North CarollnJyG
01 LpHomes _ pp PLLCC
i
O6/
11/t9 Check Request
Total Remittance
Eaealsa-a
�`` es Corporate, "C
L J1 flour
1 1450 Lake Robbins Dr.
1 43CI Woodlands, TX 77380
The
One Thousand Seven Hundred Fifty Dollars 00 Cents*
Pay
ement Department DEV
Environmental Manag
Rowan County `i
TO
Tne P'O'Bo0NC 28039-0430
Order East Spencer,
OS '
■ 121000
248�%

NCDepartl NC Department of Environmental and Natural Resources DEV LGI Homes Corporate, LLCCheck Number 9903W-00019313
217 W. Jones St. Check Date Jun 28, 2019
Raleigh, NC 27603
Payment Amt Retention Discount Total Payment
Date Invoice Reference
____________ _
0701 LGI Homes - North Carolina, LLC 505.00 0.00 0.00 505.00
06/11/19 Check Request TVGOO,ALLOC ---
505.00 0.00 .00
Total Remittance
E484794-4
LGI Homes Corporate, LLC
1450 Lake Robbins Dr.
430
The Woodlands, TX 77380
Pay *Five Hundred Five Dollars 00 Cents*
To NC Department of Environmental and Natural Resources DEV
The 217 W. Jones St. c
Order Raleigh, NC 27603 uCe
Of
7A
Wells Fargo Bank, NA
Minneapolis, MN
Date
Jun 28, 2019
LGI Homes Corporate, LLC
Check Number
9903W-00019313
PAYABLE IN US DOLLARS
60
Amount
$505.00

Operation & Maintenance Agreement`-= -,.-
Project Name
Project Location
Village at Granite Quarry - Phase 2
3040 Faith Road, Salisbury, Rowan Co, NC 28146
Maintenance recoros shall be Kept on the tollowing tmP(s). I nls maintenance record small 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 pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply &
Bioretention Cell Quanti
Dry Detention Basin
Grassed Swale
Green Roof
Infiltration Basin
Infiltration Trench
Level SpreaderNFS
Permeable Pavement
Proprietary System
Rainwater Harvesting
Sand Filter
Stormwater Wetland
Quantity,
Wet Detention Basin
Quantity,
Disconnected Impervious Area
Present:
User Defined BMP
Present:
O&M tables will be adde
Location(s):
Location(s): BMP #7
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
r"M
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed
for each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any
changes to the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Jeff Webb
VP of Land Development / LGI Homes
3037 Sherman Drive
Lancaster, SC 29720
704-297-0693
[e-mail]
Signature: Date:
u
I, + Qa 1o, im-ay iW f 150Y\ a Notary Public for the State of N oyily\ Ccuybl l yta-
County of ► Y,&Lk Ux1oU.rq do hearby certify that Je-r+ WZ.%b
personally appeared before me this J 101 day of AiAp tAsi— , 26I e and
acknowledge the due execution of the Operations andMaintenanceAgreement.
Witness my hand and official seal,
My commission expires
ST(
Ver
001 - 30 - 2023
O&M Manual
5/15/2019
Page 1 of 9

High Density Residential Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations, deed
restrictions and protective covenants are required for High Density Residential Subdivisions where lots will be
subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed restrictions and protective
covenants are necessary to ensure that the development maintains a "built -upon" area consistent with the design criteria
used to size the stormwater control facility.
I, Jeff Webb , acknowledge, affirm and agree by my signature below, that I will cause the following deed
restrictions and covenants to be recorded prior to the sale of any lot:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater Management Permit
Number , as issued by the Division of Energy, Mineral and Land Resources under the
Stormwater Management Regulations. (for Village at Granite — Phase 2)
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to maintain
compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express written consent of
the State of North Carolina, Division of Energy, Mineral and Land Resources.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence of the
Division of Energy, Mineral and Land Resources.
6. The maximum built -upon area per lot, in square feet, is as listed below.
Lot # BUA
119-250 3,210 sf
This allotted amount includes any built -upon area constructed within the lot property boundaries, and that portion
of the tight -of -way between the front lot line and the edge of the pavement. Built upon area includes, but is not
limited to, structures, asphalt concrete, gravel, brick, stone, slate, coquina and packing areas, but does not
include raised, open wood decking, or the water surface of swimming pools.
7. Each lot will maintain a 30** foot wide vegetated buffer between all impervious areas and surface waters.
**50 foot for projects located in the 20 coastal counties.
8. All runoff from the built -upon areas on the lot must drain into the permitted system. This may be accomplished
through a variety of means including roof drain gutters which drain to the street, grading the lot to drain toward the
street, or grading perimeter swales to collect the lot runoff and directing them into a component of the stormwater
collection system. Lots that will naturally drain into the system are not required to provide these additional
measures. _ ..--
'' //Jeff WvbI--_)T_ of beRd DbWlopment LGI Homes
r(a l t W I lsan -,a Notary Public in the
State of NOV+L i11vd Ilm- County of MCV UVNW19
do hereby certify that 3-F_4 \4(,\5 b personally appeared
before me this the _1611— day of h3my,51— , 20 11 , and acknowledge
the due execution of the foregooiing9 instrument. Witness my hand and official seal, SEAL �"��NMARIE /thyr
4Signature
My Commission expires Oq-30—ZO2-3 ; Comm. Exp.
,,, 09.30-2023
Form DRPC-3 Rev.2 05Nov2009 Page I of I `1 ..0UG ,$
'tr,�•.tieuac•.co����,.

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including th
of ci�il en ti s of up to $25,000 per day, pursuant to NC 143-215.6.
i
Signature: /� % Date
i_lc���_tt {�cm ♦__
ppqq
I, I -� n s k�A ? • 6T2� a Notary Public for the State of /Va ft is4r%!L `� County of
AC�sN3F,'✓Ei , do hereby certify that 5 t: Fe WEO lj' personally appeared
before me this A day of L- u ti �(°� , and acknowle j2 the due ion of the application for
a stormwater permit. Witness my hand and official seal,
JOSHUA B MOTE
Notary Public
R North Carolina
Gaston County
X. APPLICANT'S CERTIFICATION
R-Z7-7aZ(
I, (print or type name of person listed in Contact Information, item 1a) leffWebb - VP of Land Deu.
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 stormw nder 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Signature: Date:
Jeff Web P MiCand 17ev. J
I,'' II;,_,,6 Kt A a Notary Public for the State of / " T ounty of
. +� VV do hereby certify that bVea f3 personally appeared
before me this 11day of �cl-F_ _, 7010"1 and ackno ue ecution of the application for
a stormwater permit. Witness my hand and official seal,
JOSHUA B MOTES SEAL
Notary Public
North Carolina
Gaston County l - 2 7.7d Z 1
My commission expires
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

City State Zip City State Zip
Telephone Telephone.
The above information is true and correct to the best of my knowledge and belief
and was provided by me under oath. (This form must be signed by the financially
responsible person if an individual or his attorney -in -fact or if not an individual by an
officer, director, partner, or registered agent with authority to execute instruments for the
financially responsible person). I agree to provide correctional information should there
be any change in the information provided herein
Jeff Webb VP of Land Development
Type name Title or Authority
K-Iq-2�1�
Signature Date
I a Notary Public of the County of _
State of North Carolina, hereby certify that t`f'f G-4-5tj6 appeared
personally before me this day and being duly sworn acknowledged that the above form
was executed by him/her. Witness my hand and seal of Notary, this L of day of
v L� 20
B MOTES
O�JOSHUA
Notary Publio
North Carolina
Gaston County
My commission expires 7 -0 / ' ZOz