SW1130702_CURRENT PERMIT_20130816

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_/��70G�
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC GATE
,�� _a`w
YYYYMMDD

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM
Director
August 13, 2013
Matthew A. Tucker, Vice President
CM104 Canotn NC LLC
1521 Westbranch Drive Suite 200
Mclean VA 22102
Subject: Stormwater Permit No. SW 1130702
CM 104 Canton NC LLC
Consolidated Metco Warehouse Addition
Dear Mr. Ketron:
Pat McCrory, Governor
John E. Skvarla, III, Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the
subject project on July 24, 2013. 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 214.1000
and Session Law 2006-246. We are forwarding Permit No. SWI 130702; dated August 13, 2013, for the
construction, operation and maintenance of the subject project and the stormwater BMPs. This permit
shall be effective from the date of issuance until August 12, 2021 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 Asheville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Mike Randall at [phone]; or
[e-mail].
Sincerely,
>'-)- � Received
for Tracy E. Davis, PE, CPM, Director
cc: SW 1130702 File, Asheville Regional Office AUG 16 2013
cc: Jeff McCluskey, Mc2 Engineering
and Quality Section
Asheville
Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.91. 707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Interne : httpalportal,ncdenr.orplwebllrl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

vile: E e �52
I;GGGInGq

•State Stormwater Permit
Permit No. SW1130702
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
PERMISSION IS HEREBY GRANTED TO
CM104 Canton NC LLC
Consolidated Metco Warehouse Addition
171 Great Oak Drive, Canton, Haywood County
FOR THE
construction, operation and maintenance of two sand filters in compliance with the
provisions of Session Law 2006-246 and.15A NCAC 2H .1000 (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 Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until August 12, 2021, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. The two sand filters are approved for the management of stormwater runoff as
described in the application documents and as shown on the approved plans.
3. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
4. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
5. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 4

State Stormwater Permit
Permit No. SW1130702
II. SCHEDULE OF COMPLIANCE
1. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. The permittee shall at all time provide the operation and maintenance necessary
to assure the two permitted sand filters functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
3. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
4. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each sand filter. The report
shall summarize the inspection dates, results of the inspections, and the
maintenance work performed at each inspection.
5. The two sand filters shall be constructed in accordance with the approved plans
and specifications, the conditions of this permit, and with other supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the two sand filters certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. 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 any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. 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 of any vegetative conveyance shown on the
approved plan.
Page 2 of 4

State Stormwater Permit
Permit No. SW1130702
9. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of eight years from the date of the completion of
construction.
10. 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.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation. 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 such
time as the Division approves a request to transfer the permit.
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. 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) having jurisdiction.
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 this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. 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.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control 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.
Page 3 of 4

State Stormwater Permit
O Permit No. SW1130702
10. 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 NCAC 21-1.1000, and NCGS 143-215.1 et.al.
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.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 8t" day of August, 2013.
for Tracy E. Davis, P.E., GPM
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

A
State Stormwater Permit
• Permit No. SW1130702
CM104 Canton NC LLC
Consolidated Metco Warehouse Addition
Haywood County
Designer's Certification
1, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Noted'deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
cc: NCDENR-DWQ Regional Office
Page 1 of 1

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
)o
'A �60a
Applicable Rules: ❑ Coastat SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select a!1 drat a lr) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Ether WQ M mt Plan:
AUG 1 4 2013
State of North Carolina
partment of Environment and Natural Resources
,1(y
Division of Water Quality V.A r
DwQ/Surfacewater ProteCfl8Us ATER MANAGEMENT PERMIT APPLICATION FORM
Asheville Re ional dfl'ice This form limy he photocopied for rise as an original
1. GENERAL INFORMATION
"I. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Consolidated Metco Warehouse Addition
2. Location of Project (street address):
171 Great Oak Drive
City:Canton County:Ha wood Zip:28716
3. Directions to project (from nearest major intersection):
Headiniz West on I-40 take exit 33. Then head straieht on off ramu to Freedom Drive. At end of Freedom
Dri-ve turn right on to Beaverdam Road. Turn [eft onto Great Oak Drive and the site is on the left.
4. Latitude:35° 33' 53" N Longitude:-82° 49' 59" W ��J3 of'the main entrance to the project.
c6y.
[I. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ©New ❑Modification ❑ Renewal w/ Modificationt
tRetiewals With tirodifrcations also requires 51,VLI-IO2 - Renrnoal Applicatiotz Fornz
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
Specify the type of project (check one):
❑Low Density OHigh 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 current[),
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
❑C Sedimentation/Erosion Control: 13.34 ac of Disturbed Area
❑NI'DES Industrial Stormwater ❑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 permit:
5. Is the project located within 5 miles of a public airport? [z No ❑Yes Received
If yes, see S.L. 2012-200, Part VI: httl2://portal.ncdenr.org/weblwq/ws/sti/states%v/rLI les laws
AUG 16 2013
Form SWU-101 Version 06Aug2012
Page I of 6
Land Quality Sectlon
Asheville

0 0
3 V 113 0 3 39
CITS, ,, r 'ril " , ,

lt11. CONTACT IN>FORMARON
11
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:CM104 Canton NC LLC
Signing Official & Title:Matthew A. Tucker Vice President
b.Contact information for person listed in item I above:
Street Address:1521 Westbranch Drive Suite 200
City:Mclean
Mailing Address (if a pplicable):Same
City:
Phone: (703 ) 287-5830
Erna i1:Matt, tuckerQ ladestonecom anies.com
State: VA
State:
Zip:22102
Zip:
Fax: (703 ) 287-5801 _
Please check the appropriate box. The applicant listed above is:
❑X 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:
Mailing Address (if ayhiicable):Same
City: —
Phone:
Email:
State:
State:
Fax:
Zip:
Zip:
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:Torn. Trocheck
Signing Official & Title:Construction Manager _
b.Contact information for person listed in item 3a above:
Mailing Address:? Berkeley Road
City:Avondale Estates State:GA Zip:30002
Phone: [phone] Fax: ( }
E niaiL trocheckt@ao 1. co m
4. Local jurisdiction for building permits: Haywood County _
Point of Contact:Bruce Crawford Phone #: (828 ) 452-6638 _
Form SWU-101 Version 06Aug2012 Page 2 of 6

IV. PROJECT INFORMAMN
1. In the space provided below, br- iefly summarize how the stormwater runoff will be treated.
The increase in the impervious coverage wiii be treated in two sand filters for the first V. Runoff in excess__
•
of V bypasses the sand filters through a splitter box to divert the water downstream of the sand filters
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 French Broad River basin.
4. Total Property Area: 32.0 acres 5. Total Coastal Wetlands Area: 0 acres
6. "Total Surface Water Area: 0 acres
Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:32.0 acres
' Total project area sliall be calculated to exclude the fo1)oIUIIIg the nlornial pool of InipoIilided structures, the area
between the banks of streatns and rivers, the area below the Norinal High Water (NHW) Hire or Mean High Water
(MHW) litre, and coastal zoetlands landward froin the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal Wetlands landward of the NHW (or MHW) line pray
be included in the tohTl project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 23.3 %
9. How many drainage areas does the project have?2 (For high density, count I for eacli proposed engineered
stormwater BMP. For loco densihj and other projects, i(se I for the Ioliole property area)
40. 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 2
Drainage Area _
Drainage Area _
Receiving Stream Name
Beaverdam Ck
Beaverdain Ck
Stream Class *
C
C
Stream Index Number
5-8
5-8
Total Drainage Area (sf)
227,157
35,400
On -site Drainage Area (sf)
227,157
35,400
Off -site Drainage Area (so
0
0
Proposed impervious Area** so
200,800
21,904
Impervious Area** total
88.4%
61.9%
Impervious— Surface Area
Drainage Area 1
Draina e Area 2
Draina e Area _
Draina Ye Area _
On -site Buildings/Lots (so
70,270
0
On -site Streets (so
0
0
On -site Parking (so
92,890
21,904
On -site Sidewalks (so
345
0
Other on -site (so
0
0
Future (so
0
0
Off -site (so
0
0
Existing BUA*** (so
37,295
0
Total (so)
200,800
21,904
* Stream Class and Irides Nurnber can be deferinined at: lit4i.- portal.ircdeiir.org/ tiebf vg62slesir/classiFicntioris
1l11pervioiis area is defined as the built upon area including, but not linrited to, buildings, roads, parking areas,
sidezoalks, gravel areas, etc.
* Report only that aniomit of existing BI.IA that will rentain after developinent. Do not report any existing BUA that
is to be renioved and which will be replaced by new BUA.
Form SWU-101 Version 06Au,,2012 Page 3 of 6

IV
O'cumentation.
11. I -low was the off -site inipervous area listed above determined? ProvideSite Visit and
Aerial maps
Proiects in Union County: Contact D IVQ Central Office staff to check if the project is located within a Threatened &
Endangered Species vv,atershcd that nury be subject to more stringent stornnvater requirements us 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:Z/portal.ncdenr.org/web/wows/su/bnip-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 httpJ/portal.ncdenr.org/vveb/wq/ws/su/statesw/forms_docs. 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 http://portal.ncdenr.org/web/vvq/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.r7cdenr.org/web/,�vq/tvs/su/statesw/forms_docs.
utials
1. Original and one copy of the Stormwater Management Permit Application Form,
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants A I �
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Forni(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
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/ 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 1/2 mile of the site boundary, include the
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: T
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.
D. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
Dorm SWU-101 Version 06Aug2012 Page 4 of 6

9. Copy of any applicable soilport with the associated SHWT elevationspease 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 far DWQ to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 602 Page No: 397
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC �M
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 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.
iittp://wwiv.secretary.state.iic.u,s/Corporatioiis/CSearcli.asp
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 an(]
protective covenants forms can be downloaded from
littp://portal.ncdenr.org/web/wq/ws/su/statesw/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 DWQ, and that they will be recorded prior to the sale of any lot.
Vill. 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:Jeff McCluske.v _
Consulting Firm: Mc2 Engineering, Inc.
Mailing Address:2110_Ben Craig Drive, Suite 400
City:Charlotte
Phone: (704 ) 510-9797
Erna il:Ieff©mc2eng,com
State:NC
Zip:28262
Fax: (704 - ) 510-9787 _
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itein 2 has been filled out, complete this
Section)
1, (print or type name of person listed in Contact Infortation, item 2a) , certify that 1
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Itrfonnation, item 1a) with (print or type nattre of organization listed in
Contact Information, item Ia) 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 06Aug2012 Page 5 of 6

v
t1s the legal property owner I aic iowledge, understand, and agree by my siggoture 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 Stormlvater 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 143-215A 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.
Signature: Date:
a Notary Public for the State of County of
do hereby certify that personally appeared
before me this _ day of and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAT,
My commission expires
X. APPLICANT'S CERTIFICATION
1, (print or type nanee of person listed in Contact Information, item+ 1a) CMI04 Cantors NC LLC i ,
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 stormwater rule under 15A NCA 21-1 A000 and any other applicable state stormwater requirements.
Sig� a nature: �ull�ucu vrc�cr ,te ate: 1 7p I
I, .� a Notary Public for the State of lrtlf/l County of
FI a:FA)C do hereby certify that .,«.-,-r 2w personally appeared
before me this day of L�/ 2013 , and ackno I g the due execution of the application for
a stormwater permit. Witness my hand and official seal,
CAR
O�
•R NOTARY' 'L
V'r PUBLIC 9lm
SEAL REG # 7509037
my CWM
EXPIRES
My commis sioti'r9ry
(� ex�vkd � du- A , j �ul� jy , .� t5 c� �k� 14� Its
Form SWU-101 Version 06Aug2012 Page 6 of 6

m
Eftivr-521
I
Mcovinniom
vzlw k
Imo; ._ • •

Y
1; 0
Permit Number: 5 W I L 3 0 7 D Z.
(to be provided by DNO
Drainage Area Number:
Sand Filter 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.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the sand filter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
— Once a year, sand media will be skimmed.
— The sand filter media will be replaced whenever it fails to function properly after maintenance.
The sand filter will be inspected quarterly and within 24 hours after every storm event greater than
1.0 inches (or 1.5 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.
B
;=Potential" rob�iem: Eye"i„ , �,
How l will reme'd1ate ;the robje
Entire BMP
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon as
applicable)
pavement surface.possible.
Perimeter of sand filter
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove the
gullies have formed.
gully, and then plant a ground cover and
water until it is established. Provide time
and a one-time fertilizer application.
Vegetation is too short or too long.
Maintain vegetation at an appropriate
height,
Flow diversion structure
The structure is clogged.
Unclog the conveyance and dispose of any
sediment offsite.
The structure is damaged.
!`Make any necessary repairs or replace if
damage is too large for re air.
Forebay or pretreatment area
Sediment has accumulated to a
Search for the source of the sediment and
depth of greater than six inches.
remedy the problem if possible. Remove
the sediment and stabilize or dispose of it
in a location where it will not cause
impacts to streams or the 13MP.
Erosion has occurred.
Provide additional erosion 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
a pesticide is used, wipe it on the plants
rather than spraying.
Form SW401-Sand Filter O&M-Rev.4 2009Sept17 Page 1 of 3

7
BMP elemertt:
Potential' .roblem
How I will remediate the.problem:
Filter bed and underdrain
Water is ponding on the surface for
Check to see if the collector system is
collection system
more than 24 hours after a storm,
clogged and flush if necessary. If water
still ponds, remove the top few inches of
filter bed media and replace. If water still
ponds, then consult an expert.
Outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the
sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other signs of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
Form SW401-Sand Filter O&M-Rev.4 2009Sept 17 Page 2 of 3

0Permit Number:
(Io heprovided by DIVQ)
I acknowledge and agree by my signature below that I 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.
Project name: Consolidated Metco Warehouse Addition
BMP drainage area number:Sand Filter #2
Print name:CM[04 Canton NC LLC
Title:
Address:1521 WESTBRANCH DRIVEL SUITE 200, MCLEAN, VA 22102
Phone:
Signati
Date:
FA
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.
I, JN t?<­j r til AC,�e_ , a Notary Public for the State of
�12CZ Illll A , County of FA I R A , do hereby certify that
personally appeared before me this 1gf— day of
L 2p 13 , and acknowledge the due execution of the forgoing sand filter
maintenance requirements. Witness my hand and official seal,
CAR? zNOTNtY
,
REG # 75M37
MY COMMISSION T
0... EXPIRES
�2 %. 11130/2015 .•; c?:
c' 4 4 j '. —
Y v
SEAL
My commission expires _ 1l /an z i
Form SW401-Sand Filter O&M-Rev.4 2009Sept17 Page 3 of 3