SW3110401_HISTORICAL FILE_20190107

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW �GID�%Ol
DOC TYPE
El CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
YYYYMMDD

AALBEMARLE QD
Kings Mountain Facility
348 Holiday Inn Drive
Kings Mountain NC 28086 '�ECE/V&D
Janus 32019
January 'lAN 7 zo�g
Mooresville Regional Office �� IndQua1�S�R
Stormwa610E stter Center Ave. Suite 301 Mooresville Ragio alrrpffrce
Mooresville, NC 28115
RE: 2018 Annual Stormwater Discharge Summary Report
Albemarle U.S., Inc.
Kings Mountain, Cleveland County, NC
Permit # NCS000096
RM 7014 2120 0004 3694 0962
Dear Sir or Madam:
Attached is the 2018 Annual Summary Discharge Monitoring Report for the Albemarle U.S.,
Inc. plant located in Kings Mountain, North Carolina. This submittal meets one of the reporting
requirements outlined in the company's stormwater permit effective on November 1, 2009.
Although the 2009 permit expired on October 31, 2014, please note that Albemarle (then
known as Rockwood Lithium, Inc.) submitted a timely application for renewal, and will continue
to operate under this permit until the agency issues the site a new Stormwater Permit.
If you have any questions regarding this report, please call me at [phone].
Sincerely,
?e
=anager

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year Z01S
Individual NPDES Permit No. NCSJ
Certificate of Coverage (COC) No. NCG
This monitoring report summary of the calendar year should be kept on File on -site with the facility SPPP.
Facility Name: t�-1Ma.r1t r �n�e rl
County: CIcv�p_k a r,
Phone Number: Z( oy ) —13 `F a7l O Sg-
L" IJAo%
Total no. of SDOs monitored
Outfall No. C01
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0�—
��-- Z�
Q
� a a
c
v �Q�
Total
Rainfall,
inches
Parameter,((units)
OL%550
15S
�U,
aoyo -a
i»
S.k4.
Benchmark
NIA
6 . o - 9, o
Date Sample
Collected,
mmlddlyy
a-1-1
I I4
q ,o 1 S
a. 3 `1
5.5
�s. a�-
SWU-264 - Generic Annual DMR
Last revised W212018

Additional Outfall Attachment
Outfall No. 005 R �4
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No a � o c U
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No Q— y c(V
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? �v o
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑ ova
c �
Other ❑ .'9 o`�y
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 4a
Total
Rainfall,
inches
Parameter, (units)
005 3P
Tss
00`too
H
U.
Benchmark
N/A
100
Date Sample
Collected, _
mmtddlyy
0j 1491 o8
0.%3
Ito.
-ZtQ
Cd io i$
0.39
Z.
SWU-264 - Generic Annual DMR
Last revised 502,2018

Additional Outfall Attachment
Outfall No. L-,osB �®
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 2""
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑ I ����� .o-
V c
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑ oafa�
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter, (units)
C30S 3O
'S
L—
oo ,j a o
Pt+
5•y ,
Benchmark
Date Sample
Collected,
mmlddlyy
N/A
J-1 I it
I.ti3
30,Q
1.Sy
91,01 rg
0.3y
8.32—
SWU-264 - Generic Annual DMR
Last revised 5/012018

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
01 A it
Signature
Date I/
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINST_ON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
'To preserve, protect
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
North Carolinas %eater...^
SWU-264 - Generic Annual DMR
Last revised 5V212018

AALBEMARLE QD
Kings Mountain Facility �C A
348 Holiday Inn Drive
Kings Mountain NC 28086
June 21, 2017
, eo1?
Mooresville Regional Office - Stormwater MOor . Qoa� s (R
610 East Center Avenue, Suite 301 Reg�o�a`off
Mooresville, NC 28115
ce
RE: Official Notice of Company Name Change
Rockwood Lithium Inc. to Albemarle U.S., Inc.
Stormwater/Bioretention Permit SW3110401
Certified Mail Number 7016 2070 0000 1240 4639
Dear Sir or Madam:
This letter is to inform you that Rockwood Lithium, Inc. has officially changed its corporate name
to Albemarle U.S., Inc, effective June 15, 2017. As such, this letter requests that your records,
and if necessary, the above referenced permit or any subsequent revisions be updated to reflect
the new name, Albemarle U.S., Inc. The appropriate form is attached to this letter.
Please note the following:
• The current permit lists the name of Chemetall Foote Corp. Since initial issuance of this
permit, a name change to Rockwood Lithium Inc. had occurred, with notification
previously sent to your office.
Please be advised that other than the name change, there are no further changes. Importantly,
the tax identification, contact information, management, location, and corporate structure are all
remaining the same.
If you need any additional information. please do not hesitate to contact me at 704-734-2708, or
via email: [e-mail]
Sincerely,
?hn
n
nager

` State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number
2. Project Name: C)r kw A� gyp.
w3110y01
3. Current Permit Holder's Company Name/Organization:
4. Signing Official's Name:
Title: SAac'b,
5. Mailing Address: 31+9 'Drt 1�&
City: 14,nms. State: Nc Zip: a%ot(P
6. Phone: Cod ) -739 —a So I Fax: (7o4 ) -73 r a -In
II. PROPOSED PERMITTEE 1 OWNER 1 PROJECT 1 ADDRESS INFORMATION
This request is for: (please check all that apply)
['Name change of the owner (Please complete Items 1, 2 and 3 below)
[ ame change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: U. S., 'Tn< .
2. Proposed permittee's signing official's name:
3. Proposed permittee's title: S.-),,- D�1rnr�
4. Mailing Address:
City: State: Zip:
Phone: ( ) Fax: ( )
5. New Project Name to be placed on permit: PA1ne,rwrlt Ce-evAe L
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA- owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized -representative in #2 above)
©'The property owner
❑ Lessee (Attach a copy of the lease'agreement and complete Property Owner Information on
page 4)
❑ Purchaser (A, ttach a copy of the pending sales agreement. Finakapproval of this transfer will be
granted,u)6an'redeipfof a copy of the recorded deed)
❑ Developer (Complete; Property Owner Information on page 4)
SSW N/O Chdnge. Rev24Sept2012 Page 1 of 4
:,,,

I
III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
current permit holder and the new applicant if this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
Check here if the current permittee is only changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, l4e,, S1, .r , the current
permittee, hereby notify the DWQ that I am changing My name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature: �27Date:ol
I, 2 t 0. i rnM WAS , a Notary Public for the State of
Y CGlXa 1' rtc` , County of _ C! P d ��0J Ol _, do hereby certify that
�vl S r10 personally appeared before me this the
z 5 day of Ur, C_ , 20 17 , and acknowledge, +gul;'Verution of the
for strument. Wit esr-1-Y1
y hand and offi 'al seal, :•����ibtaryS;
OTAR1_ .
M?
N y 7ture
+c pvBL\G ' U c'
N COO
SSW N/O Change Rev24Sept2012 Page 2 of 4 '•,++

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
I, , hereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
Bthe most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
❑past maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and i will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature:
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of 120 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee fisted above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections II and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization: _
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 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.
Signature of the property owner
I
, County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
(Notary Seal)
SSW N/O Change Rev24Sept2012 Page 4 of 4

HensonFoley
Lnn08ostpe Architect We i CMI E%nmring
10224 Hickorywood Hill Avenue, Suite 101 A
Huntersville, North Carolina 28078
704-875-1615 ph. 704-875-0959 fx.
Letter of Transmittal
RECEIVED
DIVISION OF WATER QUALITY
AUG 15 2012
SVVP
MOORESViLLE r;EQIpNA� OFFICE
To: NCDENR - Raleigh
Date: 8-6-12
Job #: 21029
Attn: Brian Lowther
Phone: [phone]
Dept: Wetlands and Stormwater
Re: Chemetall Foote project
Address: 512 N. Salisbury Center
Raleigh, NC 27604
We are sending you: X Attached _ Under separate cover via
_ Shop drawings _ Prints _ Plans _ Samples
_ Copy of letter _ Change Order _
_ Specifications
Copies
Pages
Description
1
Certification Form
2
Asbuilt Surveys
These are transmitted as checked below:
x_ For approval
_ For your use
_ As requested
For review and comment
Remarks:
_ Approved as submitted _ Resubmit copies for approval
_ Approved as noted _ Submit copies for distribution
Returned for corrections _ Return corrected prints
D
AUG 13
I

i
A'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
January 13, 2013
RECEIVED
Mr, Ronald A. France DIVISION OF WATER QUALITY
Chemetall Foote Corp.
348 Holiday Inn Dr. JAN 2 0 2012
Kings Mountain, NC 28086
` "fj --C"'ION
Subject: Stormwater Permit No. SW3110401 MOORESViLLe NE00NAL OFFICE
Chemetall Foote Corp. New Office and Laboratory Project
High Density Commercial Bio-Retention Project
Cleveland County
Dear Mr. France:
The Stormwater Permitting Unit received a request to extend the construction completion date of Rain
Garden #2 as stipulated in the permit for Chemetall Foote Corp New Office and Laboratory Project,
SW3110401. Currently, Section 1.7 in the permit states the construction of Rain Garden #2 should be
completed by April 1, 2012. As requested, this letter is extending that date until May 30, 2012.
If you have any questions, or need additional information concerning this matter, please contact Brian
Lowther at [phone]; or [e-mail].
Sincerely,
for Charles Wakild, P.E.
cc: Mooresville Regional Office
SW3110401 File
ec: Timothy D Foley, PE — [e-mail]
Wetlands and Stormwater Branch
1617 Mail Service Cerler, Raleigh, North Carolina 27699-1617
Location: 512 N, Salisbury St. Raleigh, North Carolina 27604
Phone [phone] FAX: [phone]
Internet: www.ncwaterquality,org
NorthCarolina
Naturallrf
An Equal Opporlumy 1 Affirmative Action Employer

21029 - Cliemetall Foote, Kings Mountain, NC
https://mail.nc.gov/owa/?ae=ltern&,t=1PM.Note&, id=RgAAAADb1-sys...
21029 - Chemetall Foote, Kings Mountain , NC
Tim Foley [[e-mail]]
Sent: Thursday, January 12, 2012 8:36 AM
To: Lowther, Brian
Attachments:image00l.jpg (5 KB) ; image002.jpg (5 KB) ; SW3110401_ChemetallFoote_C-1.pdf (89 KB) ;
SW3110401_Chemetal IFoote_0-1.pdf (288 KB) ; SW3110401_ChemetallFoote_P—I,pdf (500 KB)
Hey Brian,
Hope things are going well. I received word today from Chemetall that they are behind a little on their site
construction for this job. They know they are not going to make the date April 1, 2012 for the construction
completion of Rain Garden #2 as stipulated in the permit. Can they get a revision to May 30, 2012? 1 think you
and I discussed at the time needing a date for the permit but if it proved to be an obstacle at the end to contact
you for a revision.
Anyway, let me know how we can proceed.
Thanks.
Tim Foley, P.E.
HensonFoley
Idl-'IriSC0130 rmcNtnctur4 I :.wil l:npim-r_Og
10224 Hickorywood Hill Avenue
Suite 101 A
Huntersville, NC 28078
p: 704.875.1615
f: 704,875.0959
c: 704,607.4661
www.hensonfoley.com
Linked.
From: Lowther, Brian Finailto:[e-mail]]
Sent: Monday, May 23, 2011 2:21 PM
To: Tim Foley
Subject: RE: Additional info request for Chemetall Foote Corp.
Tim,
I issued this permit today. The hard copy was sent to the owner and attached are copies for you. Let me know
if you have any questions.
I of 1/13/2012 9:10 AM

21029 - Chemetall Foote, Kings Mountain, NC
s
https://mail.nc.gov/owa/?ae=ltem&t=1 PM.Note&id=RgAAAAI)bFsyx...
Brian
Brian C. 1_,owther
E`nvironniental Emgineer
NCDI NR I DWQ I Stormvater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
I'mail: hrian.l��wthcr��ncdc�ir.�uv
%Vebsite: http://portal.ncdenr.orv/«'eb/xvghvs/su
E-mail correspondence to and from this address may he subject to the North Carolina Public
lZecords Law and may be disclosed to third parties.
From: Tim Foley f mailto:[e-mail]
Sent: Monday, May 23, 2011 9:27 AM
To: Lowther, Brian
Subject: RE: Additional info request for Chemetall Foote Corp.
Brian,
I just wanted to follow up on this project. Did we finally get an approval? I am not seeing anything in my files,
but was not sure if this permit may only go to the owner.
Thanks.
Tim Foley, P.E.
HensonFofey
I,unS17.G�pn r�.rrhiinrium 1 Cit•ii f;n�irmniinrr
10224 Hickorywood Hill Avenue
Suite 101 A
Hunters0b, NC 28078
p: 704.875.1615
f: 704.875.0959
c: 704.607.4661
www.hensonfolev.com
From: Lowther, BrianCmailto:[e-mail]
Sent: Wednesday, May 04, 2011 12:26 PM
To: Tim Foley
Subject: RE: Additional info request for Chemetall Foote Corp.
Thanks Tim. I will review this. That sounds like it will be acceptable and it will be something we will write into
the permit. I'll let you know once I have reviewed everything.
Brian
2 of 4 1 / 13/2012 9:10 AM

21029 - Chemetall Foote, Kings Mountain , NC
f
https:/Imai l.ne.gov/owa/?ae=Item&t=1 PM.NoteR:id=RgAAAADbFsyx...
Brian C. LoNvther
I nyironniental Fngincer
NCDI-;NR I DWQ I Storrn\vater Permitting Unit
1617 Mail SerN,ice Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: (9 i 9) 807-6 168
hniail: brian.lowthcrrc�r ncdenr.��w
Website: http://portul.ncdenr.or�Vwcb/wq/ws/su
1+-mail correspondence to and from this address may he subject to the North Carolina Public
Records LaNv and may be disclosed to third parties.
From: Tim Foley jmailto:[e-mail]
Sent: Wednesday, May 04, 2011 11:31 AM
To: Lowther, Brian
Subject: RE: Additional info request for Chemetall Foote Corp.
Hey Brian,
Forgot to mention. I spoke to the contractor to get a good handle on timing that I was talking about between
getting a temporary CO to move corporate office folks to new building, demo the existing office and install rain
garden. The contractor has 6 weeks budgeted for that.
Tim Foley, P.E.
HensonFoley
L,nnd; ��nn 1�;In, x;ure I GvO EngjrwC wrl
10224 Hickorywood Hill Avenue
Suite 101 A
Huntersville, NC 28078
p: 704.875.1615
f: 704.875.0959
c: 704.607.4661
www,hensonfoley.com
From: Lowther, Brian[mailto:brian.lowther@ncdenrgovl
Sent: Thursday, April 28, 2011 4:39 PM
To: [e-mail]
Subject: Additional info request for Chemetall Foote Corp.
Timothy,
Attached is the add info letter that I sent out yesterday. Let me know if you have any questions.
Brian
Brian C. Lo"gher
3 of 4 Il 13/2012 9:10 AM

2 1029- Chemetall Foote, Kings Mountain . NC https://snail.nc.gov/owa/?ae=ltem&-t=IPM.Nole&id=RgAAAAI)bl syx...
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting; Unit
1617 Mail Service Center, Raleigh; NC 27699-1617
512 N. Salisbury St. Raleigh, NC 27604
Phone: [phone]
Email: brian.lowtkrqumcdciu-.uov
Website: http://portal.ncde_nr.org/web/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
4 of4 1/13/2012 9:10 AM

Lowther, Brian
From: Tim Foley [[e-mail]]
Sent: Monday, May 09, 2011- 1:29 PM
To: Lowther, Brian
Subject: 21029 - Chemetall Corporate Office, Kings Mountain, NC
Fallow Up Flag: Follow up
Flag Status: Flagged
Brian,
The contractor told me the following about the dates.
"March 15`h should be OK. If they're OK with it April 1" would give a little wiggle room for any kind of weather delay, but
I would be OK with either date."
Tim Foley, P.E.
HensonFoley
I,.tnt!:.G.l�K1 AnVwP 4uro 1 C;vff Engf fu" 9, ?
10224 Hickorywood Hill Avenue
Suite 101 A
Huntersville, NC 28078
p: 704.875.1615
f: 704,875.0959
c: 704.607.4661
www.hensonfoley.com

HensonFoley
tandaoape Aichltecturo I00 Enginok!rinq
10224 Hickorywood Hill Avenue, Suite 101 A
Huntersville, North Carolina 28078
704-875-1615 ph. 704-875-0959 fx.
Lett
)LITWISMITT-aL
I 1N@P20WP=D0
MAY 0 5 2011
To: NCDENR - Raleigh
Date: 5-4-1 1
.fob #: 21029
Attn: Brian Lowther
Phone: [phone]
Dept: Wetlands and Stormwater
Re: Chemetal! Foote project
Address: 512 N. Salisbury Center
Raleigh, NC 27604
We are sending you: X Attached _ Under separate cover via
_ Shop drawings _ Prints _ Plans _ Samples
_ Copy of letter _ Change Order _
_ Specifications
Copies
Pages
Description
2
Revised Plans
2
Site Plan Checklist
These are transmitted as checked below:
x_ For approval
_ For your use
_ As requested
For review and comment
Remarks:
_ Approved as submitted _ Resubmit copies for approval
_ Approved as noted _ Submit copies for distribution
_ Returned for corrections _ Return corrected prints

4-!g 7
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1111. REQUIRED ITEMS CHECKLIST
Permit No
(to be assigned by OWQ)
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package
will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification.
Pagel Plan
I� Sheet No.
pN2-C3 1
?HZ`04
Ma
Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C. coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement
pµ Z' C3 2. Plan details (1" = 30' or larger) for the bioretention cell showing:
P14 2 - Cluj Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
VAINIVeV 3. Section view of the bioretention cell (1" = 20' or larger) showing:
?H ZC I t4 Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers bround level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure)
N"._ 4, A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl) Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (% sand, % fines, % organic), and
Z�GIy - P-index.
FN 5. A detailed planting plan (1" = 20' or larger) prepared by a qualified individual showing;
A variety of suitable species.
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified,
A planting detail,
The source nursery for the plants, and
/� Fertilizer and watering requirements to establish vegetation.
P147. Cy 6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
� entire drainage area is stabilized.
c-
iu. how— 7. The supporting calculations (including underdrain calculations, if applicable).
8. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
9. A copy of the deed restriction.
Form SW401-Bioretention-Rev.7 Part III, Page 1 cf 1

5 } O Kf TE � 0AJ ( r , � / 1'Permit No:
1 L-4 # (to be assigned by DWQ)
Ill. REQUIRED ITEMS CHECKLIST
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package
will result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided
to indicate the following design requirements have been met. if the applicant has designated an agent, the agent may initial below. If a
requirement has not been met, attach justification,
0
w
r-
Page/ Plan
Sheet No,
r •�� 3
Pff Z-cry
Z-c 14
Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out.
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Cell dimensions,
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
2. Plan details (V = 30' or larger) for the bioretention cell showing:
Cell dimensions
Pretreatment system,
High flow bypass system,
Maintenance access,
Recorded drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable),
Clean out pipe locations,
Overflow device, and
Boundaries of drainage easement.
Indicate the P-Index between 10 and 30
� 2 704 3. Section view of the bioretention cell (1" = 20' or larger) showing:
Side slopes, 3:1 or lower
Underdrain system (if applicable), and
Bioretention cell layers [ground level and slope, pre-treatment, ponding depth, mulch depth, fill media
depth, washed sand, filter fabric (or choking stone if applicable), #57 stone, underdrains (if applicable),
SHWT level(s), and overflow structure)
Irvvv
PH2-Gy
4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information. All
elevations shall be in feet mean sea level (fmsl). Results of soils tests of both the planting soil and the in
situ soil must include:
Soil permeability,
Soil composition (%sand, %fines, %organic), and
P-index.
5. A detailed planting plan (1' = 20' or larger) prepared by a qualified individual showing:
A variety of suitable species,
Sizes, spacing and locations of plantings,
Total quantity of each type of plant specified.
A planting detail,
The source nursery for the plants, and
Fertilizer and watering requirements to establish vegetation.
6. A construction sequence that shows how the bioretention cell will be protected from sediment until the
entire drainage area is stabilized.
7 The supporting calculations (including underdrain calculations, If applicable).
8. A copy of the signed and notarized inspection and maintenance (I&M) agreement.
9. A copy of the deed restriction.
Form SW401-Bioretention-Rev.7 part III, Page 1 of 1

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COIL)®
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 27, 2011
Mr. Timothy D. Foley, PE
HensonFoley, Inc.
10224 Hickorywood Hill Ave, Suite 10 ] A
Huntersville, NC 28078
Dee Freeman
Secretary
Subject: Request for Additional Information
Stormwater Project No. SW3110401
Chemetall Foote Corp. New Office and
Laboratory Project
Cleveland County
Dear Mr. Foley:
The Division of Water Quality Central Office received a Stormwater Management Permit Application for
the subject project on April 13, 2011. A preliminary review of that information has determined that the
application is not complete. The following information is needed to continue the stormwater review:'
1. Please make sure to include Part III: Required Items Checklist of the Bioretention Supplement
Form. Items missing include a recoroeo drainage easement and public right of way as well as
boundaries of the drainage easement'.
2. The details on the plans indicate a mulch layer but the cell grassed. Please revise this detail to
indicate a grass cell.
3. Please provide a clear and detailed construction sequence. This is needed since one of the
bioretention cells is located where the old facility is located. Typically the BMPs must be
complete in order for the building to be occupied.
4. Please delineated wetlands onsite or include a note that none exist.
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to May 13, 2011, or the application will be
returned as incomplete. The return of a project will necessitate resubmittal of all required items, including
the application fee.
If you need additional time to submit the information, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter. The request must indicate the
date by which you expect to submit the required information. The Division is allowed 90 days from the
receipt of a completed application to issue the permit.
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone]M \ FAX: [phone] Customer Service: 1.877-623-6748
Internet: www.ncwaterqualit .org
An Equal Opportunity 1 Affirmative Action Ernooyer
NorthCaroIina
Naturally

Mr. Timothy D. Foley, PE
J sJ
SW3110401 = Chemetall Foote Corp. :k
April 25, 2011
Please reference the State assigned project number on all correspondence. ' If you have any questions
concerning this matter please feel free to call me at [phone].
Sincerely,
<27
Brian Lowther
Environmental Engineer
cc: Mooresville Regional Office
DWQ Central Files
Stormwater Permitting Unit Files

HensonFoley
Landscape Archllucture 1 Civil Engineering
Jay Henson
10224 Hickorywood Hill Avenue, Suite 101 A
Huntersville, North Carolina 28078
704-875-1615 ph. 704-875-0959 fx.
Leger of Transmittal
RECEIVED
DIVISION OF WATER QUALITY
APR 1 1 2011
SwE SECTION
MOORESVILLE REGIONAL OFFICE
To: NCDENR - Moo(4jville
Date: 4-1 1-1 1
Job #: 21029
Attn:
Phone: [phone]
Dept: Stormwater - DWQ
Re: Chemetall Foote project
Address: 610 East cenierAve., ste 301
Mooresville, NC 28115
We are sending you: X Attached _ Under separate cover via
_ Shop drawings _ Prints _ Plans _ Samples
_ Copy of letter _ Change Order _
_ Specificati
U,
(h
Copies
Pages
Description
1
Stormwater Management Permit Application
1
Stormwater Supplement forms
1
505 application fee
1
Calculation book with Narrative USGS Ma
1
deed
2
Copies of plans
These are transmitted as checked below:
x_ For approval
_ For your use
_ As requested
For review and comment
Approved as submitted _ Resubmit copies for approval
_ Approved as noted _ Submit copies for distribution
_ Returned for corrections _ Return corrected prints
Remarks: Please find inclosed Stormwater Management Permit Application.

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DWQ USE ONLY
Date Received
Fee Paid
Permit Number
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
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
01VISIO.', RECEIVED
OF WATER QUAtir
APR 11 2011
STORMWATER MANAGEMENT PERMIT APPLICATION FOROORESvSi-i R cool � �F�lc
This forin may be photocopied for use as aii 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.):
Chemetall Foote Corp. New Office and Laboratory_ Project
2. Location of Project (street address):
348 Holiday Inn Drive
City: Kings Mountain County: Cleveland Zip: 28086
3. Directions to project (from nearest major intersection):
1-85 S to exit 8 (NC-161), towards Kings Mountain. Turn right onto York Rd/NC-161. Take the first left onto
Holiday Inn Dr.
4. Latitude: 35* 13' 82" N Longitude: 81" 21.01' 17" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
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):
[I]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 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 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
❑NPDES Industrial Stormwater
®Sedimentation/Erosion Control: 9.2 ac of Disturbed Area
❑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:Chemetall Foote Corp Offices & Lab / 2011-022
APR 1 :j ?011 1
Form 5WU-101 Version 071un2010 Page I of 6

III. CONTACT INFORMATION
L 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: Chemetall Foote Corp. _
Signing Official & Title:_ Ronald A. France, President _
b.Contact information for person listed in item la above:
Street Address: 348 HolidaY Inn Dr.
City: Kings Mountain _ State: NC Zip: 28086
Mailing Address (if applicable):
City:
Phone: ( 704 ) 734-2727
Email: [e-mail]
State: Zip:
Fax: (704 ) 734-0208
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:
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: Marc Tuttle / Chemetall
Signing Official & Title:Ronald A France, President
b.Contact information for person listed in item 3a above:
Mailing Address:348 Holiday Inn Drive
City:Kings Mountain State:NC Zip:28086
Phone: (704 ) 734-2727
Email:Marc.Tuttle «chemetaii.com
Fax: (704 )_734-0208
4. Local jurisdiction for building permits: Kings Mountain
Point of Contact: Holly Black Phone #: [phone]
Form SWU-101 Version 07Jun2010 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The existing site has impervious cover. The new site has been designed so that the amount of new
impervious area above the existing_ impervious cover is treated in 2 bioretention areas located on site. The
site actually treats a greater amount so that the untreated impervious areas is less than the existing
before this project (i.e. total preimpervious area - 2.92 acres; total Rost impervious area- 4.13 acres: need to
treat 4.7 -2.92 or 1.21 acres. We have treated 2.07 acres of impervious between the 2 bio-retention ponds.
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 Broad River basin.
4. Total Property Area: 542 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) =Total Project
Area+:542 acres
+ Total project area shall be calculated to exchide thefollowing: the normal pool of impounded stnictures, flit, area
between the batiks 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 landward of the NHW (or MHW) litre may
be inchided in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 7.6 prop. imp. area`%
9. How many drainage areas does the project have? 2 (For high density, count I for each proposed engineered
stormwater BMP. For low density and other projects, rise I 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.
Fonn SWU-101 Version 07Jun2010 Page 3 of'7

Basin Information
Drainage Area 1
_
Drainage Area 2
Drainage Area
Drainage Area _
Receiving Stream Name
Kings Creek
Kings Creek
Stream Class *
C
C
Stream Index Number "
9-54
9-54
Total Drainage Area (sf)
74923
126905
On -site Drainage Area (sf)
74923
126905
Off -site Drainage Area (sf)
0
0
Proposed lm ervious Area** (sf)
40765
46449
% Impervious Area** (total)
54.40%
36.6
Im ervious'* Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area —
Drainage Area _
On -site Buildings/Lots (so
11579
24069
On -site Streets (sf)
11251
5269
On -site Parking (so
8107
3150
On -site Sidewalks (sf)
2184
13961
Other on -site (so
7644
0
Future (so
--
--
Off-site (so
--
--
Existing BUA*** (sf)
Total (sf):
40765
46449
* Stream Class and Index Number can be determined at: Itttp://portal.ncdenr.org/web/wq/p;s/csrr/classifrcatlorrs
** Impervious area is dofrted as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
***Report only that amount of existing BUA that will remain 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. Sheets in plan set
Sheet c-7 and c-8
Prnieets in UnionCounty: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that ntay he subject to more stringent stornrwater requirenrents as per 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�////portil.ncdenr.orgweb wd/ws/su/bmp-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 http.2 [portal.ncdenr.org/web/wq/ws/sti statesw/forms does. 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/wd/ws/su/maw.)
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://12ortaI.ncdenr.org/web/wq/ws/su/statesw/forms does.
t Is
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
Form. (if required as per Part V!! below) � ,
3. Original of the applicable Supplement Form(s) (sealed_, signed and dated) and O&M _ 94
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/12agesLonestoi2exi2ress.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
Form SWU-101 Version 07Jun2010 Page 4 of 7

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 1h
mile radius on the map.
7.
Sealed, signed and dated calculations.
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.
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).
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 DWQ to verify the SHWT prior
to subinittal, [phone],)
10,
A copy of the most current property deed. Deed book: 1558 Page No: 2237
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 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.secretar.y.state.nc.LIS/Corl2oritions/CSearch.asi2x
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/wq/ws/su/st,itesw/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.
Form SWU-101 Version 07Jun2010 Page 5 of 7

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: Timothy D. Foley, P.E.
Consulting Firm: Henson Foley, Inc.
Mailing Address:_ 10224 Hickorywood Hill Ave, Suite 101A
City: Huntersville
Phone: ( 704 ) 875-1615_
Email: [e-mail]
State: NC Zip: 28078
Fax: ( 704 } 875-0959
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has beery f lled ont, complete this
section)
1, (print or type natne of person listed in Contact Information, item 2a) e , certify that I
own the properly identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, itent 7a) with (print or type name of organization listed in
Contact Information, itent 7a) 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 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 DWQ Stormwater 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 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCCS 143-215.6.
Signature: Da
1, , 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,
SEAL
My commission expires
Form SWU-101 Version 07Juii2010 Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Ronald A. France
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
A
applicable stormwer rules under 15A NCAC 21-1 .1000, SL 2006-246 (Ph. 11- Post Construction) or SL 2008-211.
Signature: ���`-` Date:J
1, i l l I '' y a Notary Public for the State of Na-ew Cl1/ OIL County of
C I e ve 1—a A d , do hereby certify that ROM q /G/ A • Fi -d 11 CP _ personally appeared
before me this3V ay of IXAecA and ackn ge the due ex�ctition of the application for
a stormwater permit. Witness my hand and official seal,
`cler
,.��1
SEAL
My commission expi
GAIL T, SMITH
Notary Public, North Carolina
Cievoland County
My Cornrnission Expiros
April 23. 2013
Fonn SWU-101 Version 07Jun2010 Page 7 of 7

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*AE fuew 4-o aot,,,�l 1_, w4b4R_ A Aec 7ST-M-S + C-k Potocr_srl , V
Application Completeness Review
L7 First Submittal ❑ Re -submittal Date Recoi�ed: !� 3 It Date Reviewed: /! By Bill Diuguid�
Development/Project Name: o-
Receiving stream nameAclassification: C.
t3/r-vi v R! Ver- RA0o)
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-1, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.'"a-
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds):
Latitude and Longitude: -?s i3 z r87` v ADO Jurisd ctio_n g L, r�Mt
Project Address: -7* � c 71 E 40 v4t ;�g,J — &,V' 1X
Engineer name and firm: TiM "o'Lf ! s fal co
Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets CTHigh De sit ❑ Other
a 4011404 impacts to surface waters, wetlands, and buffers (add language to cover Oe n or addinfo "letter)
e BUA ?. G
Check for $505.00 included
W' Original signature (not photocopy) on application
W"'Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation:'hftp://www.secretary.state.nc.us/corporations/thepage,aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
ealed, signed & dated calculations
Correctsupplementand O&M provided for each BMP on site (check all that were provided & number of each)
/Bioretention ❑ Rooftop Runoff Management
• Dry Detention Basin
• Filter Strip
• Grass Swale
❑ Infiltration Basin
Li Infiltration Trench
❑ Level Spreader
Permeable Pavement
a Restored Riparian Buffer
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
V�Narrative Description of stormwater management provided
Soils report provided
�etlands delineated or a note on the plans that none exist on site and/or adjacent property
etails for the roads, parking area, cul-de=sac radii, sidewalk widths, curb and gutter;
CV Di ensions & slopes provided
u rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
Inspection and maintenance agreements provided
Application complete ❑ Application Incomplete Returned: (Date)
Comments
February 9, 2009 Revision

t yf.
SL 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
Low -density protects
❑ No more than two dwelling units per acre or 24% built -upon area;
❑ Vegetated conveyances to the maximum extent practicable;
❑ Built -upon areas at least 30 feet landward of perennial,-Ad-inteemittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures.
High density projects
❑ Control and treat runoff from the first one -inch of rain,
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
❑ Achieve 85% average annual removal of total suspended solids. _
❑ For BMPs.that require a separation from the seasonal high-water table (SHWT), the separation shall include .
at least 12 inches of naturally occurring soil above the SHWT.
❑ Stormwater management measures must comply with the General Engineering Design Criteria For All
Projects requirements listed in 15A NCAC 2H .1008(c);�-
❑ Ail built -upon areas are at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures
❑ Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Goose Creek, Six Mile Creek and Waxhaw Creek Watersheds
Buffer Requirements
❑ Undisturbed riparian buffers within 200 feet of water.'bodies within the 100-Year Floodplain and within 100 feet
of water bodies that are not within the 100-Year Floodplain:: Exceptions to the undisturbed buffer
requirements are set forth in 15A NCAC 02B .0607
Stormwater Controls as required -by 15A NCAC 02B .0602
❑ Control and treat the difference between the pre -development and post -development conditions for the one-
year, 24-hour storm with structural controls.
❑ Development and redevelopment shall implement stormwater management measures that promote infiltration
of flows and ground water recharge for the purpose of maintaining stream base flow.
❑ 85% average annual removal of total suspended solids.
❑ Draw down the treatment volume no faster than 48 hours, but ro slower than 120 hours, for detention ponds.
❑ Discharge the storage volume at a rate equal or less than the pre -development discharge rate for the one-
year, 24-hour storm.
❑ Meet design or stormwater management measures set forth in 15A NCAC 2H .1008.
High Density Projects that require a 401/404 within an NSW
❑ 85% TSS
❑ 30% TN
❑ 30% TP
February 9, 2009 Revision

*XF- f u a, i f v aot., R &/ 4 ow4kn_
A4�4-Ax $Lids Sf _T_" `{- C-G f4tor—c-rr1'
Application Completeness Review
First Submittal ❑ Re -submittal Date Received," 3 11 Date Reviewed: 41 /1 By Bill Diuguid12�
Development/Project Name: a o
Receiving stream name r C classification: C.
For post -construction requirements, a program.will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-I I, WS-III, WS-IV, HOW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy,
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&B Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds).
Latitude and Longitude: 3s0 A2 8/ Z/ >h Jurisd ct0n je Lq_r M�- � Cep UJ�..�� Cvo,r+�r
Project Address: 3//- r stvt'r'gr —boa
Engineer name and firm: 7'rir+ r e'.E_ 4r, F_. Tirr, 6) or s �(alov . aon+ TD4 _ 095-/4/5
❑ Low Density (no curb and gutter) ❑ Low Density with curb'and gutter outlets O High Density ❑ Other
❑ 401/404 impacts to surface waters, wetlands, and buffers -(add language to cover e n or addinfo letter)
e( BUA 17 . G
VCheck for $505.00 included
&' Original signature (not photocopy) on application
V"Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation:'limp://www.secretary.state.nc.us/corporations/thepage,aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
@-' ealed, signed & dated calculations
rt' Correct supplement and 0&M provided for each BMP on site (check all that were provided & number of each)
/Bioretention ❑ Rooftop Runoff Management
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
�wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
:V�Varrative Description of stormwater management provided
Soils report provided
�K etlands delineated or a note on the plans thatnone exist on site and/or adjacent property
Vi
etails for the roads, parking area, cul-de=sac radii, sidewalk widths, curb and gutter;
ensions & slopes provided
❑ rainage.areas'delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
Inspection and maintenance agreements provided
VApplication complete ❑ Application Incomplete Returned: (Date)
Comments
February 9, 2009 Revision

.�r.�•��:. ..•ems.-.-......,��..•�.-�•.__—�..n
_....r....�...-..._ -� ... , .... .. � _. V /. .r ..!
TOW W MY N HW ■.— 0.., OWV_ W, e. _
1eait a a. a
STATE OF NORTH CAROLINA
Cleveland
ounty C 0 R R E C T ION DEED
county.
2 rd
1
Made this--- day of
January
A. D. 19 61 by and between
J. F. Dodd and wife, Annie Ray Dodd
of the County of Clevels nd qd State of North Carolina
Part iea of the first part, an
W. B. Dodd
of the County of CI eveland end State of Nort.: 'Caro l i na
part_Y_ of the second part:
WITNESSE'M, that the said part lea of the first part, in consideration of
Ten(jl0.00)Dollsrs and other considerations __ nohara
to�13.-... _paid by the parLZ_�__ of the second part, the receipt of which is hereby
acknowledgeid, have bargained and sold, and by these present do- grant, bargain, sell and
e undivided interest
convey/untothesaid W. B. Dodd and
of Iand, situate, lying and being in
No t' Township, Cleveland County, State of
North Carolina, and more particularly described and defined as follows:
Loeuted on the East side of I%ed hoed, boaniied by the lands o, H,:ph
Smith, Hawkins Estots and l:ndrew Lattimore on the North, Andrew ]atti-
more on the East and Georj;u Hawkins on the 5coth and lore nn,rt'_j,,An1•r
described by mrtcs and bounds as follows:
Being designnted ns t.rnct no 1 on a rind ra,�orded in Snok of plpt.s 8
Fb e_�L of the Cleveland Co+;nty he;tister of Leeds offl:e.
BEGINSING on an iron pin and bottle cap, n new corner Sn the nentc,r of
had hood, corner of HuCh Smith lands and rune North 60 aust Chet
to s cement monument; thonr,o North 66-45 East 69.5 fee,, t.•n neniunt n,on-
u:nent;thence with Hawkins Esteto line., Barth 75-,15 ecst 13ll leaf to
a cement monument; thonco.North 15-55 '+,est
386.5 feet to a cement monument at a branch; thence with Andrew Lattl-
more's land, North 41-30 East 627.feet to a comont monument; thane
South.54-15 East 97 7 feet to apoplar at a branch; thencu North 61
Lest 346.5 feet to a stake at the intersection or two.branches;.thence
South 81 East 165 feet to a Stake .at the Intersection of two other

branches; thence down the branch as it meanders, South 27 Bast 150 Z/q
feet; thence South 6 West 220 teat; .thence South 79 East 250 feet;
thence South 33.East 300 feet; thence South 55 East',100 feat;•'thence
South 20 wont 100 feet; thence South 5 East 300 feet; thence'North
76 West 174 feet; thence South 62 West 500'feet; thence South 47 West
200 foot;' thence South 82 West 300 feet; thence South 72 West 165.
feet to a white, oak; thence South 56-15 West 305 feet to a cement
monument; thence South 67-30 West 982 feet to a cement monument on
the North.edgo of said Red Road; thence a new lino North 29-45 'Fast'
615 feet to a nail on the west bank of said road; thence North 48-15
West 750 feet to a stake on the North aide of said road; thence North
48715 West.444.4 Poet to the place of BEGINNING, containing 100 acres
more or less according toa survey and map made by L. B. Falls,
Registered Surveyor'on April 18,.1953; and a partial survey and map
by 'd, B..Wellmon; Negistered Surveyor on December 31, 1960.
Being the Eastern part of the 121 acres of lend belonging to J. F.
Dodd and W. B. Dodd as described in a, dead dated May 9, 1951 from
P. B. Mcmurry and wife, Emma MCMurry; and recorded In Book '6-N"
st page 391 of the Cleveland County Reglatry.
NOTE: The purpose of this dead is to correct the deed dated January
7—,_"61 and recorded in Book 9-A, page 183 es to calls up Red Road to
conform to a recent survey.
TO HAVE AND TO HOLD theaforeaetP undivided interest In sai3traa
of land and all privileges and appurtenances theiuto belonging, to the said
6.13.Doi his_
heirs and assigns, to their only use and behoof forever,
Andthe—said J. F. Dodd and wife, Annie Ray Dodd for t homsolves
t heir heirs, executors and . administrators, covenants —with the said part. of the second
.are a _If undivided interest in
Part, —I 1> s heirs and assigiu, that th a seized 4/said premises in fee, and ha Ve right
to convey the same in fee simple;-that.the same are free and clear from all incumbrances, and
that t h y will warrant and defend the &aid title to the same against the Iawful claims of all
persons whomsoever, -
iN TES-nMON•Y WHEREOF, the said part 1 e a of the first part to these presents ha ve
hereuntome! their hand a , and scal-a_ the day and year ubove written,
• 91GN£p. SR.ALEp AND DEt.iVEREp V J; F.
' 0dd
0
zt: TNr, PRESENCE OF - "n a ap � �'�"� {9u11

STATE OF NORTH cAROLINA:
fl pa.
County ef
1, Zn 'I Etv.�- :24�� .'.I Notary Public
far said County .46 state —do hereby -r%ity that
T F. Doll AnniO Ray Dodd
his fO Ware me this d-y and
telintowledg.ad the doe axecudon of the foevirving jor annexed) Instrument;
1, �11 the .'J'Astrumat and the certihease, be registered.
XnTNiS6 band th.25�h, of. "1111,1Y
My _OMMtO5,on expiresz. 4 f
Notary
'County of.
for said County and state do h—by —nity that
1", 1jY b. rurs a,e this day .,.,I
the dun etrcuiam of the F--inp, I.,
III the ...d the ..,Lifi-te be re-,--d.
WITNESS'my hand th,,—day' J--- ID--
V
L)
STATE OF NORM CAROLINA
County of, Clavol and
Th,- f—q,�,g jar CeTtifil8te dr-
X t.�f r p aid Cocnt j' and SC a aforesn I d
is adjudged ao be c.,,.L 1.t the and the —tificut. b, registered.
Thi �qt h —d.;. 4rAmw Febroa ry AD 19 ell
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The property hereinabove described was acquired by Grantor by instrument recorded in Book _
Page _ of the Cleveland County Registry. BOOK 1422 PAGE 1706
A map showing the above described property is recorded in Book of Maps , Page
Cleveland County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as
Grantor received, and Grantor will warrant and defend the title against the lawful claims of all
persons claiming by, under or through Grantor, except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
L 2004 ad valorem taxes, and subsequent years, not yet due and payable.
2. All easements, restrictions and rights -of -way of record.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand, or if corporate, has
caused this instrument to be signed in its corporate name by its duly authorized officer by authority
of its Board of Directors, the day and year first above written.
Martin Marietta Materials, Inc., a NC corporatign.•
„aut Art
Cl
Name: 2101,JALD ttt, "r- = ►a- : = a
Title: Sa-r+GG
STATE OF NORTH CAROLINA,►i
COUNTY OF
11 —KM 11 S. ,�(' y NotaryPublic of -J)9 .P � County and
State of North Carolina, certify that MOM personally appeared
before me this day and acknowledged that he is,-- . k1V of Martin Mari tta
Materials, Inc., a NC corporation, and that being authorized to do so, as C$ of
the corporation, executed the foregoing instrument on behalf of the corporation.
WITNESS my hand and official stamp or seat, this 9Delday of , -1 oq
2003, T �& I
Notary Public
My commission " es:
3-pl,
t
� (OfAaS
p�FCD41S4.�t -
NORTH CA.R01.I14A CLEVEI.A.ND COUNTY
TheFo9tcoia�y {nraancaed)teytnceteof,�i,_
�---,�—anKNOlaryt'ubliris
iea !o • 'urrrct. 1'1mt0 dAy , ZU
lSy.
Y stcr of ll xUa �— Deputy
AALLiB31 139296.1

EXHIBIT A BOOK 1422 PAGE 1707
BEING located North of Holiday 4m Road and Interstate 85, but not touching the sane, and
being bounded on the West and South by other property of Chemetall Foote Corp., on the
Fast by property of Martin Marietta Materials, Inc., and on the North by the property of
Sallie Weir heirs, and being more particularly described as follows:
BEGINNING at an iron pin set located North 36-27.27 West 958.83 feet from N.C.G.S.
Monument "Foote', and proceeding thence from said Beginning point along the Northern
property of Chetnetall Foote Corp., and crossing an iron pin net at 100.00 foot South 43-33-
16 West, a total distance of 425.87 feet to a one Inch rod round; thence proceeding with the
eattern line of property of Chemetall Foote Corp., and crossing an Iron pin met at 220.00 feet
North 34-44-28 West, a total distance of 56115 feet to an unmarked point In the southern
property lint of the Sallie Weir heirs; thenca proceeding with the southern property line of the
Sallie Weir heirs aW crossing an iron pin set at 305,86 feet North 44-16-22 East, a total
distance of325,86 feet to an unmarked point in a pond; thence proceeding all new lines
through the Martin Marietta Materials, Inc, pruperty as follows: South 34-39-36 Fast 243.78
feet to an iron pin set; thence South 34-39-36 East 163.07 feet to an iron pin act; thence
South 71-27-23 Fast 163.43 feet to the point of Beginning, containing a total of 4.178 acres,
pursuant to a survey by Joe H. Baird, Registered Surveyor, dated July 12, 2OD4.
Title Reference: Dead Beene 1140 at Page 1411 and being a portion of Tax Map 4-814-10.
Record of Poor Quality Due to Conchon 01
Original Document • G.S. 101-14

7
RECORDING FEE $
------
Filed in CLEVELAND Counly.NC
on all 112008.at 1 1:38:44 AM
h BONNIE E. REECE
REGISTER OF DEEDS
Book 1558 Page 2237
North Carolina Department of The Secretary of State
CERTIFICATE. OF NAME CHANGE
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina,
do hereby certify that on the Ist day of October, 1999, an Application for Amended
Certificate of Authority duly executed by the proper officer to change the corporate name
of the business corporation under the laws of the State of Pennsylvania named below,
were filed in this office:
Name at time of subiziission of Application for Amended Certificate of Authority :
CYPRUS FOOTE MINERAL COMPANY
Name Change Tu
CHEMETALL FOOTE CORP.
l FURTHER CERTIFY that this certificate is in compliance with North
Carolina General Statutes 55D-26 and may be recorded in the office of the Register of
Deeds in the same manner as deeds, the former name of the corporation appearing in the
"Grantor" index and the amended name of the corporation appearing in the "Grantee"
index.
Return to: McCiuireWoods LLp )� 10,
20 t N. Tryon Street, Su to 2600
Charlotte, NC 28202
Attention: Mary Lindsay Evans
Certifi ation4 87766879.1 Rcfercnccf! 9078390-gs Page: 1 of i
Verify this certificate online at www.secretary,state.ne.us/verification
1N WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of RaleiAd�
gh,this24th day of March, 200H
.o— 7*,.4W"f
Secretary of State