SW3130101_CURRENT PERMIT_20130423

I
STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
�A, 4 a LRol
YYYYMMDD

A�`*YAF
NC®ENR l
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Branson L. Patch
Historic Ventures, LLC
2409-B Plantation Center Dr.
Matthews, NC 28105
Division of Water Quality
Charles Wakild, RE.
Director
April 5, 2013
Subject: Stormwater Permit No. SW3130101
Waxhaw Mixed Use Phase 1
High Density Commercial Wet Pond Project
Union County
Dear Mr. Patch:
John E. Skvarla, III
Secretary
RECEIVED
DIVISION OF kYATER QUALITY
APR 2 3 21313
MOORESVILLE RE'UiOli OFFICI
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the
subject project on April 4, 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 02H .1000. We are
forwarding Permit No. SW31.30101, dated April 5, 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 April 5, 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.
Please pay special attention to the conditions listed in this permit regarding the Operation and Maintenance of
the BMP(s), recordation of deed restrictions, procedures for changes of ownership, transferring the permit,
and renewing the permit. Failure to establish an adequate system for operation and maintenance of the
stormwater management system, to record deed restrictions, to follow the procedures for transfer of the
permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH).
The written petition must conform to Chapter 150B of the North Carolina General Statutes. Per NCGS 143-
215(e) the petition must be Filed with the OAH within thirty (30) days of receipt of this permit. You should
contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or the details of the
filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit
their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Robert Patterson at [phone]; or
[e-mail].
Sincerely,
for Charles Wakild, P.E., Director
Wetlands and Stormwater Branch
1617 Mall Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N Salisbury St. Raleigh, North Carolina 27604
Phone: [phone],01 FAX: [phone]
Internet: www ncwuterquality.org
An Equal Opportunil.; l Affirmative Action Emi
011C
NorthCarolina
Naturally

Mr. Branson L. Patch
SW3130101 — Waxhaw Mixed Use Phase 1
April 5, 2013
cc:-SW3130101 File
ec: Hy V. Nguyen, PE — DPR Associates, Inc.
Michael Parker - Mooresville Regional Office
Page 2 of 2

State Stormwater Permit
Permit No.SW3130101
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
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
Historic Ventures, LLC
Waxhaw Mixed Use Phase 1
300 North Broad St., Waxhaw, Union County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of 15A NCAC 02H .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 April 5, 2021, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 372,428 square feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated in Section 1.7
of this permit, and per approved plans.
4. 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.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. 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 6

State Stormwater Permit
Permit No:SW3130101
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a.
Drainage Area,'ayes:
11.4
Onsite, ft :
496,584
Offsite, ft2:
0
b.
Total Impervious Surfaces, ft2:
372,428
Onsite, ft :
372,428
Offsite, ft2:
0
C.
Pond Depth, feet:
5.0
d.
TSS removal efficiency:
90%
e.
Design Storm, inches:
1.0
f.
Permanent Pool Elevation, FMS�:
620.50
g.
Permitted Surface Area @PP ft .
15,600
h.
Permitted Storage Volume, ft�:
41,260 at temporary pool
i.
Storage Elevation, FMSL:
622.30
j.
Controlling Orifice:
3.0"0 pipe
k.
Permanent Pool Volume, W.-77,525
I.
Forebay Volume, ft3:
16,000
m.
Receiving Stream/River Basin:
Twelve Mile Creek / Catawba
n.
Stream Index Number:
11-138
o.
Classification of Water Body:
"C"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system 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 revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The stormwater treatment system shall be constructed in accordance with the
approved plans and specifications, the conditions of this permit, and with other
supporting data.
Page 2 of 6

State Stormwater Permit
Permit No.SW3130101
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 system installed 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. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. 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 or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
12. 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.
Ill. 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, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. 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 the transfer request.
Page 3 of 6

State Stormwater Permit
Permit No. SW3130101
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 maybe 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.
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 2H.1000, and NCGS 143-215.1 et.al.
11.The permittee shall notify the Division 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 51h day of April, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Gnarles WaKild, F'.t., Uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page. 4 of 6

State Stormwater Permit
Permit No.SW3130101
Waxhaw Mixed Use Phase 1
Stormwater Permit No. SW3130101
Union County
Designer's Certification
I, , 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)
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.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit • .
Permit No.SW3130101
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
.4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans._:
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Mooresville Regional Office
Surface Water Protection
610 East Center Ave., Ste. 301
Mooresville, NC 28115
Cc: Union County
Page 6 of 6

MCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Govemoi
April 22, 2014
Mr. Branson L. Patch
Historic Ventures, LLC
2409-B Plantation Center Dr.
Matthews, NC 28105
Subject: Compliance Evaluation Inspection
Waxhaw Mixed Use Phase 1
Permit No. SW3130101
High Density Commercial Wet Pond
Project
Union County
Dear Mr. Patch:
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the
inspection conducted on April 17, 2014 by Mr. Samar Bou-Ghazale of this Office.
The reports should be self-explanatory-, however, should you have any questions
concerning the report, please do not hesitate to contact Mr. Bou-Ghazale at (704) 663-
1699 Ext.2199.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ -- ---- --------......---
Regional Engineer
Land Quality Section
Attachment
Division of Energy, Mineral, and Land Resources
Land Quality Section - Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Telephone: [phone] FAX [phone] a Internet: http:llpogal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity ! Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Compliance Inspection Report
Permit:' SW3130101 Effective: 04/05/13 Expiration: 04/05/21 - Owner: Historic Ventures LLC
County: Union
Region: Mooresville
Project: Waxhaw Mixed Use Phase 1
300 N Broad St
Contact Person: Branson L Patch Title:
Directions to Project:
Property is located between hwy 16 and broad st bounded by prince st 8 bivens st
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 001 - (Twelvemile Creek) (03-08-38) ( C)
On -Site Representative(s):
Related Permits:
Inspection Date: 04/17/2014 Entry Time: 01:35 PM
Primary Inspector: Samar E Bou Ghazale
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: 0 Compliant ❑ Not Compliant
Question Areas:
Z State Stormwater
(See attachment summary)
Waxhaw NC 28173
Phone:
Exit Time: 01:45 PM
Phone: [phone]
Ext.2199
Inspection Type: Compliance Evaluation
Page: 1

Permit: 5W3130101 Owner - Project: Historic Ventures LLC
Inspection Date: 04/17/2014 _._._ Inspection Type: Compliance Evaluation. Reason for Visit: Routine
Inspection Summary:
No construction as of this date.
Page: 2

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
z t
SoS
SWX30L01
Applicable ules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 KI Ph II - 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
MVISION OE C�IVh�D
"� QUALITY
APR 2 3 ?013
STORMWATER MANAGEMENT PERMIT APPLICATION FQRM, ,4
I P ! f g - „EuVfLLE R�GiOINAL OFFICE
This orrtr r�tm be Itotarn pied or use as air original
1. 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.):
WAXHAW MIXED USE PHASE 1
2. Location of Project (street address):
300 North Broad Street
City: WAXHAW County:UNION Zip:28173 $��4
3. Directions to project (from nearest major intersection):
Property located between Highway 16 and Broad St., bounded. by Price St. & Bivens St.
4. Latitude:34 ° 55' 27.8394" N
Longitude:80° 44' 36.96" W
of the main entrance to the project.
II. PERMIT INFORMATION:
].a. Specify whether project is (check one): NNexv ❑Modification ❑ Renewal w/ Modificationt
tRenezoals zoith modifications also requires SWU-102 - Ren 7ml Application Fora¢
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 NI-ligh 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: 12 ac ac of Disturbed Area
0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
M/ruleslaws
5. is the project located within 5 miles of a public airport? ❑No ®YesIf yes, see S.L. 2072-200, Part VI: htt ortal.ncdenr.or web w ws su st
Form SWU-101 Version 06Aug2012 Page 1 of

a

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Historic Ventures, LLC
Signing Official & Title:Branson I_. Patch / Manager
b.Contact information for person listed in item I above:
Street Address:2409-8 Plantation Center Drive
City:Matthews
Mailing Address (if applicable):
City:
Phone:
Email:
State:NC Zip:28105
State:
Fax: (
Zip:
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:
Phone:
Email:
Sta
Fax: (
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: ( } Fax: ( )
Email:
Form SWU-101 Version 06Aug2012 Page 2 of 7

4. Local jurisdiction for building permits: Town of Waxhaw, NC
Point of Contact:Williani Whaley
Phone #: (704 ) 843-2195 ext 231
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the storm water runoff will be treated.
The proposed stormwa ter BM Wet Detention Pond is to Rrovided water 9 uaIi treatment and detention
control for the proposed mixed use development (overall built out condition). also see_DPR Project Narrative.
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 II - Post Construction
3. Stormwater runoff from this project drains to the Catwaba River basin.
4. Total Property Area: 14.9 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) -Total Coastal Wetlands Area (5) -Total Surface Water Area (6) ='I'otal Project
Area*:14.9 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the batiks of streams and rivers, the area below the Normal High Water (NHW) lime or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area rs used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / TotaI Project Area) X 100 = 75 %
9. How many drainage areas does the project have?1 (For high densihj, corurt T for each proposed engineered
stormwater BMP. For low density and outer projects, use I for fire whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 06Aug2012 Page 3 of 7

Basin Information
Drainage Area 1
Drainage Area
Drainage Area
Drainage Area _
Deceiving Stream Name
Twelvemile
Creek
Bypass
Twelvemile
Creek
Stream Class
C
C
Stream Index Number *
11-138
11-138
Total Drainage Area (so
496,594
152,460
On -site Drainage Area (so
496,584
-
Off -site Drainage Area (SO
-
152,460
Pro osed Impervious Area** (so
372,428
108,900
% Impervious Area** total
75
71.4
Impervious— Surface Area
Drainage Area 1
Drainage Area
Drainage Area _
Drainage Area _
On -site Buildings/L.ots (so
i
+/-P4;713*
Bypass
pp ��
*See Attached
Impervious
CaIcualtions
On -site Streets (so
+/-162,895*
-
On -site Parking (so
-
-
On -site Sidewalks (so
-
-
Other on -site (so
+/-14,619*
-
Future (so
-
-
Off -site (SO
-
-
Existing
Existing BUA*** (so
- 31 Tq
+/-108,900
Total (so:
+/-372,227*
+/-108,900
Stream Class and Index Number can be determined at: lzttp. portal.rzcderir.or,�,lzireljAi)g4i.g/csra/classificirtiolis
* Iat )ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
siezualks, 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 zrill he replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Bypass drainage area
of +/-152,460sf includes existing +/-108,900sf built upon area to be replaced with +/-108,900sf of
redevelopment.
Protects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened
Endangered Species watershed that may be subject to more stringent stornnvater requirements as per I SA NCAC 0213 ,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://,portal.ncdenr.org/web/­wn/ws/su/bmp-manual.
V1. 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://portal.ncdenr.org/web/wq/ws/su/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/webZwq/wsZsuZmaps.)
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.ncdenr.org/%veb/wq/ws/su/statesw/forms does.
gals
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 V11 below)
Form SWU-101 Version 06Aug2012 Page 4 of 7

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.litniI 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'/z
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow,
f. Scale.
g. Revision number and dates.
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 Iandward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all 13UA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
in. 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"xl1" 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 verifil the SHWT prior
to submittal, [phone].)
10. A copy of the most cu rrent property deed. Deed book: 5023 Page No: 498
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 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.
http:/ /www.secretarystate.nc.us/CorRorations/CSearch.aspx
Form SWU-101 Version 06Aug2012 Page 5 of 7

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 Iot 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
littp://portal.ncdenr,org/web/wn/NN,s/su/states",jforms dots. 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 Iand, 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.
VII1. 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:Hy V. Nguyen
Consulting Firm: DPR Associates, Inc.
Mailing Address:420 Hawthorne Lane
City:Charlotte State:NC Zip:28204
Phone: (704 ) 332-1204 K.30 Fax: (704 } 332-1210
Eniail:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, rtern 2 has been filled out, complete this
section)
1, (print or type.name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 7a) with (print or type name of organization listed in
Contact Information, item 1a) 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 6 of 7

As the legal property owner ] 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 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 sea],
SEAL
My commission expires

f
X. APPLICANT'S CERTIFICATION f
1, (print or type name of person listed in Contact Information, item 1a) T.1'A
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 rules under 15A NC 2H .1000 and any other applicable state stormwater requirements.
Signature: Date: I t z
I, D1 QWJ)')1a Notary Public for the State of NO (AIrv/+n07County of
r-TVur do hereby certify thatlGl1'I �-'�'G �'-1 personally appeared
before me this 2 day of _M)0"I b4�f PO/A-, and acknowledge the due execute i of e application for
a stormwater permit. Witness my hand and official seal,
%%6110464"'a
e' o j
a�
m
'10ac,�rrt �►. +�
••• -
SEAL
My commission expires a 3 ro
Form SWU-101 Version 06Aug2012 Page 7 of 7

�v
If
r

Permit Num.ber: v .713O/OJ
(to be provided by D111Q)
Drainage Area Number: I
Wet Detention Basin 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.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does %does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ®,does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
- ImmediateIy after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
- No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
- Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
- if the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
- Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month 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 should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page I of 4

. . 1
Permit Number: 5y3130101
(10 be provided b), DIVQ)
Drainage Area Number: 1
BMP element:
Potentialproblem:
How 1 will remediate the roblem:
The inlet device: pipe or
The pipe is clogged.
Unclog the pipe. Dispose of the
Swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to
Swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sedimentstorage.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
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 pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
Show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number: ,SW 3130�0!
(to he provided by UIYQ)
Drainage Area Number: f
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth -reads feet in the main pond, the..
sediment shall be removed.i
When the permanent/pool depth reads feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom Elevat
BASIN DIAGRAM
Ull in the blanks)
Permanent Pool Elevationlc?_>O- —
-------- iYPemanenPool
olume ------Sediment Removal Elevation Volume Min.-------%%---
ediment Bottom Elev 'bns�1-11 n.
Storage Sediment
Storage
EBAY
MAIN POND
Form SW40i-Wet Detention Basin O&M-Rev.4 Page 3 of. 4

Permit Number: SW3 j j O l0
(to he Provided by DIYO
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.
Projecl nante: USE
BMP drarncige area number:
Print name: T->�Z_(k
Title: ,+U1 AN0, V-,
Address: (Z
Phone: 76--�
Signature:
Date: 1 t I Z t Z-
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
YL2
a Notary Public for the State of
�3p%`Irn C_AA It'nk County of do hereby certify that
r4u'1� ifi l' C-� personally appeared before me this •
day of f)tNt*Y)lae tr , c�LO Icy; and acknowledge the due execution of the
forgoing wet detention basin maintenance requi e ents. Witness my hand and official
seal,
�OP.
t X
{
SEAL
My commission expires
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

I

Permit No. 5w3 1 3 01 D 1
(to be provided by DWO)
mm
T A
E, � r
NCDENR fl
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 11f) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name
Waxhaw Mixed Use
Contact person
DPR Associates, Inc. (Hy Nguyen P.E.)
Phone number
704-332-1204
Date
December 28, 2012
Drainage area number
BMP #1
Ill. DESIGN INFORMATION
Site Characteristics
Drainage area
496,584 ftz
Impervious area, post -development
372,438 rye
% impervious
75.00 %
Design rainfall depth
1.0 in
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the 1 yr 24hr storm peak flow required?
1-yr, 24-hrrainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr stone
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 10ft vegetated shelf elevation
Bottom of 1Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
1s there additional volume stored above the state -required temp, pool?
Elevation of the top of the additional volume
30,002 ft3
46.
DK, volume rovided is equal to or in excess of volume required.
ft3
ft3
it
ft3
ft3
Y (Y or N)
2.6 in
62.00 (unifless)
89.00 (unitless)
2.58 inlhr OK
2.00 tt3lsec
31.68 ft3lsec
29.68 ft3lsec
-0&50-fmsl-j
620,50 fmsl
-- fmsl
621.00 fmsl
620,00 fmsl
610,50 fmsl
608.00 fmsl
2.50 It
62Z,3
(Alirv'r ,4V41Ly 01.tT i. }i�rra-
Data not needed for calculation option #1, but OK if provided.
Data not needed for calculation option #1, but OK if provided.
—N----;5Y or N) f
fmsl
Form SW401-Wet Detention Basin-Rev.9-4118112 Parts 1. & II. Design Summary. Page 1 of 2

Permit W. 313 I Ca 1
(to be provided by DINO)
tI. DESIGN INFORMATION
Surface Areas P
Area, temporary pool t5;394 ft, Z �l g �' Z Z r , ON/
Area REQUIRED, permanent poot 454-ft'
SAIDA ratio -0-ff (unitless) 3'
Area PROVIDED, permanent pool, Ap, v-1 15,600 ft` OK
Area, bottom of 1Oft vegetated shelf, Aba ,nal 13,300 ft`
Area, sediment deanout, top elevation (bottom of pond), Aba_, d . 2,900 ft`
Volume, temporary pool 622 3 N wT A1.*l6 fl3Insufficient. Volume does not agree with data previously entered.
av-ru VyY 3
Volume, permanent pool, Vp._" 77,525 ft
Volume, forebay (sum of forebays if more than one forebay) 16,000 rya
Forebay % of permanent pool volume 20.6% % OK
SAIDA Table Data
Design TSS removal
Coastal SAIDA Table Used?
MountairdPiedmonl SAIDA Table Used?
SAIDA ratio
Average depth (used in SAIDA table):
Calculation option 1 used? (See Figure 10-2b)
Volume, permanent pool, V,--,,d
Area provided, permanent pool, An,,,,_P,
Average depth calculated
Average depth used in SAIDA, dv. (Round to nearest 0.5ft)
Calculation option 2 used? (See Figure 10-2b)
Area provided, permanent pool, A,,_,,
Area, bottom of 1 Oft vegetated shelf, Aba shw
Area, sediment cleanout, lop elevation (bottom of pond), Abate
90 %
N (Y or N)
Y (Y or N)
44Hunitless)
Y (Y or N)
77,525 ft'
15,600 ft`
4,97 ft OK
5.0 ft OK
N (Y or N)
15,600 W
13,300 ft`
2.900 ft2
'Depth' (distance bIw bottom of 1 Oft shelf and top of sediment) 9.50 ft
Average depth calculated 5.00 It OK
Average depth used in SAIDA, d., (Round to down to nearest 0 5ft) 5.0 ft OK
Drawdown Calculations
Drawdown through orifice?
Diameter of orifice (if circular)
Area of orifice (if -non -circular)
Coefficient of discharge (Co)
Driving head (Ho)
Drawdown through weir?
Weir type
Coefficient of discharge (C„.)
Length of weir (L)
Driving head (H)
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Storage volume discharge rate (through discharge orifice or weir}
Storage volume drawdown time
Additional Information
Vegetated side slopes
Vegetated shelf slope
Vegetated shelf width
Length of flowpath to width ratio
Length to width ratio
Trash rack for overflow & orifice?
Freeboard provided
Vegetated filter provided?
Recorded drainage easement provided?
Capures all runoff at ultimate build -out?
Drain mechanism for maintenance or emergencies is:
Y (Y or N)
3.00 in
in'
0,60 (unitless)
1.59 ft
N (Y or N)
(unitless)
(unitless)
ft
ft
2.00 ft'Isec
--:3Ys6&0sec
ft'tsec
F1 �L J
d s
3 :1
OK
10 :1
OK
10.0 ft
OK
:1
Y (Y or N)
OK
1,0 ft
OK
N (Y or N)
OK
Y JY or N)
OK
Y (Y or N)
OK
Gravity Drain & Pump
Form SW401-Wet Detention Basin-Rev."118112 Parts I. & If. Design Summary, Page 2 of 2

Permit No. SW313010/
(to be provided by D WQ)
Jill. 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.
Page/ Plan
Initials Sheet No.
1. Plans (1" - 50' or larger) of the entire site showing:
Design at ultimate build -out, #41
OH -site drainage (if applicable), wo
Delineated drainage basins (include Rational C coefficient per basin), +/
Basin dimensions, Or
Pretreatment system, „/
High Flow bypass system, ve
Maintenance access, ✓
Proposed drainage easement and public right of way (ROW), r%
Overflow device, and
Boundaries of drainage easement. %/
2. Partial plan (1" = 30' or larger) and details for the wet detention basin showing:
Outlet structure with trash rack or similar, ,d
Maintenance access, r/
Permanent pool dimensions,
Forebay and main pond with hardened emergency spillway, r/
Basin cross-section, NI
Vegetation specification for planting shelf, and s✓
Filter strip. A1*
6.A
3. Section view of the wet detention basin (1" = 20' or larger) showing:
Side slopes, 3:1 or lower, we
Pretreatment and treatment areas, and 1tI
Inlet and outlet structures. oe
4. It the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin,
_
5. A table of elevations, areas, incr mental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.. ve
7. The supporting calculations. %
8. A copy of the signed and notarized operation and maintenance (0&M) agreement.
9. A copy of the deed restrictions (if required). N 14%
10. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. County
soil maps are not an acceptable source of soils information.
Form SW401-Wet Detention Basin-Rev.9-4118112 Part III. Required Items Checklist, Page 1 of 1