HomeMy WebLinkAboutSW3121102_HISTORICAL FILE_20191024STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT. NO. SW N� 110A
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE�lfid
YYYYM M D D
ISAACS
CIVIL ENGINEERING DESIGN & LAND SURVEYING
8720 RED OAK BOULEVARD, STE. 420
CHARLOTTE, N.C. 28217
PHONE (704) 527-3440 FAX (704) 527-8335
TO NCDENR
610 East CenterAvenue, Suite 301
Mooresville, NC 28115
WE ARE SENDING YOU Q Attached
❑ Shop drawings ❑� Prints
❑ Copy of letter ❑ Disk
1
LETTER OF TRANSMITTAL
DATE: 10/22/2019 JOB NUMBER: 06235
ATTENTION: Surface Water Protection
RE: Wayne Brothers Corporate Headquarters
Storm BMP As Built
10998 Sudbury Road
Cabarrus County, NC
❑ under Separate cover via
❑ Plans
THESE ARE TRANSMITTED as checked below:
❑� For approval ❑ Approved and submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
Q For review and comment ❑
AEAT: MI,
2 Applications
❑ Resubmit
❑ Submit
❑ Return
the following items:
❑ Specifications
copies for approval
copies for distribution
corrected prints
Attached are the as-builts for the sand filter at Wayne Brothers. The de area has changed slightly so an
updated drainage area map is included. Thanks
.4�i�/ RECEIVED/NCDENRIDWR
�4 OCT 2 4 2019
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LQ MOORESVILLEREGIONALOFFI('
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COPY TO file SIGNED Benji Layman, P.E.
WGM Design
Attn: Sean Delapp
1125 Tryon Street
STE 2000
Charlotte, NC 28284
Re: Detailed Wetland Delineation
75-acre Tract — Cabarrus Comity, NC
Dear Mr. Delapp:
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March 1, 2006
Job #5-1723 wl
At your request S&EC has, performed a detailed wetland delineation on 75-acres in Cabarrus
County, NC. The evaluated property occurs south of the intersection of Mooresville and
Davidson Roads west of Kamnapolis, NC. Surface waters on the property flow to the Rocky River
(C waters). Figure 1 shows the approximate boundaries of the evaluated properties on the
"Cornelius" USGS topographic quadrangle. One intermittent stream is depicted on the property
as per the USGS map; however, other waters of the US were identified as a result of our
evaluation.
EXECUTIvr SUMMARY
We have determined wetlands and stream channels,subject to Section 404 regulation by the US
Army Corps of Engineers (USACE) exist on the evaluated property. S&EC delineated four
streams averaging 2-3' in width. Five wetlands were delineated adjacent to streams on the
property. Aquatic life was identified in the larger streams and will likely require mitigation
depending on impact amounts. Two marginal streams were also identified during our fieldwork.
We recommend having a meeting with the USACE to review these features. We recommend
having a wetland survey of our flags prepared for approval by the USACE. Please refer to the
sketch map avid the results and recommendations section below for more detailed information.
SCorr Or Woitx
The wetland delineation consisted of pedestrian reconnaissance of the subject property in which
the soils, vegetation, and hydrology were evaluated using procedures described in the Corps of
Engineers Wetlands Delineation Manual (January 1987 — Final Report). When areas with
positive indicators of hydric soils and evidence of wetland hydrology and hydrophytic vegetation
arc located wetlands are sketched onto a base map. Proof of wetland hydrology is found via the
existence of hydric soils with oxidized root channels in the upper 12 inches of the "A" horizon,
water borne deposits, drift lines, scour marks, drainage patterns, regional indicators of soil
saturation, etc. Surface waters (streams) which are also subject to regulation by the US Anny
Corps of Engineers (USACE) as waters of the US were also identified. These surface waters
may also be referred to as jurisdictional waters to indicate that they are within the jurisdiction of
the USACE. It is important to note that wetlands are also classified as waters of the US and
regulated by the USACE.
RESULTS & RECOMMENDATIONS
Wetlands and Jurisdictional Waters:
We have determined that jurisdictional streams and wetlands occur on the property. Streams and
wetlands were flagged using sequentially numbered pink S&EC logo tape. One stream was
delineated in the southwester portion of the property with flags 01-55. Flags 50-55 delineate a
portion of the stream that has the potential to be isolated waters of the state. There exists a break
in the charnel between flags 49 and 50 (see map). A stream joined in confluence with the
aforementioned stream at flag 27. This stream was delineated with flags 100-114. Another stream
joined in confluence with the 0-55 series stream at flag 02 and was delineated with flags 200-
246. A small stream joined in confluence with the aforementioned stream at flag 229 and was
delineated flags 300-303. Three wetlands were flagged adjacent to the 0-55 series stream with
flags 4a-4b and 20a-20i and 22a/b. Two wetlands were delineated adjacent to the 100 series
stream with flags 100a-107a and 10lb-105b. Two marginal streams were identified during our
fieldwork (see map). We do not believe the two marginal streams meet the criteria for
jurisdictional status. Aquatic life was observed in the two larger streams. Therefore, these two
streams are likely to be considered mitigable by the USACE. Mitigation will likely be required if
impacts exceed 150 linear feet. We recommend as site meeting with the USACE to review
marginal features and approve our delineation. Afler that meeting we recommend preparing a
wetland delineation survey for USACE approval.
All S&EC flags comprising the wetland and jurisdictional waters delineation should be surveyed
and a Wetland Delineation Map generated if USACE approval is desired. The Wetland
Delineation Map should include all of the information listed on the attached `Requirements for
Wetland Delineation Maps'. S&EC delineation flag numbers should be shown on the wetland
survey. Please complete the attached agent authorization form if you would like S&EC to act on.
their behalf for requesting approval of the wetland delineation. This form is also used in
preparing a permit application for impacts to wetlands or surface waters. S&EC cannot conduct
correspondence with the USACE unless we have agent authorization (see attached Agent
Authorization). This authorization form must be filled out ill its entirety by the current
landowner and sent to S&EC (a faxed copy is acceptable).
REGULATIONS
Regulations that apply to jurisdictional wetlands and waters present on the site are discussed
below.
Local Ordinances:
We recommend consulting with your project planner/engineer with questions regarding any
potential stream buffer ordinances in Cabar•us County.
Wetland Permitting:
Wetland impact permits are issued on a per -project basis as determined by the USACE. The
USACE has determined that impacts on parcels sub -divided from larger tracts are sometimes
considered to be cumulative to existing impacts for the large tract. if this is the case, then
thresholds as discussed below may not apply and impacts to wetlands must be considered in light
of existing permits.
Impacts above nationwide permit thresholds of 1/2 acre ofjurisdictional wetlands or waters of
the US and/or 300 linear feet of important (perennial) stream channel require an Individual
Permit (1P). Individual Permits require an analysis to determine that the proposed impact is the
least environmentally damaging practical alternative, typically require compensatory mitigation,
notification to adjacent property owners, and public notice.
For projects with no previous permits, pre -construction notification to the USACE is not required
for impacts less than 1/10 acre. Pre -construction notification and approval by the USACE is
required for wetland impacts that exceed 1/10 of an acre and /or any stream channel impacts.
Preconstruction notification to the NC Division of Water Quality (DWQ) is required for wetland
impacts greater than 1/10 acre and/or 150 linear feet of stream charnel impact. If notification to
the DWQ is required and the project impervious area is 30% or more, then stormwater treatment
to meet the pollutant removal design standard of 85% removal of total suspended solids (i.e., wet
detention basins, stormwater wetlands, sand fillers, bioretention areas, etc.) will likely be
required by the DWQ. if impacts are proposed for any of the areas we can discuss the
ramifications with you.
Nationwide Permit 39 (Residential, Commercial, and Institutional Developments) limits above -
grade fills within 100-year floodplains specifically prohibiting above -grade fill within the
floodway. Therefore impacts such as filling wetlands in the floodway of the 100-year floodplain
outside of utility and road crossings are not allowable without an 11'. Additionally, Nationwide
Permit 39 limits stream channelization and relocation to streams with an average annual flow of
less than 1 efs and placement of storm water management facilities (wet ponds) on wetlands or
perennial streams.
Impacts to vegetated wetlands in excess of 1 acre of wetlands or 150 linear feet of stream
channels containing "significant aquatic function" may require mitigation by the DWQ. The
USACE may require mitigation for any wetland/jurisdictional waters impacts.. Wetland
mitigation is a complex process that requires planning and monitoring. Channel mitigation is
typically intended to replace lost significant aquatic functions and values. Relocating channels is
considered to be an adverse impact and typically results in mitigation within the new channel.
S&EC will discuss mitigation issues with you if we believe your project may require mitigation.
A complete DWQ 401 Water Quality Certification application has a maximum 60-day processing
period while Individual Permit applications submitted to the USACE have no maximum
processing periods. The USACE require that all impacts to wetlands or Waters of the US, less
than 1/10 acre, be reported to the USACE within 30 days of the completion of construction. A
complete USACE Nationwide Permit application has a 45-day processing period.
ADDITIONAL SERVICES
If you so choose the following is a list of additional services we can perform: (1) Site meeting
with the USACE for approval of our delineation, (2) Notification to the USACE and NC DWQ
regarding impacts to jurisdictional areas and permitting issues, if applicable. A separate proposal
can be generated for additional work Please advise.
Brandon Fulton
Envirommental Scientist/
Staff Soil Scientist
Attachments: Wetland Sketch Map
Sincerely,
Wendell Overby
NC Licensed Soil Scientist/
NC Registered Forester
USGS topo quad
Requirements for Wetland Delineation Maps
USACE Agent Authorization Form
Project Checklist
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;a Intmermittent Unimportant
O 200-210
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(50-55)
205
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Important Streams o3 21
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100a� 7 39
226/ 112 229— 303
114
31 232/
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Intermittent Unimportant
300-303
Soil & Environmental Consultants, PA
11010 Raven Ridge Road • Raleigh, North Carolina 27614 • Pbono: (919) 846-5900 • Fax: (919) 846.9407
The Isaacs Group, Inc.
Attn: Chris Isaacs, PE
8720 Red Oak Boulevard, Ste. 420
Charlotte, NC: 28217
e1VI§i6P1 o u S HtC.corn S
4AI@ QUA NU SECTION
[[r,, APR 11 2014
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December 14, 2012
Job 9 5-1723.S1
Re: Seasonal High Water Table Determination -Wayne Brothers -Highway .3. Kannapolis, NC
Dear Mr. Isaacs:
Soil & Environmental Consultants, PA (S&EC) has evaluated soils at a proposed stortmmwater
facility for the site mentioned above. At the indicated location, S&EC performed a soil profile
description of morphological characteristics to 7' (84 inches) in depth. The propose of the
evaluation involved identification of seasonal high water table (SH W'I). The SHWT
determination will provide planners with information needed to design a proposed sand filter
BNIP. 'flie following is a brief report of the methods utilized in this evaluation and results
obtained.
Our soil evaluation was performed by advancing a hand auger boring to a depth of 84 inches
within the proposed storrwater location. The soil boring location was surveyed prior to our
description work. The boring location is indicated on the attached map. Soil morphological
conditions were described at the proposed location using standard techniques outlined in the
"Field Book for Describing and Sampling Soils" published by the Natural Resources
Conservation Service (NRCS, 2002), A detailed soil profile description is included in
Attachment I.
Under current NC-DWQ regulations, SHWT must be at least 2' below the bottom of the proposed
BMP. Based on our observations initial evidence ofSHWT was identified at a depth of 10 inches
from the ground surface (753.23'). Seasonal high water table determination was made by
evidence of 2 chronma soil mottles via Munsell color chips. After 18 inches depth the soil matrix
was predominantly 2 chroma colors. Reduced soil colors continued to a depth of 84 inches. Soil
texture of the sample boring was predominantly sandy clay.
Soil & Environmental Consultants, PA is pleased to be of service in this matter and we look
forward to assisting in the successful completion of the project. Please tael free to call with any
questions or comments.
Sincerely,
Wendell Overby
NC Licensed Soill9cientist if] 218
Attachment
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Attachment 1. Soil Profile Description
SBEC Project Name: Highway 3-Kannapolis
Job Number: 5-1703.S2
Boring Location
HAB-1
Horizon 1 Depth
0-10"
Horizon Designation
BA
Matrix Color
10YR 7/3
Mottle Color
Texture
Sandy clay
Structure
abk
Moist Consistence
firm
Horizon 2 Depth
10-18"
Horizon Designation
Bt1
Matrix Color
10YR 7/3
Mottle Color
7.5YR 8/2 7.5YR 618
Texture
Sandy clay
Structure
abk
Moist Consistence
firm
Horizon 3 Depth
18-39"
Horizon Designation
Bt2
Matrix Color
10YR 6/2
Mottle Color
7.5 YR 6/8
Texture
Sandy clay
Structure
abk
Moist Consistence
firm
Horizon 4 Depth
39-50"
Horizon Designation
BC
Matrix Color
2.5Y 8/4
Mottle Color
5Y 7/2
Texture
Sandy clay loam
Structure
sbk
Moist Consistence
firm
Horizon 5 Depth
50-61"
Horizon Designation
CB1
Matrix Color
Gley 1 8/N
Mottle Color
2.5Y 7/6
Texture
Sandy clay
Structure
sbk
Moist Consistence
firm
Horizon 6 Depth
61-84"
Horizon Designation
C132
Matrix Color
5YR 4/1
Mottle Color
Gley 2 8/5PB
Texture
Sandy clay
Structure
abk
oist onsistence
I very firm
Depth to seasonal high
water table
1 10"
Date: 12/13/12
Conducted By:Wendell Overby
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F-ISAACS0
CIVIL ENGINEERING • GEOIECHNICAL • SURVEVING C
I
�
Christopher N. Isaacs, PE:'
President
-' 8720 Red Oak Boulevard, Ste. 420
°0
Charlotte, N.C. 28217
Direct: 704-227-9400
/
Office: 704-527-3440 ext. 114
Fax: 704-227-9401
• /
cw.isaacsgrp.com ,
mobile: 704-651-3658 www.isaacsgrp.com.
=ISAACS'
CIVIL ENGINEERING DESIGN & LAND SURVEYING
8720 RED OAK BOULEVARD, STE. 420
CHARLOTTE, N.C. 28217
PHONE (704) 527-3440 FAX (704) 527-8335
TO NCDENR: Division of Water Quality
512 N. Salisbury Street, 9th Floor
Raleigh, NC 27604
919-807-6374
WE ARE SENDING YOU❑
❑ Shop drawings ❑
❑ Copy of letter 0
LETTER OF TRANSMITTAL
DATE: 3/18/2014 1 JOB NUMBER: 06235
ATTENTION: Mr. Mike Randall
RE: I Wayne Brothers Corporate Headquarters
Sudbury Road - Cabarrus County
Attached ❑ under Separate cover via the following items:
Prints Q Plans 0 Applications ❑ Specifications
Disk ❑ a
COPIES
DATE
NO.
DESCRIPTION '.f.%V.
2
Civil Plans yurr'('.
1
Project Calculations 4 9&3jry
2
Stormwater Permit Application Form V� qa. �-,' S
2
Sign & Sealed BMP Supplement Form & Checklist.;,",. J
2
S&EC SHWT Report
1
Soils Report ba`• K
1
USGA Quad Too Exhibit
1
$505Application Processin Fee
1
Wetlands Report and Survey`
1
Copy of Deeds and Secretary of State Annual Reports for LLC
THESE ARE TRANSMITTED as checked below
0
For approval
❑ Approved and submitted
For your use
❑ Approved as noted
❑
As requested
❑ Returned for corrections
❑
For review and comment
Fj
❑ Resubmit
❑ Submit
❑ Return
copies for approval
copies for distribution
corrected prints
REMARKS
Mr. Randall, Per our recent discussions (and attached e-mail from February), I have attached the required
information to REVISE the stormwater permit previously issued for the proposed Wayne Brothers Corp.
Headquarters in Cabarrus County. The original permit number is 3121102 issued in Dec. 31, 2012.Please let me
know if you have anv nuestinns or onmments. Thank vnu _
QC "ROWR
EMAR 1 9 2014
NFI - WATER AMITY
wvW arena+
COPY TO SIGNED Christopher N. Isaacs, P.E.
�l
Chris Isaacs oD44
From: Randall, Mike <mike.randall@ncdenr.gov>
Sent: Friday, February 14, 2014 1:21 PM
To: Chris Isaacs hu
Cc: Lucas, Annette; Ronnie Rovillos
Subject: RE: Permit number 3121102
I'm Ok with the modifications to the sand filter. It might be a good idea to keep a copy of the email and include it with
the modification — I won't guarantee that I'll remember in a couple of days — let alone a month or two.
Mike
From: Chris Isaacs [mailto:cisaacs@isaacsgrp.com]
Sent: Friday, February 14, 2014 1:07 PM
To: Randall, Mike
Cc: Lucas, Annette; Ronnie Rovillos
Subject: Re: Permit number 3121102
Okay Mike agreed and thank you.
And you're also ok with the Sand Filter BMP serving the 8.2 acre drainage basin?
Christopher Isaacs, PE
The Isaacs Group. PC
704-227-9400
Sent from my Vcrizon Wireless 4G LTE DROID
"Randall, Mike" <mike.randall@ncdenr.gov> wrote:
I'm good with the one caveat for the vegetated grass swales along each side - I would like to see the
side slopes of the swales be no steeper than 5:1, include a maintenance agreement for the swales,
and control the maximum velocity for the 10-year, 24 hour storm.
iym�Fc
From: Chris Isaacs [maiIto: cisaacs(aisaacsgrp.com]
Sent: Friday, February 14, 2014 12:43 PM
To: Randall, Mike
Subject: RE: Permit number 3121102
Hello Mike, Pursuant to below, I am in the process of revising the previously approved construction
documents for the Wayne Brothers Corporate Headquarters Warehouse Project located at 10998
Sudbury Road, Kannapolis, N.C. This project was permitted by your office in December 31, 2012 and
the review was performed by Robert Patterson. The project was permitted with a single above
ground High Density Commercial Sand Filter BMP with a contributing drainage area of 5.17 acres
and total impervious area of 3.87 acres (Stormwater Permit No. SW3121102 dated Dec. 31,
2012). The revisions have included the addition of an approx. 1.5 acre ABC stone lot along with
modifications to a future roadway alignment in the future phase and I would like your consideration of
allowing the proposed BMP to be re -sized to accommodate a total drainage area of 8.21 acres and
impervious area of 6.34 acres — per attached map. It is my experience based upon the dozens of
projects I have performed design for in Mecklenburg County, that a drainage area up to 10 acres is
generally well suited for treatment by above ground sand filters. Per NCDENR requirements, we are
proposing to treat the 1" water quality storm and detain the 1 year, 24 hour event to pre -developed
conditions.
Additionally and per attached, you will note that a future roadway is planned to bi-sect the property
(Concrescere Parkway) and the timeframe for this roadway is approx. 5 — 10 years based upon utility
infrastructure, zoning, etc... requirements. The owner would like to construct a temporary access
driveway from Davidson Highway as shown and this roadway would have 23' of asphalt pavement
with vegetated grass swales along each side (no closed drainage). The proposed access road would
be a total of 0.44 acres of impervious surface and we would like to request that this BUA from this
temporary road not be required for stormwater treatment at this time, given the fact the future
roadway will have closed drainage and increased laneage widths and drain to a regional wet pond
BMP that will be sized to accommodate the future phases of construction. Also note that the total
parcel size of this development owned by Coddle Creek LLC is 75 acres.
Please let me know if you are o.k. with these two proposals and feel free to call me to discuss if
needed.
Thank you.
Christopher N. Isaacs, P.E.
The Isaacs Group, P.C.
8720 Red Oak Boulevard, Ste. 420
Charlotte, N.C. 28217
Phone(704)227-9400
Fax(704)227-9401
E-mail: ci(a)isaacsgrp.com
From: Lucas, Annette[mailto:annette.lucas(@ncdenr.gov]
Sent: Wednesday, February 12, 2014 10:39 AM
To: Chris Isaacs
Cc: Randall, Mike
Subject: Permit number 3121102
2
Chris,
Good talking with you this morning. 1 have some answers for you. In order to make the modifications you
have described, you will need to complete the SWU-101 application form, which is available
at: http://portal.ncdenr.org/web/Ir/state-stormwater-forms does. We will also need a new application fee.
I spoke with Mike Randall and he will be your plan reviewer. He is open to your ideas about the sand filter
with the greater than 5 acre drainage area and the access road being treated by a vegetated conveyance. You
can reach Mike at (919) 807-6374.
Please let me know if you have further questions.
Thanks,
Annette
Annette M. Lucas, PE
Environmental Engineer
NCDENR I DEMLR I Stormwater Program
1617 Mail Service Center, Raleigh, NC 27699-1617 (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 901 Floor (Location Etc Parcels)
Phone: (919) 807-6381 1 Fax: (919) 807-6494 1 Email: Annett e.Lucas a,ncclenr.gov
Website: http://portal.ncdenr.org/webVstormwater
bA Before printing this email, please consider your budget and the environment.
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.
9
3/12/2014
North Carolina Secretary of State
North Carolina
Elaine F. Marshal!'I���� ol= 1'IIr
Secretary S>iECRE TARYof FSTA.TE
PO Box 29622 Ral-iih, NC 27626-0622 (919)B07-2000
Date: 3/12/2014
here to:
Document Filings I File an Annual Report I
7, l Print a Pre -populated Annual Report Fillable PDF Form I Amend A Previous Annual Report I
rporation Names
Name Name Type
NC CONCRESCERE ONE, LLC LEGAL
Limited Liability Company Information
SOSID:
Status:
Effective Date:
Citizenship:
State of Inc.:
Duration:
Annual Report Status:
Registered Agent
Agent Name:
Office Address:
Mailing Address:
Principal Office
Office Address:
Mailing Address:
Officials
1340207
Current -Active
9/27/2013
DOMESTIC
NC
PERPETUAL
CURRENT
DIVISIIONt OFOt
APR 112914
DENtin:,.._... _.
AND NATURAL TIES,
WAYNE, D. KEITH
195 ERVIN WOODS DRIVE
KANNAPOLIS NC 28081-9080
195 ERVIN WOODS DRIVE
KANNAPOLIS NC 28081-9080
195 ERVIN WOODS DRIVE
KANNAPOLIS NC 28081-9080
195 ERVIN WOODS DRIVE
KANNAPOLIS NC 28081-9080
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
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http:/An .secretary.state.nc.us/corporations/Corp.asp)?Pitemld=10352297 1/1
ARTICLES OF ORGANIZATION
OF
CONCRESCERE ONE, LLC
SOSID: 1340207
Date Filed: 9/27/2013 11:37:01) ANt
Elaine F. Marshall
North Carolina Secretary of State
NVISiON Or LAND RESOURCE.^
'AND QUALITY SECTIO"'
APR 112014
..`1s1 v. .. 1UIV1VItN
V09d 1"TURAL RMOUROE6
Pursuant to § 57C-2-20 of the General Statutes of North Carolina, the undersigned
hereby does submit these Articles of Organization for the purpose of forming a limited liability
company.
1. The name of the limited liability company is "Concrescere One, LLC."
2. The period of duration of the limited liability company shall be perpetual.
3. The name and address of the organizer executing these Articles are:
Name Address
Lee C. Hodge 1001 College Court
New Bern, NC 28562
4. The street and mailing address of the initial registered office of the limited
liability company is 195 Ervin Woods Drive, Kannapolis, Cabarrus County, NC 28081; and the
name of the initial registered agent of the limited liability company at such address is D. Keith
Wayne.
5. The street and mailing address of the principal office of the limited
liability company is 195 Ervin Woods Drive, Kannapolis, Cabarrus County, NC 28081.
6. Except as provided in N.C.G.S. § 57C-3-20(a), members of the limited
liability company shall not be managers of the limited liability company by virtue of their status
as members.
These Articles of Organization shall be effective upon the filing of same
by the North Carolina Secretary of State.
IN TESTIMONY WHEREOF, the undersigned has executed this instrument, this
the 26th day of September, 2013.
Lee C. Hodge, Organizer
Prepared by and return to:
Lee C. Hodge
For the firm of
Ward and Smith, P.A.
1001 College Court
PO Box 867
New Bern, NC 28563-0867
Telephone: (252) 672-5400
Facsimile: (252) 672-5477
ND: 4834-4295-7590, v.
pF.reatr, - E-Filed Annual Report
-1-0-8021939
p^ ,. LIMITED LIABILITY COMPANY
ANNUAL REPORT Du not data enter manually.
NAME. OF LIMITED LIABILITY COMPANY: Coddle Creek, LLC
REPORT FOR THE YEAR: 2012 SPATE OF fNCORPORATION: NC
SF.CRGTARY OF STATE L.L.C. ID NUMBER: 0861143
NATURE OF BUSINESS: Land -Site Development
REGISTERED AGENT: WAYNE, D KEITH QN
REGISTERED OFFICE MAILING ADDRESS: 195 Ervin Woods Dr '
N QF
Kannapolis, NC 28081 QOU,,4+A �
�Fti qp�l ' --SFcpr�l,pc�.,..
w1
REGIS'I'EIiED OFFICE STREET ADDRESS: 195 Ervin Woods Dr it.
Kannapolis, NC 28081 Rowan County
1'RTNCII'AL OFFICE TELEPHONE NUMBER: 704-938-8400
PRINCIPAL OFFICE MAILING ADDRESS:
PRINCIPAL OFFICE STREET ADDRESS:
MANAGERS/MEMBERS/ORGANIZERS:
Name: Darryl Keith Wayne
TrNer Manger
Address:
195 Ervin Woods Dr
195 Ervin Woods Dr
Kannapolis, NC 28081
195 Ervin Woods Dr
Kannapolis, NC 28081
CERTIFICATION OF ANNUAL REPOR'I' MUS'r BE COMPLETED 13Y ALL LIMITED LIABILITY COMPANIES
Darryl Keith Wayne
FORM MUST BE SIGNED BY A MANAGEIUMEMBER
Darryl Keith Wayne
03/01/2012
DATE
Manager
TYPE OIL PRINTNAMIi 'I'YPP' Olt PRINT TITTLE
ANNUAL REPORT FEF.: $200 MAIL'I O: Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525
C200622000346
State of North Carolina
Department of the Secretary of State
SOSID: 0861143
Date Filed: 8/11/2006 4:02:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C200622000346
Limited Liability Company
ARTICLES OF ORGANIZATION OIL
Pursuant to §57C-2-20 of the General Statutes of North Carolina, the undersigned does hereby subrtitt�'tOT
these Articles of Organization for the purpose of forming a limited liability company. O 1`Op
1. The name of the limited liability company is: Coddle Creek, LLC
'N �o
2. If the limited liability company is to dissolve by a specific date, the latest date on whicKith'e
limited liability company is to dissolve: (Ifno date for dissolution is specified, there shall Wno
limit on the duration of the limited liability company.)
3. The name and address of each person executing these articles of organization is as follows:
(State whether each person is executing these articles of organization in the capacity of a
member, organizer or both. Note: This document must be signed by all persons listed here).
Jason A. Oesterreich (Organizer)
The Law Offices of Swindell & Jones
927 Worst Trade Street. Suite 2030
Charlotte, North Carolina 28202
4. The street address and county of the initial registered office of the limited liability company is:
Number and Street 8819 Columbus Street
City, State, Zip Code Davidson, North Carolina 28036
Cabarrus
5. The mailing address, if different from the street address, of the initial registered office is:
6. The name of the initial registered agent is: D. Keith Wayne
7. Principal office information: (Select either a or b)
a. ❑✓ The limited liability company has a principal office.
The street address and county of the principal office of the limited liability company is:
Number and Street 8819 Columbus Street
City, State, Zip Code Davidson North Carolina 28036 CountyCabarrus
The mailing address, tf dtfferentfrom the street address, of the principal office of the corporation is:
b. 0 The limited liability company does not have a principal office.
C200622000346
8. Check one of the following:
(i) Member -managed LLC: all members by virtue of their status as members shall be
managers of this limited liability company.
✓ (ii) Manager -managed LLC: except as provided by N.C.G.S. Section 57C-3-20(a), the
members of this limited liability company shall not be managers by virtue of their status as
members.
9. Any other provisions which the limited liability company elects to include are attached.
10. These articles will be effective upon filing, unless a date and/or time is specified:
This is the 4th day of August 20 06
Jason Oesterreich (Organizer)
Type or Print Name and Title
NOTES:
1. Filing fee is $125. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626.0622
(Revised January 2001) (Form L-01)
Instructions for Filing
FILED
CABARRUS COUNTY NC
WAYNE NIXON
REGISTER OF DEEDS
FILED Nov 14, 2013
AT 03:19 Pm
BOOK 10771
START PAGE 0092
END PAGE 0094
INSTRUMENT# 31170
EXCISE TAX $0.00
(LH
NORTH CAROLINA NON -WARRANTY DEED
Excise Tax: $0.00
Parcel Identifier No. a portion of 4673-56-2642 Verified by County on the _ day of 20_
By:
✓Mail/Box to: GRANTEE
This instrument was prepared by: Tyler L. Pierce. Richard L. Robertson & Associates. P.A.
Brief description for the Index: M64-20. "New Lot". 10.487 acres on Sudsbury Road
THIS DEED made this _ day of July 2013, by and between
GRANTOR
CODDLE CREEK, LLC
a North Carolina limited liability company
CONCRESCERE ONE, LLC
a North Carolina limited liability company
195 Ervin Woods Drive
Kannapolis, NC 28081
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the
City of Kannapolis, Cabarrus County, North Carolina and more particularly described as follows:
SEE EXHIBT "A", incorporated by reference herein.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 10127 page 114 .
All or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor.
A reap showing the above described property is recorded in Plat Book 64 File 20 .
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.
The Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
NC BarAssociation Fan No. 3 ® 1976, Revised ® 1/12010
iPrinted by Agrt cot with the NC Bar Ass moon
IN WITNESS WHEREOF, the Grantor has caused this instrument to be duly executed and delivered.
.ODD .P. FF.K. LTC
(Entity Name)
Tide: Manager
By
Title:
By:
Title:
AMP State of North Carolina - County of Cabarets
I, the undersigned Notary Public of the County and State aforesaid, certify that D. Keith Wayne
� t personally came before me this day and acknowledged that he is the Manager of CODDLE
rb9, V - CREEK, LLC, a North Carolinalimited liability company, and that by authority duly given and as the
120mis act of CODDLE CREEK, LLC, he signed the foregoing instrument in its name on n' behalf as its
�BL1G 2 act and deed. Witness my hand and Notarial stamp or seal this �—day of
GOJ�c A),We aY 2013.
AG
My Commission Expires: iz • lS-7t,�S
Notary brit
The foregoing Certificate(s) of is/are certified to be
correct. This instrument and this certificate me duly registered at the date and time and in the Book and Page shown on
the fast page hereof.
Register of Deeds for County
By: Deputy/Assistant - Register of Deeds
EXHIBIT "A"
LEGAL DESCRIPTION
BEING all of that certain tract or parcel of land entitled "New Lot" and containing 10.487
acres as shown on the plat dated September 26, 2013 prepared by James E. Craddock, RLS,
entitled Coddle Creek, LLC and recorded on September 27, 2013 in Book 64 at Page 20 of
the Cabarrus County Register of Deeds and being a portion of the real property of Grantor
described In Deed Book 10127 at Page 114 Cabarrus County Register of Deeds.
1,0127'
0114
prepared by:
L Kent D. Jo es, Esq
® I lot Cen�vdL kr� /S�fe �'o't��
Wheneeerded�,retumtoc(<altlaP"G� NG 38a05
Grantee
Excise Tax: S0.00 (Deed is for parcel Consolidation Only)
Tax parcel No: 13952, 13961, 13963, 95604, 95605
Brief Description for Index: Approximately 56 acres on Hwy 3, Cabarrus County
STATE OF NORTH CAROLINA
FILED
CABARRUS COUNTY NC
LINDA F. McABEE
RFC;ISTFR OF DFFDS
FILED Aug 22, 2012
AT 09:23 am
BOOK 10127
START PAGE 0114
END PAGE 0122
INSTRUMENT# 21191
EXCISE TAX $0.00
ERV
NORTH CAROLINA
COUNTY OF CABARRUS GENERAL WARRANTY DEED
(FOR TAX PARCEL RECOMBINATION)
THIS NORTH CAROLINA GENERAL WARRANTY DEED is rnade as of the 28th day of
June, 2012 by
GRANTOR: CODDLE CREEK, LLC,
a North Carolina limited liability company
Grantor's Address: 195 Ervin Woods Drive
Kannapolis, NC 28081
to
GRANTEE: CODDLE CREEK, LLC,
a North Carolina limited liability company
Grantee's Address: 195 Ervin Woods Drive
Kannapolis, NC 28081
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
Grantor does grant, bargain, sell and convey unto Grantee, in fee simple, all of Grantor's right, title and
interest in and to that certain real property located in Cabarrus County, State of North Carolina more
particularly described as follows (the "Land"):
SEE ATTACI IED EXHIBIT A
16/
1
1012T
0115
THE GRANTOR ACQUIRED THE LAND BY VIRTUE OF DEEDS RECORDED IN BOOK 6987,
PAGES 17, 21 AND 26, AND BOOK 8047, PAGE 232. THE PURPOSE OF THIS DEED IS TO
COMBINE ALL OF THE LAND INTO ONE TAX PARCEL SO THAT IT WILL BE
COLLECTIVELY ASSESSED.
TOGETHER with all rights, obligations and interests appurtenant to the Land, (the "Appurtenances") (the
Land and the Appurtenances are collectively referenced herein as the "Real Property").
All or a portion of the Real Property herein conveyed does not include the primary residence of Grantor.
TO HAVE AND TO HOLD the aforesaid Units and all privileges and appurtenances thereto belonging to
Grantee in fee simple.
And Grantor covenants with Grantee that Grantor is seized of the Real Property in fee simple, has the right
to convey the same in fee simple, that title is free and clear of all encumbrances other than as set forth
herein, and that the Grantor will warrant and defend the title against the lawful claims of all persons
whosoever, except for the exceptions hereinafter stated.
Title to the Real Property is subject to the following exceptions:
Ad valorem taxes for the year 2012 and subsequent years; and
2. All easements, covenants, restrictions and other matters appearing in the public record.
THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK. SIGNATURES
APPEAR ON THE FOLLOWING PAGE.
1.0127'
0116
IN WITNESS WHEREOF, Grantor, by authority duly given, has executed this'vtstrument as of the day
and yew first above written.
GRANTOR:
CODDLE CREEK, LLC
By: —
U. Keith W ,Manager
STATE OF NORTHCARROOLINA
COUNTY OF QDt2 1 l �
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in the capacity
indicated: D. Keith Wayne.
Date: �'o_
— ��
urted or Typed Name:f,,1;C
Notary Public
rv°
My commission expires: 4�=� C� I ca?
11l!�tl�lll{{4��p
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1.0127'
01176967 50ON6987 xt 20
0020
Legal Description
That certain tract or parcel of land situated, lying and being in the County of Cabarrus,
North Carolina and being more particularly described as follows:
BEGINNING at the intersection of the centerlines of Davidson Road and Odell School
Road (S.R. 1601) and thence following the centerline of Odell School Road S 65-12-50 E 700.76
feet to a point computed; thence S 46-47-59 E 72.54 feet to a point computed; thence S 31-09-00
W 792.31 feet to an iron pin; thence following a curve with a radius of 940.00 feet, an arc length
of 224.27 feet, a chord bearing of N 81-14-03 E, and a chord length of 223.74 feet to an iron pin;
thence S 01-54-39 E 80.00 feet to an iron pin; thence S 30-34-06 E 41.66 feet to a point
computed; thence S 21-23-19 E 61.18 feet to a point computed; thence S 08-26-11 E 42.58 feet
to a point computed; thence S 35-34-03 W 92.42 feet to a point computed; thence S 09-29-27 E
30.04 feet to a point computed; thence S 37-21-I8 E 66.66 feet to a point computed; thence S 29-
40-45 E 58.91 feet to a point computed; thence S 11-59-10 E 56.69 feet to a computed point;
thence S 18-15-16 E 86.18 feet to an iron pin at the common comer with the property of Jane W.
Coley (now or formerly), Deed Book 2169 at Page 124; thence following a common line with
said Coley S 65-05-04 W 179.54 feet to an iron pin at a common comer with said Coley; thence
following a common line with said Coley S 24-55-13 E 506.86 feet to the intersection with the
centerline of Sudbury Road (S.R. 1607); thence following the centerline with said Sudbury Road
the following two courses and distances: (1) S 634649 W 103.61 feet to a point computed; (2)
S 64-39-55 W 75.99 feet to a point computed; thence the following (13) courses and distances:
(1) N 25-20-37 W 31.04 feet to an iron pin; (2) N 58-06-03 W 23.23 feet; (3) N 39-03-21 W
15.05 feet; (4) N 49-36-00 W 11.21 feet; (5) N 59-04-55 W 29.88 feet; (6) N 66-35-17 W 26.71
feet; (7) N 28-3742 W 25.58 feet; (8) N 19-11-23 E 9.94 feet; (9) N 3342-35 W 16.19 feet; (9)
N 58-29-09 W 21.08 feet; (10) N 18-56-18 W 30.21 feet; (11) N 42-59-40 W 48.53 feet; (12) N
31-42-05 W 24.97 feet; (13) N 57-10-39 W 60.23 feet to an iron pin; thence N 00-00-00 W
267.27 feet to an iron pin; thence N 18-21-45 W 492.06 feet to an iron pin; thence with an are to
the left, a chord radius of 540.00 feet, chord length 468.27 feet, bearing N 82-43-52 W 453.73
feet to an iron pin; thence N 58-40-35 W 322.13 feet to the intersection with the centerline of
said Davidson Road; thence following the centerline of said Davidson Road N 33-25-12 E
1130.20 feet to the intersection of the centerlines of said Davidson Road and said Mooresville
Road, the POINT AND PLACE OF BEGINNING, containing 28.294 acres, and as shown on the
Conveyance Plat J.C. Wallace & wf. Marie Property, prepared by The ISAACS Group, Stephen
S. Dyer, and dated June 29, 2006.
1.0127' -
01186987'
0025
nrlK6987 Foa 25
EJMIT A
Leal Description
That certain tract or parcel of land situated, lying and being in the County of Cabarrus,
North Carolina and being more particularly described as follows:
BEGINNING at the intersection of the centerlines of Sudbury Road (S.R. 1607) and
Odell School Road (S.R. 1601) and thence following a common line of the centerline of Odell
School Road and the property of J.C. Wallace & wf. Marie (now or formerly), Deed Book 6420
at Page 217 N 24-28-04 W 332.83 feet to a common comer with said centerline and the property
of said Wallaces, the POINT AND PLACE OF BEGINNING, thence following a common line
with said Wallaces S 65-48-29 W 288.21 feet to a common comer with said Wallaces; thence
following a common line with said Wallaces N 47-08-37 W 539.59 feet to a common comer
with said Wallaces; thence following a common line with said Wallaccs N 42-51-23 E 266.79
feet to a common comer with said Wallaces and B.M Morrison (now or formerly), Dad Book
405 at Page 412; thence following a common line with said Morrison S 47-09-37 E 556.98 feet
to a common comer with said Morrision; thence following a common line with said Morrison N
46.54-30 E 37.29 feet to a common comer with the property of said Morrison and the centerline
of Odell School Road; thence following the centerline of Odell School Road S 24-28-04 E
100.10 feet to the POINT AND PLACE OF BEGINNING, containing 3.69 acres, and as shown
on the Boundary Survey Property of J.C. Wallace & wf. Marie, prepared by Pyramid Land
Surveying, Rufus Jackson Love, and dated January 11, 2006.
1.0127
0119g98y
0029 ert>K 6937 cst 29
Legal Description
That certain tract or parcel of land situated, lying and being in the County of Cabarrus,
North Carolina and being more particularly described as follows:
BEGINNING at a #5 rebar found at the common corner of the right-of-way of Sudbury
Road (S.R. 1607) and the property of J.C. Wallace & wf. Marie (now or formerly), Book 6420 at
Page 217, and thence following a common line with said Wallaces N 27-58-54 W 481.95 feet to
a #5 rebar at the common comer with said Wallaces; thence following a common line with said
Wallaces N 62-01-23 E 457.82 feet to a 45 rebar at the common comer with said Wallaces;
thence following a common line with said Wallaces S 28-13-35 E 478.26 feet to a #5 bent rebar
in the common corner with said Wallaces and the right-of-way of Sudbury Road; thence
following a common line with the right -of way of Sudbury Road the following four courses and
distances: (1) S 62-21-55 W 41.19 feet; (2) S 6147-40 W 88.67 feet; (3) S 61-4740-W 214.29
feet; and (4) S 60-43-08 W 115.74 feet to the POINT AND PLACE OF BEGINNING,
containing 5.01 acres, and as shown on the Boundary Survey Property of J.C. Wallace & wf.
Marie, prepared by Pyramid Land Surveying, Rufus Jackson Love, and dated January 11, 2006.
1.0127
01208047
0236
LEGAL DESCRIPTION
D..Y
BEGINNING at a railroad spike lying in the centerline of the right-of-way of Davidson
Road (40' public tight -of -way); thence S38-56.19E 1,163.64 feet to a number four rebar lying in
the common comer of the property of Dellinger (now or formerly Dead Book 738, Page 151);
thence with the line of Dellinger the following two cawsos and distances: N65-04-53B 212.41
fed to a number four rebar, S38-54-32E 244.28 feet to a computed point lying in the centerline of
the right-of-way of Sudbury Road-S.R. 1607 (40' public right-of-way); the= with the centerliae
of said Sudbury Read, N64-39-55E 246.81 fed to a computed point lying in the common
boundary of the property of Coddle Crook, LLC (now or formerly - Deed Book 6986, Page 17;
Cabamre County PIN 46733662690000); thence leaving the centerline of Sudbury Road and
following the lino of said Coddle Crock, LLC, the following eighteen (18) courses and distances:
1.
N25-20.37W 31.04 feet;
2.
N584)6-03W 23.23 feel;
3.
N39-03-21W 15.03 feet;
4.
N49-36-00 W 11.21 fed;
5.
N59-04-55W 29.88 fool;
6.
N66-35-17E 26.71 feet;
7.
N28-37.42W 25.58 fat;
8.
N19-I1-23B 9.94 fat;
9.
N33.42-35W 16.19 feet;
10.
N58.29.09W 21.08 fat;
11.
N18-56-I8W 30.21 fat;
12.
N42-58-40W 48.53 fat;
13.
N31-42.05W 24.97 fat;
14.
N57-10-39W 60.23 fed;
15.
N00-00-OOW 267.27 fed;
16.
NI8-21-45W492.06feet;
17. With the arc of a circular curve to the right having a radius of 540.00 feet an arc length of
468.27 feet, a chord bearing of M243-52W and a chord length of 453.73 feet to an iron pin
founw3ct;
18. N58-40-35W 322.13 feet to a comlxuad point lying in the centerline of the tight -of -way of
Davidson Road (40' public right-of-way);
thence with the centerline of said Davidson Road S28-58-36W 364.19 fat Wan iron pin
found/set and the POINT AND PLACE OF BEGINNING; said tract containing 17.751 acres and
designated as "Tarot 2" as shown on a plat entitled "Conveyance Plat J.C. Wallace and wf.,
Marie Property" dated January 22, 2009, prepared by the liaw's Group, Steven S. Dyer, North
Caroline Professional Lend Surveyor Number 1,3509.
1.0127
01218047
0237
TMCI0
BEGINNING at a computed point lying in the intersection of Sudbury RoadS.R 1607
and OdcU School Road -SA 1601; thence with the centerline of said Sudbury Road S66-57-25W
194.53 feet to a computed point; thence S65-13-08W 23631 feet to a computed point; thence
S65-25-36W 309.18 feet to a computed point lying in the common corner of the land of Coddle
Creek, LLC (now or formerly, Deed Book 6987, Pogo 26; Cabarrus County PIN
46733662690000); thence with the line of said Coddle Creek N25.09-54W 503.26 feat to an iron
point found/sct; the= S65-05-04W 278.28 foe to an iron pin found/set lying 1n the common
boundary of the property of Coddle Creek, LLC (now or formerly, Deed Book 6987, Page 17);
thence with the line of said Coddle Creek the following twelve courses and distances:
1. N18-15-16W 86.18 feet;
2. N11-59-IOW 56.69 feet;
3. N29-40-45W 58.91 feet;
4. N37-21-I8W 66.66 fat;
5. N09-29-27W 30.04 fat;
6. N35-34-03E 92.42 feet;
7. N08-26-11 W 42.58 feet;
8. N21-23-19W 61.18 feet;
9. N30-34-06W 41.66 feet;.
10. NOI-54-39W 90.00 feet;
11. With the arc of a circular curve to the left having a radius of 940.00 feet an arc length of
22417 feet a chord bearing of S81-14-03 W a chord length of 223.74 fed;
12. N31.09.00E 792.31 fat to a computed point lying in the western most margin of Highway 3
(Mooresville Road) SYL 1609 (60 foot public rigbt-of-way);
thence 946.47-59E 75.55 feet to a throe quarter inch pipe on line; thence S46d7-59E 597.12 feet
to a one inch iron pipe lying in the common caner of the Property of Coddle Creek, LLC (now or
formerly, Deed Book 6987, Page 26, Cabar us County Pia Number 46735698280000); thence
S45-55.04W 266.79 fed to an iron pin found/set; thence S44-04-56E 539.59 foot to an iron Pin
found/set; thence N68.52-IOE 288.21 feet to a computed point lying in the centeiine of Odell
School RoadS.R.1601; thence with the centerline of said Odell School Road S21-24.23E 332.83
feet to a computed point and the POINT AND PLACE OF BEGINNING; said tract containing
approximately 20,857 acres and designated as Parcel 3 on a plat entitled "Conveyance Plat J.C.
Wallace and wf., Maria Property" dated January 22, 2008, prepared by the Isaac's Group, Steven
S. Dyer, North Carolina professional Land Surveyor Number 1,3509.
1.0127
0122
EXHIBIT A
Legal Descriptions
Less and except all that certain real properly conveyed by the Grantor and Wayne -highway 3, LLC
to Highway 3 Investors, LLC pursuant to those deeds recorded in Book8044, Page 281 and 287 of the
Cabarrus County Public Registry.
TopoZone - USGS Cornelius (NC) Topo Map
Page 1 of 1
Mm
0 0.1 0.2 0.3 0.4 0.5 km �t{G
0 0.09 0.18 0.27 0.36 0.45 mi •lyYyl{
UTM 17 521487E 3927006N (NAD83/WGS84)
USGS Cornelius (NC) Quadrangle M=-7.243
Projection is UTM Zone 17 NA. D83CD'atumAND RESOURCES G=0.138
AND QUALITY SECTION
APR 112014
Db'r.......... ANT
MdA tdA7'IIRNL aC80UflGr:i I,
9
help://www.topozone.com/print.asp71at=35.48636&lon=-80.76312&s=25&size=l&u=4&layer—DRG&dat... 3/18/2008 {r
11 Date Received I Fee Paid I Permit Number 1
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- hIQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an 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.):
Wayne Brothers Corporate Headquarters Warehouse Project
2. Location of Project (street address):
10998 Sudbury Road
City:Kannapolis County:Cabarrus Zip:28036
3. Directions to project (from nearest major intersection):
Southwest approximately 18501.f. along Sudbury Road from the Intersection of Odell School Road (S R 1601)
and Sudbury Road (S.R. 1607)
4. Latitude:35° 29' 13.92" N Longitude:-80° 45' 48.6" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ❑New ®Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW3121102 , its issue date (if knownn)12/31 /2012 and the status of
construction: ❑Not Started ❑Partially Completed' Completed* "provide a designer's certification
2. Specify the type of project (check one):
❑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
DEMLR 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 ®Sedimentation/Erosion Control: 10.16 ac of Disturbed Area
❑NPDFS Industrial Stormwater Z404/401 Permit: Proposed Impacts 149I.f. of stream impact
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit
5. is the project located within 5 miles of a public airport? NNo jJYe,
If yes, see S.L. 2000, Part V%ttp://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page I of 6
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 oroiect):
Applicant/Organization:Coddle Creek LLC
Signing Official & Title:Keith Wayne, President/CEO
b.Contact information for person listed in item la above:
Street Address:195 Erwin Woods Drive
City:Kannapolis State:NC Zip:28081
Mailing Address (if applicable):
City:
Phone: (704 1 938-8400
Emafl:keithw@wayLiebros.com
State: Zip:
Fax: (704 ) 938-8680
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:
Phone: { ) Fax: ( 1
Email:
3. a. (Optional) Print the name and title of another contact such as the projects constriction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Codle Creek LLC
Signing Official & Title:Keith Wayne, President/CEO
b. Contact information for person listed in item 3a above:
Mailing Address:195 Erwin Woods Drive
City:Kannapolis State:NC Zip:28081
Phone: (704 ) 938-8400
Emad:keithw®waynebros.com
Fax: (704 ) 938-8680
4. Local jurisdiction for building permits: Cabarrus County Inspection Deft
Point of Contact:N/A Phone #: (704 ) 920-2128
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6
IV: PROJECT INFORMATION
1. In the space provided below, hriefly sununarize how the stormwater runoff will be treated.
Runoff from impervious surfaces will be collected in catch basins and piped to an above ground Sand Filter
BMP sized to accommodate future development of the contributing on -site watershed.
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 Yadkin River basin.
4. Total Property Area: 75.60 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) = Total Project
Area*:75.60 acres
Total project area shall be calculated to exclude the following the norntal yool of imppom__ tded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHS line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (orMHM line. 77te resultant project area is 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 / Total Project Area) X 100 = 7 Co %
9. How many drainage areas does the project have7l (For high density, count 7 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 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.
Basin Information.,': '.'
<Dr`atna e'Area', -
;Drama eArea '=
Draii a e Area
:Drainage Area
Receiving Stream Name
Rocky River
Stream Class '
C
Stream Index Number •
13-17
Total Drainage Area (so
354,643
On -site Drainage Area (so
354,643
Off -site Drains Area (so
0
Proposed Impervvious Area" (so
270,072
% Impervious Area" total
7(0
Impervious' Surface,Area '
Diaiva b Area _
Drainage Area _
'.Diaina`'e'Area.
Drainage Area _
On -site Buildings/ Lots (sf)
24,000
On -site Streets (so
23,086
On -site Parking (so
94,944
On -site Sidewalks (sf)
2,240
Other on -site (so
77,987
Future (so
47,915
Off -site (so
0
Existing BUA' (so
0
Total s :
270,072
Stream Class and Index Number can be determined at: lt�://mortal.ncdenr.orgAvebhva/ns/csulclassifications
Impervious area is defined 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.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6
11. How was the off -site impervious area listed above determined? Provide documentation. topographic survey
Proieets in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per 1 SA NCAC 028.0600.
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 h2p://portii.ncdenr.org/web/wg/ws/su/bmp-manua1.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://Rortal.ncdenr.org/web/wq/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at hqR://12ortal.ncdenr.org/web/wg/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. AB original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. lH L
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part V11 below)
3. Original of the applicable Supplement Form(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/onestoRexpress.htmi 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 1h mile of the site boundary, include the'h
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 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).
G✓L
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CA-
40 T
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Form SWU-101 Version Oct. 31, 2013 Page 4 of 6
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify GA4
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"xll" 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 DEMLR to verify the SHW1' prior
to submittal, (910) 796-7378.) / 6 / Z--7
10. A copy of the most current property deed. Deed book: / 07 i / Page No: Oc? I-
C�
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Gti
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 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.secretaLy.state.nc.us/Corporations/CSearch.aspx
VIL 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 downloadedhdp*ortal.ncdenr.org/web/lr/state-stormwater-
forms 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 land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
V ill. 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.Christopher N. Isaacs PE
Consulting Firm: The Isaacs Group PC
Mailing Address:8720 Red Oak Blvd., Ste 420
City:Charlotte State:NC Zip:28217
Phone: (704 ) 227-9400
Email:ci®isaacsgrp.com
Fax: (704-227-9401 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, cornplete 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 la) with (print or type name of organization listed in
Contact Information, item la) 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 Oct. 31, 2013 Page 5 of
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. 1 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.
_p Y
Signature: �� Date: March 13th, 2014
1, Lisa K. Webster a Notary Public for the State of North Carolina . County of
Cabarrus do hereby certify that Keith Wayne personally appeared
before me this 13 day of March 2014 arvWcknowledge the due execution of the application for
astormwater permit. Witness my hand and official seal,
111111
JNQ O N ' 1 f Y��i��%
y �0 S SEAL
3W r 11 m
=3 a
° ziS/7 GPPP `\\N My commission expires April 2nd, 2017
X. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in Contact Information, item 1a) Keith Wayne
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 NCAC 21-1 .1000 and any other applicable state stormwater requirements.
March 13th, 2014
1, Lisa K. Webster a Notary Public for the State of North Carolina County of
Cabarrus , do hereby certify that
Keith Wayne
personally appeared
before me this 13 day of March 2014 , a acknowledge the due execution of the application for
a stormwater permit Witness my hand and official al, 1 U
SEAL.
My commission expires April 2nd 2017
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6