SW3160601_CURRENT PERMIT_20160620

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. SW1����� 1
DOC TYPE CURRENT PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

Energy, Min era(
and Land Resources
ENVIRONMENTAL OUALITV
June 20, 2016
Mr. Richard Parker
Union County Kia
8110 E.Independent
Charlotte, North Carolina 28227
Subject: Stormwater Permit No. SW3160601
Union County Kia
Dear Mr. Parker:
PAT MCCRORY
Gnre„'o,
DONALD R. VAN DER VAART
Secret nrr
TRACY DAVIS
The Division of Energy, Mineral, and Land Resources (DELMR), received a complete Stormwater
Management Permit Application for the subject project on June 17, 2016. 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 Section NCAC 2H.1000. We are forwarding Permit No. SW3160601, dated June
20, 2016, for the construction, operation and maintenance of the subject project and the stormwater
system. This permit shall be effective from the date of issuance until June 19, 2016, or until rescinded and
shall be subject to the conditions and limitations as specified therein, and does not supersede any other
agency permit that may be required.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings
(OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes. Per
NCGS 143-215(e) the petition must be filed with the OAH within thirty (30) days of receipt of this
permit. You should contact the OAH with all questions regarding the filing fee (if a filing fee is required)
and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via
telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made
this permit shall be final and binding.
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Mike Randall at [phone]; or
mike. [e-mail].
Sincerely,
forfor Tr vis, PE, CPM, Director
cc: SW3160601 File, Mooresville Regional Office
cc: Frank L. Grey, Eagle Engineering
Jeremy Roberts, Eagle Engineering, Inc.
State ofNorth Carolina I Frivironmental Quality I Energy, Mineral and Land Resources
1612 Mail service Center I Raleigh, North Carolina 27699-1612
919-807-6375

State Stormwater Permit
Permit No. SW3160601
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT QUALITY
STATE STORMWATER MANAGEMENT PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Union County Kia
In Union County, North Carolina
FOR THE
construction, operation and maintenance of a sand filter in compliance with the provisions
of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved
stormwater management plans and specifications and other supporting data as attached
and on file with and approved by the State and considered a part of this permit.
This permit shall be effective from the date of issuance until June 19, 2023, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. The sand filter is approved for the management of stormwater runoff as described in
the application documents and as shown on the approved plans.
3. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be
recorded showing all such required easements, in accordance with the approved
plans.
4. The runoff from all built -upon area within the permitted drainage area of this project
must be directed into the sand filter.
5. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 4

State Stormwater Permit
Permit No. SW3160601
II. SCHEDULE OF COMPLIANCE
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. The permittee shall at all time provide the operation and maintenance necessary to
assure the permitted sandfilter functions at optimum efficiency. The approved
Operation and Maintenance Plan must be followed in its entirety and maintenance
must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader, filter
media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
Records of maintenance activities must be kept for the permitted sand filter. The
reports will indicate the date, activity, name of person performing the work and what
actions were taken.
4. The permittee shall submit an annual summary report of the maintenance and
inspection records for each of the permitted sand filter. The report shall summarize
the inspection dates, results of the inspections, and the maintenance work
performed at each inspection.
The permitted sand filter shall be constructed in accordance with the approved plans
and specifications, the conditions of this permit, and with other supporting data.
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 permitted sand filter 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.
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.
The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
9. A copy of the approved plans and specifications shall be maintained on file by the
Page 2 of 4

State Stormwater Permit
Permit No. SW3160601
Permittee for a minimum of eight years from the date of the completion of
construction.
10. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director. In
the event of a change of ownership, or a name change, the permittee must submit a
completed Name/Ownership Change form signed by both parties, to the State,
accompanied by the supporting documentation. The-approval'of this request will be
considered on its merits and may or may not be approved.
The permittee is responsible for compliance with all permit conditions until such time
as the Division approves a request to transfer the permit.
Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the State, in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
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.
The permittee grants DEQ Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
The permit issued shall continue in force and effect until revoked or terminated. The
permit may be modified, revoked and reissued or terminated for cause. The filing of
a request for a permit modification, revocation and re -issuance or termination does
not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference and
are enforceable parts of the permit.
Page 3 of 4

State Stormwater Permit
Permit No. SW3160601
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 in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this' permit.
Permit issued this the 20'h day of June, 2016.
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

State Stormwater Permit
Permit No. SW3160601
Union County Kia
Union County, North Carolina
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 Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
cc: NCQ-DEMLR Regional Office
SEAL
Page 1 of 1

It
6
DEMLR USE ONLY
at7:7e Received
Fee Paid
Permit N tuber
Applicable Rules: El Coastal SW— 1995 ❑ Coastal SW — 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
0
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT
Project Name (subdivision, facility, or establishment name - should be consiste,�t with projedp,
specifications, letters, operation and maintenance agreements, etc.): h'C-t
CEI ✓pn
City:Monroe County:Union
3. Directions to project (from nearest major intersection):
DFgiR-
Ip�.,.. SAND
2,300 +/- Feet Northwest of the intersection of U.S. Highway 74 & Brekonridge Centre Drive along U.S.
Highway 74 West bound.
4. Latitude:35' 02' 55.75" N Longitude:80° 36' 59.50" W of the main entrance to the project.
5•oKB1 'Tf-90 /5 F
II. PERMIT INFORMATION:
1.a.Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modification'
rRenewals 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 number its issue date (if known) , and the status of
construction: Not Started ❑Partially Completed* ❑ Completed* *provide a designer's
certification
2. Specify the type of project (check one):
❑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: 6.0 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Union County Kia Project ID:UNION-2016-017 Issue Date:September
15. 2015 (Erosion & Sedimentation Control Permit
5. Is the project located within 5 miles of a public airport? ®No []Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/Ir/rules-and-regulations
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):
Form SWU-101 Version Oct. 31, 2013 Page I of

b.Contact information for person listed in item 1a above:
Street
Mailing Address (if
Phone: (7t)f` ) 6Co2,-5;946
Email:
State: /LC Zip: 4?- P 72- 0
State: Zip:
Fax: ( 7dS/ ) !<-k3 - 125 o
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 &
b.Contact information for person listed in item 2a above:
Street Address:
Zi
Mailing Address (if
City: State:
Phone: ( ) 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
Signing Officia
b.Contact information for person listed in item�3a above:
Mailing Address: Co� (e toe ea 14 e-
�k City: a (. He- State: A) Zip: a- S' o `f
Phone: ( 70'{ ) 3 7 ,1 3 S'I `i Fax: ( 7,r SS 9 3 r 3
Email o e C'o tii4�-C4; a n• c o --
� 1
4. Local jurisdiction for building permits:/ On i o �. l e V ..L),
Point of Contact: 81:dt^ oaAkev s Phone #: ( %o i ) R 3 3S/6
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The majority of the side will drain to the rear into a sand filter/dry detention basin. The remainder of the site
will drain to the front into an underground detention / storm filter system.
Form S WU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The majority of the side will drain to the rear into a sand filter/dry detention basin. The remainder of the site
will drain to the front into an underground detention / storm filter system.
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 PUDApproval 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 PeeDee River basin.
4. Total Property Area: 6.00 acres 5. Total Coastal Wetlands Area: N/A acres
6. Total Surface Water Area: N/A acres
7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area':
6.00 acres
Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the ) lornml High Water (NHW) line or Mean High Water
(MHW) line, and coastal Wetlands landward froin the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 63.2 %
9. How many drainage areas does the project have? 2 (For high density, count 1 for each proposed engineered
stornnvater 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
Drainage Area IA
Drainage Area 1B
Drainage Area _
Drainage Area
Receiving Stream Name
S. Fork Crooked
S. Fork Crooked
Stream Class *
C
C
Stream Index Number *
13-17-20-2
13-17-20-2
Total Drainage Area (sf)
156,881
38,223
On -site Drainage Area (sf)
156,881
38,223
Off -site Drainage Area (sf)
1 0
0
Proposed Impervious Area** (sf)
129,338
35,914
% Impervious Area** (total)
82.4
94.0
Impervious— Surface Area
Drainage Area lA
Drainage Area 113
Drainage Area _
Drainage Area
On -site Buildings/Lots (sf)
19,951
On -site Streets (sf)
On -site Parking (sf)
106,879
35,914
On -site Sidewalks (sf)
2,508
Other on -site (sf)
Future (sf)
Off -site (sf)
Existing BUA*** (sf)
Total (sf):
129,338
35,914
Stream Class and Index Number can be determined at: httn'//yortalTicdenr orQ/web/7oq/ys/cw/classifications
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

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/wq/ws/su/bmp-manual.
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://portal.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 http://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space
provided for each item. All original documents MUST be signed and initialed in blue ink. Download the latest
versions for each submitted application package from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
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 N/A
Form. (if required as per Part Vll below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M JLR
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to Jul2 _
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for J d
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 JU
receiving stream drains to class SA waters within''/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations (one copy). A9
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: �LtL
a. DevelopmentlProject name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
I. 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.
I. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify JL4
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"xl 1" 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.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 6397 Page No: 319 JLK
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 1a, 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.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://portal.ncdenr.org/web/Ir/state-stormwater-forms docs.
Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions
and protective covenants for this project, if required, shall include all the items required in the permit and
listed on the forms available on the website, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or
deleted without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any
lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Frank L. Gray III P.E
Consulting Firm: Eagle Engineering Inc.
Mailing Address:2013-A Van Buren Ave.
City:lndain Trail State:NC Zip:28079
Phone: (704 ) 882-4222 Fax: (877 )
Email:skeet(a�eagleonline. net
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (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 1 a) 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.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and submit
a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that peration of a stormwater treatment facility without a valid
permit is a violation of neral Statue 1 215 and may result in appropriate enforcement action including
the assessment of rvil pen iegslof ups$ 5r day, pursuant to NCGS 143-215.6.
Signature:
Date:
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

�n�A a Notary Public for the State of N (�
County of l btS 6V-\ do hereby certify that Vt CkC&v-A 1�7 �'Cwt^ en/
personally appeared before me this q� day of SWtii --OL��, and acknowledge the
due execytion of the applicption for a stormwater permit. Witness my hand and official seal,
r�vV�� HqY
SEAL
My commission expires I Z �-- Z() � CAI
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 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 recor ed, nd that the proposed project complies with the requirements of the
applicable st ate rulg.%7u t ff5A e,�rC_ZMl f 000 and any other applicable state stormwater requirements.
Date: ?.I A4
I, \.e' A rn . \�(S , a Notary Public for the State of H
County of ri wS�On do hereby certify that CInQ.y \ olvLe,t'-
personally appeared before me this 6V��— day of and acknowledge the
due execution of the
for a stormwater permit. Witness my hand and official seal,
Vn,n�COMvYNts5lUv, �Gt(�71�f<.S L1.5.2-m
SEAL
Form S WU-101 Version Oct. 31, 2013 Page 6 of 6

Permit Number:
(ta he provided by DVVQ)
Drainage Area Number:
Sand Filter Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known
set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced
immediately. These deficiencies can affect the integrity of structures, safety of the public, and the
removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the sand filter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
— Once a year, sand media will be skimmed.
— The sand filter media will be replaced whenever it fails to function properly after maintenance.
The sand filter will be inspected quarterly and within 24 hours after every storm event greater than
1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept
in a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired
immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
Entire BMP
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon_
applicable)
pavement surface.
as possible.
Perimeter of sand filter
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove
gullies have formed.
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 long.
Maintain vegetation at an appropriate
height.
Flow diversion structure
The structure is clogged.
Unclog the conveyance and dispose of
any sediment offsite.
The structure is damaged.
Make any necessary repairs or replace if
damage is too large for repair.
Forebay or pretreatment
Sediment has accumulated to a
Search for the source of the sediment and
area
depth of greater than six inches.
remedy the problem if possible. Remove
the sediment and stabilize or dispose of it
in a location where it will not cause
impacts to streams or the 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
a pesticide is used, wipe it on the plants
rather than spraying.
BMP element:
Potentialproblem:
I How I will remediate theproblem:
Filter bed and underdrain
collection system
Water is ponding on the surface for
more than 24 hours after a storm.
Check to see if the collector system is
clogged and flush if necessary. If water
Form SW401-Sand Filter O&M-Rev.4 2009Septl7 Page I of 3

still ponds, remove the top few inches of
filter bed media and replace. If water still
ands, then consult an expert.
Outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of
the sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other signs of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
Form SW401-Sand Filter O&M-Rev.4 2009Sept17 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior
to any changes to the system or responsible party.
Project name:Union County Kia
BMP drainage area number:
Print name:
Date:
i�
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, �WA A� (S a Notary Public for the State of
�13
i County of NI) n do hereby certify that
�1 C81yt�, E TCtn'(2f,✓ personally appeared before me this Th day of
lTtk u Q U , and acknowledge the due execution of the forgoing sand filter
maintenance requirements. Witness my hand and official seal,
My commission expires � 2 • � 2-n C1
Form SW401-Sand Filter O&M-Rev.4 2009Septl7
Page 3 of 3

Permit Number:
(to be provided by DWQ)
StormFilter Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a known
set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or replaced
immediately. These deficiencies can affect the integrity of structures, safety of the public, and the
removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
StormFilter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
The StormFilter system will be inspected quarterly. Records of operation and maintenance will be kept
in a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be
repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
Entire BMP
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon
applicable)
pavement surface.
as possible.
Flow diversion structure
The structure is clogged.
Unclog the conveyance and dispose of
any sediment offsite.
The structure is damaged.
Make any necessary repairs or replace if
damage is too large for repair.
StormFilter Cartridges
Cartridges not performing as
Replace cartridges per manufacturer's
designed — see Contech IRM
recommendations.
document to determine if cartridge
maintenance is required.
Outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of
the sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other signs of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
All other operation and maintenance activities should be in accordance with Contech's StormFilter
Inspection and Maintenance Procedures document. Any problems that are found shall be repaired
immediately. I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above and have received and understand Contech's

Pennit Number:
(lobe provided br DWQ)
StormFilter Inspection and Maintenance Procedures document. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Union County Kia
BMP drainage area number:
Print name: W. /- 4,1- YJ F
vaic.
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.
1, WF,WA W . a Notary Public for the State of N1 b
County of C- Q6k j) do hereby certify that 1�1cktVA c, ��JCUI�1Q/L Ly-
personally appeared before me this day of T tl1A,e.) and acknowledge the due
execution of the forgoing sand filter maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires

Permit Number:
Ito be provided by DWQ)
Gp WATFq
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
SAND FILTER SUPPLEMENT
This form must be filled out on line, printed and submitted with all of the required information.
Make sure to also fill out and submit the Required Items Checklist (Section Ill) and the I&MAgreement (Section /V)
Project name
Contact name
Phone number
Date
Drainage area number
II'D ESIGNjINF,ORMAT_ION
Site Characteristics
Drainage area (AD)
Impervious area
% Impervious (IA)
Design rainfall depth (Ro)
Peak Flow Calculations
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Pre/Post 1-yr, 24-hr peak control
Storage Volume
Design volume (WQV)
Adjusted water quality volume (WOVAdi)
Volume contained in the sedimentation basin and on top of the sand filter
Top of sand filter/grate elevation
Weir elevation (between chambers)
Maximum head on the sedimentation basin and sand filter (IrM„F;de,)
Average head on the sedimentation basin and sand filter (hA)
Runoff Coefficient (Rv)
Type of Sand Filter
Open sand filter?
SHWT elevation
Bottom of the sand filter elevation
Clearance (dsHwr)
Closed/precast sand filter?
SHWT elevation
Bottom of the sand filter elevation
Clearance (dSHwT)
Kia
1513_,Wl_06, fe
129,338.00'ft'
82.4% %
1.%in
i Iin
iin/hr
W/sec
{ Wisec
ft3/sec
10;354.00i,
7,765.50 ft3
I 12,341.00; ft3
680 Ift amsl
681.25 lft amsl
1.25!ft
I 0.63'ft
0.79 (unidess)
Y YorN
<666'ft amsl
678.00E amsl
>121
N ! YorN
I ift amsl
tft amsl
i
If this is a closed, underground closed sand filter: The clearance between
the surface of the sand filter and the bottom of the roof of the underground I ft
structure (ds� )
OK
o� d60� G?
C�1%
OK �f
cP
Insufficient depth.
OK
cull// /'
OFES``SA�%�TT'OLj'�
tf WL
- --j�� 15798
r.C"t&GIN EEP; '1•
1 L G4P
rrnnmu66-08-16
Form SW401-Sand Filter-Rev.5 2009Sept17 Parts I and II. Project Design Summary, Page 1 of 4

Permit Number:
(to be provided by DWQ)
Sedimentation Basin
Surface area of sedimentation basin (As)
Sedimentation basin/chamber depth
Sand Filter
Surface area of sand filter (AF)
Top of sand media filter bed elevation
Bottom of sand media filter bed/drain elevation
Depth of the sand media filter bed (dF)
Coefficient of permeability for the sand filter (k)
Outlet diameter
Outlet discharge/flowrate
Time to drain the sand filter (t)
Time to drain the sand filter (t)
Additional Information
Does volume in excess of the design volume bypass the sand f IteO
Is an off-line flow -splitting device used?
If draining to SA waters: Does volume in excess of the design volume flow
evenly distributed through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30ft from surface waters (50ft if SA waters)?
If not a closed bottom, is BMP located at least 100ft from water supply wells?
Are the vegetated side slopes equal to or less than 3:1
Is the BMP located in a recorded drainage easement with a recorded access
easement to a public Right of Way (ROW)?
What is the width of the sedimentation chamber/forebay (Wsd)?
What is the depth of sand over the outlet pipe (dpipe)?
7,392.00 ft2 OK. Meets minimum, but may need to be increased to
1,300.00;ft2 OK. Meets minimum, but may need to be increased to
680.00'ft amsl
678.50;ft amsl
1.50 ft
I
- 3.501(ft/day)
I
4.00'in
0.75!113/sec
40.00!hours
OK. Submit drainage calculations.
1.67 days
Y
YorN
OK
N
l Y or N
Insufficient flow splitter.
1
� YorN
tt
YorN
Y
YorN
OK
Y
YorN
OK
{ Y
I Y or N
OK
1
N
'
- Y or N
Insufficient ROW location.
50.001ft
OK
1.50'ft
OK
Form SW401-Sand Filter-Rev.5 2009Sept17 Parts I and It. Project Design Summary, Page 2 of 4

Permit
(to be provided by DWQ)
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.
Initials Pagel Plan
Sheet No.
JLR C-4.1 & SWIM 1. Plans (1" - 50' or larger) of the entire site with labeled drainage area boundaries
Report Apdx. - System dimensions (length, width, and depth) for both the sedimentation chamber and the filter
B chamber,
- Maintenance access,
- Flow splitting device,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable), and
- Boundaries of drainage easement.
JLR C-4.1 2. Plan details (V = 30' or larger) for the sand filter showing:
- System dimensions (length, width, and depth) for both the sedimentation chamber and the
chamber,
- Maintenance access,
Flow splitting device,
Vegetative filter strip dimensions and slope (if SA waters),
Proposed drainage easement and public right of way (ROW),
Design at ultimate build -out,
Off -site drainage (if applicable), and
Boundaries of drainage easement.
JLR C-4.1 3. Section view of the sand filter (V = 20' or larger) showing:
- Depth(s) of the sedimentation chamber and sand filter chamber,
- Depth of sand filter media,
filter
- Connection between the sedimentation chamber and the sand filter chamber and weir elevation,
- SHWT elevation,
- Outlet pipe, and
- Clearance from the surface of the sand filter to the bottom of the roof of the underground structure (if
applicable).
JLR Calcs Apdx C 4. A soils report that is based upon an actual field investigation, soil borings, and infiltration tests. The
results of the soils report must be verified in the field by DWQ, by completing & submitting the soils
investigation request form. County soil maps are not an acceptable source of soils information.
JLR SWM Rept 5. Supporting calculations (including drainage calculations)
JLR Included 6. Signed and notarized operation and maintenance (0&M) agreement
7. A copy of the deed restrictions (if required).
Form SW401-Sand Filter-Rev.5 2009Sept17 Part III, Page 3 of 4

. ,;
Permit Number:
(to be Provided by DWQ)
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
ATAFICA 401 CERTIFICATION APPLICATION FORM OF WATFH
`r o
VdMTECKSTORMFILTER SUPPLEMENT
HCDENRENGINEERED SOLUTIONS o t
This form must be filled out on line, printed and submitted with all of the required information.
Project name
Contact name
Phone number
Date
Drainaae area number
Site Characteristics
Drainage area (Ao)
Impervious area
% Impervious (IA)
Design rainfall depth (Re)
Peak Flow Calculations
1-yr, 24-hr runoff depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr runoff
Past -development 1-yr, 24-hr runoff
Pre/Past 1-yr, 24-hr peak control
Storage Volume
Design volume (WQV)
Adjusted water quality volume (WQVAai)
Volume contained before filter
Runoff Coefficient (Rv)
Mass loading calculations
Mean Annual Rainfall, P
Agency required TSS% removal
Percent Runoff Capture (% capture)
Event Mean Concentration of Pollutant, EMC
Filter System
Cartridge height
Specific Flaw Rate, q
SHWT elevation
Bottom of the StormFilter vault elevation
Clearance (d, .vr)
Time to drain the StormFilter (t)
Time to drain the StormFilter (t)
SUMMARY
Maximum Treatment Flow Rate, cfs
Number of Cartridges
Additional Information
Does volume in excess of the design volume bypass the filter?
Is an off-line flow -splitting device used?
If draining to SA waters: Does volume in excess of the design volume flow
evenly distributed through a vegetated filtel4
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30ft from surface waters (50f1 if SA waters)?
Are the vegetated side slopes equal to or less than 3:1
Is the BMP located in a recorded drainage easement with a recorded access
easement to a public Right of Way (ROW)?
'Union County Kia
Jeremy Roberts
-704-893-1263
.June 8, 2016
18
M,223.dfIZ
OK
35,914.00 W
94.0% %
1.00;in
in/hr
it/sec
ft'/sec
0'P/,.
it/sec
2,852.81 it
(P
2,139.61 ft'
OK
2,214.00 ft'
N
0.90 (unilless)
45.00 in
85.00%
90,00%
70.00 mg/I
(Suggestion: Use 60 for residential, 70 for Commercial, 100
_
for Industrial)
18.00 in
1.00 'gpmth'
n/a it amsl
674.00 it amsl
#VALIIFI
53.80ihours
OK. Submit drainage calculations.
2.24 days
0.13
8.00
``rrpuwuhrrr ry'
0o0,�
Y
N
Y or N
YorN
OK
Insufficient flow splitter. o ess/
YorN_-
AL9'"
it
15798 ti
?"A":
YorN
YorN
=.
;9 �
OK fhc)NFti4 •�. ,
Y
Y N
L G4P�O
or
08 - 16
N
Y or N
Insufficient ROW location.
Form SW401-StormFilter"Rev.1 2012Aug Parts I and 11. Project Design Summary, Page 1 of 4

Permit No.
(to be provided by DWQ)
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.
Initials Pagel Plan
Sheet No.
JLR ;-4.0 & Contecll. Plans (1" = 50' or larger) of the entire site with labeled drainage area boundaries
- System dimensions (length, width, and depth) for the filter chamber,
- Maintenance access,
- Flow splitting device,
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable), and
- Boundaries of drainage easement.
JLR Contech 2. Plan details (1" = 30' or larger) for StormFilter showing:
- System dimensions (length, width, and depth),
- Maintenance access,
- Flow splitting device,
- Vegetative filter strip dimensions and slope (if SA waters),
- Proposed drainage easement and public right of way (ROW),
- Design at ultimate build -out,
- Off -site drainage (if applicable), and
- Boundaries of drainage easement.
JLR Contech 3. Section view of the StormFilter Vault (114" = 1'0" or larger) shoving:
- Depth(s) of the vault containing StormFilter cartridges,
- Number of cartridges,
- Cartridges specifications,
- SHWT elevation, and
- Outlet pipe.
JLR Calc. Apdx. 4. A soils report that is based upon an actual field investigation and soil borings. The results of the soils
report must be verified in the field by DWQ, by completing & submitting the soils investigation request
form. County soil maps are not an acceptable source of soils information.
JLR SWM Rept. 5. Supporting calculations (including drainage calculations)
JLR Included 6. Signed and notarized operation and maintenance (0&M) agreement
7. A copy of the deed restrictions (if required).
Form SW401-Sand Filter-Rev.5 200gSeptl7 Part III, Page 2 of 4