SW3170606_CURRENT PERMIT_20170804

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. I
DOC TYPE CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE I azzr%�o ff
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITY
Randy Marion
Randy Marion Chevrolet of Statesville, LLC
615 Gaither Road
Statesville, NC 28677
August 4, 2017
Subject: Stormwater Permit No. SW3170606
Randy Marion Chevrolet of Statesville
Statesville, North Carolina in Iredell County
Dear Mr. Marion:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Direnor
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The Division of Energy, Mineral, and Land Resources (DELMR), received a complete Stormwater
Management Permit Application for the subject project on June 30, 2017. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater Regulations
set forth in Title 15A NCAC 2H.1000 rules. We are forwarding Permit No. SW3170606, for the
construction, operation and maintenance of the subject project and the stormwater system. This permit
shall be effective from the date of issuance 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.
After 30 days, this project will be kept on file at the Mooresville Regional Office. Before then, if you
have any questions, or need additional information concerning this matter, please contact Richard Riddle
at [phone]; or [e-mail].
Sincerely,
Original signed by Rakaad Z. RRrdd&, �h.
for Tracy E. Davis, PE, CPM, Director
cc: SW3170606 File,
Mooresville Regional Office
ec: Jeff Wehling, Piedmont Design Associates, P.A.
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

State Stormwater Permit
Permit No. SW3170606
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
Randy Marion Chevrolet of Statesville, LLCM s�A
for Randy Marion Chevrolet
615 Gaither Road, Statesville NC
Iredell County
�di co
FOR THE gam°
construction, operation and maintenance of the 1 Stormwater Control Measures (SCM) in
compliance with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans, specifications and
other supporting data as 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 August 04, 2025, 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 SCM 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 SCM.
The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
II. SCHEDULE OF COMPLIANCE
During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
The permittee shall at all time provide the operation and maintenance necessary to
assure every SCM functions at optimum efficiency. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at
Page 1 of 4

State Stormwater Permit
Permit No. SW3170606
the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader, filter
media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
3. Records of maintenance activities must be kept for the SCM. 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 the SCM. The report shall summarize the inspection dates,
`.results of the inspections, and the maintenance work performed at each inspection.
5. The SCM 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 SCM certifying that it has been installed in
accordance with this permit, the approved plans and specifications, and other
supporting documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be required for
those deviations.
7. SCMs impacted by sedimentation and erosion control during the construction phase
shall be cleaned out and converted to its approved design state.
8. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for which
Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
9. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of eight years from the date of the completion of
construction.
10. The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
Page 2 of 4

State Stormwater Permit
Permit No. SW3170606
have been made.
11. SCMs that allow stormwater to infiltrate shall not be located on or in areas with
contaminated soils.
12. Plats for residential lots that contain SCMs shall include: the specific location of the
SCM on the lot; a typical detail for SCM to be used; and a note that the SCM on the
property has been required to meet stormwater regulations and that the property
owner may be subject to enforcement procedures as set forth in G.S. 143, Article 21
if the SCM is removed, relocated, or altered without prior approval.
13. The O&M Agreement shall be referenced on the final plat and shall be recorded with
the county Register of Deeds upon final plat approval. If no subdivision plat is
recorded for the site, then the O&M Agreement shall be recorded with the county
Register of Deeds so as to appear in the chain of title of all subsequent purchasers.
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.
2. The permittee is responsible for compliance with all permit conditions until such time
as the Division approves a request to transfer the permit. .
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the 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.
6. 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.
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. SW3170606
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit as
allowed by the laws, rules and regulations contained in Session Law 2006-246, Title
15A NCAC 21-1.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 04th day of August, 2017.
dug!«at' a "a 4 Rid Z Rad&, &.
or racy E. Davis, .E., CPM
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

State Stormwater Permit
Permit No. SW3170606
Randy Marion Chevrolet of Statesville
615 Gaither Road, Statesville, NC
iredell County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
cc: NCDEQ-DEMLR Regional Office
Page 1 of 1

Letter of
Transmittal
Piedmont Design Associates, P.A.
125 East Plaza Drive, Suite 101
Mooresville, NC 28115
[phone]
Fax: [phone]
Email:[e-mail]
To: Job Number: 2015A3 D
st �mwater Dept. EQ RANDY MARION`�ORD 1p.sc vE
217 West Jones St. Gaither Road Project j�N 3 p 2�t1
Raleigh, NC 27603 pUP�IN
Aft:
WQ Reviewer (WATER QUALITY REVIEW SUBMITTAL 2) �jENR-1-AIRPERMIT�INU
DATE
June 21, 2017
COPIES
NO.
DESCRIPTION
2
appl
REVISED STORM E-Z APPLICATION (New Signatures)
2
dots
REVISED OPERATION & MAINTENANCE AGREEMENT (New Signatures)
2
docs
NC Secretary of State - Dawn Properties, LLC
2
docs
NC Secretary of State - Howard Family Investments #1, LLC
These are transmitted
®
For approval
❑
Approved as submitted
❑
Resubmit ❑ copies for app.
❑
For your use
❑
Approved as noted
®
Submit ❑ copies for dist.
®
As requested
❑
Returned for
❑
Return ❑ corrected prints
corrections
®
For review & comment
❑
FOR BIDS DUE:
REMARKS:
Attached are the revised application and O & M Agreement as requested. The new signatures are in direct
relation to the Secretary of State LLC filings attached for the involved properties. Please review and if you
have any questions, give myself or Donald L. Munday of our office a call.
Signed: A-
Jemr-vhling, Prof t tanager
cc:

--van
j rid
I
I

0
Operation & Maintenance Agreement
RANDY MARION CHEVROLET OF STATESVILLE S6� �tJO ARM
Q�P \NG
DENR �E�e
STATESVILLE, NC IREDELL County o�MNIP
Prepared By: Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A. 5�
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set locatio
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 pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply &
Bioretention Cell
Quantity:
Dry Detention Basin
Quantity:
Grassed Swale
Quantity:
Green Roof
Quantity:
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Level SpreaderNFS
Quantity:
Permeable Pavement
Quantity:
Proprietary System
Quantity:
Rainwater Harvesting
Quantity:
Sand Filter
Quantity:
Stormwater Wetland
Quantity:
Wet Detention Basin
Quantity:
Disconnected Impervious Area
Present:
Soil Amendments
Present:
O&M tables
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
Signal}��/re: /
` Responsible Party:
Randall L. Marion
Title & Organization:
Randy Marion Chevrolet of Statesville, LLC
Street address:
220 W Plaza or
City, state, zip:
Mooresville, NC 28117
Phone number(s):
704-873-9094
Email:
[e-mail]
Date:
a Notary Public for the State of /lJ [fn-
County of @c-t-/Pi1 /0G!T7 do hearby c�rj rtify that
personally appeared before me this /� day of Jun E —14 ! % and
/1./7
acknowledge the due execution of they Op rations and Mai^nte'pm a Agreement.
Witness my hand and official seal, 0
REBECCAJFROS
NOTARY PUBLIC
Meckwro, 9 County North Ca
m, Commission Expires May 4,
commission expires
S
zv/3
STORM -CZ
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Version 1.4 O&M Manual Pagee 1 1 of 4

I Wet Detention Pond Maintenance Requirements (
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the vegetated filter if
one is provided.
Important maintenance procedures:
_ Immediately after the wet detention basin is established, the plants on the vegetated shelf and perimeter of the
basin should be watered twice weekly if needed, until the plants become established (commonly six weeks).
No portion of the wet detention pond should be fertilized after the first initial fertilization that is required to
establish the plants on the vegetated shelf.
_ Stable groundcover should be maintained in the drainage area to reduce the sediment load to the wet detention
basin.
_ If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through the
emergency drain should be minimized to the maximum extent practical.
Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance should be kept in a
known set location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How I will remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to smooth it over and provide erosion
swale.
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The forebay
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where it
original design depth for
will not cause impacts to streams or the BMP.
sediment storage.
Erosion has occurred.
Provide additional erosion protection such as reinforced turf matting or
riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the problem: soils, hydrology, disease, etc.
dying.
Remedy the problem and replace plants. Provide a one-time fertilizer
application to establish the ground cover if a soil test indicates it is
necessary.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used, wipe it on
the plants rather than spraying.
STORM-EZ
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Version 1.4 08M Manual Pagee 2 of 4

I Wet Detention Pond Maintenance Requirements (Continued) I
The main treatment area
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than the
possible. Remove the sediment and dispose of it in a location where it
original design sediment
will not cause impacts to streams or the BMP.
storage depth.
Algal growth covers over 50%
Consult a professional to remove and control the algal growth.
of the area.
Cattails, phragmites or other
Remove the plants by wiping them with pesticide (do not spray).
invasive plants cover 50% of
the basin surface.
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and consult a professional to remove
beaver activity is present,
beavers.
A tree has started to grow on
Consult a dam safety specialist to remove the tree.
the embankment.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. (if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
STORM-EZ
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Version 1.4 08M Manual Pagee 33 off4 4

I Wet Detention Pond Design Summary I
WET POND ID FOREBAY
WET POND 1 Normal Pool El.
Temporary Pool EI:
other NoClean out depth:
forebay? Sediment Storage El:
Veg. Filter? No Bottom EI:
MAIN POND
Normal Pool El.
Temporary Pool EIPretreatment
Clean out depth:than
Sediment Storage El:Has
Bottom EI:
806.5
807.81
805.25
IE
803
802
STORM-EZ 6f7/2017
Version 1.4 O&M Manual Page 4 of 4

North Carolina
Elaine F. Marshall DEPARTMENT OFTHE
Secretary SECRETARY o>= STATE
PO Box 29622 Raleigh, INC 27626-0622 [phone]
Click Here To:
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Legal: Dawn Properties, LLC
Prev Legal: Randy Marion Automotive, LLC
Limited Liability Company Information
Sosld:
0629368
Status:
Current -Active
Annual Report Status:
Current
Citizenship:
Domestic
Date Formed:
4/29/2002
Fiscal Month:
December
Registered Agent:
Marion, Randall L
Corporate Addresses
Mailing:
220 W Plaza Dr
Mooresville, NC 28117
Principal Office:
220 W Plaza Dr
Mooresville, NC 28117
Reg Office:
220 W Plaza Dr
Mooresville, NC 28117
Reg Mailing:
PO Box 1559
Mooresville, NC 28115
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member:
Jennifer D Mills Irrevocable Trust UTA Respecting Dawn Properties
220 W Plaza Dr
Mooresville NC 28117
Member:
Betty J Marion
153 Sailview Road
Mooresville NC 28117
Manager/Member:
Randall L Marion
220 W Plaza Dr
Mooresville NC 28117
Member:
Randall L Marion II Irrevocable Trust LITA Respecting Dawn Properties
220 W Plaza Dr
Mooresville NC 28117
Account
Login
Create
Account

�,t131'10�0�
STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
RANDY MARION CHEVROLET OF STATESVILLE ©k - A
° STATESVILLE, NC IREDELL County ��
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A. NC®ENR
Application
Type of application:1 New Permit
Only complete application packages will be accepted and reviewed. A complete package Includes all of the Items in the checklist
below. Add any comments, and indicate the page or plan sheet number where the following information can be found. Please
Indicate that you have provided the following required Information by Initialing In the space provided next to each Item,
i Part I: Submittal Checklist I
Item
Notes/Comments Initials
1 Original and one copy of this application form (all worksheets) and the permit
JCW
application fee. For applications submitted to the DEMLR regular permitting
program, the fee is $505 payable to NCDENR. For Express Review, click on the
link below for information and fee schedule. Contact the appropriate regional
office Express Review Coordinator to schedule the required pre -application
meeting.
Click here for Exoress Permitting info
2 A USGS map identifying the site location. If the receiving stream is reported as
JCW
class SA or the receiving stream drains to and is within 1/2 mile of SA waters,
then include the 112 mile radius on the map.
3 A copy of the most current property deed.
JCW
4 Two copies of additional calculations (as needed). Sealed, signed and dated.
JCW
5 Two sets of sealed, signed, & dated full-sized plans of the entire site at a
JCW
readable scale, including:
a. Project name, engineer and firm, revision number and dates.
JCW
b. Location map with street names and SR numbers, legend, north arrow,
JCW
scale.
c. Dimensioned property/project boundary with bearings & distances.
JCW
d. The boundaries of all surface waters, regulatory flood zones, and protected
JCW
riparian buffers or a note on the plans that none axis(.
e. The boundaries of all vegetated or protected riparian buffers.
JCW
I. Site layout showing all built -upon areas, drainage features, stormwater
JCW
collection systems (inlets, outlets, swales, pipe elevations, slopes and
diameters), and SCMs at ultimate build -out.
g. Existing contours, proposed contours, spot elevations, and finished floor
JCW
elevations.
h. Existing drainage (includingoff-site), drainage easements, pipe sizes, runoff
JCW
calculations.
i. Drainage area boundaries (included in the main set of plans, not as a
JCW
separate document).
j. Existing and proposed maintenance access routes, utility easements,
JCW
drainage easements, public rights -of -way etc.
k. A construction sequence that shows how the SCMs will be protected from
JCW
sediment until the entire drainage area is stabilized.
6 Two sets of sealed, signed, & dated full-sized plan details of each SCM (or
JCW
typical if appropriate) in both plan view and cross-section at a scale of 1" = 30'
or larger, including:
a. Dimensions, side slopes, length to width ratios and elevations with a
JCW
benchmark for clean -out if appropriate.
STORM-EZ 6/7/2017
Version 1.4 Application Page 1 of 6

STATESVILLE. NC BEDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
b. All applicable conveyance devices, including: bypass structure, JCW
pretreatment area, flow distribution device, underdrains, outlet device, outlet
dissipater and level spreader.
c. A table of elevations, incremental volumes and accumulated volumes (if JCW
applicable).
d. Specifications for applicable materials, such as planting media, aggregate, JCW
sod, underdrains, outlet devices, etc.
STORM-EZ U712017
Version 1.4 Application Page 2 of 6

STATESVILLE, NC IREDELL County
Mr. Donald, L. Munday, P.E., Piedmont Design Associates, P.A.
7 Two sealed, signed, & dated planting plans for each SCM (or typical) at a scale
JCW
of 1" = 20' or larger, as applicable, including:
a. The locations of each species and a planting detail.
JCW
b. A table summarizing the size, spacing and total quantity of each plant
JCW
species that should be used.
c. The source nursery for the plants.
TBD
d. A one-time fertilizer specification to establish plants if necessary.
JCW
8 A soils report based on field evaluation indicating the SHWT elevations within
N/A
the footprints of the proposed SCM(s). Provide a map of the boring locations
_ with the existing elevations and boring logs. For infiltration SCMs, the report
shall include the soil type, infiltration rate and method for determining the
infiltration rate. Soils information shall be signed and sealed by a licensed soil
9 A copy of the signed and notarized operation and maintenance (O & M)
JCW
agreement.
10 A copy of the proposed deed restrictions protecting the SCMs and limiting the
JCW
built -upon area so that it does not exceed the capacity o1 the SCM(s) or the hig
density threshold (as applicable).
NCDENR Deed Restriction Forms
11 For corporations and limited liability corporations (LLC): Documentation from the
JCW
NC Secretary of Stale or other official documentation, which supports the titles
and positions held by the persons listed in the Contact Information section. 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.
NC Dept, of the Secretary of Stale
12 A copy of the lease agreement or pending sales agreement if applicable.
N/A
STORM-EZ
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Version 1.4 Application Page 3 of 6

5tJ31170 � 0,6
ZbDL1:n
STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part If: General Project and Applicant Information
Project Name: RANDY MARION CHEVROLET OF STATESVILLE Date: 10-May-17
Project Street Address: 615 GAITHER ROAD Let: 35.806875
City: STATESVILLE I Zip: 28677 Long: •80.882814
Directions to Project: FROM 1-40 (EXIT 151) TURNERSBURG HWY. (SR-21), go North 150', Turn County: IREDELL
(from nearest intersection) left (WEST) ON Gaither Road (2148 LF) to Driveway Entrance NON -COASTAL
Project Applicant: Randy Marlon Chevrolet of Statesville, LLC
(identify the corporation, organization, property owner, designated
government official, efc. which owns the project.)
Owner / Signing Offical's Name:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Status of applicant:
Randall L. Marion
Member Manager
PO Box 1559
Mooresville
NC
28115-1559
704-659-7037
704-230-1302
ebroach rand marion.com
Dovelopor Complete contact information for
property owner below.
River Basin: Yadkin
Receiving Stream(,): Morrison Creek
Stream Class(es): C
Surface Water Area (ac): 10.99 Coastal wetland area (ac): N/A
Total property area (ac): 33.99 Total project area (ac):1 8.79
Goals/characteristics: v
Volume Matching (LID) NO Drains to an offsile stormwater system
Low Density NO Within 575'of Saltwater ORWHigh Density YES Within 5 miles of a public airport
Briefly summarize how the stormwater runoff will be treated:
PROPOSED WET DETENTION POND 1 (DESIGNED PER NCDENR BMP MANUAL)
i Part III: Permit Information
Status of construction: Not Started
Other permits needed:MNO
Sedimentation 8 erosion control MNO
404 Permit / 401 Cenificalion
CAMA Major Permit Isolated Wetlands Permit
Threatened 8 Endangered Species NPDES Industrial Stormwater Permit
If an application for this project has been previously returned, provide the original project number and previous name of the project:
None
Provide the permit type, number and
been obtained for this
If claiming vested rights, [hen identify (and attach) the supporting documents and approval dates:
NO Approval of a site -specific development plan or PUD Approval dale:
NO Valid building permit Issue dale:
NO Other Date:
Not Slatted
Point of Contact: Phone numbei:�__=
STORM-EZ 6/7/2017
Version 1.4 Application Page 4 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Monday, P.E., Piedmont Design Associates, P.A.
Part IV: Additional Contact Information
Property Owner/Organization: Howard Family Investments i11, LLC
Signing Official & Title: Linda H. Howard
Street address: 403 Deauville Rd
City, Slate, Zip: Statesville, NC 28677
Phone number(s) : 704-873-9094
(Optional) Additi
Person /
Signing O
Str
Cit
Phon
(Note: Person/Organization noted above may be contacted for additional project information if applicant
cannot be reached.)
Part V: Consultant Information
Complete this section If you wish to designate authority to another Individual or time so that they may provide Information on your
behalf for this project (such as addressing requests for additional Information).
Consultant
Firm
Street address
City, State, Zip
Phone number(s)
Email
Mr. Donald. L. Monday, P.E.
Piedmont Design Associates, PA.
125 East Plaza Drive, Suite 101
Mooresville, NC
704-664-7888
dmundav(alodaoa.com
STORM-EZ 6/7/2017
Version 1.4 Application Page 5 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part VI: Property Owner Authorization
I, (the Property Owner listed above), Dawn Properties, LLC , certify that I own the properly identified
in this permit application and thus give permission to (the Applicant), Randy Marion Chevrolet of Statesville, LLC
to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with this
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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater treatment facility without a
valid permit. I understand (hat the operation of a stormwater treatment facility without a valid permit is a violation of NC General Statute 143-
215.1 and may r ropriate enforcement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215.6.
ignature: ( Date: i0 1A-17
I, Yvr V/4 d . f—",
County of
personally appeared before me thi
and acknowledge the due execution
Witness my hand and official seal, _
REBECCAJFROST
11 NOTARY PUBLIC
MacrJenburg County. NorEi CaroMrr
My Commission Expkas May
, a Notary Public fo he Sl�a1te of N G
do pQearby certifythat �n/7Q // R/'/'AT
of OU/11° 101'7
icetion for aslormWater pefmil.
commission expires S/T/d0/8
Seal
Part VIL• Applicant's Certification
I, (the Applicant listed above), Randy Marion Chevrolet of Statesville, LLC , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies will) the
requirements of r icable state stormwater rules and requirements.
'''rwp-
Signature: / Dale:
I, 7,r F E I , a Notary Public fo^the Sto of A) G
County of k P do hy�rby certify that 1Sp/1C/G�_�(•,O r.I d) .
personally appeared before me thi day of .1//1110 .,201i
and acknowledge the due execution oft application fLlst3y�wa�terLpermil.
Witness my hand and official seal, //_(//1/.✓ (�/ 1'i(,(A�
REBECCA J FROST
NOTARY PUBLIC
Mecklenburg County, North Groin
My Commission Expires May 1, 201E
commission expires
Sea/
//
STORM-EZ 6/7/2017
Version 1.4 Application Page 6 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part VI: Property Owner Authorization
I, (the Property Owner listed above), Howard Family Investments #1, LLC , certify that I own the property identified
in this permit application and thus give permission to (the Applicant), Randy Marion Chevrolet of Statesville, LLC
to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with this
submittal, which indicates the party responsible for the operation and maintenance of the slormwater system.
As the legal property owner, I acknowledge, understand and agree by my signature below, that if my designated agent (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be ceprating a stormater treatment facility without a
valid permit. I understand that the operation of a slormwater treatment facility without a valid permit is a violation of NC General Statute 143-
215.1 and may result in appropriate / nforcem � t action including h assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215.6. i
County of /'
personally appeared before me this,
and acknowledge the due execution
Witness my hand and official seal, _
Dale: ;�/J -.i /-./- 1 f7
a Notary Public for the Stale of G ,
do hearby certify that Lii46Qrf
day of '�jG;t.�i
commission expires M6-'e-ayoZ4 awl a
Part VII: Applicant's Certification
I, (the Applicant listed above), Randy Marion Chevrolet of Statesville, LLC , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable stale stormwater rules and requirements.
Signature:
I, , a Notary Public for the State of
County of do hearby certify that
personally appeared before me this _ day of
and acknowledge tire due execution of the application for a slormwater permit.
Witness my hand and official seal,
commission expires
Seal
Date:
STORM-EZ 6/712017
Version 1.4 Application Page 6 of 6

-OfZ-IGiti.4L- s[rA4--t>

'•'
-
63-
-%CHECK# 21099
' 9 I
601 GAITHER RD.,STATESVILLE, NC28625
® CAPITAL BANK
670
0
P.O.BOX 1559, MOORESVILLE, NC 28115
'
..•,
- TELEPHONE: [phone];
wwarandYmarion wm f
.
� 1 O (� (�
21099
G 1 9 9
PAY **FIVE.HUNDRED_TIVE DOLLARS,AND 00/100**
DATE
AMOUNT
iuu©v �0nnlcri �j'+ll
p^� p�
®iu'4�� rlr 05126117
$505.00
TO`THE
NC DEQ
RANDY MARION EVROLET ESVILLE
ORDER
AFTER DAY
Y
OF
AUTHORIZED
SIGNATURE
111021099110 1:0670117601e 3060SIB Ill 67911a
NAME NUMBER DATE
NC DEQ 05/26/17
APPLICATION FEE FOR PROPERTY DEVELOPMENT
ACCT# AMOUNT CTRL#
72Z '505.00
�nil31'Id6db
DESC
REMITTANCE ADVICE
DETACHANDRETAIN RANDY MARION CHEVROLET OF STATESVILLE
STATESVILLE, NG 28625
RECEIVED _
JUN 07 2017 +
DENR4.AND QUALITY
8TORMWATER PERMITTING
c
i
I
r
CHECK NO. I NET I $505.00
21099 AMOUNT

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
RANDY MARION CHEVROLET OF STATESVILLE MA
• �RrSTATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A. NCDENR
Application
Type of application:1 New Permit
Only complete application packages will be accepted and reviewed. A complete package includes all of the items in the checklist
below. Add any comments, and indicate the page or plan sheet number where the following information can be found. Please
indicate that you have provided the following required information by initialing in the space provided next to each item.
Item
Part I: Submittal Checklist I
Notes I Comments Initials
1 Original and one copy of this application form (all worksheets) and the permit
JCW
application fee. For applications submitted to the DEMLR regular permitting
program, the fee is $505 payable to NCDENR. For Express Review, click on the
link below for information and fee schedule. Contact the appropriate regional
office Express Review Coordinator to schedule the required pre -application
meeting.
Click here for Express Permitting info
2 A USGS map identifying the site location. If the receiving stream is reported as
JCW
class SA or the receiving stream drains to and is within 112 mile of SA waters,
then include the 112 mile radius on the map.
3 A copy of the most current property deed.
JCW
4 Two copies of additional calculations (as needed). Sealed, signed and dated.
JCW
5 Two sets of sealed, signed, & dated full-sized plans of the entire site at a
JCW
readable scale, including:
a. Project name, engineer and firm, revision number and dates.
JCW
b. Location map with street names and SR numbers, legend, north arrow,
JCW
scale.
c. Dimensioned property/project boundary with bearings & distances.
JCW
d. The boundaries of all surface waters, regulatory Flood zones, and protected
JCW
riparian buffers or a note on the plans that none exist.
e. The boundaries of all vegetated or protected riparian buffers.
JCW
f. Site layout showing all built -upon areas, drainage features, stormwater
JCW
collection systems (inlets, outlets, swales, pipe elevations, slopes and
diameters), and SCMs at ultimate build -out.
g. Existing contours, proposed contours, spot elevations, and finished Floor
JCW
elevations.
h. Existing drainage (including off -site), drainage easements, pipe sizes, runoff
JCW
calculations.
i. Drainage area boundaries (included in the main set of plans, not as a
JCW
separate document).
j. Existing and proposed maintenance access routes, utility easements,
JCW
drainage easements, public rights -of -way etc.
k. A construction sequence that shows how the SCMs will be protected from
JCW
sediment until the entire drainage area is stabilized.
6 Two sets of sealed, signed, & dated full-sized plan details of each SCM (or
JCW
typical if appropriate) in both plan view and cross-section at a scale of 1" = 30'
or larger, including:
a. Dimensions, side slopes, length to width ratios and elevations with a
JCW
benchmark for clean -out if appropriate.
STORM-EZ
6/7/2017
Version 1.4 Application Page 1 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
b. All applicable conveyance devices, including: bypass structure, JCW
pretreatment area, flow distribution device, underdrains, outlet device, outlet
dissipater and level spreader.
c. A table of elevations, incremental volumes and
applicable).
d. Specifications for applicable materials, such as
sod, underdrains, outlet devices, etc.
STORM-EZ 6/7/2017
Version 1.4 Application Page 2 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
7 Two sealed, signed, & dated planting plans for each SCM (or typical) at a scale
JCW
of 1"= 20' or larger, as applicable, including:
a. The locations of each species and a planting detail.
JCW
b. A table summarizing the size, spacing and total quantity of each plant
JCW
species that should be used.
c. The source nursery for the plants.
TBD
d. A one-time fertilizer specification to establish plants if necessary.
JCW
9 A soils report based on field evaluation indicating the SHWT elevations within
N/A
the footprints of the proposed SCM(s). Provide a map of the boring locations
with the existing elevations and boring logs. For infiltration SCMs, the report
shall include the soil type, infiltration rate and method for determining the
infiltration rate. Soils information shall be signed and sealed by a licensed soil
9 A copy of the signed and notarized operation and maintenance (O & M)
JCW
agreement.
10 A copy of the proposed deed restrictions protecting the SCMs and limiting the
JCW
built -upon area so that it does not exceed the capacity of the SCM(s) or the high
density threshold (as applicable).
NCDENR Deed Restriction Forms
11 For corporations and limited liability corporations (LLC): Documentation from thE
JCW
NC Secretary of State or other official documentation, which supports the titles
and positions held by the persons listed in the Contact Information section. 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.
NC Dept. of the Secretary of State
12 A copy of the lease agreement or pending sales agreement if applicable.
N/A
STORM-EZ
smzon
Version 1.4 Application Page 3 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part It: General Project and Applicant Information
Project Name:
RANDY MARION CHEVROLET OF STATESVILLE
Date:
10-May-17
Project Street Address:
615 GAITHER ROAD
Let:
35.806875
City:
STATESVILLE I Zip: 28677
Long:
-80.882814
Directions to Project:
FROM 1-40 (EXIT 151) TURNERSBURG HWY. (SR-21), go North 150', Turn
County:
IREDELL
(from nearest intersection)
left (WEST) ON Gaither Road (2148 LF) to Driveway Entrance
NON -COASTAL
Project Applicant:
I Randy Marion Chevrolet of Statesville, LLC
(Identify the corporation, organization, property owner, designated
government official, etc. which owns the oroiect J
Owner / Signing Offical's Name:
Title:
Address:
City:
State:
Zip:
Phone:
Fax
Email:
Randall L. Marion
Member Manager
PO Box 1559
Mooresville
NC
28115-1559
704-659-7037
704-230-1302
ebroach rand marion.com
,Xs
Status of applicant: Developer Complete contact information for property owner below.
River Basin: Yadkin
Receiving Stream(s): Morrison Creek
Stream Class(es): C
Surface Water Area (ac): 10.99 Coastal wetland area (ac):1 N/A
Total property area (ac): 33.99 Total project area (ac): 8.79
Goals/characteristics: YES Volume Matching (LID) NO
NO Low Density NO
YES High Density YES
Drains to an offsite stormwater system
Within 575' of Saltwater ORW
Within 5 miles of a public airport
Briefly summarize how the stormwater runoff will be treated:
PROPOSED WET DETENTION POND 1 (DESIGNED PER NCDENR BMP MANUAL)
�. Part III: Permit Information
Status of construction: Not Started
Other permits needed:PNqOThreatened
Sedimentation & erosion control MNO
404 Permit 1401 Certification
CAMA Major Permit Isolated Wetlands Permit
& Endangered Species NPDES Industrial Stormwater Permit
If an application for this project has been previously returned, provide the original project number and previous name of the project:
None
Provide the perry
it type, number and issue date for any permits that have already been obtained for this project:
None
If claiming vested rights, then identify (and attach) the supporting documents and approval dates:
MNO
Approval of a site -specific development plan or PUD Approval dater
Valid building permit Issue date:
Other Date:
Not Started
Point of Contact: Phone number:0
STORM-EZ 6r7/2017
Version 1.4 Application Page 4 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Property Owner/Organization.
Signing Official & Title:
Street address:
City, State, Zip:
Phone number(s):
Email:
(Optional) Additi
Person /
Signing OI
Str
Cit
Phon
Part IV: Additional Contact Information
Howard Family Investments #1, LLC
Linda H. Howard
403 Deauville Rd
Statesville, NC 28677
(Note: PersonyOrganization noted above may be contacted for additional project information if applicant
cannot be reached.)
Part V: Consultant Information
Complete this section if you wish to designate authority to another individual or Firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information).
Consultant:
Firm:
Street address:
City, State, Zip:
Phone number(s):
Email:
Mr. Donald. L. Munday, P.E.
Piedmont Design Associates, P.A.
125 East Plaza Drive, Suite 101
Mooresville, NC
704-664-7888
dmu ndav(a.odaoa. com
STORM-EZ 6/7/2017
Version 1.4 Application Page 5 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part VI: Property Owner Authorization
I, (the Property Owner listed above), Dawn Properties, LLC , certify that I own the property identified
in this permit application and thus give permission to (the Applicant), Randy Marion Chevrolet of Statesville, LLC
to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with this
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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater treatment facility without a
valid permit. I understand that the operation of a stormwater treatment facility without a valid permit is a violation of NC General Statute 143-
r ropriatercement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
215.1 and may
143-215.6. l /
Signature: T ' Date:
I, eb to ea d . F%d$4 a Notary Public fq he State of A) C
Count of P Cr/t do earb certity that�Allrla/i L arr'n,
personally appeared before me thi � day of �1//'1 'P aJ.0 7
and acknowledge the due execution of the apblic tion for a/ ormwaterpelmit.
Witness my hand and official seal,—�,.�/i/ate-/
REBECCAJFROST
II NOTARY Pl19LIC
Mecklenbug Caurrly. NodA Caralrr
My Carxnissbn EWiroe May 4, 201b
commission expires S/Vb 0/'p
Sea/
Part VII: Applicant's Certification
1, (the Applicant listed above), Randy Marion Chevrolet of Statesville, LLC , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of icable state stormwater rules and requirements.
le,
Signature: Date:
l
I, .f7FC a Notary Public foppthe St to of A) G
County of C k P doh rby certify that /1pMc���pf
personally appeared before me Ihi day of ��,
and acknowledge the due execution of t application fo sLTw. ater permit.
Witness my hand and official seal, tif.�7Y�
REBECCA J FROST
NOTARY PUBLIC
Mecklenburg County, North Carotin
My Commission Expires May 4, 2018
commission expires
Seal
STORM-EZ 6/7/2017
Version 1.4 Application Page 6 of 6

STATESVILLE, NC IREDELL County
Mr. Donald. L. Munday, P.E., Piedmont Design Associates, P.A.
Part VI: Property Owner Authorization
I, (the Property Owner listed above), Howard Family Investments #1, LLC , certify that I own the property identified
in this permit application and thus give permission to (the Applicant), Randy Marion Chevrolet of Statesville, LLC
to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with this
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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater treatment facility without a
valid permit. I understand that the operation of a stormwater treatment facility without a valid permit is a violation of NC General Statute 143-
215.1 and may result in appropriate enforceme6t action including t assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215.6.
Signature/ t/�/JJs' /t/./I.��./il�: r^(/ Date:
I, / / %7 ISIi/t/'•�.J Lm , a Notary Public for the State of
County of err f do hearby certify that `i.t.G'� .r�s•cs
personally appeared before me this day of , a b/ 7 ,
and acknowledge the due execution of thfor a stormwater permit.
Witness my hand and official seal, �
� 9 4m..
^-• ' �.;;- My commission expires �
Seal ..-" "' --
Part VII: Applicant's Certification
I, (the Applicant listed above), Randy Marion Chevrolet of Statesville, LLC , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements.
Signature:
, a Notary Public for the State of
County of , do hearby certify that
personally appeared before me this day of _
and acknowledge the due execution -of the application for a stormwater permit.
Witness my hand and official seal,
commission expires
Seal
Date:
STORM-EZ 6/7/2017
Version 1.4 Application Page 6 of 6

Click Here To:
North Carolina
Elaine F. Marshall DEPARTMENT OFTHE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone] Account
Login
Create
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Legal: The Howard Family Investments #1, LLC
Prev Legal: The Howard Family Limited Partnership
Limited Liability Company Information
Sosld:
Status:
Annual Report Status:
Citizenship:
Date Formed:
Fiscal Month:
Registered Agent:
Corporate Addresses
0950799
Current -Active
Current
Domestic
3/16/2009
December
Howard, Linda Harlan
Mailing:
403 Deauville Rd
Statesville, NC 28677
Principal Office:
585 Greenway Drive
Statesville, NC 28677
Reg Office:
585 Greenway Drive
Statesville, NC 28677
Reg Mailing:
585 Greenway Drive
Statesville, NC 28677
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member:
Managing Member:
Member:
Managing Member:
Managing Member:
Genevieve M. Howard
PO Box 480381
Charlotte NC 28269
James P. Howard
722 Maplewood Lane
Statesville NC 28625
John T Howard
PO Box 1410
Statesville NC 28687
Linda H Howard
585 Greenway Drive
Statesville NC 28677
William P. Howard
403 Deauville Rd
Statesville NC 28677
Account

North Carolina
Elaine F. Marshall DEPARTMENT OFTHE
Secretary SECRETARY of STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
Click Here To:
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Legal: Dawn Properties, LLC
Prev Legal: Randy Marion Automotive, LLC
Limited Liability Company Information
Sosld:
0629368
Status:
Current -Active
Annual Report Status:
Current
Citizenship:
Domestic
Date Formed:
4/29/2002
Fiscal Month:
December
Registered Agent:
Marion, Randall L
Corporate Addresses
Mailing:
220 W Plaza Dr
Mooresville, NC 28117
Principal Office:
220 W Plaza Dr
Mooresville, NC 28117
Reg Office:
220 W Plaza Dr
Mooresville, NC 28117
Reg Mailing:
PO Box 1559
Mooresville, NC 28115
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member:
Jennifer D Mills Irrevocable Trust UTA Respecting Dawn Properties
220 W Plaza Or
Mooresville NC 28117
Member:
Betty J Marion
153 Sailview Road
Mooresville NC 28117
Manager/Member:
Randall L Marion
220 W Plaza Dr
Mooresville NC 28117
Member:
Randall L Marion II Irrevocable Trust UTA Respecting Dawn Properties
220 W Plaza Dr
Mooresville NC 28117
Account
Login
Create
Account

Part II: General Project and Applicant Information
Project Name: RANDY MARION CHEVROLET OF STATESVILLE Date: 10-May-17
Project Street Address: 615 GAITHER ROAD La t: 35.806875
City: STATESVILLE I Zip: 28677 Long:-80.882814
Directions to Project: FROM 1-40 (EXIT 151) TURNERSBURG HWY. (SR-21), go North 150', Turn County: IREDELL
(from nearest intersection) left (WEST) ON Gaither Road (2148 LF) to Driveway Entrance NON -COASTAL
Project Applicant: MRrBRIC.EROACH+ ii aN a wwtobri'f L.CL
(Identify the corporation, organization, property owner, designated
government official, etc. which owns the oroiect.)
Owner / Signing Offical's Name:
Title:
Address'.
City:
State:
Zip:
Phone:
Fax:
Email:
Status of applicant:
ERIC BROACH
VICE PRESIDENT
1101 FOLGER DRIVE
STATESVILLE
NORTH CAROLINA
28625
704-659-7037
704-230-1302
ebroach rand madon.com
Owner (D v1 A/ '-4t IS N`TT
River Basin: Yadkin
Receiving Stream(s): Morrison Creek
Stream Class(es): C
Surface Water Area Ise): 10.99 Coastal wetland area (ac): N/A
Total property area Ise): 33.99 Total project area (ac):1 8.79
3/19
M LUST 13 le LL C.
^417-1 6K."It/ not /JyV*FKWLL
fFPQU G-4,V'( PA-& Do GS
Swl�i"p t YYl? i 5 .
Goals/charactenshcs: YES Volume Matching (LID) NO Drains to an offsite stormwater system
NO Low Density NO I Within 575' of Saltwater ORW
YES High Density = Within 5 miles of a public airport
summarize how the stormwater runoff will be treated:
j Part III: Permit Information j
Status of construction: Not Started
Other permits needed:MNO
Sedimentation & erosion control MNO
404 Permit / 401 Certification
CAMA Major Permit Isolated Wetlands Permit
Threatened & Endangered Species NPDES Industrial Stormwater Permit
If an application for this project has been previously returned, provide the original project number and previous name of the project:
None
Provide the permit
have already been obtained for this
If claiming vested rights, then identify (and attach) the supporting documents and approval datesF:
NO Approval of a permit
development plan or PUD Approval dater
NO Valid building permit Issue date:
NO Other Date:
Not Started
Point of Contact
Phone number:0
STORM-EZ
Version 1.4 Application
5/11/2017
Page 3 of 17

5/19
RANDY MARION CHEVROLET OF STATESVILLE �
6STATESVILLE, NC IREDELL County ©`'W
Yadkin River Basin NCDENR
RAINFALL & CALCULATION DATA I
Project County: IRE ELL
Project City: STATESVILLE
Rainfall Source: Hicko
Loaded Rainfall:
Hickory
Design Storm:
First Flush I WOV
Calculation Method
Discrete SCS Method,
Pre - Post
(Minimum Design Storm = P90 for non -SA 1-yr, 24-hr for SA)
Storm Event
Depth
(inches)
F.IrstlF,,lusli%WQVA
1.00
P90
1.33
P95
1.91
1-yr, 24-hr
2.98
2- r, 24-hr
3.62
10-yr, 24-hr
5.35
25-yr, 24-hr
6.40
24-hr
7.23
100-yr, 24-hr
8.09
NOTE: Please use the Storm-EZ calculation sheets to document the stormwater design
and create the O&M Agreement. Highlighted Storm is Design Storm
I PROJECT INFORMATION {
Total Prove Area
33.99
acres
Total Coastal Wetlands Area
0.00
re acs
Total Surface Water Area
0.00
acres
Complete the breakdown of impervious area for the project
Basin Information
Entire Site
Receiving Stream name
Morrison Creek
Stream Class
C
Stream Index Number
12-108-20-3
Total Drainage Area
1,480,605
On -Site Drainage Area (so
1,480,605
Offsite Drainage Area s
0
Proposed Impervious Area s
53S.263
Impervious Area total
36%
Impervious Surface Area
Entire Site
On -Site Buildings/Lots s
0
On -Site Streets s
22,543
On -Site Parkin s
184 943
On -Site Sidewalks s
0
Other On -Site s
0
Future s
0
off -site s
ExistingBUA s
330,777
Total
538,263
Total Impervious Area 12.36 acres
Proect % im ervious area 36%
ALL AREAS ARE IN SQUARE FEET
Use Worksheet Data? Yes
Data in italics is derived tram application
forms and land use data worksheets and
cannot be changed by user.
STORM-EZ
61
Version 1.4 Project Data Pagee5 6 of of 17

6/19
Pre -Development Land Us
Note: Enter BUAOnining to
PamnaCb Pavement 1i
User Defined
RANDY MARION CHEVROLET OF STATESVILLE
STATESVILLE, NC IREDELL County ©vxwj
Yadkin River Basin NCDENR
Drainage Area p �1 of F 1
e:
Ana
HSG
L.ntlase
CN
%
C
Im ervious
9e
]30 ]]]
id
s ace
]4
1,149028
]>66%Subtotal'.
148o605
Existing Permeable Pavement (Infiltration):
9CMa Desch non
1001
Existing Green Roofs:
SCMa
HSG
PavementI
Additional BUA
sou
Inliltntio
n.te
sheet vom
Space
Total
Grovel
D(su
oer;oe
orten.
Height
BUAX
H,a moue
Line/!
os.
BMP
(s)
Is0
tin)
lint
(in)
fin)
DS SCM a I Notes
Land Use Sunni Area at.
From "no Use Tables: 148o6D5 1 33.99 acres
ParmeabMPavement+Additional BUA. 0 O.IxI acres
Gnen Roola; 0 C00 acraa
Pmservetl surfaceWelerzd Non-CDesn Watlantls: e00
Preserved Coeslal WaOentls: 0.00 alias
Total site Area: 1,460,6a5 3].99 acne
Design Storm Runoff Fate Summary:
Rainfall Volume=
33.99 acre -inches
123,384
cf
Runoff Reduction Components:
Natural Infiltration & ET =
-2).3] ecntirrchas
-99,360
cf
Disconnected Impervious Surfaces =
0.00 ..-inches =
0
d
SCM Infiltration =
0.00 ecnJnchars =
0
d
Permeable Pavement infiltration =
0.00 sere -ethos =
0
d
Green Roof ET =
0.00 acn-incnes =
0
d
_ Post Filtration Discharge =
0.0 ecn-inches =
o
d
Total Runoff Reduction =
.27.37 acninches =
-99,360
cf
SCM Treatment:
Treated SCM Outflow =
0.00 scr inches =
0
cf
Untreated Surface Runoff =
6.62 acninches =
24,023
cf
The Pm-0 velopment project ane contains 330777 at of built upon area, resulting in an overall density of 22.34%.
STORM-U
511112017
Version U Pre-Davelapment Page 6 0l 17

7/19
RANDY MARION CHEVROLET OF STATESVILLE ©�
STATESVILIE,NC IREDELLC9unty
vaakln Rive, Basin NCDENR
Drainage Area 1 of 1
POSTZEVELOPMERL LAND USE CALCULATIONS
N.M. Pev..Hl:
LOW
PavemaM Area
AJEIIImaI BVA
IMIIhMIon
VOID Space
onavel
Has
Gnllta
OrNke
pype.
IMIIInNm
Manllon
N9G
pxM Typ
Res.bMM1
9MIIMk
GLL
IMIaM
alleem
CIvcY
NMT
Unl
Unl
KM
CM1xk
tall
Ian®1
U4
Ixlsl
UNNI
1%1
Onl
OW
u.
No
IMraln KM/ Cpnmsta
In'..
9e.a
s]8.263
IzE
H]sx
oPM SPau lMan.pan ous. SI>acal
)a.a
9azb2
zI.6J
sl ssx
Parm--We Pavement-B11A
WA
a
pCU
00]%
Green Rotla:
WA
0
OW
OLU%
SubToial
l 1B0 605
l3 99
10a,M%
Design So. Runolf Fat Summery:
Rainfall Vulunro=
33.99 a—.
12],]E4
of
RunoRR.aucOon Component:
Nafunl Mllanlsen S ET=
.2372 maws -
Se 096
d
DswmedeU Impervious Surfams=
One wawa -
a
a
SCM Inf,"raion=
-0o. werwa-
-zwl
n
Permeable Pavement Inlittalmn, =
OW maws
o
d
Green Roo/ET=
oW w..wa -
0
d
Post Fiftahcn Duche a
u. xra Ass
n
[I
Total uno ! ucton=
-M27 crNrcMs
]
Cf
SCM Tro."ent.
Treated SCM OuM.=
-525 xr:aws
-19,067
d
Ontrealea Suaace Runoff=
4A7xnJmlwa
Pra.Deveb mem RunoX=
663
24023
tl
DiXennce=
-215 wavwa-
-U
cl
TM PotLdvakpnant ygxl ax cntlm —M M d I. ul uq....
ping In as avelaa es." d.MJSY
STGRM£Z 5II V10I7
Version 1.4 on Devtlagne5i psea l e I

8119
RANDY MARION CHEVROLET OF STATESVILLE _
STATESVLLE, NC IREDELL County ein
yadMn River Besln NGDPPENR
Drainage NeaF 1 of 1
PROPOSED SIPS A STRUCTURAL RUNOFF VOLUMECONTROLS
Enter only runoff volume Delow that will bat infiltrated or drawn doom over 2 to 6 days. Additional volume provided In devices should not the entered In this woraslnet.
Drawdown time requirement applies to all atom events.
alnle Impemou, of
a.a nem.e
aJna. Tie
Ln rNr v.nFvs xa N T.. uTaa st Nn aa„bex aae�arn6 ruabn T.. xMeCM
hell inpMen M1 .— ream 6CM Vella veer. Er p,lba gene vJna
[rvn{vrJIO SIBMJ JIrtJ mprvm ie'..v2Jt.J a P.�.n
Oeai9n Smmr Runoff Farr Summary:
Raidall Volume•
21.g roveuve
1I]A6l
cl
P—N Reeu<tlon COmponenb:
Nalural 1,1u mn 6 ETA
.}A} ,<,,.o<nn
-05
<
Da<WIMCIed lunce.v Area•
o
I
SCM lol�lonfron.
.. rNrcFn •
.2W1
<I
Paveroub Pavement lnlielMm•
pw „ie,nw,
o
<I
Green Root ET -
om,<—le,
0
<
Pon Fldryor. Duchene.
o. ,<rex
a
Total Runoff Reduction•
.Ie,n e,nYaan
-we"l,
cl
SCM TmNwn1:
Treateof SCM OUMow •
.o xs rvemcr„a
-19 W)
d
Untreated Surface Runoff•
4,47,myrM, •
16,224
d
Pre -Development Runoff•
6Q caac
24,023
cl
pHemnce•
.11]--
-0,799
cl
"BASIC
TREATMENT MEP•
mePM.a�ebprant eml•d,a, uveJm 616A>UWdi ula nai nvvh,Man
vvNsnuvay.l1x
rMa nn:
Nr..:I,en Jacenorune,<na,eebn.wJ,.,naa-w..ue,.>eeraemeareve," pineven,,ue.uw.Tr. waN o,a,ue.Jw I.rm.m a,m,amva.Nmnr.
)TONNE
ov to sor—our canna gee9tl1]vmtt
P

9/19
RANGY MARION CHEVC IRET OF STATESVILLE a Li
ETaTFSVILLE, Ri INFa... Caunry
tltl. Ri.., a .iw WDIENR
Oia•naoe it Pea. 1 0l 1
BASIC TREATMENT SCALE
Compliance Storm = First Flush Storm -Rainfall pepm = 1 -ncn
B.1k1-1-1 Tb-1.1e
VOLUME MATCHING SCALE
Flush Stom - Rainfall Deuth . t Inch
FATE OF RAINFALL GRAPHS
Pre Development Fates
FOA �
t..
1
n —
v.n.n. I .o o...aoia.r,ome.w. oe �mw.,ex,n.a wmn-Lone
i.umm.b..n n • v . vnmmiu rnwo-o
.ix.o.wn.,ann.na
.1—M.4h., m,..nola
Post Development Fates
P
so.
o. wm,m..nnn w.-u.ne uwrrwro r.a. rva.a
�n.�m pe��ivo/e
m.eveP..wwn� w.,.wn.oa
w.wn.oe
oavez