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HomeMy WebLinkAboutSW4131204_CURRENT PERMIT_20141014STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW"alD� DOC TYPE FT CURRENT PERMIT APPROVED PLANS ❑ HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE YYYYMMDD w NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor April 10, 2014 Mr. Ross Hudson REDS/FDS,LLC 711 Central Avenue Charlotte, North Carolina 28204 Subject: Stormwater Permit No. SW4131204 Welcome - FDS, Welcome Community High Density Commercial Contech Stormfflter Filtration Project Davidson County Dear Mr. Hudson: John E. Skvarla, III Secretary RECEIVED N.C. Dept, of ENR OCT 14 Y014 Winston-Salem Regional CffIN i The Stormwater Permitting Unit received a complete package for the Welcome - FDS project on December 18, 2013. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding this Stormwater Management Permit No. SW4131204, issued April 10, 2014, for the construction, operation and maintenance of the subject project and the stormwater BMP. This permit expiration date shall not change and shall be effective from the original date of issuance until April 10, 2022, and shall be subject to the conditions and limitations as specified therein, and does not supersede any other agency permit that may be required. Please pay special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for transfer of the permit, or to renew the permit, will result in future compliance problems. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina General Statutes. Per NCGS 143-215(e) the petition must be filed with the OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699- 6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding. 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 Phone: 919-707-86001 Internet: vmv.ncdenr.gov An Equal Opportunity 1 AKnnaUve Action Employer — Made in part by recycled paper After thirty days from the date of this letter, this project will be kept on file at the NCDENR Division of Energy, Mineral and Land Resources, Land Quality Section, Winston-Salem Regional Office. If you have questions after that time, please contact Matt Gantt, matt.gantt@ncdenr.gov or Sue White, sue.white@ncdenr.govof that office. Until that time, if you have any questions or need additional information concerning this permit, please contact Bill Diuguid at (919) 807-6369; or bill.diuguid@ncdenr.gov. cc: Winston-Salem Regional Office Central Files Stormwater Permitting Unit Files Attachments Sincerely, Original Signed by William H. Diuguid William H. Diuguid, AICP, Plans Reviewer for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources State Stormwater Permit Permit No. SW4131204 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL AND LAND RESOURCES LAND QUALITY SECTION STATE STORMWATER MANAGEMENT PERMIT HIGH DENSITY DEVELOPMENT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Red/FDS, LLC Welcome FDS Welcome -Arcadia Road (SR 1481) & Old Hwy 52 (SR2932) Welcome Community, Davidson County FOR THE construction, operation and maintenance of one Contech Stormfilter underground filtration device in compliance with the provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred to as the "stormwaterrules') and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Energy, Mineral and Land Resources, Land Quality Section, and considered a part of this permit. This permit shall be effective from the date of issuance until April 10, 2022, 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. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 on page 2 of this permit. The stormwater control has been designed to handle the runoff from 38,332 square feet of impervious area. The tract will be limited to the amount of built -upon area (Total Impervious Surfaces) indicated in Section 1.7 on page 2 of this permit, and per the approved, stamped and sealed site plans. The built -upon area for the future development is limited to 38,332 square feet. 4. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded easements. The final plats for the project will be recorded showing all such required easements, in accordance with the approved plans. Page 1 of 7 State Stormwater Permit Permit No. SW4131204 The runoff from all built -upon area within the permitted drainage area of this project must be directed into the permitted stormwater control system. The built -upon areas associated with this project shall be located at least 30 feet landward of all perennial and intermittent streams. The following design criteria have been provided in the Contech Stormfilter filtration device and must be maintained at design condition: a. Drainage Area, 9cres: Onsite, ft : Offsite, ftZ: b. Total Impervious Surfaces, ftZ: Onsite, ft : Offsite, ftZ: C. Design Storm, inches: d. Number of Cartridges: e. Cartridge Height, ft: f. TSS removal: g. Bottom Elevation, FMSL: h. Bypass Weir Elevation, FMSL: i. Permitted Storage Volume, ft : j. Predevelopment 1 year 24 hour: k. Post development 1 year 4 hour: I. Type of Soil: M. Seasonal High Water Table, FMSL: n. Draw Down Rate: o. Max Treatment Flow Rate, cfs P. Receiving Stream/River Basin: q. Stream Index Number: r. Classification of Water Body: Approx. one acre 41,571 1,065 38,332 37,267 1,065 1" 98 90% n/a Offline Flow Splitter 3,052.55 2.22 3.75 Proprietary media n/a 1 gpm/sq.ft 0.15 Reedy Creek / Yadin-PeeDee 12-96-(0.4) „c„ II. SCHEDULE OF COMPLIANCE 1. The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use before the completion of any built - upon surface. 2. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. 3. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater system functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Quarterly scheduled inspections (every 3 months). b. Sediment removal. C. Mowing and revegetation of slopes and the vegetated filter. d. Immediate repair of eroded areas. e. Maintenance of all slopes in accordance with approved plans and specifications. f. Debris removal and unclogging of bypass structure, filter media, flow spreader, catch basins, piping and vegetated filter. g. A clear access path to the bypass structure must be available at all times. 4. Records of maintenance activities must be kept for each permitted BMP. The records will indicate the date, activity, name of person performing the work and what actions were taken. Page 2 of 7 State Stormwater Permit Permit No. SW4131204 5. The permittee shall submit to the Division of Energy, Mineral and Land Resources, Land Quality Section, an annual summary report of the maintenance and inspection records for each BMP. The report shall summarize the inspection dates, results of the inspections, and the maintenance work performed at each inspection. The stormwater treatment system shall be constructed in accordance with the approved plans and specifications, the conditions of this permit, and with other supporting data. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. A modification may be required for those deviations. 8. 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. 9. Access to the stormwater facilities shall be maintained via appropriate easements at all times. 10. The permittee shall submit to the Director and shall have received approval for revised plans, specifications, and calculations prior to construction, for any modification to the approved plans, including, but not limited to, those listed below: a. Any revision to any item shown on the approved plans, including the stormwater management measures, built -upon area, details, etc. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area or to the drainage area. e. Further subdivision, acquisition, lease or sale of all or part of the project area. The project area is defined as all property owned by the permittee, for which Sedimentation and Erosion Control Plan approval or a CAMA Major permit was sought. f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 10. The permittee shall submit final site layout and grading plans for any permitted future areas shown on the approved plans, prior to construction. 11. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten years from the date of the completion of construction. 12. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. Page 3 of 7 State Stormwater Permit Permit No. SW4131204 III. GENERAL CONDITIONS 1. This permit is not transferable to any person or entity except after notice to and approval by the Director. In the event of a change of ownership, or a name change, the permittee must submit a completed Name/Ownership Change form to the Division of Energy, Mineral and Land Resources, Land Quality Section, signed by both parties, and accompanied by the supporting documentation as listed on page 2 of the form. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all permit conditions until such time as the Division approves the transfer request. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Energy, Mineral and Land Resources, Land Quality Section, 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. 5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 6. The permittee grants DENR Staff permission to enter the property during normal business hours for the purpose of inspecting all components of the permitted stormwater management facility. 7. The permit issued shall continue in force and effect until revoked or terminated. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 8. Unless specified elsewhere, permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 9. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 10. The issuance of this permit does not prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules and regulations contained in Session Law 2006- 246, Title 15A NCAC 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. 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. Page 4 of 7 State Stormwater Permit Permit No. SW4131204 Permit issued this the 10 day of April, 2014. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Original Signed by William H. Diuguid William H. Diuguid, AICP, Plans Reviewer for Tracy Davis, P.E., Director Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission Page 5 of 7 State Stormwater Permit Permit No. SW4131204' Welcome FDS Stormwater Permit No. SW4131204 Davidson County Designer's Certification I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the construction of the project, (Project) for (Project Owner) hereby state that; to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page 2 of this form is included in the Certification. Noted deviations from approved plans and specification: Signature Registration Number Date SEAL Page 6 of 7 State Stormwater Permit Permit No. SW4131204 Certification Requirements: 1. The drainage area to the system contains approximately the permitted acreage. 2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built -upon area associated with the project is graded such that the runoff drains to the system. 4. All roof drains are located such that the runoff is directed into the system. 5. The bypass structure elevations are per the approved plan. 6. The bypass structure is located per the approved plans. 7. A Trash Rack is provided on the outlet/bypass structure. 8. All slopes are grassed with permanent vegetation. 9. Vegetated slopes are no steeper than 3:1. 10. The inlets are located per the approved plans and do not cause short- circuiting of the system. 11. The permitted amounts of surface area and/or volume have been provided. 12. All required design depths are provided. 13. All required parts of the system are provided. 14. The required system dimensions are provided per the approved plans. cc: Matt Gantt, Sue White NCDENR DEMLR Land Quality Section, Winston-Salem Regional Office 585 Waughtown Street Winston-Salem North Carolina 27107 Davidson County Building Inspections Page 7 of 7 %ZEy'uteAl 40 Vi l l Application Completeness Review First Submittal ❑ Re-su Development/Project Name: Receiving stream name,-L Date Received: Is Date Reviewed: /l9/_iz,By Bill Diuguid ,,, _ . _ J= b � � For post -construction requirements, a program will be deemed compliant for the areas whereiit is RECEIVED implementing any of the following programs: WS-I, WS-II, WS-III, WS-IV, HOW, ORW, Neusq'Riv@VG"pt. of E R NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient,CT �'tl 2� 4 Management Strategy. Win High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TPOM30 T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): Latitude and Longitude: a!T Sio 37A1— - A105 Jurisdic on s Project Address: , - 1 Sz. S 2 COO Engineer name and firm: CA.eL ✓`o T Hm S Y#_ tr l? Cto27 Phone: 70zF-S53- $881 Email: ih Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? A Yes 0LJJ No ❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets Densit ❑ Other —a- 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter) Check or $505.00 included &'�,Original signature (not photocopy) on application 5K Legal signature (Corporation-VP/higher, Partnership -General Partner/higher LLC-member/manage Agent). )c0SS a050'1f Check spellinq, capitalization, punctuation: hitp://www.secretary.state.nc.us/corporations/thepage.aspx If an agent signs the application, a signed letter of authorization from the applicant must be provided which includes the name, title, mailinq address and phone number of the person signing the letter. 5e Copy of property deed showing ownership or control /d/A--a-rl`or subdivided projects, a signed and notarized deed restriction statement Y/ ealed, signed & dated calculations Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each) ❑ Bioretention ❑ Dry Detention Basin ❑ Filter Strip ❑ Grass Swale ❑ Infiltration Basin ❑ Infiltration Trench ❑ Level Spreader ❑ Permeable Pavement ❑ Restored Riparian Buffer ❑ Rooftop Runoff Management ❑ Sand Filter ❑ Stormwater Wetland ❑ Wet Detention Basin ❑ Low Density ❑ Curb Outlet ❑ Off -Site ❑ 1� OT Linear Road fin. r / C ail TF. e-�' S0 �7+t F 1 l.Tt 2 Ci-E.trP��. V wo sets of sealed, si ned & dated la out & finish radio lans with a rd riate details . 61 9 Y 9 9 P PP P F.ZD_tf arrative Description of stormwater management provided oils report, geotech information provided Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or adjacent property L,+AJ p T/Tt,o� d- -Toro -5ve. /eL/ t ScftE T / VF etails for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter; tY,Dimensions & slopes provided p Dr inage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density W MP operation and maintenance agreements provided Application complete ❑ Application Incomplete Returned: (Date) Comments / " 5Yo/2va RDA,/ Diuguid N �. Aa1�1/� TiE- Z . ra sc God n/ S /Z_ -,E i E fr i .9 d.T /FJ TN— Fi�i_ER 1'dr< 'Tien rns,r,,1'i, 5ha&i-C' - Rig Vc A 6-'P-Z,,L ..I'J C1').1' f E 1�; 1,. i ;i61i 0 Aiugka DWQ USE ONLY Date Received ro, Fee Paid Permit Number /z-23-2-of3 94/a 50 Wq13('oy Applicable Rules: ❑ Coastal SV-1995 ❑ Coastal SW - 2008 ❑ Ph It - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan ❑ Other INIQ Mgmt Plan: State of North Carolina RECEIVED Department of Environment and Natural Resources. N.C.Dept. of ENR Division of Water Quality DEC 18 2013 STORMWATER MANAGEMENT PERMIT APPLICATION FORKinston-Salem This fi nt may be photocopied for use as an original IRegional OfFce 1. GENERAL INFORMATION 1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Welcome - FDS 2. Location of Project (street address): Intersection of Welcome -Arcadia Road (SR 1481) and Old Hwy 52 (SR 2932) City: Welcome (Community) County:Davidson Zip:27374 3. Directions to project (from nearest Major intersection): Site is located at the intersection Intersection of Welcome -Arcadia Road (SR 1481) and Old Hwy 52 (SR 2932), approximately 6.6 miles north of Lexington NC 4. Latitude:35° 54' 37" N Longitude:80° 15' 19" W of the main entrance to the project. it. PERMIT INFORMATION 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt t Rencnaals with modifications also requires SWU-102 - Reneoal 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 DWQ requesting a state stormwater management permit application, list the stormwater project number, if assigned, n/a and the previous name of the project, if different than currently proposed, n/a 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: 1.25 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:n/a 5. Is the project located within 5 miles of a public airport? ®No [-]Yes If yes, see S.L. 2012-200, Part VI: http://12ortal.ncdetir.org,/web/wq/ws/su/statesw/rules laws Form SWU-101 Version 06Aug2012 IPaae I of 6 III. CONTACT INFORMATION 1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee, designated government official, individual, etc. who owns the project): Applicant/Organization:RED/FDS, LLC Signing Official & Title:Ross Hobson b.Contact information for person listed in item la above: Street Address:711 Central Avenue City:Charlotte State:NC Zip:28204 Mailing Address (ifapplicable):PO Box 35193 City:Charlotte State:NC Zip:28235 Phone: (704 ) 909-2477 Em,iil:ross@redi2art.com Fax: (704 ) 333-7993 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: RED/FDS LLC Signing Official & Title:Ross Flobson b.Contact information for person listed in item 2a above: Street Address:711 Central Avenue City:Charlotte State:NC Zip:28204 Mailing Address (if applicable):PO Box 35193 City:Charlotte State:NC Zip:28235 Phone: (704 ) 909-2477 Email:ross@redpart.com Fax: (704 ) 333-7993 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project: Other Contact Person/Organization: Luke Bugenske PE (Burton Engineering Associates) Signing Official & Title:Project Engineer b.Contact information for person listed in item 3a above: Mailing Address:5950 Fairview Road Suite 100 City:Charlotte State:NC Zip:28210 Phone: (704 ) 553-8881 Email:lukeb@burtonen ing cering.com 4. Local jurisdiction for building permits: Davidson County Fax: (704 ) 553-8860 Point of Contact:Beau Chollett Phone 9: (336 ) 242-2239 FormSWU-101 Version06Aug2012 Page 2of6 IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Water Quality to be treated in a Contech Stormfilter and Underground Detention 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 regulations) the project has been designed in accordance with: ❑ Coastal SW -1995 ❑ Ph 11- Post Construction 3. Stormwater runoff from this project drains to the Yadkin - Pee Dee River basin. 4. 'Total Property Area: 1.33 acres 5. 'rotal Coastal Wetlands Area: 0 acres 6. Total Surface Water Area: 0 acres 7. 'Total Property Area (4) -Total Coastal Wetlands Area (5) -"Total Surface Water Area (6) = Total Project Area': 1.33 acres Total project area shell be calculated to exclude the follozoiung: the normal pool of impounded structures, the area between the banks of streams and rivers, the area bel020 the Nornnal High Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to calculate overall percent built upon area (BUA). Non -coastal Wetlands landward of tine NHW (or MHW) line may be included in tine total project area. S. Project percent of impervious area: (Total Impervious Area / 'Total Project Area) X 100 = 73.7 9. How many drainage areas does the project have?l (For high density, count I for each proposed engineered stormwater BMP. For lout density and other projects, use I for the whole property area) 10. Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. BasinInformation. ', .. Drainage Area 1 - Drainage Area 2:, Drainage Area Drainage e Area'_ Receiving StreamName Reedy Creek Stream Class * C Stream Index Number * 12-96- 0.4 Total Drainage Area (sf) 42,636 On -site Drainage Area (sf) 41,571 Off -site Drainage Area (sf) 1,065 Proposed Impervious Area** (sf) 38,332 Impervious Area** (total) 90.0 1m ervious*` Surface Area Drainage Area 1 Drainage Area 2 Drainage Area Drainage Area — On -site Bujldings Lots sf 8,320 On -site Streets sf n a On -site Parking sf 27,787 On -site Sidewalks (sf) 1,150 Ot er on -site (sf) n a Future (sf) n a Off -site (sf 1,065 Existing BUA*** sf n a Total (sf): 38,332 Stream Class and Index Number call be deteranned at: lntt[[portal.ncdenr.org/zveblwq[pslcsu/classifications Impervious area is defined as the built upon area including, but root 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 nezo BUA. 11. How was the off -site impervious area listed above determined? Provide documentation. square footage of Fonn SWU-101 Version 06Aug2012 Page 3 of 6 Welcome -Arcadia Road that enters the site and ultimately enters the BN-IP Projects in Union County: Contact DVVQ Central Office staff to check if the project is located within a Threatened c& Endangered Species watershed that may be subject to more stringent stornavater requirements as per 15A NCAC 02B .0600. V. SUPPLEMENT AND O&M FORMS The applicable state stormwater management permit supplement and operation and maintenance (O&NI) forms must be submitted for each BNIP specified for this project. The latest versions of the forms can be downloaded fromhttp:////portal.ncdenr.org web iv NIS/su/bmp-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from htt portaLncdennorg/web/wq/ws/su/statesw/forms does. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at ham://i2ortal.ncdetir.org/web/wq/ws/su/mays.) 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 eachsubmittedapplicationpackagefromhttp://portal.ncdenr.org/web/wq/ws/su/statesw/forms dots. 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 Form. (if required as per Part VII below) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to http://svww.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 6. A USCS map identifying the site location. If the receiving stream is reported as class SA or the receiving stream drains to class SA waters within th mile of the site boundary, include the Vz mile radius on the map. 7. Sealed, signed and dated calculations (one copy). 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: a. Development/Project name. b. Engineer and firm. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. 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 MI-IW or NHW line of tidal waters, and any coastal wetlands landward of the MHW or NI -IN lines. • Delineate the vegetated buffer landward from the normal pool elevation of impounded structures, the banks of streams or rivers, and the MHW (or NFI1V) 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). Form SWU-101 Version 06Aug2012 Page 4 of 6 9. Copy of any applicable soils report with the associated SHWT elevations (Please identify elevations in addition to depths) as well as a map of the boring locations with the existing elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration 13MPs, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 2064 Page No: 1159, 1192 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 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/CSeirch.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 13UA 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 htt ortal.ncdenr.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal. In the instances where the applicant is different than the property owner, it is the responsibility of the property owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring that the deed restrictions are recorded. By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and protective covenants for this project, if required, shall include all the items required in the permit and listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot. VIII. CONSULTANT INFORMATION AND AUTHORIZATION Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as addressing requests for additional information). Consulting Engineer:Carlton T. Burton, PE Consulting Firm: Burton Engineering Associates Mailing Address:5950 Fairview Road Suite 100 City:Charlotte StatcNiC Zip:28210 Phone: (704 ) 553-8881 Fax: (704 ) 553-8860 limail:iLikeb@burtonetigineeritig.com IX. PROPERTY OWNER AUTHORIZATION (if Contact information, item 2 has been filled out, complete this section) I, (print or type none of person listed in Contact information, item 2a) Ross Hobson certify that I own the property identified in this permit application, and thus give permission to (print or type name of person listed in Contact Information, item la) Ross Hobson with (print or type name of organization listed in Contact Information, item la) RED/FDS LLC to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible for the operation and maintenance of the stormwater system. Form SWU-101 Version 06Aug2012 Page 5 of 6 As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid permit is a violation of NC C raI Statue 1 3-215.1 and may result in appropriate enforcement action including the assessment of�c�l pena ti of up to $2�i00 pe�ay, pursuant to NCCS 143-215.6. Signatu Date: l Z_ l� — 13 I, _fOL 0. A - 010.0 g l are a Notary Public for the State of County of V1MiALtU 6kY Q , do hereby certify that k - IZO SC Ct D �iStivl personally appeared before me this f day od acknowledge the drye execution of the application for a stormwater permit. Witness my hand and official seal, —LOU X. APPLICANT'S CERTIFICATION SEAL My commission expires 4 - N- I, (print or type name of person fisted in Contact hrforumtion, item In) Ross Hobson certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will ecorded, and that t e roposed project complies with the requirements of the applicable stormwptey rules ul15A NCAC 2F� .1Oand any other applicable state stormwater requirements. Signa Date: 12 '(b ^ 3 1I,1'Eau 1 OL 1 /A.�I QI V rl a Notary Public for the State of �I llgin. 0AYnI; 9, County of X1r1' Y do hereby certify that USUOL personally appeared before me this day of berpwtbrl and , cknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, t scot 61� I J U SHAL My commission expires 4 , i$ -1-0 1 Form SW II-101 Version 06Aug2012 Page 6 of 6 • Permit Number: (to be provided by DWQ) STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM 2oF wA7Fq s�, C%Wi► NTECKSTORMFILTER SUPPLEMENT ��L�yJ��7l NC®ENR ENGINEERED SOLUTIONS ow 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 Reouired Items Checklist (Section III) and the 0&M Aoreement Project name Welcome - FDS Contact name Luke Bugenske, PE Phone number (704) 553-8881 Date 12.11.13 Drainage area number 1 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 (WQVAdi) 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 Flow Rate, q SHWT elevation Bottom of the StormFilter vault elevation Clearance (d SHWT) 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 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)? 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)? 42,636.00 ft2 OK 38,332.00 ft2 89.9% % 1.00. in 2.80 in z �Z•• - �55 ••; 0.12 in/hr 1Z :4L O Q 2.22 ft3lsec S Z '06' 3.75 ft3lsec S 1.53 ft3 lsec CA R; T O' ' 3,052.55 ft3 2,289.41 ft3 OK 1y1�1`l 3,092.00 ft3 0.86 (unitless) 45.00 . in 85.00% 90.00% 70.00 mgll (Suggestion: Use 60 for residential, 70 for Commercial, 100 for Industrial) 18.00 in 1.00 gpm/ft' nla It amsl nla fit amsl #VALUE! nla (1yf-20r hours Insufficient drainage time or the discharge rate from the system ore/oost) // must be controlled so that the post -development rate is no greater #VALUE! days / than the pre -development rate for the 1-year, 24-hour rain event. (Q> Paz pFz4-t') KtKKV- P&J"r -1 itM e4tfrS � *a l Ja- 2,4*K y YorN OK y YorN OK nla Y or N Enter Data nla It nla Y or N Enter Data y YorN OK y YorN OK y YorN OK Form SW401-StormFilter-Rev,1 2012Aug Parts I and 11. Project Design Summary, Page 1 of 1 I I : f IUT�t��'. hntlel+` Permit No. (to be provided by DWQ) III. 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. t;5.7i 1. 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. GY' Z 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. 3. Section view of the StormFilter Vault (1/4" = 1'0" or larger) showing - Depth(s) of the vault containing StormFilter cartridges, - Number of cartridges, - Cartridges specifications, - SHWT elevation, and - Outlet pipe. well" 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 � t2QP_ form. County soil maps are not an acceptable source of soils information. 5. Supporting calculations (including drainage calculations) 1$ "'rjjlra tl�t(4l. 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 1 of 1 Permit Number: (to be provided by DWQ) STORMWATER MANAGEMENT PERMIT APPLICATION FORM 401 CERTIFICATION APPLICATION FORM roe WArE90 MIM C . 41"ECKSTORMFILTER SUPPLEMENT ������y.�J7�1l� NCDENR ENGINEEREDSOLUTIONS o� r 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 III) and the 08M Agreement I{PRVJ ECTlI N F,ORMATIO N Project name Welcome - FDS Contact name Luke Bugenske, PE Phone number (704) 553-8881 Date 12.11.13 Drainage area number 1 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 (WQVAdi) 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 Flow Rate, q SHWT elevation Bottom of the StormFilter vault elevation Clearance (dSHvIT) Time to drain the StormFilter (t) Time to drain the StormFilter (t) SUMMARY Maximum Treatment Flow Rate, cis 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 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)? 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)? Form SW401-StormFilter-Rev.1 2012Aug 42,636.00 ftZ OK 38,332.00 ftZ 89.9% % 1.00 in 2.80 in 0.12 Whir 2.22 ft3/sec 3.75 ft3/sec 1.53 ft3/sec 3,052.55 ft3 2,289.41 ft3 OK 3,092.00 ft3 0,86 (unitless) OCT 14 20114 r ..... #Ay�g1nston-Sale m %%:k pLINA W4• nalCtlNce U •\ONA4' J4JEtA; • O , �'�iir�rrrrr�,; 11� 1� 1 45.00 in 85,00% 90.00% �— —� 70.00 mgll (Suggestion: Use 60 for residential, 7o for Commercial, 100 for Industrial) 18.00 in 1.00 gpm/ft' n/a ft amsl n/a ft amsl #VALUE! nla (iyr-24hr hours pre/post) #VALUEIdays 0.15 9.00 Insufficient drainage time or the discharge rate from the system must be controlled so that the post -development rate is no greater / than the pre -development rate for the 1-year, 24-hour rain event. l/ tJ ft¢ JAZI[aJ M'%N►WG ftm earns � �¢ lye -mitt S"mem t-U6`1 Y Y or N OK y YorN OK n/a Y or N Enter Data A f 0 L, 4-r' n/a fit n/a Y or N Enter Data?1f p y Y or N OK S U a Y YorN OK �IFr'CLSEh Y Y or N OK Pads I and II. Project Design Summary, Page 1 of 1 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 Page/ Plan Sheet No. t% G J • Z 1. 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, GY Z G5•Z OE r 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. 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. 3. Section view of the StormFilter Vault (1/4" = 1'0" or larger) showing: - Depth(s) of the vault containing StormFilter cartridges, - Number of cartridges, - Cartridges specifications, - SHWT elevation, and - Outlet pipe. 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. 5. Supporting calculations (including drainage calculations) 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 1 of 1 Permit Nmnber: 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: Potential problem: How I will remediate the problem: 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 as applicable) pavementsurface. 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 I&M 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 have occurred at the outlet. Quality 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 Permit Number: (to be provided by DIVQ) 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 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: Welcome - FD BMP drainage area number: Print name: Address:71 I Central Avenue - Charlotte, NC 28204 Phone:(704) 909 _2477 ,7 Signature: Date: LZ "(K, — f 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. L TA I Q A - 1.A( t QI IA ri , a Notary Public for the State of Mpg}ti O,gYD1 LA 4, County of MAk.ktn�ura , do hereby certify that k . iZOSS Roles �vy J — personally appeared before me this _ day of 20 L > and acknowledge the due execution of the forgoing sand filter maintenance requirements. Witness my hand and official seal, SEAL My commission expires (� 1 / 8 -Z01 09 Permit Nu nber: (io be provided by DIVQ) StormFilter Operation and Maintenance Agreement I will keep a maintenance record on this 13MP. 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: Potential problem: How I will remediate the problem: 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 as applicable) pavement surface. 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 I&M 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 I Repair or replace the outlet device. Receiving water Erosion or other signs of damage Contact the NC Division of Water have occurred at the outlet. Quality 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 Permit Number: (to be provided by DWQ) 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 Contecli s 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 naive: Welcome - FD BMP drainage area number: Print name:Ross Hobson Address:71 I Central Avenue - Charlotte NC 28204 �Z Date: '( (�„ — 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, TAI 1 Q p - U t Ql iA rl , a Notary Public for the State of t�04}�N l ,a of County ofMlC t(VIIDIdrz , do hereby certify that - Rus", Rl blow personally appeared before me this _I (p" day of Cr— , y�,bt,r 20C3 , and acknowledge the due execution of the forgoing sand filter maintenance requirements. Witness my hand and official seal, SEAL My commission expires 4 I g -ZD I l�