SW3170802_Application Form (Minor Modification)_20211021

DEMLR USE ONLY
Date Received Fee Paid Permit Number
STORMWATER PERMITTING FORM 7:
MINOR MODIFICATION
Standard Permitting Program — No Fee for Minor Modification
Express Permitting Program -- See Express Fee Schedule
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deg.nc...ovlcontactlregional-offices.
This form is to only to be used by the current permittee to notify the Division of a minor
modification. Pursuant to Rule 15A NCAC 02H .1002, a minor modification is a change to the project that:
1) does not increase the net built -upon area; and/or
2) does not change the size or design of the SCM(s).
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW3170802
2. Current Permit Holder's Company Name/Organization: JBH Development, LLC
3. Signing Official's Name: Mr, J. Bart H
4. Signing Official's Title: Manager
5. Mailing Address: 1616 Cleveland Ave.
City: Charlotte
6. Street Address (if different):
City:
State: NC ZIP: 28203
State: ZI P:
7. Phone: [phone] Email: bhopper ccbhoppercommunities.com
8. Describe the minor modifications that you are requesting, including any revised BUA allocations (attach
additional pages or supporting fables similar to Section 1V.10 of the original application, if needed):
The prolect has not been developed since permit approval in Oct. of 2017. The wetlands JD expired
Which required renewal. The new wetlands delineation shows expanded limits of both wetlands and
Streams which resulted in the need to obtain 404 and 401 impact permits. The Stormwater management
Design has not changed. The only changes are the limits of wetlands.
B. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark W" if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. Two hard copies (with original signatures) and one electronic copy of this completed form.
Y 2. Two hard copies and one electronic copy of the revised plan sheets (must be a revision of the
originally approved plan sheets).
NIA 3. If there is reallocation of lot BUA, a copy of the revised recorded deed restrictions and protective
covenants OR the proposed recorded deed restrictions and protective covenants documenting
the changes and a signed agreement to provide the final recorded document.
N/A 4. If applicable, the appropriate Express review fee.
Stormwater Permit Form 7: Minor Modification Page 1 of 2 July 14, 2017

C. CONTACT INFORMATION
1. The Design Professional who is authorized to provide information on the Applicant's behalf:
Design Professional's Name: Anthony Brent Cowan
Consulting Firm: The Isaacs Group, PC
Mailing Address:8720 Red Oak Blvd., Ste. 420
City: Charlotte
Phone: [phone] Fax:
Email:: [e-mail]
State:NC Zip:28217
[OPTIONAL] If you would like to designate another person to answer questions about the project:
Name & Title:
Organization:
Mailing Address:
City:
Phone:
Email:
D. CERTIFICATION OF PERMITTEE
State: .Zip:
ax:
I, J. Bart Hopper _ the current permittee, certify that I have authorized the minor
modifications listed in Section A and shown in the attached revised plan sheets. I further attest that this information is
accurate and coMlete
Signature:
best of my knowledge.
Date: D 21
I, L rim a Notary Public for the State of G{Y- finl
County of � UAel V k/ do herby certify that
personally appeared before me this the % f �) day of pcsn_!,�4 _ _ , 20.SZ/ , and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
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Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017