SW3210301_Application Form_20221222

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.pov/contact/repional-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: SW3210301
2. Current Permit Holder's Company Name/Organization: KH Wesley Chapel, LLC
3. Signing Official's Name: Michael McLendon
4. Signing Official's Title: Authorized Signatory
5. Mailing Address: 8913 Silver Springs Court
City: Charlotte State: NC ZIP: 28215
6. Street Address (if different):
City: State: ZIP:
7. Phone: [phone] Email: mmclendona-kolter.com
8. Describe the minor modifications that you are requesting, including any revised BUA allocations (attach
additional pages or supporting tables similar to Section IV.10 of the original application, if needed):
Revised Lot Layout and Road Aligmmnets to reduce retaining walls. See attached revised BUA Chart.
B. SUBMITTAL REQUIREMENTS
Please mark "Y' to confirm the items are included with this form. Please mark "X" 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.
X 2. Two hard copies and one electronic copy of the revised plan sheets (must be a revision of the
originally approved plan sheets).
N/A 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:Matthew S. Kiker
Consulting Firm: Thomas and Hutton
Mailing Address:1020 Euclid Avenue
City:Charlotte State:NC Zip:28203
Phone: [phone] Fax: [ 1
Email: :kiker.m tandh.com
2. [OPTIONAL] If you would like to designate another person to answer questions about the project:
Name & Title:
Organization:
Mailing Address:
City: State: Zip,
Phone: 1 Fax: f l
Email:
D. CERTIFICATION OF PERMITTEE
I, Michael McLendon , 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
complete to the best of my knowledge. _
Signature:
12/14/22
I, Rhonda L. Bustard , a Notary Public far the State of North Carolina
County of Union do hereby certify that Michael McLendon _
personally appeared before me this the 14th day of December 20 22, and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
Z = f
�igTtature
expires
August 4, 2024
Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017

REVISED BUA CHART
Basin Information
Drainage Area 1
Drainage Area 2
Drainage Area
Drainage Area
Receiving Stream Name
East Fork
Twelvemile
Creek
East Fork
Twelvemile
Creek
Stream Class *
C
C
Stream Index Number *
11-138-2
11-138-2
Total Drainage Area (so
1,973,268
757,944
On -site Drains Area so
1,973,268
757,944
Off -site Drainage Area (so
0
Proposed Impervious Area** (so
1,228,238
617,167
% Impervious Area total
65
75
Impervious * Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area
Drainage Area
On -site Buildings/ Lots (so
802,500
347,500
On -site Streets so
183,857
96,614
On -site Parkin (so
186,250
87,500
On -site Sidewalks so
55,631
29,258
Other on -site so
0
0
Future (so
0
56,295
Off -site so
0
0
Existing BUA'** (so
0
0
Total s
1,228,238
617,167