SW3201203_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: htt :11de , nc_ ovlcontactlre ional-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: SW3201203
2. Current Permit Holder's Company Name/Organization: Classic Neighborhood Development, LLC
3. Signing Official's Name: Shannon Boling
4. Signing Official's Title: Land Development Manager
5. Mailing Address: 11430 North Community House Road
City: Charlotte State: NC ZIP 28277
6. Street Address (if different):
City: State: ZIP:
7. Phone:( 704 ) 905-1831 Email: skilbvO.dwhomes.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):
The High Density Deeds Restrictions Form was updated to reflect the BUA for each lot is
calculated within the lot lines, not up to the back of curb. The BUA outside of the lot lines is
calculated as part of the site BUA.
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 NIA.:
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).
Y 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
The Design Professional who is authorized to provide information on the Applicant's behalf:
Design Professional's Name: Marc Van Dine, PLS, PE
Consulting Firm: McAdams
Mailing Address: 3430 Toringdon Way, Suite 110
City: Charlotte
Phone: (704 ) 287-6756
Email:: [e-mail]
State: NC
Fax:
Zip: 28277
2. [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, Shannon Boling , 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_j,)est of my knowledge.
Signature:
Date:
I, � i-� (,t1Y1 & L r (o—n 1} , a Notary Public for the State of �A C
County of �� �1�On do hereby certify that nnL',ltn
personally appeared before me this thday of SY- VRe' 20 , and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature.
My commission expires `hof a5
Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017