SWA000209_Application Form_20230614

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
SW Program(s): ❑ Coastal SA-HQW ❑ Coastal SA-ORW ❑ Coastal FW-ORW ❑ Coastal Other
❑ Non -coastal HQW ❑ Non -coastal ORW ❑ Urbanizing Areas ❑ USMP
NC DEQ Division of Energy, Mineral and Land Resources
Link to Application Instructions
A. ELIGIBILITY FOR FAST -TRACK PERMITTING
To be considered for a Fast Track ATC Permit, all of the items below must be checked. If any item cannot
be checked, then the project must apply under the Standard Permitting Process.
® The project and all SCMs (including existing SCMs associated with the project) will meet all applicable
requirements of 15A NCAC 02H .1000 - .1062, including the Minimum Design Criteria (MDC), upon project
completion.
® The project is not proposing an alternative design.
® The project is not claiming an exemption from the MDC based on vested rights, a waiver or a Director's
Certification.
® The project is not out of compliance with an existing stormwater permit or any other environmental permit.
® The project is not applying for an offsite permit, an exemption, or a minor modification (as defined in 15A
NCAC 02H .1002(25)) to an existing state stormwater permit.
® The project application bears the signature and seal of a professional licensed pursuant to either Chapter 89A
or 89C of the NC General Statutes.
® I understand that at project completion, an application with the as -built stormwater plans (as described in 15A
NCAC 02H .1044 must be submitted, and DEQ will review the as -built stormwater plans to confirm
compliance with the MDC. Approval of the as -built stormwater plans will be required before the Erosion and
Sedimentation Control Plan for the project may be closed out.
® I understand that the Fast Track ATC Permit will expire five years after the date of issuance.
1 Project Name: 609 UNION WEST BLVD
2. Previous Project Name (if applicable):
3. Location of Project (street address): 609 UNION WEST BLVD
City:MATTHEWS County:UNION Zip:28104
4. Directions to project (from nearest major intersection):
FROM US HWY 74 GO NE ON STALLINGS RD (SR 1365) THEN RT ON RICHARD BAKER DR THEN LEFT
ON UNION WEST BLVD CROSS OVER SHERIN LN GO TO END OF BLVD PROPERTY ON LEFT.
5. Latitude:350 05' 30" N Longitude:800 39' 48" W of the main entrance to the project.
1. Specify whether project is (check one):
® New, no previous application
❑ New, replacing a previous Fast Track ATC Permit -- provide previous permit number: SWA
By choosing this option, you are also requesting that DEQ rescind the previous Fast Track ATC Permit
upon issuance of the new Fast Track ATC Permit.
Stormwater Fast Track ATC Application Form Page 1 of 9 Feb. 10. 2018

❑ Major Modification, replacing an existing stormwater permit — provide existing permit number: SW
Status of construction? ❑ Not Started ❑ Partially Completed ❑ Completed
Major modifications must be submitted by the original permittee and are allowed only if the SW permit is
not expired. Minor modifications must use Standard Permitting Process. By choosing this option, you
are also requesting that DEQ rescind the previous SW Permit upon issuance of the new Fast
Track ATC Permit.
❑ Transfer of existing Fast Track ATC Permit — provide existing ATC permit number: SWA,
2. Applicable state stormwater program(s) (check all that apply):
❑ Coastal SA-HQW ® Urbanizing Areas (Phase 2)
❑ Coastal SA-ORW ❑ Non -Coastal HQW
Is any portion of the project within 575 feet
of SA-ORW waters? ❑ Yes ❑ No ❑ Non -Coastal ORW
❑ Coastal Freshwater ORW ❑ USMP
❑ Coastal — Other
3. Other Permits (as applicable; write "NA" for those permit types that are not applicable):
Project Name
PermitlAppl
Issue Date
Other Information
No.
CAMA Major
NA
Erosion &
609 UNION WEST
UNION-
08/11/22
Disturbed Area 1.92
Sedimentation Control
BOULEVARD, LLC SITE
2022-065
acre
DEVELOPMENT
NPDES Industrial
NA;
Stormwater
404/401 Permit
Proposed Impacts
If/ac
4. Local jurisdiction for building permits: UNION COUNTY
Point of Contact:MARK GRIFFIN Phone #: (704 ) 283-3643
1. Applicant/Financially Responsible Party (may be an Organization):609 UNION WEST BOULEVARD LLC
Signing Official Name & Title:CHARLES E MEEKS Jr Member / Owner
Street Address:2210 ALLEN DR
City:SALISBURY State:MD Zip:21801
Mailing Address (if different):P.O. BOX 2111
City:SALISBURY State:MD Zip:21802
Phone: [phone] Fax: ( )
Email: charlesmeeks(o)-delawareelevator.com or dcordrey(D-delawareelevator.com
2. If the Applicant is a Corporation or LLC (Address must match address on file with NC Dept of the Secretary of
State):
Name of Registered Agent:JOHN T. BURNS
Mailing Address:103 N. Main St.
City:MONROE State:NC Zip:28112
Phone: [phone] Fax: ( )
Email: john(o)-jtburnslaw.com
Stormwater Fast Track ATC Application Form Page 2 of 9 Feb. 10, 2018

3. The Applicant is the (check all that apply):
® Property Owner
❑ Lessee (Attach a copy of the lease agreement & complete Item 4.)
❑ Purchaser (Attach a copy of the pending sales agreement & complete Item 4.)
® Developer (Attach a copy of the development agreement & complete Item 4.)
4. If the Applicant is NOT the Property Owner (skip to Item 5 if the Applicant IS the Property Owner):
Property Owner Name/Organization:
Signing Official & Ti
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( ) Fax: ( )
Email:
5. The licensed Design Professional that will be retained for the duration of the project, who may provide
information on the Applicant's behalf, and who will prepare and certify the as -built package:
Consulting Engineer/Landscape Architect:DAVID W. ODOM PE
Consulting Firm: ODOM ENGINEERING PLLC
Mailing Address:169 OAK ST
City:FOREST CITY State:NC Zip:28043
Phone: (828 ) 247-4495 Fax: ( )
Email:davidodom(o)-odomengineering.com
6. [OPTIONAL] If you would like to designate another person to answer questions about the project:
Name & Title:B. SCOTT ROACH EIT-PROJECT MANAGER
Organization: ODOM ENGINEERING PLLC
Mailing Address:169 OAK ST
City: FOREST CITY
Phone: (828 ) 247-4495
Email:scotW( odomengineering.com
1. Specify the type of project (check one): ❑ Low Density
State:NC Zip:28043
Fax: ( )
® High Density
2. Briefly summarize how the stormwater runoff will be treated/conveyed:
Stormwater post developed is directed to a proposed or established Wet Pond for detention & treatment
at the rear of the
3. Stormwater runoff from this project drains to the YADKIN PEE DEE River basin(s).
4. Receivina water information (if more than 3 receivina waters. provide additional information on an attached sheet):
Receiving
Water 1
Receiving
Water 2
Receiving
Water 3
Receiving Stream Name
N FORK CROOKED CRK
CROOKED CRK
Stream Classification
C
C
Stream Index Number
13-17-20-1
13-17-20
Stormwater Fast Track ATC Application Form Page 3 of 9 Feb. 10, 2018

5. Project area and density information:
Total Property Area
90779 sf
Total Surface Water Area
sf
Considered to include:
• the normal pool of impounded structures;
• the area between the banks of streams and rivers, and
• the area below the Normal High Water (NHM line or Mean High Water (MHW) line.
Total Coastal Wetlands Area
sf
Considered to include: coastal wetlands landward from the NHW (or MHM line.
Total Project Area
90779 sf
Excludes the surface water area and coastal wetland area identified above.
May or may not be the same as Property Area.
Built -Upon Area (BUA) associated with Existing Development
0 sf
"Existing development" means those projects that are built or those projects that have established a
vested right under North Carolina law as of the effective date of the state stormwater program or
applicable local government ordinance to which the project is subject.
Proposed New BUA
45302
Includes proposed new BUA that is not associated with existing development.
sf
`BUA" is defined in N. C. G. S. 143-214.7(b2). It includes, but is not limited to: buildings, roads, parking
areas, sidewalks, and some gravel areas. The design volume of SCMs must take into account the runoff
from build out from all surfaces draining to the SCM in accordance with 15A NCAC 02H .1050(1).
Project Density
w/Existing Development: Project Density = (New BUAj/[Total Project Area — Existing BUA] x 100 or
49.90 %
w/o Existing Development: Project Density = [New BUA]/Total Project Area] x 100
6. Anticipated construction start date 06/15/23
7. Is the project located within 5 miles of a public airport? ® No ❑ Yes
If'Yes,'see S.L. 2012-200, Part VI: http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S229v6.pdfand
DEQ Stormwater Design Manual Chapter E-4 Airports.
8. For projects in Union County: Contact DEMLR Central Office Stormwater staff at 919-707-9200 to determine
if the project is located within a Threatened & Endangered Species watershed that may be subject to more
stringent stormwater requirements per 15A NCAC 02B .0600.
Stormwater Fast Tracic ATC Application Form Page 4 of 9 Feb. 10, 2018

F. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only application packages that include
all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
Initials
BSR 1. Two original signed hard copies and one electronic copy of this State Stormwater Fast Track
Process "Authorization to Construct" (ATC) Permit Application Form.
CEM_ 2. Permit application processing fee of $505 payable to NCDEQ.
BSR 3. Two hard copies and one electronic copy of a USGS map identifying the project location
and GPS coordinates for the project. If the receiving water is Class SA or the receiving water
drains to Class SA waters within '/Z mile of the project boundary, include the % mile radius
on the map. If the project is within 575 feet of Class SA-ORW waters, include the 575-foot
radius on the map.
BSR 4. Two original signed hard copies and one electronic copy of a site plan depicting the boundary
of the project or project phase currently being permitted, including the locations of SCMs,
streams, wetlands, and buffers.
BSR 5. Two hard copies and one electronic copy of a construction sequence that discusses how any
future development on the project may be phased.
BSR 6. A copy of the most current property deed. Deed book: 7241 Page No: 636-638
BSR 7. [IF APPLICABLE] When the applicant is a corporation or a limited liability corporation (LLC): Provide
two hard copies and one electronic copy of documentation from the NC Secretary of State, or other
official documentation, which supports the titles and positions held by the persons listed
in Section C.2 per 15A NCAC 2H. 1043(3)(b). The corporation or LLC must be listed as an active
corporation in good standing with the NC Department of the Secretary of State; otherwise, the
application will be returned. https://www.sosnc.gov/search/index/corp
8. [IF APPLICABLE] When the applicant is a Partnership or other person engaging in business under
an assumed name, attach a copy of the Certificate of Assumed Name.
9. [IF APPLICABLE] When the applicant is not the property owner: Provide two hard copies and one
electronic copy of lease agreements, affidavits, pending sales agreement, development agreement,
or other documents showing that the applicant has obtained legal rights to submit a stormwater
permit application within the proposed project area.
10. [IF APPLICABLE] If modifying an existing permit for completed or partially completed projects, a copy
of the designer's certification.
Stormwater Fast Track ATC Application Form Page 5 of 9 Feb. 10, 2018

The Applicant, who is also the Financially Responsible Party, identified in Section D of this form must sign and have
notarized the following guaranty: & Cq ( t,­„ u;-
I, (print or type name of Applicant/Financially Responsible Party) CHARLES E. MEEKS Jr. me6w' CW0 & f'C
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that:
1. the design has been or will be completed in accordance with the MDC as set forth in Rules 15A NCAC
02H .1050 through .1062, to the best of my knowledge;
2. the completed design meets or will meet the MDC and that the percentage BUA that is the basis for the
design shall not be exceeded, to the best of my knowledge; and
3. As the applicant, I shall maintain a licensed professional of record for the duration of the project
who will prepare and certify the as -built package. If I retain another licensed
professional before the project is complete, then I shall provide an updated
guaranty with the current licensed professional's seal. A licensed professional shall inform
the Division if he is no longer associated with this project.
The above information is true and correct to the best of my knowledge and belief and was provided by me under oath I
agree to provide corrected information should there be any change in the information provided herein.
�1r�Gi 2l-e�� me Wy%22
�.n aw L
Type or print e Title or Authority
C a"
Signature
Date 51 Q 1 ,;tcS�3
I, f ��. U -,a Notary Public for the State of A anAI o
juk
County of CO rO I LO , do hereby certify that ��� � � S L )
personally appeared before me this day of •`�� and acknowledge the
due ejxecution of the application for a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
r
°f�naaaaai��
AMY L WALTON
Notary Public - State of Maryland
Wicomico County
My Commission Expires Nov 14, 2026
Stormwater Fast Track ATC Application Form Page 6 of 9 Feb. 10, 2018

To be completed by the Design Professional identified in Section D.S.
I, DAVID W. ODOM PE , attest to the following:
1. This application has been reviewed by me and is accurate and complete, to the best of my knowledge;
2. The design has been completed in accordance with the MDC as set forth in Rules 15A NCAC 02H
.1050 through .1062, as applicable;
3. The percentage built -upon area that is the basis for the design will not be exceeded; and
4. 1 have the expertise, education, and experience required to design the SCMs proposed in this
application in accordance with the MDC as set forth in Rules 15A NCAC 02H .1050 through .1062.
5. 1 will provide all documents and certified as -built plans in hard copy and electronic format related to
this permit to a new Applicant/Property Owner and to DEMLR upon transfer of this permit to a new
Applicant/Property Owner.
Note: In accordance with N.C.G.S. 143-215.6A and 143-215.68, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may
include a fine not o exceed $10,000 as well as civil penalties up to $25,000 per violation. In addition, any person
who knowingly Ma es any false statement, representation, or certification in any application may be reported to
the appropriatepf%�si¢nal licensing board.
Signature:_1 � )6� W Date: 5 k I -Z 3
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2113
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®®®�t/O W..•OID�����
SEAL
Stormwater Fast Track ATC Application Form Page 7 of 9 Feb. 10, 2018

.#. , �t x a..
I, (print or type name of the Property Owner) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of Applicant)
with (print or type name of Applicant's
organization) 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.
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 DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR 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 General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of
County of , do hereby 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,
SEAL
My commission
Stormwater Fast Track ATC Application Form Page 8 of 9 Feb. 10, 2018

CERTIFICATIONJ. OF CURRENTP: ,.(COMPLETEONLYIF PERMIT TRANSFER
REQUESTED)
1, (print or type name of the Current Permittee) am submitting
this request for a transfer of Fast Track ATC permit # SWA With the
submission of this transfer request I am providing a copy of the most recent permit, all related documents and as -
built plans certified by my design professional in hard copy and electronic format to the Proposed
Perm ittee/Applicant identified in Section G of this application and to DEMLR . I further attest that this request for
a permit transfer is accurate and complete to the best of my knowledge. I assign all rights and obligations as
permittee to the proposed permittee named in Section G of this form.
Signature: Date:
I, , a Notary Public for the State of
County of
personally appeared before me this
, do hereby certify that
day of , and acknowledge the
due execution of the application for a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
Stormwater Fast Track ATC Application Form Page 9 of 9 Feb. 10, 2018

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FILED
UNION COUNTY, NC
CRYSTAL D. GILLIARD
REGISTER OF DEEDS
FILED Apr 14,2022
AT 12:08 pm
BOOK 08453
START PAGE 0568
END PAGE 0570
INSTRUMENT # 13927
EXCISE TAX $350.00
if
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S,350.00
Parcel Identifier No: 07102297
Mail/Box to: Burns & Gray, PA
This instrument was prepared by: John T. Burns / eb
Brief escriplion for the Index: 609 Union West Bottlevard, Matthews, NC 28104
THIS DEED inade this Z!f ' day of K4L11L( 2022, by and between
GRANTOR
Bradley D. Prillaman and wife,
Traci T. Prillaman
2117 Keegan Court
Matthews, NC 28104
GRANTEE
609 Union West Boulevard, LLC
2210 Allen Dr.
Salisbury, Maryland 21801
Enter in appropriate block tbr each party: name, address', and, if appropriate, character ofentity, c.g corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successols,
and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context,
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and C0rVeV Unto
the Grantee in fee simple, in all that certain lot or pat -eel of land situated in the Vance Township,
Union County, North Carolina and more particularly described as follows:
See attached Exhibit A
The property hereinabove described was acquired by Grantor by instrument recorded in Book 07602,
page 737.
The sale of this property does not include the seller's primary residence.
A map showing a portion of the above described property is recorded in Plat Cabinet File

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of"the preniises in fee simple, has
the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever, other than the following exceptions:
All right of ways of roads and utilities that border or cross said property.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and
year first above written,
(SEAL-)
13radL y D. Prillaman
,��Lk J, ---(SEAL)
TraciT. Prillaman
State of North Carolina - County of UNION
1, the undersigned Notary Public of the County and State aforesaid, certify that Bradley D.
Prillaman personally appeared before me this day and acknowledged the (]Lie CXCCUtiOn Of the
t,oregfloing Hisjrunient for%pu ses therein expressed. Witness my ]land and Notarial stamp or
01
fC 20
fission Expires: /C
LLJ
Notary Public
JV C0\3
State of North Carolina - County of UNION
1, the undersigned Notary Public of the Count), and State aforesaid, certify that Traci T.
Prillaman personally appeared before me this day and acknowledged the due execution Of the
foregoing in a vent for 6e put in . poses thereexpressed. Witness my ]land and Notarial stamp or
d seal this
My Commission Expircs:__A2
Notary Public

EXHIBIT "A"
Tract 1:
BEGINNING at 5/8" existing iron rebar next to a telephone pole, just south of a transformer and
northwest of a cable television utility, said existing iron rebar marking the common western
comer of subject parcel and that of Lot 29, Union West Business Park, Phase 3, Plat Cabinet K,
File No. 332, Union County Registry, and running thence along and with the common property
line with said Lot 29, North 72-01-12 East 628.33 feet to another 5/8" existing iron rebar; thence
South 52-48-47 East 3.97 feet to a 2 inch existing iron pipe; thence South 3-54-20 West 79.92
feet to a %Z inch new iron rebar; thence back toward Union West Boulevard South 58-54-54
West 239.53 to a NCDOT R/W Disk said line being the northern boundary of the US Highway
74 Bypass; thence with another line forming the continuation of the northern boundary of US 74
Bypass, South 63-13-47 West 324.34 feet to another NCDOT R/W Disk; thence North 15-57-24
West 49.37 feet to a 1/2 inch new iron rebar; and thence with a final call of North 38-19-16 West
140.74 feet to the POINT AND PLACE OF BEGINNING, denominated as "Remainder of Tract
2" and containing 1.807 acres, all according to a"Boundary Survey, Tract 2, Union West
Business Park, Phase 3" by Russell L. Whitehurst, NCPLS, Eagle Engineering, and dated August
22, 2018.
Tract 2:
BEGINNING at a 1" existing iron rebar on the southern margin of the US Highway 74 Bypass,
the common corner thereon with that of Smith Properties H, LLC, Book 1819, Page 588, Union
County Registry, now or formerly, and running thence with the "Smith" line South 3-54-20 West
33.89 feet to a % inch new iron rebar; thence along and with the common line with Edwards
Land Holdings, LLC, Book 5083, Page 497, Union County Registry, South 2-14-44 West 82.75
feet to another % inch new iron rebar, running thence North 87-27-57 West 188.98 feet to
another''/2 inch new iron rebar on the southern margin of the US Highway 74 Bypass; thence
along and with the southern margin of said Bypass with a final call of North 60-54-21
East 222.41 feet to the POINT AND PLACE OF BEGINNING, also denominated as "Remainder
of Tract 2" and containing 0.252 acres, all according to a'Boundary Survey, Tract 2, Union West
Business Park, Phase 3" by Russell L. Whitehurst, NCPLS, Eagle Engineering, and dated August
22, 2018.
(Said parcels being divided by the new US Highway 74 Bypass and together constituting Tax
Parcel ID #07-102-297)

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED I
-PROJECT INFORMATION
Project Name 609 UNION BLVD WEST
2
Project Area (ac)
2.08
3
Coastal Wetland Area (ac)
4
Surface Water Area (ac)
v
5
Is this project High or Low Density?
High
6
Does this project use an off -site SCM?
No
COMPLIANCE WITH 02H.1003(4)
7 Width of vegetated setbacks provided (feet)
Will the vegetated setback remain vegetated?
N/A
,
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003(4)(c-d)?
N/A
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMS:
11 Infiltration System
12
Bioretention Cell
13
Wet Pond
14
Stormwater Wetland
15
Permeable Pavement
16
Sand Filter
17
Rainwater Harvesting (RWH)
18
Green Roof
19
Level Spreader -Filter Strip (LS-FS)
20
Disconnected Impervious Surface (DIS)
21
Treatment Swale
22
Dry Pond
23
StormFiiter
24
Silva Cell
25
Bayfilter
26
Filterra
I FORMS LOADED I
DESIGNER CERTIFICATION
27 Name and Title: DAVID W. ODOM, PE
28
Organization:
ODOM ENGINEERING, PLLC
29
Street address:
169 OAK ST
30
City, State, Zip:
FOREST CITY, NC 28043
31
Phone number(s):
828-247-4496 _--
32
Email:
ng.com J
[e-mail]
Certification Statement
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or supervision; that the
information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and that the engineering plans,
specifications, operation and maintenance agreements and other supporting information are consistent with the information provided here.
Designer
C
SEAL
211 0
ZZ,
n�
L) W 0
Signature of Desibner
Date

DRAINAGE AREAS
1
Is this a high density project?
Yes
2
If so, number of drainage areas/SCMs
1
3
Does this project have low density areas?
_
No
4
If so, number of low density drainage areas
0
5
Is all/part of this project subject to previous rule
versions?
No
FORMS LOADED
DRAINAGE AREA INFORMATION m
4 T e of SCM _
Entire Site
WET POND
5
Total draina a areas ft
57499
6
Onsile draina a area (sq ft
57499
7
Offsite drainage area (sq ft)
0
8
Total BUA in project (sq ft)
45302 sf
9
New BUA on subdivided lots (subject to permitting)
(sq ft)
7
10permitting)
New BUA not on subdivided lots (subject to
(so
11
1 Offsite BUA (sq ft)
12
Breakdown of new BUA not on subdivided lots:
- Parkin (sq ft)
28126 sf
- Sidewalk (sq ft)
1379 sf
- Rcof (s ft
12000 sf
- Roadway (sq ft)
- Future (sq ft)
Other, please specify in the comment box
below (sq ft
13
New infiltrating permeable pavement on
subdivided lots (sq ft
14
New infiltrating permeable pavement not on
subdivided lots (sq ft)
15
Existing BUA that will remain (not subject to
permitting) (sq ft
16
Existing BUA that is already permitted (sq ft)
17
Existing BUA that will be removed (sq ft
18
Percent BUA
79%
19
Design storm (inches)
2.5 in
20
Design volume of SCM cu ft)
_ _
14525 cf
21 _ Calculation method for design volume
ADDITIONAL INFORMATION
HYDROCAD
22
Please use this space to provide any additional information about the
drainage area(s):
i

I Drainage area number 1�
ERAL
2 Minimum rye wired treatment volume (cu ft) 9948 cf
.,,.
MDC FROM 02H A050
3 Is the SCM sized to treat he
real the SW from all surfaces at bwld-out? Yes
r
4 Is the SCM located away from contaminated soils?
Yes
5 What are the side slopes of the SCM (H:V)?
3:1
6 Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
_ _
No
Are the inlets, outlets, and receiving stream protected from erosion
7
(10-year storm)?
Yes
8 Is there an overflow or bypass for inflow volume in excess of the
design volume?
No
91 What is the method for dewatering the SCM for maintenance?
Pump (preferred)
10
If applicable, will the SCM be cleaned out after construction?
Yes
11
Does the maintenance access comply with General MDC (8)?
_
Yes
12
Does the drainage easement comply with General MDC (9)?
Yes
13
If the SCM is on a single family lot, does (will?) the plat comply with
General MDC (10)?
No
14
Is there an O&M Agreement that complies with General MDC (11)?
Yes
15
Is there an O&M Plan that complies with General MDC (12)?
Yes
16
Does the SCM follow the device specific MDC?
Yes
17 Was the SCM desi ned bun NC licensed rofessional?
WET POND MDC FROM 02H .1053 m
18 Sizing method used
Yes
mro
SA/DA
191
Has a stage/storage table been provided in the calculations?
Yes
20
Elevation of the excavated main pool depth (bottom of sediment
removal) (fmsi)
21
Elevation of the main pool bottom (top of sediment removal) (fmsl)
677.00
22
Elevation of the bottom of the vegetated shelf (fmsi)
683.00
23
Elevation of the permanent pool (fmsi)
683.00
24
Elevation of the top of the vegetated shelf (fmsl)
683.00
25
Elevation of the temporary pool (fmsl)
683.50
26
Surface area of the main permanent pool (square feet)
2896
27
Volume of the main permanent pool (cubic feet)
10681 cf
28
Average depth of the main pool (feet)
6.00 It
29
Average depth equation used
Equation 2
30
If using equation 3, main pool perimeter (feet)
31
If using equation 3, width of submerged veg. shelf (feet)
32
Volume of the forebay (cubic feet)
1602 cf
33
Is this 15-20% of the volume in the main pool?
Yes
34
Clean -out depth for forebay (inches)
6 in
35
Design volume of SCM (cu ft)
36 Is
the outlet an orifice or a weir?
Weir
37
If orifice, orifice diameter (inches)
38
If weir, weir height (inches)
8 in
39
If weir, weir length (inches)
120 in
40
Drawdown time for the temporary pool (days)
1.12
41 Are
circuiting?
the inlet(s) and outlet located in a manner that avoids short-
Yes
42 jAre
berms or baffles provided to improve the flow path?
No
43 IDepth
of forebay at entrance (inches)
i 42 in
44 IDepth
of forebay at exit (inches)
42 in
45 Does
water flow out of the forebay in a non -erosive manner?
Yes
46 lWidth
of the vegetated shelf (feet)
6 ft
47 ISlope
of vegetated shelf (H:V)
:1
48 Does
the orifice drawdown from below the top surface of the
ermanentpool?
Yes
49 Does
r,
the pond minimize impacts to the receiving channel from the 1-
24-hr storm?
Yes
50 Are
MDC(9)
fountains proposed? (If Y, please provide documentation that
is met.
No
51 Is
a trash rack or other device provided to protect the outlet system?
Yes
52 Are
the dam and embankment planted in non -clumping turf grass?
Yes
53 Species
of turf that will be used on the dam and embankment
FESCUE
54 Hasa
`ADDITIONAL
55 Please
wet
lancing Ian been rovided for the ve etaled shelf?
INFORMATION
use this space to provide any additional information about the
pond(s):
Yes
Wet Pond 1 3:14 PM 5/1/2023

Project Name:
Project Location:
609 UNION WEST BLVD (CHARLES E. MEEKS WAREHOUSE)
609 UNION WEST BLVD, STALLINGS, NC
Cover Page
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM 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 SCM(s).
The SCM(s) on this project include (check all that apply & correspo
Infiltration Basin
Quantity:
Infiltration Trench
Quantity:
Bioretention Cell
Quantity:
Wet Pond
Quantity:
1
Stormwater Wetland
Quantity:
Permeable Pavement
Quantity:
Sand Filter
Quantity:
Rainwater Harvesting
Quantity:
Green Roof
Quantity:
Level Spreader - Filter Strip
Quantity:
Proprietary System
Quantity:
Treatment Swale
Quantity:
DryPond
Quantity:
Disconnected Impervious Surface
Present:
No
User Defined SCM
Present:
No
Low Density
Present:
No
O&M sheets will
Location(s).
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
oe aaaeo automaucai
IREAR OF PROPERTY I
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Signature:
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
CHARLES E. MEEKS, Jr
OWNER / DEVELOPER (609 UNION WEST BLVD LLC)
2210 ALLEN DR
SALISBURY, MD 21801
800-787-0436
chariesmeeks@delewaree evat c m
Date:j
a Not Public for the State of
e
County of �� do hereby certify thatv,h(
personally appeared before me this '` �'� day of �f{ILLA C) 2---3 and
acknowledge the due execution of the Operations and Maintenance Agreement.
Witness my hand and official seal,
Seal
My commission expires
AMY L WALTON
Notary Public - State of Maryla]2026
Wicomico County
My Commission Expires Nov 14,
STORM-EZ 5/1 /2023
Version 1.5 O&M Agreement Paae 1 of 1

Wet Pond Maintenance Requirements (Continued)
SCM element:
Potential problem:
How to remediate the problem:
Sediment has
accumulated to a depth
Search for the source of the sediment and remedy the problem
greater than the original
if possible. Remove the sediment and dispose of it in a location
design sediment storage
where it will not cause impacts to streams or the SCM.
depth.
Algal growth covers over
Consult a professional to remove and control the algal growth.
The main treatment area
50 /o of the area.
Cattails, phragmites or
other invasive plants cover
Remove the plants by wiping them with pesticide (do not spray).
50% of the basin surface.
Best professional practices
show that pruning is
needed to maintain optimal
Prune according to best professional practices.
plant health.
The vegetated shelf
Determine the source of the problem: soils, hydrology, disease,
Plants are dead, diseased
etc. Remedy the problem and replace plants. Provide a one -
or dying.
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.
Shrubs have started to
Remove shrubs immediately.
grow on the embankment.
Evidence of muskrat or
Consult a professional to remove muskrats or beavers and
beaver activity is present.
repair any holes or erosion.
A tree has started to grow
Consult a dam safety specialist to remove the tree.
The embankment
on the embankment.
An annual inspection by an
appropriate professional
Make all needed repairs immediately.
shows that the
embankment needs repair.
Clogging has occurred.
Clean out the outlet device and dispose of any sediment in a
location
where it will not cause impacts to streams or the SCM.
The outlet device
outlet device is
Repair or replace the outlet device.
The
damaged.
Weeds or volunteer trees
Remove the weeds or trees.
a
re growing on the mat.
Floating wetland island
(if applicable) The
anchor cable is
damaged,
disconnected or Restore
the anchor cable to its design state,
missing.

Wet Pond Maintenance Reauirements (Continued)
[s-CM element:
Potential problem:
How to remediate the problem:
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water
Discharges from the wet
pond are causing erosion
or sedimentation in the
Contact the local NCDEQ Regional Office.
receiving water.

Wet Detention Pond Design Summary
Pretreatment other
thanfornbay?
Has Veg. Filter?
Permanent Pool B.
683
Temporary Pool El:
683
Clean Out Depth:
Sediment Removal El
680
Bottom Elevation:
679
Permanent Pool El. 683
Temporary Pool El: 683
Clean Out Depth: 5.5
Sediment Removal El