SWA000227_Application Form_20231031

❑ 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
El Coastal Freshwater ORW ❑ USMP
❑ Coastal—Other
3. Other Permits (as applicable; write "NA"for those permit types that are not applicable):
Project Name Permit/Appl Issue Date Other Information
No.
CAMA Major NA
Erosion & Waxhaw VFD UNION- 8/16/23 Disturbed Area 3.35
Sedimentation Control 2023-075 acre
NPDES Industrial NA
Stormwater
404/401 Permit Proposed Impacts
If/ac
4. Local jurisdiction for building permits: Union County, NC
Point of Contact:Union County Building Code Enf. _ Phone#: (704 ) 283-3816 _
D. CONTACT INFORMATION
1. Applicant/Financially Responsible Party (may be an Organization):Waxhaw Community Volunteer Fire
Department and Resque Squad, Inc.
Signing Official Name &Title:Fire Chief Gregory Shame, Chief Operating Officer
Street Address:3500 Waxhaw Parkway
City:Waxhaw State:NC Zip:28173-1012
Mailing Address (if different):Same as Above
City: State: Zip:
Phone: (704) 843-4001 Fax: (
Email: gsharpe(a�waxhawvfd.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:Robert Kennedy
Mailing Address:Same as above
City: State: Zip:
Phone: ( ) Fax: ( )
Email:
Stormwater Fast Track ATC Application Form Page 3 of 11 Feb. 10, 2018

5. Project area and density information:
Total Property Area 174,221 sf
Total Surface Water Area 0 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(NHW)line or Mean High Water(MHW)line.
Total Coastal Wetlands Area 0 sf
Considered to include: coastal wetlands landward from the NHW(or MHW)line.
Total Project Area 180,774 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 storm water program or
applicable local government ordinance to which the project is subject.
Proposed New BUA 49,361 sf
Includes proposed new BUA that is not associated with existing development.
"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 BUA]/(Total Project Area—Existing BUA]x 100 or 27.3 %
w/o Existing Development: Project Density=(New BUA]/Total Project Area]x 100
6. Anticipated construction start date November 1, 2023
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.pdf and
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 storm water requirements per 15A NCAC 02B .0600.
Stormwater Fast Track ATC Application Form Page 6 of 11 Feb. 10, 2018