SW6180801_Application Form_20240618

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 goy/contact/regional-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 NCA C 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: SW6180801
2. Current Permit Holder's Company Name/Organization: Little Cross, LLC
3. Signing Official's Name: Hugh Surles
4. Signing Official's Title: President
5. Mailing Address: 8625 Mt. Pleasant Church Road
City Willow Spring State: NC ZIP: 27592
6. Street Address (if different):
City State ZIP
7. Phone: [phone] Email: [e-mail]
8. Describe the minor modifications that you are requesting, including any revised BUA allocations (attach
additional pages or supporting tables similar to Section I V.10 of the original application, if needed):
The final site amenity BUA is 16.169 SF. This is a reduction from the original estimated amenity area of
21,780 SF. The request is for a reduction of 5,611 SF for the site amenity. The new total BUA for
Drainage Area 2 is 417,114 SF.
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.
Y 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.
Y 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: Andrew S. Petty. PE
Consulting Firm: The Curry Engineering Group, PLLC
Mailing Address: 205 S. Fuquay Ave.
City: Fuquay-Varina State: NC Zip:27526
Phone: (919) 552-0849 Fax: (
Email: : andy(a�curryenq.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 ( ) Fax (
Email:
D. CERTIFICATION OF PERMITTEE
I
I, ri c)) 50r1 , 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 b s of my)nowledge. J
Signature: 1 � ' Date: J/olgT� ii
•
I 4.444,%..L-6,-( /i// i , a Notary Public for th State of 0/21'
County of �"lf�-` 6 , do her . y certify that vfj Sir fS
personally appeared before me this the �/ _day of 4 „-��r ,24,1 , and
acknowledge the due execution of the forgoing instrument. Witness my hind and official seal,
JENNIFER M EGGER
Notary Public, North Carolina
(Notary Seal) Harnett County
My Commission Expires
March 06,2028
Notary Signature (-0 �i 4"'
My commission"expires �' '�/C 4,30a2e
Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017