SW3220803_Application Form_20240813

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://deq.nc.qov/contact/regiona!-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: SW3220803
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: [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 IV.10 of the original application, if needed):
2 residential lots added.. 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: (980) 521-5999 Fax: ( )
Email: :kiker.m(atandh.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, 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 ledge.
Signature: Li; Lt 4.4.--' Date: S' 1 G7 • 2 Zii
I, I O/V Z.' , L / 0 ` , a Notary Public fort Sta of IO h ( frOJii
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County of /v/ N , do herby certify that C_ � ( ilk- _#1 C! I
personally appeared before me this the /2 r1 day of , 20 and
\��0Fop?7yrlIdge the due execution of the forgoing instrument. Witness m hand and official seal,
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My commission expires
Stormwater Permit Form 7: Minor Modification Page 2 of 2 Oct 6, 2017

REVISED BUA CHART
Basin Information Drainage Area 1 Drainage Area_ Drainage Area_ Drainage Area_
Receiving Stream Name East Fork
Twelvemile
Creek
Stream Class * C
Stream Index Number* 11-138-2
Total Drainage Area (sf) 1,840,410
On-site Drainage Area (sf) 1,840,410
Off-site Drainage Area (sf) 0
Proposed Impervious Area**(sf) 1840410 sf
% Impervious Area** (total) 64
Impervious"Surface Area Drainage Area 1 Drainage Area_ Drainage Area_ Drainage Area_
On-site Buildings/Lots (sf) 745,000
On-site Streets (sf) 196499
On-site Parking (sf) 186,250
On-site Sidewalks (sf) 62,291
Other on-site (sf) 0
Future (sf) 00
Off-site (sf) 0
Existing BUA*** (sf) 0
Total (sf): 1,190,040