SW3170505_Application_20170525

DEMLR USE ONLY
ate Rec ved
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t m e
Department of Environment and Natural Resources
Applica e ules: I ❑ Coastal SW - 19011 ❑ Coastal SW - 2008 ❑ Ph II - Post onstruc 'on
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
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Division of Energy, Mineral and Land Resources
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STORMWATER MANAGEMENT PERMIT APPLICATION FORM
Tltts form ntay be pliotocopted for use as an original
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I. GENERAL INFORMATION
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1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on pl is,
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specifications, letters, operation and maintenance agreements, etc.):
A'-
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Barcroft
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2. Location of Project (street address):CD
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Bonds Grove Church Road
City: Village of Marvin County: Union
Zip: 28173
3. Directions to project (from nearest major intersection):
Located on the south side of Bonds Grove Church Road approximately 0.75 -mi west
of the intersection of
Bonds Grove Church Road and Providence Road (Highway 16).
4. Latitude.34* 58' 22" N Longitude:80' 46' 48" W of the main
entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenetoals Mth modifications also regtnres SKU -102 - Reneival Application Fortn
b. If this application is being subnutted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 24.52 ac of Disturbed Area
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts
b. If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S L. 2012-200, Part VP http://portal ncdenr.org/web/Ir/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Pagel of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Essex Land Entitlement LLC
Signing Official & Title: Brian Iagnemma / President of Land
b. Contact information for person listed in item 1a above:
Street Address: 13310 South Ridge Drive Suite A
City: Charlotte State: NC Zip: 28273
Mailing Address (if applicable):
City:
Phone: ( 704 ) 432-8988
Email: biagnemma®essexhomes.net
State:
Fax:
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/ Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
State:
State: Zip:
Fax: ( )
a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Essex Land Entitlement, LLC
Signing Official & Title: Gary Loflin
b. Contact information for person listed in item 3a above:
Mailing Address: 120 Cromer Road
City: Lexington State: SC Zip: 29073
Phone:
Fax:
4. Local jurisdiction for building permits: Village of Marvin
Point of Contact: Robyn Stuber Phone #: (704 ) 843-1680
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
0
Stormwater management will be provided by a single water quality pond. Bypass was limited to the extent
practicable The proposed SCM will be designed to provide water quality and meet detention requirements
per local requirements
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
F-1CoastalSW —1995 F1 PK II — Post Construction
3. Stormwater runoff from this project drains to the Catawba River basin.
4. Total Property Area: 41.30 acres 5. Total Coastal Wetlands Area: 0.00 acres
6. Total Surface Water Area: 0.00 acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project Area`:
41.30 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area as used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 19.0 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area By Drainage Area _ Drainage Area _
Receiving Stream Name
Twelvemile
Creek
Twelvmile
Creek
Stream Class
C
C
Stream Index Number *
11-138
11-138
Total Drainage Area (sf)
688,720
1,130,146
On-site Drainage Area (sf)
688,720
1,130,146
Off-site Drainage Area (sf)
0
0
Proposed Impervious Area** (sf)
290,356
51,123
% Impervious Area** (total)
43.4
4.5
Impervious" Surface Area
Drainage Area 1
Drainage Area Ry Drainage Area _ Drainage Area
On-site Buildings/Lots (sf)
185,644
13,754
On-site Streets (sf)
42,916
29,258
On-site Parking (sf)
56,008
4,416
On-site Sidewalks (sf)
5,788
3,695
Other on-site (sf)
0
0
Future (sf)
0
0
Off-site (sf)
0
0
Existing BUA*** (sf)
0
0
Total (so:
300,287
51,123
* Stream Class and Index Number can be determined at: http://portal.ncdenr.oag zveb/zvds/csu/classiFications
** Im ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
*** Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that is
to be removed and which will be replaced by new BUA.
11. How was the off-site impervious area listed above determined? Provide documentation.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

***Report only that amount of existing BUA that will reniaui after development Do not report any existing BUA that
is to be removed and Which Will be replaced by neza B UA.
11. How was the off-site impervious area listed above determined? Provide documentation.
Proiects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent storniwater reeluirennents as per 15A NCAC 02B 0600
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http:/ /portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
hM://12ortal.ncdenr.org/web/wq/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map athttp://portal.ncdenr.org/web/wq/ws/su/maw )
Please indicate that the following required information have been provided by initialing in the space provided
for each item All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
dm—
Form. (if required as per Part VII belozu)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR (For an Express review, refer to
htW://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow
f. Scale.
g. Revision number and dates
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6
S� 51A
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n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document)
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifij the SHWT prior
to submittal, [phone].)
10 A copy of the most current property deed Deed book: 0Page No: MO
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned
http.//www secretarv.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from http://l2ortal.ncdenr.org/web/lr/state-stormwater-
forms docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Jon Aldridge, PE
Consulting Firm: McAdams
Mailing Address: 3436 Toringdon Way, Suite 110
City- Charlotte
Phone: ( 704 ) 527-0800
Email: aldridge®mcadamsco.com
State: NC Zip: 28277
Fax
LX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 leas been felled out, complete this
section)
I, (pant or type name of person listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or hjpe name of person
listed in Contact Infornaation, item 1a) with (print or hjpe name of organization listed in
Contact Infornaation, item 1a) 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.
Form SWU-101 Version Oct. 31, 2013 Page 5 of 6

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:
I, , 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 cominission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, mein 1a) Baan Iagnennna
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective cove is will be recorded, and that the proposed project complies with the requirements of the
applicable stor les der 15A NCAC 21-1.1000 and any other applicable state stormwater requirements
Signature: Date: 5-116 A7
I, `ieX n&.., 14-. -a Notary Public for the State of Notiir. Q �- roli Countyof
U,1c" , do hereby certify that DyiGwa 1-k . ia�L. 0� personally appeared
before me this 12'�ay of ice/ c n=,, 7 n► -1 n ed ethe ue execution of the application for
a stormwater permit. Witness my hand and official seal,
ti
Notary Public
Union County
=My Commission Explres=
0911712017
110
%2
rrnm
SEAL
My commission expires ct
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

SUPPLEMENT -EZ FORM COVER PAGE
Please indicate the types, quantities and locations of SCMs that will be used on this project
Infiltration System
Quantity
Location(s)
_
Brian lagnemma
Bioretention Cell
_
13_000 S_Tryon St., F-205
Wet Pond _
Storm_water Wetland
1
Southeast corner of site i
704-432-89887
_
Permeable Pavement
-- ---- ---
Sand Filter ----
-- –
---— ---- ----------------------
Rainwater Harvesting
T —
_ Green Roof
Level Spreader -Filter Strip—
Disconnected Impervious Surface—
Treatment Swale_
Dry Pond
_
—_
Designer information for this project:
Name and Title — _ _ Jon Aldridge, PE
Organization: McAdams
Street address_ — 3436 Toringdon Way, Suite 110 — —
City, State, Zip, Charlotte, NC 28277
Phone number(s): 704-527-0800
Email• Ialdridge@mcadamsco com
Designer
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Seal Date
Applicant:
Lnvlronmor
Quality
2 low.
Project Name:
F_ Barcroft
Address
Bonds Grove Church Road
City / Town
Marvin
Company
Essex Homes
Contact:
Brian lagnemma
Mailing Address-
_
13_000 S_Tryon St., F-205
City, State, Zip:
Charlotte, NC 28278
Phone number(s):
704-432-89887
Email:
biagnemma@essexhomes net
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
I am aware that there are significant penalties for submitting false
information including the possibility of fines and imprisonment for knowing
violations as well as a report being made to my professional board
Cover Page 1 130 PM 5/22/2017

WET POND
Barcroft
THE DRAINAGE AREA
1
Drainage area number
1535
Break down of BUA in the drainage area (both new and existing):
Total coastal wetlands area (sq ft)
000
Parking I driveway (sq ft)
56008 sf
Total surface water area (sq ft)
000
Sidewalk (sq ft)
5788 sf
Total drainage area (sq ft)
1535
Roof (sq ft)
185644 sf
BUA associated with existing development (sq ft)
000
Roadway (sq ft)
42916 sf
Proposed new BUA (sq ft)
667
Other, please specify in the comment box below (sq ft)
sf
Percent BUA of drainage area
COMPLIANCE WITH THE APPLICABLE STORMWATER PROGRAM
043
ITotal BUA (sq ft)
290356 sf
Stormwater program(s) that apply (please specify)
Design rainfall depth (in)
10 in
Charlotte Mecklenburg Stormwater Manual and State MDC
Minimum volume required (cu ft)
24563 cf
Design volume of SCM (cu ft)
145164 cf
GENERAL MDC FROM 02H.1050
#1 Is the SCM sized to treat the SW from all surfaces at build -out?
Yes
#7 If applicable, with the SCM be cleaned out after construction?
Yes
#2 Is the SCM located on or near contaminated soils?
No
#8 Does the maintenance access comply with General MDC (8)?
Yes
#3 What are the side slopes of the SCM (H V)?
31
#9 Does the drainage easement comply with General MDC (9)'?
Yes
#3 Does the SCM have retaining walls, gabion walls or other engineered side slopes?
No
#10 If the SCM is on a single family lot, does the plat comply with General MDC (10)?
#4 Are the inlets, outlets, and receiving stream protected from erosion (10 -year storm)?
Yes
#11 Is there an O&M Agreement that complies with General MDC (11)?
Yes
#5 Is there a a bypass for flows in excess of the design flow?
Yes
#12 Is there an O&M Plan that complies with General MDC (12)?
Yes
#6 What is the method for dewatering the SCM for maintenances
WET POND MDC FROM 02H.1053
Drawdown Orifice
#13 Was the SCM designed by an NC licensed professional?
Yes
#1 Method used
SAIDA
#6 Width of the vegetated shelf (feet)
loft
#1 Surface area of the main permanent pool (square feet)
20062 sf
#6 Location of vegetated shelf
@ Normal Pool
#1 Volume of the main permanent pool (cubic feet)
145164 cf
#6 Elevation of top of shelf (fmsl)
560 50 ft
#2 Average depth of the main pool (feet)
3 06 It
#6 Elevation of bottom of shelf (fmsl)
559 50 It
#2 Was the vegetated shelf included in the calculation of average depth
Yes
#6 Slope of vegetated shelf (H V)
101
#2 Elevation of the bottom of the permanent pool (fmsl)
555 ft
#7 Diameter of drawdown orifice (inches)
2 75 1n
#2 Elevation of the top of the permanent pool (fmsl)
560 ft
#7 Drawdown time for the temporary pool (hours)
54 7 hrs
#2 Elevation of the top of the temporary pool (fmsl)
562 60 ft
#7 Does the orifice drawdown from below the top surface of the permanent pools
Yes
#3 Depth provided for sediment storage (inches)
121n
#8 Does the pond minimize impacts to the receiving channel from the 1 -yr, 24 -hr storm?
Yes
#4 Are the inlet(s) and outlet located in a manner that avoids short-circuiting?
Yes
#9 Are fountains proposed?
No
#4 Describe any measures, such as berms or baffles, that will be taken to improve the flow path
#9 If yes, is documentation provided per Wet Pond MDC (9)?
#10 Is a trash rack or other device provided to protect the outlet system?
Yes
#5 Volume of the forebay (cubic feet)
13069 cf
#11 Are the dam and embankment planted in non -clumping turf grass?
Yes
#5 Is this 15-20% of the volume in the main pool?
Yes
#11 Species of turf that will be used on the dam and embankment
Fescue
#5 Depth of forebay at entrance (inches)
60m
#11 Describe the planting plan for the vegetated shelf
#5 Depth of forebay at exit (inches)
#5 Does water flow out of the forebay in a non-erosive manner?
#5 Clean-out depth for forebay (inches)
#5 Will the forebay be cleaned out when the depth is reduced to less than the above?
541n
Yes
12 in
Yes
See landscape plan
ADDITIONAL INFORMATION
Please use this space to provide any additional information about this wet pond that you think is relevant to the review
Wet Pond 2 130 PM 5/22/2017

5/22/2017
KCorporations Division
North Carolina
gi J� " n _; Elaine F Marshall EPARTM E ITT OF THE
SecretaECRETARY of TATE
' ry
`f PO Box 29622 Raleigh, NC 27626-0622 [phone]
Click Here To:
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Legal: Essex Land Entitlement, LLC
Limited Liability Company Information
Sosld:
1516345
Status:
Current -Active
Annual Report Status:
Current
Citizenship:
Foreign
Date Formed:
5/11/2016
Fiscal Month:
Charlotte, NC 28211
State of Incorporation:
SC
Registered Agent:
Loflin, Gary L.
Corporate Addresses
Mailing:
120 Cromer Road
Lexington, SC 29073
Principal Office:
120 Cromer Road
Lexington, SC 29073
Reg Office:
2700 Coltsgate Road Suite 106
Charlotte, NC 28211
Reg Mailing:
2700 Coltsgate Road Suite 106
Charlotte, NC 28211
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S 57D-3-20.
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