HomeMy WebLinkAboutSW3170802_Application_20170802L[ -L -'l SAACSo
CIVIL ENGINEERING DESIGN & LAND SURVEYING C-
8720 RED OAK BOULEVARD, STE. 420
CHARLOTTE, N.C. 28217
PHONE (704) 527-3440 FAX (704) 527-8335
TO NCDEQ - Division of Water Quality
Room 942E Archdale Bldg.
512 N. Salisbury Street
Raleigh, NC 27604
WE ARE SENDING YOU ❑� Attached
❑ Shop drawings ❑ Prints
❑ copy of letter ❑ Disk
LETTER OF TRANSMITTAL
DATE 07/31/17 JOB NUMBER* 16157
ATTENTION Ms. Karen Higgins
RE: Weddington-Matthews Road Subdivision
❑ Under Separate cover via
❑ Plans
❑ Applications
the following items
❑ Specifications
COPIES DATE
NO DESCRIPTION
2
Construction Drawings
2
$505.00 review fee
2
permit application forms (1 original + 1 copy)
1
O&M documents
1
USGS Maps
2
Project Calculations
1
Soils Report
3
Deeds (1 for each property)
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved and submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
0 For review and comment ❑
REMARKS
❑ Resubmit
❑ Submit
❑ Return
copies for approval
copies for distribution
corrected prints
Enclosed please find the items listed above necessary for your review of the storm water management plan for the
Weddington-Matthews Road Subdivision in Weddington, NC. Please call me at 704.227.9402 or email at
bcowan@isaacsgrp.com should you need any add'I items to proceed with your review.
COPY TO SIGNED Anthony Brent Cowan
WrentCowa NC UNION County 5K) y a 90
Anthony Brent Cowan, PE, The Isaacs Group, PC
M
Weddington-Matthews Road Subdivision
weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC NCDENR
e..'f,w�k . ,xq ��, '"✓ApphCiltiOn";3"ds,�„ °`^e, "*%3,
Type of application: New Permit RECEIVED
Only complete application packages will be accepted and reviewed. A complete package includes all oft te'+ftiNU7,checklist
below. Add any comments, and indicate the page or plan sheet number where the following information can be found. Please
indicate that you have provided the following required information by initialing in the space proQ9bA AWQ(@WALIIedn•
STORMWATER PERMITTINr;
i; 4° ; a",,•w .; .° PaiGtl:Submittal°Chedklista
Item Notes I Comments Initials
1 Original and one copy of this application form (all worksheets) and the permit
=
rer
application fee For applications submitted to the DEMLR regular permitting
program, the fee is $505 payable to NCDENR For Express Review, click on the
link below for information and fee schedule Contact the appropriate regional
office Express Review Coordinator to schedule the required pre -application
meetinq
Click here for Express Permitting info
2 A USGS map identifying the site location If the receiving stream is reported as
. . -
rer
class SA or the receiving stream drains to and is within 1/2 mile of SA waters,
then include the 1/2 mile radius on the map
3 A copy of the most current property deed
rer
4 Two copies of additional calculations (as needed) Sealed, signed and dated
5 Two sets of sealed, signed, & dated full-sized plans of the entire site at a
rer
readable scale, including
a Project name, engineer and firm, revision number and dates
rer
b Location map with street names and SR numbers, legend, north arrow,
rer
scale
c Dimensioned property/project boundary with bearings & distances
rer
d The boundaries of all surface waters, regulatory flood zones, and protected
rer
riparian buffers or a note on the plans that none exist
e The boundaries of all vegetated or protected riparian buffers
rer
f Site layout showing all built -upon areas, drainage features, stormwater
rer
collection systems (inlets, outlets, swales, pipe elevations, slopes and
diameters), and SCMs at ultimate build -out
g Existing contours, proposed contours, spot elevations, and finished floor
rer
elevations
h Existing drainage (including off-site), drainage easements, pipe sizes,
rer
runoff calculations
i Drainage area boundaries (included in the main set of plans, not as a
rer
separate document)
I Existing and proposed maintenance access routes, utility easements,
rer
drainage easements, public rights-of-way etc
k A construction sequence that shows how the SCMs will be protected from
=
rer
sediment until the entire drainage area is stabilized
6 Two sets of sealed, signed, & dated full-sized plan details of each SCM (or
rer
typical if appropriate) in both plan view and cross-section at a scale of 1" = 30' or
larger, including
a Dimensions, side slopes, length to width ratios and elevations with a
rer
benchmark for clean-out if appropriate
b All applicable conveyance devices, including bypass structure,
rer
pretreatment area, flow distribution device, underdrains, outlet device, outlet
dissipater and level spreader
c A table of elevations, incremental volumes and accumulated volumes (if
rer
applicable)
d Specifications for applicable materials, such as planting media, aggregate,
rer
sod, underdrains, outlet devices, etc
STORM -EZ 7/6/2017
Version 1 4 Application Page 1 of 5
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
7 Two sealed, signed, & dated planting plans for each SCM (or typical) at a scale
rer
of 1" = 20' or larger, as applicable, including
a The locations of each species and a planting detail
rer
b A table summarizing the size, spacing and total quantity of each plant
rer
species that should be used
c The source nursery for the plants
-
d A one-time fertilizer specification to establish plants if necessary
S A sods report based on field evaluation indicating the SHWT elevations within
rer
the footprints of the proposed SCM(s) Provide a map of the boring locations
with the existing elevations and boring logs For infiltration SCMs, the report
shall include the soil type, infiltration rate and method for determining the
infiltration rate Soils information shall be signed and sealed by a licensed sod
scientist -
9 A copy of the signed and notarized operation and maintenance (0 & M)
rer
agreement
10 A copy of the proposed deed restrictions protecting the SCMs and limiting the
n/a _
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built -upon area so that it does not exceed the capacity of the SCM(s) or the high
density threshold (as applicable)
NCDENR Deed Restriction Forms
11 For corporations and limited liability corporations (LLC) Documentation from the
n/a
rer
NC Secretary of State or other official documentation, which supports the titles
and positions held by the persons listed in the Contact Information section 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
NC Dept of the Secretary of State
12 A copy of the lease agreement or pending sales agreement if applicable
n/a
rer
STORM -EZ 7/6/2017
Version 1 4 Application Page 2 of 5
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
(�uC_A
Part II: General Project and Applicant Information
Project Name: Weddington-Matthews Road Subdivision Date:
Protect Street Address: Weddington-Matthews Road Lat 35 032313
City Weddington Zip 128104 Long -8074364
Directions to Project. Approx 1,240 Lf S of mters_ec_tion of Hemby Road (SR 1.3.46) and Weddington- County: UNION
(from nearest intersection) Matthews Road (SR 1344). NON -COASTAL
Project Applicant: JJBH Development, LLC
(identify the corporation, organization, property owner, designated
government official, etc. which owns the project.)
Owner / Signing Offical's Name:
Title:
Address
City,
State
Zip.
Phone;
Fax
Email
J Bart Hopper
President
229 -East Kingston Ave.
Charlotte.
North Carolina
28203
704 805=4802
704-805-8412
bho er ho ercommundies.co'm
Status of applicant: I Developer Complete contact information for property owner below.
River Basin. Catawba"
Receiving Stream(s) Unnamed tnbutaryto Six Mile Creek
Stream Class(es)- C
Surface Water Area (ac). 0 - Coastal wetland area (ac): =
Total property area (ac)- 49 02 Total project area (ac) 1 4902
Goals/characteristics: NO Volume Matching (LID) NO Drains to an offsite stormwater system
NO Low Density NO Within 575' of Saltwater ORW
YES High Density NO Within 5 miles of a public airport
Briefly summarize how the stormwater runoff will be treated -
Runoff from impervious surfaces will be collected in drop inlets and swales and routed to a Sand Filter BMP and Wet Pond
BMP sized to accommodate the contributmgwatershed.
E Part III: Permit Information
Status of construction: I Not Started
Other permits needed- YES Sedimentation & erosion control -NO . 404 Permit/ 401 Certification
NO CAMA Major Permit NO " Isolated Wetlands Permit
NO - Threatened & Endangered Species NO NPDES Industrial Stormwater Permit
If an application for this project has been previously returned, provide the original project number and previous name of the project -
Provide the permit type, number and issue date for any permits that have already been obtained for this
If claiming vested rights, then identify (and attach) the supporting documents and
Approval of a site-specific development plan or PU
Valid budding permit
Other
Not Started -
Point of Contact:
approval dates
D Approval date: -
Issue date
Date -
Phone number:
STORM -EZ 7/6/2017
Version 1 4 Application Page 3 of 5
Property Owner/Organization
Signing Official & Title
Street address
City, State, Zip.
Phone number(s)
Email
(Optional) Additional Contact
Person / Orgin¢atiom
Signing Official & Title.
Street address,
City, State, Zip
Phone number(s)-
Email:
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
Part'IV: Additional Contact Information
Hopper Communities
Clay McCullough
229 E. Kingston Ave.
Charlotte, NC 28203
704-805-4802
cmccullough(c hoppercommunities com
(Note: Person/Organization noted above may be contacted for additional project information if applicant
cannot be reached)
Part V: Consultant Information I
Complete this section if you wish to designate authority to another individual or firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information)
Consultant Anthony Brent Cowan, PE
Firm: The Isaacs Group, PC
Street address. 8720 Red Oak Blvd, Suite 402
City, State, Zip Charlotte, NC 28027
Phone number(s): (704) 227-9402
Email, bcowan(@isaacsgrp com
STORM -EZ 7114/2017
Version 14 Application Page 4 of 5
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
I Part Vl: Property Owner Authorization
I, (the Property Owner listed above), certify thatI oyvn the property tidentified
in this permit application and thus give permission to (the Applicant),
to develop the project as currently proposed A copy of the lease agreement or pending property sale contract h been provided with this
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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days, otherwise, I will be oeprating a stormater 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 Statute 143-
215 1 and may result in appropriate enforcement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-2156
Signature )�� x &1� Date (O
1, Mi a Notary Public fo the S11 f /7h D �llt
County of M I' Do do arb certify that rGl / r1
personally appeared before me this day �f of
and acknowledge the due execution of the apple ti for torr ter Vit
Witness my hand and official seal,
�� ;'�pTARy •'
O o
G UB` \G ' v
My commission expires
Part Vll: Applicant's
I, (the Applicant listed above), Bart Hopper
, certify that the information included
on this permit applicant 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 restnctusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements
Signature Date 7/.17//7
I, 774!�$5 L_ CLAN a Notary Public for the State of /Vo'74 G4 --o,4—/104
Countyof L)IVIOM do hearby c rtify thatJ`
personally appeared before me this.474 dav of o,Tt/Ly
and acknowledge the due execute of t pphcahon fora for a r permit
Witness my hand and official seal,
7171t-`� L ea LAc,rvl
�^
�l ll ll ✓tl 1•l •'�- 1.1
lll./•1,
Notary Public
Uni
CoUntY
r' rolina
North ll!
Seal
My commission expires
a C -?o.6 PL. a
ao7
STORM -EZ 7/14/2017
Version 1.4 Application Page 5 of 5
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
I, (the Property Owner listed above),
in this permit application and thus give
to develop the project as currently proposed A copy of the lease agreement or pending property sales c6ntrr
submittal, which indicates the party responsible for the operation and maintenance of the stormwater system
has been provided Huth this
As the legal property owner, I acknowledge, understand and agree by my signature below, that if my designated agent (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days, otherwise, I will be oepratmg a stormater treatment facility without a
valid permit I understand that the operation of a stormwater treatment facility vnthout a valid permit is a violation of NC General Statute 143-
215 1 and may result in appropriate enforcement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-2156
Signature a -- rC r �✓ Date /(%' 7
I, J// `v, , a Notary Public for the State of /V Uf 7GLf oh;� a
County of do hearby certify that q r a ()I -,-
personally appeared before me this�ff d of 2o/-7
and acknowledge the due execution of the applicatifora ormw er pe
Witness my hand a�p�l�i���sea l,
G'•. '�UBL1G :'v
Seal
I, (the Applicant listed above),
commission expires 141/ZZ Z-0If
Part VII: Applicant's Certification
Bart Hopper
, certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements
9co—,:;s�
Signature Date /i /17
, a Notary Public for the State of lvvlw - C4*L0A'.'V •
Countyof U , do hearby ertrfy thaG%:� /LIQ /�
personally appeared before me this -2 day of� O /
and acknowledge the due executio of tfj pplication for q stomp a er permit
Witness my hand and official seal,
i 9VL'.S i- L-- 3 LAA, "-7
No
Seal
STORM -EZ
Version 14
Um
My commission expires O QN- ,4-- L '�
Application
7/14/2017
Page 5 of 5
upeny Owner/Organization
Signing Official & Title
Street address
City, State, Zip
Phone number(s)
Email
(Optional) Additional Contact
Person / Orgmization:
Signing Official & Title:
Street address:
City, State, Zip:
Phone number(s):
Email:
Weddngton, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
Part fV: Additional Contact Information
out N
Y
Hopper Communities
Clay McCullough
229 E. Kingston Ave.'
Charlotte, NC 28203
704-805-4802
cmccullough@hoppercommundies com
(Mote. Person/Organization noted above may be contacted for additional project information if applicant
cannot be reached.)
{-. Part V: Consultant information {
Complete this section if you wish to designate authority to another individual or firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information).
Consultant:
Firm:
Street address -
City, State, Zip -
Phone number(s):
Email.
STORM -EZ
Version 1.4
Anthony Brent Cowan, PE
The Isaacs Group, PC
3720 Red Oak Blvd., Suite 402
-harlotte, NC 28027-
;704) 227-9402
xowan@isaacsarp.cam -
Application
7/14/2017
Page 4 of 5
Weddington, NC
Anthony Brent Cowan, PE,
I, (the Property Owner listed above), , t/AS0 r4 J 1 AAPS O N certify that
in this permit application and thus give permission to (the Applicant), -1-3� j
to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract
submittal, which indicates the parry 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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater 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 Statute 143-
215 1 and may result in appro nate e o ement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215 6
Signature: Date. 7 y '�Lq - `
I, S--'av LGr a Notary Public for the State of CeGrcAjC'-
County of Car S y do hearby certify that J0 -SG n s (wi 5G
personally appeared before me this 'Lfa day of <:T l J
and acknowledge the due execution of thVapplication for A stormwa r permit.
Witness my hand and official seal, 1266fin- AA -k
1 v1� / V 4L V
Seal
commission expires _ /0 /a -P-OP /
Part VII: Applicant's Certification
I, (the Applicant listed above), 'Bart Hopper , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements.
Signature:�' Date: 7 � /0?
I, LLL r l a Notary Public fo the State of /No?T� g=�o/ -
County of Llfvrl 0 N do hearbyrfy that's ••
personally appeared before me this Alffiday of JI/ O / 7
and acknowledge the due executio f lication for a sJprmyr�tel pe� t
Witness my hand and official seat, G� (: �1.�
ETheL Blum
Notary Public
Union County
North Carolina
Seal
STORM -EZ
Version 1 4
My commission expires 0 e2VIS L a21 02 V 17
Application
7/14/2017
Page 5 of 5
rroperty Owner/Organization
Signing Official & Title
Street address
City, State, Zip,
Phone number(s)
Email
(Optional) Additional Contact
Person i Orginization:
Signing Official & Title:
Street address:
City, State, Zip:
Phone number(s):
Email:
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
Part IV: 'Additional Contact Information 3
LGtFAFA-
ix.
Hopper Communities,
Clay McCullough
229 E. Kingston Ave.,'
Charlotte, NC 28203
704-805-4802
cmccultouoh@hoppercommumties-.com
(Note. Person/Oiganization noted above may be contacted for additional project information if applicant
cannot be reached.)
Part V. Consultant Information
Complete this section if you wish to designate authority to another individual or firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information).
Consultant:
Finn:
Street address:
City, State, Zip:
Phone number(s):
Email:
STORM -EZ
Version 1.4
Application
7/1412017
Page 4 of 5
Weddmgton, NC
Anthony Brent Cowan, PE,
I, (the Property Owner listed above), certify that I own the property identified
in this permit application and thus give permission to (the Applicant), 1 - _- -- `_
to develop the project as currently proposed. A copy of the lease agreement or pending property sal contract has been provided with this
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 (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater 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 Statute 143-
215.1 and may result in appropriate enforcement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215.6
Signature: / v t V Vl Date: I I
I, e� , ✓ 6L e WJC L a Notary Public for the State of 1Te-0 V e) , 'rte
County of do hearby certify that AA 011 AA , c, ✓tk'lyk
personally appeared bet'bre me this __[J_ day of , �� t ` s t 7 01 -:3,
and acknowledge the due execution of the application for a st rmwater permit
Witness my hand anrjf11Ai5014l10t
Seal
gV�
Z s w CV
a Z S
0•.••IypyEt),6 .J' commission expires I
`cOn: ••••••:•n� _o
Part VII:
I, (the Applicant listed above), bait Hopper - -- , certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements.
1 /7It 7
Date: 7
L` Lw a Nota Public for ae
St t f IIJ 1A 77`4 Q ," Q,i II IA-
Countyof (J,rV1 pA1
personally appeared before me thi
and acknowledge the due executic
Witness my hand and official seal,
Notary PublicNorth Carolinay
fiUnion County
Seal
STORM -EZ
Version 14
do hearbyhJCY gWy that.J' fJ
of o -2017
, xlvLts+ L _ /Z L,LL/ nM
My commission expires 0 C,�oSc./-- a/, a, Q i 7
Application
7/14/2017
Page 5 of 5
Property Owner/Organization
Signing Official & Title
Street address
City, State, Zip
Phone number(s)
Email
(OpSonaq Additional Contact
Person / Orginization-
Srgning Official & Title:
Street address -
City, State, Zip.
Phone number(s):
Email:
Weddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
Part N: Additional Contact Information
Hopper Communities
Clay McCullough
229 E. Kingston Ave
Charlotte, NC 28203
704805-4802
cmcculiough(a)hoppercommunities com
(Note: Person/Organization noted above may be contacted for additional project information if applicant
cannot be reached.)
Part V: Consultant Information
Complete this section if you wish to designate authority to another individual or firm so that they may provide information on your
behalf for this project (such as addressing requests for additional information).
Consultant.
Finn -
Street address
City, State, Zip -
Phone number(s)
Email
STORM -EZ
Version 14
Anthony Brent Cowan, PE
The Isaacs Group, PC
8720 Red Oak Blvd, Suite 402
Charlotte, NC 28027
(704)227-9402
bcowan(cbisaacsgrp com
Application
7/14/2017
Page 4 of 5
Waddington, NC UNION County
Anthony Brent Cowan, PE, The Isaacs Group, PC
I, (the Property Owner listed above), -if. certify that I own the property identified
in this permit application and thus give permission to (the Applicant), Q
to develop the project as currently proposed. A copy of the lease agreement or pen i g property sales contract had been provided wrtff this
submittal, which indicates the party responsible for the operation and maintenance of the stormwater system
As the legal property owner, 1 acknowledge, understand and agree by my signature below, that if my designated agent (listed as the Applicant
above) dissolves his/her company or cancels/defaults on his/her 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 contact DEMLR immediately
and submit a completed Name/Ownership Change Form within 30 days; otherwise, I will be oeprating a stormater 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 Statute 143-
215.1 and may result in appropriate enforcement action including the assessment of civil penalties up to $25,000 per day, pursuant to NCGS
143-215.6. I q 1
Signature: ` Zr—�vJ� �-� �. O z A0—,L,. Date: -%-11— ?
I,-�`-W�� F-ar VI 1��Q2�/ a Notary Public for the State of Noa-:4 ` 9 �0I `MA
County of A4,eC N DUC-10bdo hearby certify that SAI`00-A
personally appeared bafore me this 10 day of , jW1 14 O'
and acknowledge the due execution of the ap on_fors� tqunwate{� rmrt.
Witness my hand and official seal, i
STEVEN T KENNERLY
Notary Public
Mecklenburg Co., North Carolina
r Commission Expires Jan. 26, 20
mmission expires l
Seal
Part VII: Applicant's Certification
I, (the Applicant listed above), Bart Hopper certify that the information included
on this permit applicant 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 restrictusion and protective covenants will be recorded, and that the proposed project complies with the
requirements of the applicable state stormwater rules and requirements
Signature: DLate 7 / 7117
-.
Lu-, VVI a Notary Public for the State of 6(aA-17
County of / 40 iV do hearby c rtify that%; Qy � 4
personally appeared before me thisa d y of �`t/
and acknowledge the due executio th plication for tormrmit
Witness my hand and official seal,
yrwlp-
-Notary `
5
Publicti
Union County
•Carolina.
Seal
commission expires 0 C-�-69t2' '2'
a p�7
STORM -EZ 7/14/2017
Version 1.4 Application Page 5 of 5