HomeMy WebLinkAboutSW3140902 - Courtyards at Emerald LakeDEMLR USE ONLY
Date Received
Fee Paid
Permit Number
SW Program(s) ❑ Coastal SA-HQW ❑ Coastal SA-ORW ❑ Coastal FW-ORW ❑ Coastal Other
❑ Non -coastal HQW ❑ Non -coastal ORW ❑ Urbanizing Areas ❑ USMP
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER FAST TRACK PROCESS:
"AUTHORIZATION TO CONSTRUCT" (ATC) PERMIT APPLICAP96, O�Mm
Link to Application Instructions oAR -18 2010
A. ELIGIBILITY FOR FAST-TRACK PERMITTING {�,b Nk-,'LANDO'UiAlu[T1'
To be considered for a Fast Track ATC Permit, all of the items below must be chW. li R@Dt
be checked, then the project must apply under the Standard Permitting Process.
® The project and all SCMs (Including existing SCMs associated with the project) will meet all applicable
requirements of 15A NCAC 02H .1000 - .1062, including the Minimum Design Criteria (MDC), upon project
completion
® The project is not proposing an alternative design.
® The project Is not claiming an exemption from the MDC based on vested rights, a waiver or a Director's
Certification.
® The project Is not out of compliance with an existing stormwater permit or any other environmental permit.
® The project is not applying for an offsite permit, an exemption, or a minor modification (as defined In 15A
NCAC 02H .1002(25)) to an existing state stormwater permit.
® The project application bears the signature and seal of a professional licensed pursuant to either Chapter 89A
or 89C of the NC General Statutes.
® I understand that at project completion, an application with the as -built stormwater plans (as described in 15A
NCAC 02H 1044 must be submitted, and DEQ will review the as -built stormwater plans to confirm compliance
with the MDC. Approval of the as -built stormwater plans will be required before the Erosion and
Sedimentation Control Plan for the project may be closed out.
® I understand that the Fast Track ATC Permit will expire five years after the date of issuance.
B. GENERAL INFORMATION
1 Project Name: Courtyards at Emerald Lake
2. Previous Project Name (If applicable):
3. Location of Project (street address) Avalon Place located off of Lawyers Road
City:Stallings County'Llnion Zip:28104
4 Directions to project (from nearest major Intersection):
Half a mile southeast of the intersection with Stevens Mill Road and Lawyers Road
5. Latitude.350 08' 26" N Longltude-800 37'08" W of the main entrance to the project
C. PERMIT INFORMATION
1. Specify whether project is (check one):
❑ New, no previous application
❑ New, replacing a previous Fast Track ATC Permit -- provide previous permit number SWA
By choosing this option, you are also requesting that DEQ rescind the previous Fast Track ATC Permit
upon issuance of the new Fast Track A TC Permit.
Stormwater Fast Track ATC Application Form Page 1 of 9 Feb 10 2018
Z Major Modification, replacing an existing stormwater permit — provide existing permit number..... 2 i
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: SW
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
❑ Coastal Freshwater ORW ❑ USMP
❑ Coastal — Other
3. Other Permits (as applicable; write "NA" for those permit types that are not applicable):
4. Local jurisdiction for building permits: Town of Stallings
Point of Contact:Lynne Hair Phone #: (704 ) 821-0315
D. CONTACT INFORMATION
1. Applicant/Financially Responsible Party (may be an Organization)•Epcon Lawyers Road LLC
Signing Official Name & Title Bob Kardos, VP of Operations
Street Address:8600 Sam Furr Road. Suite 180
City: Huntersville State:NC Zip:28078
Mailing Address (if different) -
City State: Zip:
Phone: .(704) 997-8316 Fax: (704) 919-5848
Email- bkardos(cDepconcommunities.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: Corporation Service Company
Mailing Address:2626 Glenwood Ave, Suite 550
City Raleigh State:NC Zip:27608
Phone- (704) 997-8316 Fax. (704) 919-5848
Email bkardos(cDepconcommunities com
Stormwater Fast Track ATC Application Form Page 2 of 9 Feb. 10, 2018
Project Name
Permit/Appl
No.
Issue Date
Other Information
CAMA Mayor
N/A
N/A
N/A
NA
Erosion &
Sedimentation Control
Courtyards at Emerald Lake
NCG010000
02/09/2018
Disturbed Area 25
acre
NPDES Industrial
Stormwater
N/A
N/A
N/A
NA
404/401 Permit
Courtyards at Emerald Lake
WQGCN
3890
02/03/2018
Proposed Impacts
85/1.25 If/ac
4. Local jurisdiction for building permits: Town of Stallings
Point of Contact:Lynne Hair Phone #: (704 ) 821-0315
D. CONTACT INFORMATION
1. Applicant/Financially Responsible Party (may be an Organization)•Epcon Lawyers Road LLC
Signing Official Name & Title Bob Kardos, VP of Operations
Street Address:8600 Sam Furr Road. Suite 180
City: Huntersville State:NC Zip:28078
Mailing Address (if different) -
City State: Zip:
Phone: .(704) 997-8316 Fax: (704) 919-5848
Email- bkardos(cDepconcommunities.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: Corporation Service Company
Mailing Address:2626 Glenwood Ave, Suite 550
City Raleigh State:NC Zip:27608
Phone- (704) 997-8316 Fax. (704) 919-5848
Email bkardos(cDepconcommunities com
Stormwater Fast Track ATC Application Form Page 2 of 9 Feb. 10, 2018
4
The Applicant is the (check all that apply):
® Property Owner
❑ Lessee (Attach a copy of the lease agreement & complete Item 4.)
❑ Purchaser (Attach a copy of the pending sales agreement & complete Item 4.)
❑ Developer (Attach a copy of the development agreement & complete Item 4.)
If the Applicant is NOT the Property Owner (skip to Item 5 if the Applicant IS the Property Owner):
Property Owner Name/Organization-
Signing Official & Title:
Street Address:
City: State:
Mailing Address (if applicable).
City:
State:
Phone: ( ) Fax- ( )
Email.
Zip:
5. The licensed Design Professional that will be retained for the duration of the project, who may provide
information on the Applicant's behalf, and who will prepare and certify the as -built package:
Consulting Engineer/Landscape Architect.Brian R. Rossi, P.E.
Consulting Firm: EMH&T, Inc
Mailing Address -301 McCullough Drive, Suite 109
City -Charlotte State: NC Zip:28262
Phone. (704 ) 548-0333 Fax: ( )
Email: brossi(a)emht.com
[OPTIONAL] If you would like to designate another person to answer questions about the project:
Name & Title:
Organization:
Mailing Address -
City State
Phone: ( ) Fax -
Email
E. PROJECT INFORMATION
Zip.
1. Specify the type of project (check one): ❑ Low Density ® High Density
2. Briefly summarize how the stormwater runoff will be treated/conveyed:
17.8 Ac. of stormwater runoff will[ be treated in a wetoond consisting of two basins connected by an eoudizer
pipe (to remain as previously permitted) and 4.19 Ac. of runoff will be treated in a wet pond (previously
bioretention pond and detention in dry pond).
3. Stormwater runoff from this project drains to the Yadkin River basin(s).
4. Receiving water information (if more than 3 receiving waters, provide additional information on an attached sheet):
Stormwater Fast Track ATC Application Form Page 3 of 9 Feb 10, 2018
Receiving Receiving
Water 1 Water 2
Receiving
Water 3
Receiving Stream Name
Goose Creek Goose Creek
Stream Classification
C C
Stream Index Number
13-17-18 13-17-18
Stormwater Fast Track ATC Application Form Page 3 of 9 Feb 10, 2018
Proiect area and density information:
Total Property Area
1,437,000
sf
Total Surface Water Area
21,780 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 (NHM line or Mean High Water (MHM line.
Total Coastal Wetlands Area
0 sf
Considered to include. coastal wetlands landward from the NHW (or MHM line.
Total Project Area
1,415,700
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 stormwater program or
applicable local government ordinance to which the project is subject
Proposed New BUA
465,144 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(l).
Project Density
w/ Existing Development: Project Density = (New BUAj/(Total Project Area — Existing BUA] x 100 or
32,9
w/o Existing Development: Project Density = [New BUA]/Total Project Area] x 100
6. Anticipated construction start date 04/01/2018
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 Desitin 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 stormwater requirements per 15A NCAC 02B. 0600.
Stormwater Fast Track ATC Application Form Page 4 of 9 Feb 10, 2018
F. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW) Only application packages that include
all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
Initials
BRR 1. Two original signed hard copies and one electronic copy of this State Stormwater Fast Track
Process "Authorization to Construct" (ATC) Permit Application Form.
BRR 2. Permit application processing fee of $505 payable to NCDEQ.
BRR 3 Two hard copies and one electronic copy of a USGS map identifying the project location
and GPS coordinates for the project. If the receiving water is Class SA or the receiving water
drains to Class SA waters within % mile of the project boundary, include the '/z mile radius
on the map. If the project is within 575 feet of Class SA-ORW waters, include the 575 -foot
radius on the map.
BRR 4. Two original signed hard copies and one electronic copy of a site plan depicting the boundary
of the project or project phase currently being permitted, including the locations of SCMs,
streams, wetlands, and buffers.
BRR 5. Two hard copies and one electronic copy of a construction sequence that discusses how any
future development on the project may be phased.
BRR 6. A copy of the most current property deed. Deed book: 6254 Page No- 131
BRR 7. [IF APPLICABLE] When the applicant is a corporation or a limited liability corporation (LLC). Provide
two hard copies and one electronic copy of documentation from the NC Secretary of State, or other
official documentation, which supports the titles and positions held by the persons listed
in Section C.2 per 15A NCAC 2H 1043(3)(b). The corporation or LLC must be listed as an active
corporation in good standing with the NC Department of the Secretary of State; otherwise, the
application will be returned. htti)s://www.sosnc gov/search/index/corp
N/A 8 [IF APPLICABLE] When the applicant is a Partnership or other person engaging in business under
an assumed name, attach a copy of the Certificate of Assumed Name
N/A 9 [IF APPLICABLE] When the applicant is not the property owner. Provide two hard copies and one
electronic copy of lease agreements, affidavits, pending sales agreement, development agreement,
or other documents showing that the applicant has obtained legal rights to submit a stormwater
permit application within the proposed project area.
BRR 10. [IF APPLICABLE] If modifying an existing permit for completed or partially completed projects, a copy
of the designer's certification.
Stormwater Fast Track ATC Application Form Page 5 of 9 Feb 10, 2018
G. CERTIFICATION OF APPLICANT/ FINANCIALLY RESPONSIBLE PARTY
The Applicant, who is also the Financially Responsible Party, identified in Section D of this form must sign and have
notarized the following guaranty:
I, (print or type name of Applicant/Financially Responsible Party)
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that*
1 the design has been or will be completed in accordance with the MDC as set forth in Rules 15A NCAC
02H .1050 through 1062, to the best of my knowledge;
2. the completed design meets or will meet the MDC and that the percentage BUA that is the basis for the
design shall not be exceeded, to the best of my knowledge; and
3. As the applicant, I shall maintain a licensed professional of record for the duration of the project
who will prepare and certify the as -built package If I retain another licensed
professional before the project is complete, then I shall provide an updated
guaranty with the current licensed professional's seal. A licensed professional shall inform
the Division if he is no longer associated with this project.
The above information is true and correct to the best of my knowledge and belief and was provided by me under oath I
agree to provide corrected information should there be any change in the information provided herein.
Type or print name
Signature
Title or Authority
Date '51c11 1?
a Notary Public for the State of bAdd-4) County
of ���� nh�„ do hereby certify that bse:: y7!,q dOS personally
appeared before me this9"�ay of d , (�j—, and acknowledge the due execution of
th pplication for a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires 4- l 1 ` C�b,
Stormwater Fast Track ATC Application Form Page 6 of 9 Feb 10, 2018
H. DESIGN PROFESSIONAL'S CERTIFICATION
To be completed by the Design Professional identified in Section D.5.
I, Brian R. Rossi. P.E. , attest to the following:
1. This application has been reviewed by me and is accurate and complete, to the best of my knowledge,
2 The design has been completed in accordance with the MDC as set forth in Rules 15A NCAC 02H
.1050 through .1062, as applicable;
3. The percentage built -upon area that is the basis for the design will not be exceeded; and
4. 1 have the expertise, education, and experience required to design the SCMs proposed in this
application in accordance with the MDC as set forth in Rules 15A NCAC 02H .1050 through .1062.
5. 1 will provide all documents and certified as -built plans in hard copy and electronic format related to this
permit to a new Applicant/Property Owner and to DEMLR upon transfer of this permit to a new
Applicant/Property Owner.
Note In accordance with N.C.G.S. 143-215.6A and 143-215.66, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. In addition, any person
who knowingly makes any false statement, representation, or certification in any application may be reported to
the appropriate NC professional licensing board.
Signature:�- Date: U3l)z/i8
NA RO��''
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SEAL ` • _
045526
SEAL
Stormwater Fast Track ATC Application Form Page 7 of 9 Feb 10, 2018