SW3130301_HISTORICAL FILE_20130307

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW g-z jo3e
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
2
YYYYMMDD
i

TRIANGLE
® SIi'L DESIGN
Transmittal
Date: March 6, 2013
Project Name: Advance Auto Parts -- Rockwell
To: NCDGNR-Raleigli Office
Stornwater
217 W. Jones Street
4000 Barrett Drive, Suite 203
Raleigh, North Carolina, 27601)
TIiL [phone]
Job Number: 001030
Raleigh, NC 27699
919-791-4200
(! are sending these by
❑ U.S. Mail ® UPS ❑ Hand Delivery
❑ Other
We are sending you
❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ® PrintsTlans ❑ Samples ❑ Specifications ❑ Change Orders
❑ Other
Conies Date No. Descrintion
2
Civil Site Drawings
I
Calculations
I
Stormwater Permit Application (Original and Copy)
I
Bioretention Cell Supplement
I
Limited Liability Annual Report
I
Review Fee ($505)
These are transmitted as checked below,-
[:] For your use ❑ Approved as submitted ❑ Resubmit ❑ Copies for approval
❑ As requested ❑ Approved as noted ❑ Submil ❑ Copics fiu distribulinn
® For review and comment ❑ Rclumed for corrections ❑ Room ❑ Con'ected prints
Remark.: DO
FCopy to: MAR Q ? 2013 Signed
Brent Purduni

172
rLA_
First Submittal ❑ Re -submittal
Develop men UProject Name:"
Receiving stream name .
River Basin: I*/ 11 14l.'..
Application Completeness Review
Date ReceivedDate Reviewed 3 /� By Bill Diuguid
CR4&"
o GJ`L.W e111 r
Classification:
For past-construdtion requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-11, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strateay.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): /1
Latitude and Longitude: 3S 73 .Sa °v D' �L 5 9 �l Jurisdiction X6 'k C""�'
Project Address: Z o it - Z /
Engineer name and firm: 19.4 , p P►� ^ iii l; � :;k � kgt-E,IC-H
Phone: �%! 9 SS3 ' 4.� 7a Email: 61 loq-l"40g 0 fe s. & dor. G o >ti.
Is the project confirmed to be in the State MSI Stormwater Perm i jurisdiction? Yes or No
zi Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets igh Density ❑ Other
�"_401140��su�rfacewaters, wetlands an�buffer�s(add language to cover fetter andlor add info fetter}
A a� E,f 4 k! !i►�i�
Check for $505.00 included
❑ Original signature (not photocopy) on application
o Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.StatC.aac.us/corporations/thep,tge.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
u /For subdivided projects, a signed and notarized deed restriction statement
Sealed, signed & dated calculations
Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
S/Bioretention 4- a kfJOIc itch ,
❑ Dry Detention B�Sin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
o Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
0 Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
�wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
arrative Description of stormwater management provided
Soils report, geotech information provided
QV Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
/adjacent property
Q/ etails for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
/ Dimensions & slopes provided
e / rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
YGt' BMP operation and maintenance agreements provided
Application complete ❑ Application Incomplete Returned: (Date)
1614-.
Oct 29 2012 Revision, Bill Diuguid • 7) r. Z_I,, Ct'0'S,V_ '4

Application Completeness Review
First Submittal ❑ Re -submittal Date Received:3 l_3 Date Reviewed3 l3 By Bill Diuguid�
Development/Project Name: /.�� "e_e_ AaAo aL — fZ O ck �
Receiving stream name d ; b _ -t'o Sp c a,,r �TCe,�k Classification: G __
River Basin: 1J A 14
For post-construdtion requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-II, WS-111, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strateqv.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds): //
Latitude and Longitude: 3S 33 50 Al o 22 5� -6 9 �> Jurisdiction E Cd
Project Address: V 4 2 o it. 5 . -s Z
Engineer name and firm: a , PA �,i l S ' C �2 A��.rFt!
Phone: 7d Email: m low.tre (y� �-r �A.l4I.a s,t• OtoS,aAt C.
Is the project confirmed to be in the State MSI Stormwater Permi jurisdiction? EZ, Yes or N
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets igh Density ❑ Other
�401/40 surface waters, wetlands and buffers (add language to cover letter an a d info letter}
1 A _ .� dE f t kJ Gr i r--re WA- y
heck for $505 00 21`uded
�'Criginai signature (not photocopy) on application
egal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
/Sealed, signed & dated calculations
�f Correct supplement and O&M provided for each SMP on site (check all that were provided & number of each)
"ioretention a u 4/Jo,c cilcQ :,, x
a Dry Detention din
❑ Filter Strip
❑ Grass Swale
o Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
El Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
:wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
/Narrative Description of stormwater management provided
®' Soils report, geotech information provided
w✓Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
/adjacent property
@/ etails for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
/ Dimensions & slopes provided
F
rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
MP operation and maintenance agreements provided
pplication complete ❑ Application Incomplete Returned: (Date)
r=A-,
r0" rp
Oct 29 2012 Revision, Bill Diuguid X ' C/Osv_ J4 -6Lo n,,

(Page 1 of 3)
BK 1071 PG 0506
K
MAP PAR I SIP I WN WAN GC I MT iM
Rowan County Assessor's Office
FILM In ROMAN County. NC
on Jul 27 2008 at 103937 AM
by: Bobbie K Eunhardf
Ragiof er of Noels
BOOK 1071 PAGE 506
00
ail To:
AThis instniment was prepared by:
QUITCLAIM -PEED - OD- l Robert L. Inge PA. „t,ogal Fonns. 112 Notlh Main St.Salisbury. NQ 28144
STATE OF NORTH-CAROLINA, Rowan County.
THIS DEED, Made and entered into this ,,:,)�day of _, Q004by and between
Darrell W. Deal and Pamela J. Deal
of wan County and State of North Carolina, hereinafter called Grantor, and
R
Ho W: Deal and wife Bett . Deal
of Rowan County a d State of North Carolin/�,t� herf�mafter ca led Grantee, whose permanent
address is t C3 � `� LuA 1 52 ! nr �VG 1 f f c- 1 S
WITNESSETH:
NO OPWON ON TITLE EXPRESSED HEREW
That said Grantor, for and in consideration of the Sum of Ten Dollars ($10.00) to him in hand paid, the
receipt of which is hereby acknowledged, has remised and released and by these presents does remise, release
convey, and forever quitclaim unto the Grantee, his heirs and/or successors and assigns, all right, title, claim and
interest of the Grantor in and to a certain lot or parcel of land lying and being in Gold Hill Township,
Rowan County, North Carolina, and more particularly described as follows:
BEING Lot No. 15 of Rockwell Park as shown upon map of Rockwell Park, recorded in Book of Maps,
at page 1094 and Book 0683 page 123 in the office of the Register of Deeds for Rowan County, North Carolina.
Mffl)
Book: 1071 Page: 506 Sect:

(Page 2 of 3)
BK 1071 PG 0506.002
To have and to hold the aforesaid lot or parcel of land and all privileges thereunto belonging to him, the Grantee, his heirs
and/or successors and assigns, free and discharged from all right, title, claim or interest of the Grantor or anyone claiming by, through
or under him. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
1N WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate has caused
this instrument to be signed in its corporate name by its dully authorized officers and its seal to be hereunto
affixed by authority of its Board of Directors, the day ar first above written.
(SEAL)
Darrell W. Deal
By President
ATTEST: Secretary Gc (SEAL)
Pamela J. Deal
(Corporate Seal)
I+L4ST
NORTH CAROLINA, ROWAN COUNTY
cvGI.
I, a Notary Public of the County and State aforesaid, certify that
TA 1 . r
Darrell W. Deal
personally appeared before this day and acknowledged the execution of the
:. p U $ L
foregoing instrument. Witness my hand and official stamp or seal, this._
e,'`'
day of
� C�
My Commis 'on ex res: Notary Public
-�` •' SEA P
NORTH CAROLINA, ROWAN COUNTY
1, a Notary Public of the County and State aforesaid, certify that
is � : '{ =
Pamela J. Deal
13 Cv;'
=. p�'•.,
personally appeared before this day and acknowledged the execution of the
foregoing instrument. Witness hand or this q1 �'
_,:>;
�J'fIIJ Gb'
my and official stamp seal,
day of.
My Co sm�vtssiot0expires: 4-IS-,�oio t dr&, 6. (VQ%10ar4")c'—Notary Public
SEALrSTAMP NORTH CAROLINA, COUNTY
1, a Notary Public of the County and State aforesaid, certify that
personally came before me this day and acknowledged that
_he is Secretary of
a North Carolina corporation, and that by authority duly given and as the act of the
corporation, the foregoing instrument was signed in its name by its
President, sealed with its corporate seal and attested by
as its Secretary. Witness my hand and official stamp or seal, this
day of
My commission expires: Notary Public
The foregoing Certificate(s) of
is/are certified to be correct. This instrument and this certificate are duly registered this day of
at A.M., P.M., Books , Page
Register of Deeds for County, North Carolina.
By Deputy/Assistant — Register of Deeds
Book: 1071 'Page: 506 Seq�

071 pG a5LOT .pQ3
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(Page 1 of 2)
MAP SUM PAR 61P Wr1 lNl C/C PANT lMr
Rowan County Assessor's Office
Tba ostift mat d=e am no ddixioW ad valorem lea! asYaa btd, wlvrL the
Rowan County Tax Collector is �yp mat ate a lien po:
Prvpatrld firJtionIVomb-
This u nol a axdreatiaethat dleRowan Cou* Prepetty 1 a�Ntemba
mamma this Deed dcuT4KkKL
�
wantteth���5ua12=51
1 lliNV imillia loll
Doc ID: 0t1762i00002 TYPO: {:RP
Recorded: OB/15/2012 at 12:69:48 Ph
Fee Net: $26 00 Pape S of 2
Revenue Tax: `0,00
NO
Rarr,n'L, Welch Jr. Replster of Deedt
%1201 Pa936
;On' NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax $
Tax Map No. Part of Parcel No.
NO OPINION ON TITLE IS EXPRESSED OR IMPLIED
Prepared by F. Rivers Lawther, Jr., 225 North Main St., Suite 200, Salisbury, NC
28144
Brief Description for the Index: [
THIS DEED, made this _AIL day of March, 2008, by and between
DARRELL W. DEAL and wife, SUZANNE S. DEAL; and
PAMELA OBERLIN DEAL
Hereinafter referred to as GRANTOR; and
HOYT W. DEAL and wife, BETTY G. DEAL
Hereinafter referred to as GRANTEE,
Whose mailing address is:
The designation Grantor and Grantee as used herein shall include said
parties, their heirs, successors and assigns, and shall include singular, plural
masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor for a valuable consideration paid by the Grantee,
the receipt of which is hereby acknowledged, has and by these presents does
grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot
or parcel of land situated in the County of Rowan, Gold Hill Township, North
Carolina, and more particularly described as follows:
BEGINNING at an iron pipe, the northeast comer of Lot 17, "Rockwell Park",
thence a new line North 73 degrees 57 minutes 15 seconds West 66.41 feet to an
iron pipe the southeast corner of Garland; thence with Garland North 01 degrees
28 minutes 51 seconds West 89.89 feet to an iron pipe in the line of Hoyt and
Betty Deal (Deed Book 429, Page 351); thence with Deal South 86 degrees 28
minutes 25 seconds East 41.91 feet to an iron pipe, the northwest comer of Lot
15; thence with Lot 15 South 12 degrees 57 minutes 33 seconds East 108.40 feet
to the point of BEGINNING and containing 0.115 acre and shown as Tract B on
the survey and map by J. L. Shivington PLS dated January 8, 2008.
The above described Tract B is to be combined with tax map 357A, parcel 064A
as approved by the Rockwell Subdivision Administrator on January 14, 2008.
Book', 1201 Page: 936 Page I of 2 j
Book: 1201 Page: 936

(Page 2 of 2)
The property hereinabove described was acquired by Grantor by instrument
recorded in Boak', at Page 2:11C�.
A map showing the above described property is recorded in Book , at Page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the
premises in fee simple, has the right to convey the same in fee simple, that title Is
marketable and free and clear of all encumbrances, and that Grantor will warrant
and defend the title against the lawful claims of all persons whomsoever except
for the exceptions herein after stated.
Title to the property hereinabove described Is subject to the following exceptions:
Subject to easements, restrictions and rights of way of record.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first
above written. /}
(fJ// k' �� {SEAL)
DARRELL W.DEAL
�Gt_ e- V"C- S' . '�-- -- - _{SEAL}
SUZAJiNE S. DEAL
S MP
"'��i,,
STATE OF NORTH CAROLINA , COUNTY OF RRWAN
`\v���1
I, a Notary Public of the aforesaid State and County, certify that
DARRELL W. DEAL and wife SUZANNE S. DEAL personally appeared
q ?UDUA W
before me this day and acknowledged the due execution of the foregoing
R°owa(iGou�`
instrument.
=Y co�^D iogni=e
r da
Witness my hand and ofBclal seal, this the y of March, 2048.
0, rH+CPRO`
My Commission Expires:
1 l0--r, 8 Lam. 3 1. a,0 ► 1
A Notary Public
/"ILi PsC-Gm-e
Name o! ffptary Public Typed or Printed
©ook: 1201 Page: 936 Page 2 of
Book: 1201 Page: 936 Seq

� p4.enro �MFhT
P °
LIMITED LIABILITY COMPANY
ANNUAL REPORT
NAME OF LIMI'I'D LIABILITY COMPANY: Prim ax Pr•oper•tics. LLC
REPOR•1' FOR THE YEAR: 2012
SECRETARY OF SFATI; L.L.C. ID NUM BEIt: 0382061
NATURE; OP BUSINESS: Inveslrrtew Properties
RI Ci15TkzKI,iD AGEN I : .SEKUOUR. 1NILL111M G
KEC;IS"['I:RED OFFICE MAIL1NCi ADDRESS: 1100 L•: ;1forehcad.4n•ect
Charlotte, :VC28204- 281.5
1 -Piled A1Mlna1 Report
-1-0-4961.59
Do no( darn enicr manually.
SKATE OF INCORPORATION: YC
REGISTE'RL:D OFFIC I'll' S•1REET ADDRL•SS: I100I . ,1lnrehecrd .5lreet
Charlotte, ,-Y; 28204-2R1.5 Nfecklenhrrrg Cormir
PRINCIPAL OFI7ICj7 TIT1-Tl IONE NUMBER: (704) 344-,S200
PRINCIPAL OFFICE MAILING ADDRESS: 11001,.. ;tlorehead Street
Char -lone, :VC 28204-2815
PRINCIPAL. OFFICI� STREFT ADDRI SS
MANAGE RSrMEM]3ERSIORGANIZERS:
Name: William G Set»rota•
Title: rl4angger
Address.-
/100 L Alor•ehead Street
Charlotte, AIC 28204-2815
1100 L: Wor•ehead Street
C'harlottc, NC 28204-2815
Name: Emnl r C .Sevinour
Title: Manager
A ddres•s:
1100 E, rI for•ehoad Street
Charlotte, ,VC 28204- 2815
CI;RTIFICA"IION OF ANNUAL REPORT MUSTBE, COMPLF,ITD 13Y ALL ]AMITED LIABILITY COMPANIES
William G Seymour
O ti/07/2I) l2
FORM MUST BE SIGNED BY A MANAGEWMEMBLIt
DATE
William G Seymour Manager
TYPE OR PRINT NAME TYPE OR PRIM" TITLE,
ANNUAL REPORT FITE: S200 MAIL TO: Secremry of S[We - Corporations Division • Post Office Box 29525 • Ralcigh. NC 27626-0525