SW1080103_Application_20080605

IF Date Received Fee Paid Permit Number
State of North Carolina
Department of Environment and Natural
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLIC
This fonn may be photocopied for use as an original
I. GENERAL INFORMATION
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1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Henderson County Schools
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
3. Mailing Address for person listed in item 2 above:
414 Fourth Avenue West
City:Hendersonvl➢e State:NC Zip:287394261
Phone: (828 ) 697-4733 Fax: (828 ) 6974761
Ernaii:[e-mail]
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
I -I llandale Elementary School
5. Location of Project (street address):
City: Hendersonville County:Henderson Zip:28739
6. Directions to project (from nearest major intersection):
From the intersection of Spartanburg Hwy-176 and W Blue Ridge Road follow West Blue Ridge Road about
0.5 mile. The site will be on the left.
7. Latitude:35° 16' 0" N Longitude:82° 25' 0" W of project
8. Contact person who can answer questions about the project:
NameKenny Draffen & Weston Boles Telephone Number: (704 ) 841-2588
Email:kdraffen@mckimcreed com [e-mail]
it. PERMIT INFORMATION:
1. Specify whether project is (check one):
®New
❑Renewal ❑Modification
Form SWU-101 Version 03.27.08 Pagel of4

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
❑Low Density ®High Density ❑Redevelop ❑General Permit ❑Universal SMP ❑Other
4. 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 ❑404/401 Permit ❑NPDES Stormwater
IIl. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project. .
The stormwater will be collected in catch basins and drop inlets throughout the site. The collected stormwater
will then flow with the natural topoog_aphy through the designed storm network into a wet detention pond via
2. Stormwater runoff from this project drains to the French Broad River basin.
3. Total Property Area: 11.60 acres 4. Total Wetlands Area: 0 acres
5. 100' Wide Strip of Wetland Area: acres (not applicable if no wetlands exist on site)
6. Total Project Area**:11.60 acres 7. Project Built Upon Area:55
8. How many drainage areas does the project have?1
9. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
For high density projects, complete the table with one drainage area for each engineered stormwater device.
Basin Information_ ::
'Drainage Area 1 ;=
Drainage''Area 2,
Receiving Stream Name
King Creek
Stream Class & Index No.
C, 6-55-8-1-2-(2)
Total Drainage Area (so
537,581
On -site Drainage Area (so
505,296
Off -site Drainage Area (so
32,285
Existing Impervious* Area (sf)
19,333
Proposed Impervious*Area (so
297,791
Impervious* Area (total)
55
Impervious -Surface Area
Drainage Area 1 +
Drainage Area 2: '
On -site Buildings (so
78,135
On -site Streets (so
42,396
On -site Parking (so
130,628
On -site Sidewalks (sf)
14,398
Other on -site (so
0
Off -site (sf)
32,234
Total (so:
297,791
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
**Total project area shall be calculated based on the current policy regarding inclusion of wetlands in the built upon area
percentage calculation. This is the area used to calculate percent project built upon area (B UA).
Form SWU-101 Version 03.27.08 Page 2 of

10. How was the off -site impervious area listed above derived?There are several lots East of the site that drain to
our site, their cumlative area equals the offsite impervious area.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
One of the following deed restrictions and protective covenants are required to be recorded for all subdivisions,
outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table listing each lot
number, size and the allowable built -upon area for each lot must be provided as an attachment. Forms can be
downloaded from http://h2o.enr.state.nc.us/su/bml2 forms.htm - deed restrictions.
Form DRPC-1
High Density Commercial Subdivisions
Form DRPC-2
High Density Developments with Outparcels
Form DRPC-3
High Density Residential Subdivisions
Form DRPC 4
Low Density Commercial Subdivisions
Form DRPC-5
Low Density Residential Subdivisions
Form DRPC-6
Low Density Residential Subdivisions with Curb Outlets
By your signature below, you certify that the recorded deed restrictions and protective covenants for this
project shall include all the applicable items required in the above form, 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 State, and that they will be recorded prior to the
sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms. Forms can be downloaded from http://h2o.enr.state.nc.us/su/bmp forms.htm.
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Form SW401-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-1-evel Spreader
Form SW401-Wetland
Form SW401-Grassed Swale
Form SW401-Sand Filter
Form SW401-Permeable Pavement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement
Bioretention Cell Supplement
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Constructed Wetland Supplement
Grassed Swale Supplement
Sand Filter Supplement
Permeable Pavement Supplement
Form SWU-101 Version 03.27.08 Page 3 of

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at http'//h2o em state nc us/su/msi maos.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original and one copy of the Stormwater Management Permit Application Form 14,16b
• Original and one copy of the Deed Restrictions & Protective Covenants Form (if Ll r, Q
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP �2(o,a
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD) / , /
payable to NCDENR W ( �
• Calculations & detailed narrative description of stormwater treatment/management fib
• Copy of any applicable soils report 6.1
• Two copies of plans and specifications (sealed, signed & dated), including: iwJ C /j
- Development/Project name
- Engineer and firm
- Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
- Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm):Mckim & Creed Individual Kenny Draffen
Mailing Address:8020 Tower Point Drive
City:Charlotte State:NC Zip:28227
Phone: ON ) 841-2588
EmaiLkdraffenRmckimcreed. cmn
Fax: (704 ) 841-2567
VIII. APPLICANT'S CERTIFICATION
1, (print or type Waite of person listed in General Information, item 2)—,,
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 covenants will be recorded, and that the proposed project complies with the requirements of 15A
NCAC 21-1.1000.
Signatut ��O Date:
Form SWII-101 Version 03.27.08 Page 4 of 4