SW1080104_Application_20080507

1! 3 d s i"i 'V`IF-.1..i.Y ( "
�.. �.a..,.� s.,.n -�., DWQ':USE,ONLY
Date Received
Fee Paid
Permit Number
D
D5�°�
SL�jio 01�+
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM.
This form may be hlrotocopied for t{se as an original
I. GENERAL INFORMATION
1. Applicants name (specify the narne of the corporation, individual, etc. who owns the project):
Henderson Countv Schools
2, Print•Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Bo Caldwell
3. Mailing Address for person listed in item 2 above;
414 Fourtli'Avenue West
City:Hendersonville 'State:NC Zip:28739-4261_—
Phone: [phone] Fax: (828 ) 697-4738
Email:bcaldwell Ocr hend erson. k1 2.nc.us
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation, and maintenance agreements, etc.):
Mills River. Elementary School-
5. Location of Project (street address):
96 School House Road -
City:Horse Shoe _ County: Henderson
6. Directions to project (from nearest major intersection):
Project is on the intersection of School House Road and Banner Farm Road.
7. Latitude:35 °° 23 N Longitude:82' 34 W _ of project
8. Contact person who car. answer questions about the project:
Name:Brian Dey Matt Bare, & Weston Bales Telephone Number: (704 1 841-2588
Email:itlev@mckim&r ed.com [e-mail] [e-mail]
II. PERMIT INFORM' ATION:
1. Specify wl+.ether project is (check one): ®New ❑Renewal [:]Modification' -
Form SWU-101 Version 8.07 Page I of 4

im
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 r ck one):
❑Low Density �Density❑Redevelop; ®General Permit ❑Universal SMP ❑Other
4. Additional Projececk applicable blanks):
❑CAMA Major ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Stormwater
lnformation on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. 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 topography through the designed storm network into a wet detention pond.
2. Stormwater runoff from this project drains to the French Broad River basin.
3. Total Site Area: 13.84 acres 4. Total Wetlands Area: 0 acres
5. t00' Wide Strip of Wetland Area: acres (not applicable if no wetlands exist on sitc)
6. Total Project Area**:8.362 _acres 7. Project Built Upon Area:60.42
S. 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.
:.Basin lnformat ai cu Fi»f' ttSG
P .rylJ
S' J
Drainage Area
s{ f Dratnage3Pieu
Receiving Stream Name
Boylston Creek
Stream Class & Index No.
WS-IV, 6-52-(6.5)
+�
Drainage Area (sf)
501,088
Existing Impervious* Area (so
145,941
Proposed Impervious*Area (so
253,774
% impervious* Area (total)
42.10
k i
Impervious*'Sace Aiea ''l ; .
.,�.
-
Ara
,� • ` ''' Dn inage, ea 1 l s '" i rt
t ' �' Drama e i1 re3 2jr trFi x4, S
On -site Buildings (so
101,236
On -site Streets (sf)
56,387
On -site Parking (so
39,157
_ ~�
On -site Sidewalks (sf)
21,444
Other on -site (sf)
0�
Off-site (sf)
Total (so:
35,550
253,774
"irrrpervious area is defined as the built upon area including, but not limited to, buildings,,rPoads, parking areas,
sidewalks, gravel areas, etc.
**Total project area shall be calculated based on the current policy regarding inclusion of wetlands irr the built upon arca
percentage calculation.
l-'Win SWU-101 Version 8.07 Page 2 of 4

10. How was the off -site impervious area listed above derived?The off -site impervious area includes part of
School House Road, which adds flow to the drainage area, of, the.pnoj_ect site.
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.
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 or.
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. • .1,.. -
Form SW401-Low Density
Form SW401-Curb Outlet System
Form SW401-Off-Site System
Fofm SW401-Wet Detention Basin
Form SW,401-lnfiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland
Form SM101-Grassed Swale
Form SW401-Sand Filter
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
Constructer! Wetland Supplement
Grassed Swale Supplement `
Sand Filter Supplement
FormSWU-101 Version8,07
Page 3 of 4

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. (Appropriatekoffice,may be found by locating project on the
interactive online map at http;Hh2o,enr.etate.nc.us/su/msi maps.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 /1? 0�
• Original and one copy of the Deed Restrictions & Protective Covenants Form M19
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP &__0 d
• Permit application processing fee of $505 ($4,000 for Express) payable to NCDENR IM06
• Calculations & detailed narrative description of stormwater treatment/management _ M D 5
• Copy of any applicable soil report r)
• Three copies of plans and specifications (sealed, signed & dated), including:
- 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)
V11. AGENT AUTHORIZATION
if you wish to designate authority to another individual or firm so that they may provide informat,.'on on your
behalf, please complete this section. .
Designated agent (individual or firm)Tirm: McKim & Creed, Individual: Brian Dey y
Moiling Address:8020 Tower Point Drive
City:Charlotte _ State:NC Zip'28227
Phone: (704 _ _) 841-2588 Fax: (704, ) 2567
Email:bdey©mckimcreed.com -
ViII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2) . '1'0'y
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 2H .1000.
Signatt'��^�— Date: �� ��
Form SWU-101 Version 8.07 Page 4 of 4

DWQ USE ONLY—, ;
Date Received Fee Paid Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forru may be photocopied for use as an original
I. GENERAL INFORMATION
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):
Bo Caldwell
3. Mailing Address for person listed in item 2 above:
414 Fourth Avenue West
City:Hendersonville _ State:NC Zip:28739426'1
]'hone: (828 697�?33 _ Pax: (828 ) 6974738 ,�•
Email:bcal.dwell@henderson.k12,nc.iis
4, Project Name (subdivision, facility, or establishment name - should be consistent with project name o-n
specifications, letters, operation and maintenance agreements, etc.):
Mills River Elementary School v� _
5. Location of Project (street address):
96 School House Road
City:Horse Shoe County:Henderson
6. " Directions to project (from nearest major intersection):
Project is on the intersection of School House Road and Banner Farm Road. _
7. Latitude:35 ° 23 N _ Longitude:82° 34 W of project .
8. ' 'Contact person who can_answer questions about the project:
Nanie:Brian Dey, Matt Bare, & Weston Boles Telephone Number: (704 ) 841-2588
Email:[e-mail], mbare@mckimcreed,comLwboles@mckimcreed, corn
11. PERMIT INFORMATION-,
1. Specify whether project is (check ore): ®New ❑Renewal ❑Modification
Form S i U-101 Version 8.07 Page 1 of 4

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):
❑CAMA Major ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJFCT 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 coIIected in catch basins and drop inlets throughout the site., The collected stormwater
will then flow with the natural topography through the desigped storm network into a wet detention ond. __
2.. Stormwater runoff from this project drains to the French Broad River basin.
t.. x •
3. Total Site Area:13.84 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**:8.362 acres 7. Project Built Upon Area:60.42
8. How many drainage areas does the project have?]
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.
$asinFinformatron * ,;; �
u' Drainage Area 1` �
�" Dramage'Area 2
Receiving Stream Name
Boylston Creek
Stream Class & Index No.
WS-IV, 6-52-(6.5)
Drainage Area (so
501,088
Existing Impervious'* Area (so
145,941
Proposed Impervious*Area (so
253,774
% Impervious* Area (total)
42.1.0
_
s
Im ery ou * S dace Are �"age,,�
a DraiArea 1 x
4 � F Drama e Arrea ,Y�
g s
tY :�.n
a. ssasa.� ..e�„trw,r ,
On -site Buildings (so
101,236
On -site Streets (SO
56,387
On -site Parking (so
39,157
On -site Sidewalks (so
Other on -site (so -------
21,444
0
- - ___.---
Off-site (so
35,550
_--Total (spy
_ 253,774
Irnpervious area is de/biedas the built upon area including, but not litnited to, buildings, roads, parking areas,
sidewalks, gavel arras, etc.
**Total project area shall be calculated based on the current policy regarding inclusion of wetlands in the built upon area
perceniage calculation.
Form SWU-101 Version 8.07 Page 2 of

10. How was the off -site impervious area listed above derived?The off -site impervious area includes 12art of
School House Road, which adds flow to the drainage area of the project site.
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.
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.
Form SW401-Low Density
Form SW,401-Curb Outlet System
Form SW401-Off-Site System
Form SW40f-Wet Detention Basin
Form SW401-Infiltration Basin
Form SW401-Infiltration Trench
Form SW401-Bioretention Cell
Form SW401-Level Spreader
Form SW401-Wetland .
Form SW401-Grassed Swale
Forin SW401-Sand Filter
Low Density Supplement
Curb Outlet System Supplement .
Off -Site System Supplement r
Wet Detention Basin Supplement
Infiltration Basin Supplement
Underground Infiltration Trench Supplement a
Bioretention Cell Supplement
Level. Spreader/Filter Strip/Restored Riparian Buffer Supplement ,
Constructed Wetland Supplement
Grassed Swale Supplement - - -
Sand Filter Supplement
Form SWU'--I01 Version 8.07 Page 3 of 4

VI. SUBMITTAL REQUIREMENTS
Only cornplete appIication 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.enr.state,nc.us/su/msi maps 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 A O
• Original and one copy of the Deed Restrictions & Protective Covenants Form . M 013
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP M06
• Permit application processing fee of $505 ($4,000 for Express) payable to NCDENR M
• Calculations & detailed narrative description of stormwater treatment/management MQI3
• Copy of any applicable soil report M 0
• 'Three copies of plans and specifications (sealed, signed & dated), including:
- 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)
ViL AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on you-
behalf, please complete this section.
Designated agent (individual or firm):Firm: McKim & Creed Individual: Brian De
Mailing Address:8020 Tower Point Drive •
City:Charlotte
Phone: 1704 - ) 841-2588
Email: [e-mail]
State -.NC Zip:28227
Fax: (704 ) 2567
VIII. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 2)
certify that the informat un 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 15.a. -
NCAC 211.1000.
Signa Date: I �/ Oa�
Form SW-U-101 Version 8.07 Page 4 of 4

i4 ;i.
'This development is a school and is not subject to deed ,restrictions.