SW1190701_The Riveter - SSW-SWU-101-Application-Signed_7/18/2019

DEMLR U
E ONLY
Date Received
Fee Pa'd
Permit N
ber
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Constr
(select all that apply) ❑ Non -Coastal SW- HQW/ORW WatersElUniversal Stormwater Manament
El Other WQ M mt Plan:
tion
Plan
I
If
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mine� al and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FOR
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. Project Name subdivision facility, or establishment nl me - should be consistent with ro'ec name onplans,
of ( ty, � P l
specifications, letters, operation and maintenance agreements, etc.):
The Riveter
2. Location of Project (street address):
701 Old Farming Bridge Road
City:Mills River County:][I enderson Zip:2 759
3. Directions to project (from nearest major intersection)
From NC 280
Bol ston Highway), tirn onto Ferncliff Park Drive; si a is adjacent to round -about on Old 171ming Bridge
Road
4. Latitude:35' 25' 39.16" N Longitude: 82° 32144.84" W of the main entran e to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ odificationt
tRenewals with modifications also requires SWU-102 - Renewal pplication Form
b.If this application is being submitted as the result of amodification to an existing permit, lis' the existing
permit number , its issue date ( known) , and the sta s of
construction: ❑Not Started []Partially Completed* ❑ Completed* *provide a de gner's certification
2. Specify the type of project (check one):
®Low Density ❑High Density ❑Drains to an Offsite Stormwater System ❑O r
3. If this application is being submitted as the result of al previously returned application or a etter from
DEMLR requesting a state stormwater managementpermit application, list the stormwat , project number,
if assigned, and the previous name of the project, if different than rrently
proposed,
4. a. Additional Project Requirements (check applicable bl s; information on required state pe its can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentatl 'Erosion Control: ac of Dis rbed Area
❑NPDES Industrial Stormwater ❑404/401 Per it: Proposed Impacts
b. If any of these permits have already been acquired pl ase provide the Project Name, Project Permit Number,
issue date and the type of each permit:S&EC Permit: The Riveter Project ID: Hende2019-012
5. Is the project located within 5 miles of a public airpo t? ❑No ®Yes
If yes, see S.L. 2012-200, Part VI: http://portal.nedenr.og/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 11 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (sr
designated government official, individual, etc. who c
Applicant/Organization:Riveter Property Holdings
Signing Official & Title:Elizabeth Jackson, Principal
b. Contact information for person listed in item 1a abovf
Street Address:132 King Street
City:Brevard
Mailing Address (if applicable):Same as above
City:
Phone: (828 ) 577-2263
Email:[e-mail]
c. Please check the appropriate box. The applicant lister
® The property owner (Skip to Contact Information,
❑ Lessee* (Attach a copy of the lease agreement and
❑ Purchaser* (Attach a copy of the pending sales ag]
2b below)
❑ Developer* (Complete Contact Information, item
2. a. Print Property Owner's name and title below, if you a
person who owns the property that the project is local
Property Owner/Organization:Riveter Property Holdi�
Signing Official & Title:Ehzabeth Jackson
b. Contact information for person listed in item 2a abov(
Street Address:132 King Street
City:Brevard
Mailing Address (if applicable):Same as above
City:
Phone: [phone]
Email:[e-mail]
3. a. (Optional) Print the name and title of another conta
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b. Contact information for person listed in item 3a abo
Mailing Address:
Citv:
Phone: ( )
Email:
4. Local jurisdiction for building permits:
Point of Contact:
the developer, property own4, lessee,
State:NC
State:
Fax: ( )
above is:
Lem 3a)
omplete Contact Information, item
ement and complete Contact Infon
and 2b below.)
the lessee, purchaser or developer
on):
State:NC
State:
Fax:
Zip:
such as the project's construction
State: Zip:
Fax: ( )
Phone #:
2b below)
item 2a and
is the
isor or other
Form SWU-101 Version Oct. 31, 2013 . Page P of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
: flowed across a ve
a portion of the site that is to remain i
area and the
2. a. If claiming vested rights, identify the supporting doc ments provided and the date they
❑ Approval of a Site Specific Development Plan or PIJD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. If claiming vested rights, identify the regulation(s)
❑ Coastal SW -1995 ❑ Ph II - Post Constrt
3. Stormwater runoff from this project drains to the
4. Total Property Area: 16.67 acres
approved:
project has been designed in accorda4ce with:
5. Total Coastal Wetlands Are
River basin.
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Are (5) - Total Surface Water Area (6) = T ,tal Project
Area+:16.67 acres
+ Total project area shall be calculated to exclude the foll 'ng: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below he Normal High Water (NHW) line or Aan High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non-c astal wetlands landward of the NHW (or A4BM line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =12. 5 %
9. How many drainage areas does the project have?1 (Fo high density, count 1 for each proposed etgineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
French Broad
River
Stream Class
B
Stream Index Number *
6-(54.75)
Total Drainage Area (so
285,754
On -site Drainage Area (sf)
285,754
Off -site Drainage Area (so
0
Proposed Impervious Area** (sf)
91,128
% Impervious Area** total
12.55
Impervious— Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
raina e Area _
On -site Buildings/Lots (sf)
40100
On -site Streets (sf)
9113
On -site Parking (sf)
38500
On -site Sidewalks (sf)
2935
Other on -site (so
480
Future (so
0
Off -site (so
0
Existing BUA*** (sf)
0
Total (sf):
91128
* Stream Class and Index Number can be determined at: ht . ortal.ncdenr.or eb s csur
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

Impervious area is defined as the built upon area includi ig, but not limited to, buildings, roads, pls(i'
ng areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that will rem 'n after development. Do not report any ing BUA that
is to be removed and which will be replaced by new B
11. How was the off -site impervious area listed above debrmined? Provide documentation. No -site draina e.
is received. It is diverted b existin roadwa ditches
Proiects in Union County: Contact DEMLR Central Office sta to check ifthe project is located withinreatened&
Endangered Species watershed that maybe subject to more stri gent stormwater requirements as per 15AC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenanc (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can downloaded
from http://portal.ncdenr.orR/web/wq/ws/su/bmp-manual,
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted a reviewed by the Division of Energ4Mineral and
Land Resources (DEMLR). A complete package include i all of the items listed below. A det led application
instruction sheet and BMP checklists are available from
submitted to the appropriate DEMLR Office. (The
interactive online map athtW://portal.ncdenr.org/i
Please indicate that the following required informati
for each item. All original documents MUST be signed
for each submitted application package from hW2: / /
1. Original and one copy of the Stormwater Management
2. Original and one copy of the signed and notarized Dee
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Forms) (§gale(
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to N
http://www.envhelp.or /g pages/onestopexpress.htr
and the associated fees. Contact the appropriate regi
additional information and to schedule the required
The complete application pa age should be
office may be found by locati—nPiproject on the
/su ma s.)
ave been provided by initialing in tlt space provided
initialed in blue ink. Download the latest versions
ermit Application Form.
Restrictions & Protective Covenants
and dated) and O&M
'DENR. (For an Express review, refer
l for information on the Express prog
nal office Express Permit Coordinator.
)plication meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management]
the project. This is required in addition to the brief su mmary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the recei
receiving stream drains to class SA waters within 1/2 r
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed,
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numl
d. Legend.
e. North arrow.
f. Scale.
gg Revision number and dates.
h. Identify all surface waters on the plans by delineai
impounded structures, the banks of streams and r:
waters, and any coastal wetlands landward of the
• Delineate the vegetated buffer landward from
structures, the banks of streams or rivers, and
i. Dimensioned property/project boundary with bee
j. Site Layout with all BUA identified and dimensioi
k. Existing contours, proposed contours, spot elevati
1. Details of roads, drainage features, collection syst�
� stream is reported as class SA or
of the site boundary, include the 1/
& dated), including:
ing the normal pool elevation of
vers, the MHW or NHW line of tidal
VIHW or NHW lines.
the normal pool elevation of impoun
the MEW (or NHW) of tidal waters.
rines & distances.
finished floor elevations.
and stormwater control i
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

m. Wetlands delineated, or a note on the plans that n4
qualified person. Provide documentation of quali
made the determination on the plans.
n. Existing drainage (including off -site), drainage ea,
o. Drainage areas delineated (included in the main s4
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associate
elevations in addition to depths) as well as a map of t
elevations and boring logs. Include an 8.5"x11" copy
project area clearly delineated. For projects with infil
include the soil type, expected infiltration rate, and tl
(Infiltration Devices submitted to WiRO: Schedule a
to submittal, [phone].)
10. A copy of the most current property deed. Deed boo)
11. For corporations and limited liability corporations (L:
Secretary of State or other official documentation, wli
by the persons listed in Contact Information, item 1a,
The corporation or LLC must be listed as an active co
Secretary of State, otherwise the application will be rE
VII. DEED RESTRICTIONS AND PROTECTIVE
ie exist. (Must be delineated by a
cations and identify the person who
ments, pipe sizes, runoff calculations.
of plans, not as a separate document)
SHWT elevations (Please identify �'---
e boring locations with the existing
f the NRCS County Soils map with th
•ation BMPs, the report should also
method of determining the infiitratio k rate.
:te visit for DEMLR to verify the SHWT or
3292 Page No: 27-35
2): Provide documentation from the
A supports the titles and positions he
a, and/or 3a per 15A NCAC 2H.1003 ).
oration in good standing with the N
ANTS
For all subdivisions, outparcels, and future development,
covenants are required to be recorded prior to the sale of
BUA allocations vary, a table listing each lot number, lot
as an attachment to the completed and notarized deed restriction
a appropriate property restrictions
y lot. If lot sizes vary significantly o
e, and the allowable built -upon area
form. The appropriate deed r
d protective
the proposed
ust be provided
trictions and
protective covenants forms can be downloaded from 1
"-iortal.ncdenr.or web lr state-stor
ater-
forms docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property
owner to sign the deed restrictions and protective coven
that the deed restrictions are recorded.
owner, it is the responsibility
is form while the applicant is respons
f the property
le for ensuring
By the notarized signature(s) below, the permit holder(
) certify that the recorded property r
trictions and
protective covenants for this project, if required, shall i
clude all the items required in the p
it and listed
on the forms available on the website, that the covenan
s will be binding on all parties and
rsons claiming
under them, that they will run with the land, that the re
uired covenants cannot be changed
r deleted
without concurrence from the NC DEMLR, and that the
will be recorded prior to the sale of
ny lot.
VIII. CONSULTANT INFORMATION AND
Applicant: Complete this section if you wish to designs authority to another individual and/Jr firm (such as a
consulting engineer and/or firm) so that they may provi a information on your behalf for this oject (such as
addressing requests for additional information).
Consulting
Consulting Firm:
Mailing Address
City:Asheville State:NC
Phone: (828 ) 774-5499 Fax: ( )
IX. PROPERTY OWNER AUTHORIZATION (if Con ta t Information, item 2 has been filled out,
section)
I, (print or type name of person listed in Contact Information, tem 2a) Elizabeth Tackson
own the property identified in this permit application, and thus give permission to (print or ty
listed in Contact Information, item 1a) Elizabeth Tackson with (print or type name of or
Contact Information, item 1a) Riveter Property Holdings to develop the project as currently f
the lease agreement or pending property sales contract hits been provided with the submittal,
party responsible for the operation and maintenance of a stormwater system.
this
certify that I
ne of person
rtion listed in
;ed. A copy of
h indicates the
Form SWU-101 Version Oct. 31, 2013 Page's of 6

As the legal property owner I acknowledge, understand,
agent (entity listed in Contact Information, item 1) dissob
lease agreement, or pending sale, responsibility for comp
to me, the property owner. As the property owner, it is m
submit a completed Name/Ownership Change Form wit
treatment facility without a valid permit. I understand tf
without a valid permit is a violation of NC General Statu4
action including the assessment of civil penalties of up to
Signature:
I,
nd agree by my signature below, that
�s their company and/or cancels or df
ance with the DEMLR Stormwater pE
responsibility to notify DEMLR imm
in 30 days; otherwise I will be operati
1 the operation of a stormwater treatr
143-215.1 and may result in appropri;
;25,000 per day, pursuant to NCGS 14
Date: l -
ny designated
zlts on their
it reverts back
ately and
a stormwater
it facility
enforcement
15.6.
a Notary Public for the State of A/% , County of
!2i0CO3-,l0e _ do hereby certify that
before me this S day of v L, a
a stormwater permit. Witness my hand and official seal,
LORI :'GERNOTARPUBLIC
BUNCOMBOUNTY,NC
COMMISSION IRES 11/26/2-
X. APPLICANT'S CERTIFICATION
SEAL
My commission
the due
appeared
of tlt application for
I, (print or type name of person listed in Contact Information, i cm 1a) Elizabeth fackson
certify that the information included on this permit applic ation form is, to the best of my knowle ge, correct and
that the project will be constructed in conformance with e approved plans, that the required d d restrictions
and protective covenants will be recorded, and that the p posed project complies with the requ ements of the
applicable stormwater rules under 15A NCAC 2H .1000 d any other applicable state stormwa r requirements.
Signature:
I, a Notary P1
do hereby certify that _C�-111
before me this S day of 9 a
CO
a stormwater permit. Witness my hand and official seal,
LLORI SEGER
NOTARY PUBLIC
BUNCOMBE COUNTY,NC
MMISSION EXPIRES 11/26/2o22
SEAL
My
for the State of L' County of
16'bl perso Ily appeared
knowWge the due exWution of application for
Form SW-101 Version Oct. 31, 2013 Page 0 of 6