SW1090301_CURRENT PERMIT_20091209

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
� CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
/8�9�/�D9
YYYYMMDD

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins .� .---' ..,.,�._.�_....—.�TDee Freeman
'� liirilFS:M:T T[':.nM:'� /l"''.-....5-.....-•-"':��'�C%drr w� -
Governor Director '" " •F'°°�Secreta, `Y
December 8, 2009
Mr. John Gould, Member
Gould Properties, LLC
PO Box 1005
Hendersonville. NC 28793
Subject: Stormwater Permit No. SW1090301
Cason Building Supply
High Density Commercial Bio-Retention Project
Henderson County
Dear Mr. Gould:
The Stormwater Permitting Unit received.a complete Stormwater Management Permit Application for
Cason Building Supply on December 3, 2009. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW1090301, dated December 8,
2009, for the construction, operation and maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until December 8, 2019, and shall be subject to
the conditions and limitations as specified therein. Please pay special attention to the Operation and
Maintenance requirements in this permit. Failure to establish an adequate system for inspection and
maintenance of the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this'
permit. This request must be in the form of a written petition, conforming to Chapter 150E of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447,
Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Asheville Regional Office. If you have any questions, or need
additional information concerning this matter, please contact Jennifer Jones at [phone]; or
[e-mail].
Sincerely,
for Coleen H. Sullins
CC,. Asheville Regional Office
Central Files
�nU Files
Wetlands and Stormwater Branch
161. M- Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
internet: www.ncwaterquslily.org
An Equal Opportunity 1 Affirmative Action Employer
OIIC
NorthCarolina
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State Stormwater Permit
Permit No. SW1090301
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
EC 9 2009 I. J
HIGH DENSITY DEVELOPMENT '?
V-TER QUALITY S=CTIONI
,;r ;v
In accordance with the provisions of Article 21 of Chapter 143, General 5tatptes of._,; F3:_G!r [•,;;L cl ;-;c
North Carolina as amended, and other applicable Laws, Rules, and Regulations' -"---" `
PERMISSION IS HEREBY GRANTED TO
........,, . ,.,....,.:.•gar.
Gould.Ptoperties, LLC/John Gould
Cason Building Supply
King Street, Hendersonville, NC, Henderson County
FOR THE
construction, operation and maintenance of 5 bioretention cell(s) in compliance with the
provisions of Session Law 2006-246 and 15A NCAC 2H .1000 (hereafter referred to as
the "stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until 12/08/2019, and shall be
subject to the following specified conditions and limitations:
1. DESIGN STANDARDS-
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 225131 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area as indicated in Section
1.7 of this permit, and per the application documents and as shown on the
approved plans. The built -upon area for the future development is limited to
225131 square feet.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Page 1 of 6

State Stormwater Permit
Permit No. SW1090301
7. The following design criteria have been provided in the bioretention cell and must
be maintained at design condition:
a. Drainage Area, acres: 395,135
Onsite, ft : 358,853
Offsite, ft2: 36,282
b. Total lmperviou� Surfaces, ft2: 225131
Onsite, ft : 22.5131
Offsite, ft2: 0
C. Design Storm, inches: 1"
d. Max. Ponded Depth, feet: 12"
e. Seasonal High Water Table, fmsl:
f. Planting Media Depth, feet:
g. Cell Dimensions, feet:
h. Bottom Elevation, fmsl:
i. Bottom Surface Area, ft2-.
j. Permitted Storage Volume, ft3:
k. Bypass 1 Storage Elevation, fmsl:
I. Predevelopment 1 year 24 hour:
M. Post development 1 year 24 hour:
n. Drawdown Time, hours:
o. Underdrain Diameter, inches:
P. Total number of plants provided:
q. Receiving Stream/River Basin:
r.- Stream Index Number:
S. Classification of Water Body:. .
II. SCHEDULE OF COMPLIANCE
BR#1
'13R#2.
.BR#3'
BR#4 ':
BR#5
2191
2181.25
2180.25
2170,25
2181.25
3'
2'
. 2'
2' .
2'
48'x60'
108'40'
60,25'
8'x12.5'
r=34'
2196
2,184.5
2183.5
2173.5
2182.5
2510
5651
4705
6033
6895
1884
4238.
4705
4525
6895
2200
.2188
2187
2177
2186 .
0.104
0.141
0.170
0.301
0,174
0.104
0.141
0.170
0.301
0.174
12.5
13.5
16.2
12.5
13,8
6„
6„
6„
,6„
.6"
85
SOD
SOD
SOD.,_._SOD
UT to Dye Branch 104-03-02 '
6-55-8-1-2-4
C
1. The stormwater management system shall be constructed in its entirety,'
vegetated and operational for its intended use prior to the construction of any.,
built -upon surface.
2. During construction, erosion shall be kept to'a minimum and any eroded areas of
the system will be repaired immediately. .
3..,. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and,
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the Work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report
shall summarize the inspection dates, results of the inspections, and the
Page 2 of 6
j.

State Stormwater Permit
Permit No. SW1090301
maintenance work performed at each inspection.
6. The facilities shall be constructed as shown on the approved plans. This permit
shall become void unless the facilities are constructed in accordance with'the
conditions of this permit', the apprbved plans and specifications, and other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A.
modification may be required for those deviations.
8. 'If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future.areas shown on the approved plans, prior to construction.
12. A 6ppy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
Page 3 of 6

State Storm'Water Permit t;
Permit No. SW1090301.
Ill. GENERAL CONDITIONS
1.. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as. .
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as.the Division approves a request to transfer the permit.
3. Failure`to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of. Water. Quality, in
accordance,with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by .
other government agencies (local, state, and federal) having jurisdiction..
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions; the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal'....
business hours for the purpose of inspecting all components of the permitted .
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause.''The
filing of a request for a permit modification, revocation and re -issuance or. .
termination does not stay'any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by'eference
and are enforceable parts of the permit.'
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session.Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et -al.
11. The permittee shall notify the Division in writing, of any name, ownership or
mailing address changes at least 30 days prior to making such changes. ,
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit..
Permit issued this the 8 day of December, 2009.
NORTH CAROLINN�AA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW1090301
r
Cason Building Supply
Stormwater Permit No. SW1090301
Henderson County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project Name)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

State Stormwater Permit
Permit No. SW1090301 L
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the, system contains no more than the permitted
amount of built -upon area. .
3: All the built -upon area associated with the project is graded such that the .
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.'
7. Trash rack is provided on the outlet/bypass structure. :.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths'are provided:
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Tom Staufer, Henderson County Building Inspections

High Density Commercial Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000, the Management Regulations, deed restrictions and
protective covenants are required for High Density Commercial Subdivisions where lots will be
subdivided and sold and runoff will be treated in an engineered stormwater control facility. Deed
restrictions and protective covenants are necessary to ensure that the development maintains a built -
upon area consistent with the design criteria used to size the stormwater control facility.
I, 3oL,� (2oul , Gwld �r�r+� a� "C- , acknowledge, affirm and agree by my signature below, that
I will cause the following deed restrictions and covenants to be recorded prior to the sale of any lot
within the project known as _ Cas•� 2_1194 I S.Kal�
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number S'W 10 O ,M 1 as issued by the Division of Water Quality
under NCAC 2H- 1000.
2. , The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is ;25 _square feet. {OR, if the
proposed built -upon area per lot will vary, please use the following format & language (in bold):
The maximum built -upon area per lot, in square feet, is as listed below:
Lot # BUA Lot # BUA Lot # BUA Lot # BUA L+f AL BuA
This allotted amount includes any built -upon area constructed within the lot property boundaries,
and that portion of the right-of-way between the front lot line and the edge of the pavement. Built
upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate,
coquina and parking areas, but does not include raised, open wood decking, or the water
surface of swimming pools.
7. All runoff from the built -upon areas on the lot must drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street,
grading the lot to drain toward the street, or grading perimeter swales to collect the lot runoff
and directing them into a component of the stormwater collection system. Lots that will naturally
drain into the system are not required to provide these additional measures.
8. The owner of each lot, whose ownership is not retained by the permittee, is required to submit a
separate stormwater permit application to the Division of Water Quality and receive a permit
prior to c ruction.
Signature: Date: 3 rA)
I, G e a Notary Public in the
State of County of
do hereby certify that k-- cJJpersonally appeared
before me this the % 7 clay of /y% 206 , and acknowledge
the due execution of the foregoing instrument- '—
,\Nitness'rr!V 7d-arid'+officialtiielti�lI
��J/�%j Li. AMr+,r.. Avtirrwwx•..,.... `[�nr .. !(�.
Sign t e i� , ��,''. �'.A''s�� .Ii'r'4; ���• �= '' ` ''•
My Commission expires
DEC 9 2009
Form DRPC-1 Rev.1 Page 1 of l
�tN_• r

Permit Number: SW I69 0'36 1
(to be provided by DWQ)
Drainage Area Number:
Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will bc:
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP. \
Important operation and maintenance procedures:
Immediately after the bioretention cell is established, the plantswill be watered
twice weekly if needed until the plants become established (commonly six
weeks).
Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection'activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate the problem -
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide time and a
one-time fertilizer application
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to a-,, oid
future problems -with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone,
applicable).
Form 5W401-Bioretention O&M-Rev.3 Page 1 of

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential roblems:
Flow is bypassing
pretreatment area and/or
!lies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred.
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Tree stakes/wires are present
six months after planting.
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shoes that
pH has dropped or heavy
metals have accumulated in
the soil media.
How I will remediate'the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading,
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
Dolomitic lime shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:' "
How I will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Pen -nit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. - I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible parry.
Project name:Cason Building Supply
BMP drainage area number:Bioretention Area #1
Print name:John Gould - Gould Properties, LLC
Title:Member Manager
Address:PO Box 1005, Hendersonville, NC 28793
Signature:
Date: _SF -I 10
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been.sold and a resident of the subdivision has been named the president.
I, Gla /%1 . , a Notary Public for the State of
C p /1 _, County of Q4neoi, , do hereby certify that
personally appeared before me this 7
/
da of ,�,-cA , 9-00�, and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
o
SEAL
My commission expires !�2 -7
Form S W4 0 1 -13 ioretention I&M-Rev. 2
Page 4 of 4

PermitNumbcr: CV4161 Q'�,oi
(to be provided by DWQ)
Drainage Area Number: 'a.
Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media -will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection -activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potential O roblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion. •
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
Form SW401-Bioretention O&M-ltev.3 Page 1 of 4

BMP element:
Potentialproblems:
How I will remediate the problem -
The pretreatment area
plow is bypassing
Regrade if necessary to route all
pretreatment area and/or'
flow to the pretreatment area,
llies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches.
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: ' soils, hydrology, disease,
etc. Remedy -the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is. necessar .
"free stakes/wires are present
Remove tree stake/wires (which
six months afterplanting.•
can kill the tree if not removed),
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/or mulch are
Determine the extent of the clogging
clogged with sediment.
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic Iime shall be applied as
pH has dropped or heavy
recommended per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly. and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:
How l will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
CIean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Re air or replace the drop inlet.
The receiving water
Erosion or other signs of
damage have occurred at the
Contact the NC Division of Water
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
' r
i
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number:
(io be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. , l agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Cason Building Su- ply „
BMP drainage area number:Bioretention Area 42
Print name:John Gould - Gould Properties, LLC _•
Title:Member Manager
Address:PO Box 1005, Hendersonville, NC 28793
Phone:[phone]
Signa
Date:
Note: The legally responsible. party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
I, 6 /Yi _ Lc , a Notary Public for the State of
CountAl".
y of Co n.� , do hereby certify that
Lt personally appeared before me this -Z
day f 4klarcL m ),P r;1, and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

M
Permit Number: S 0 1 () 1
b 3 O i
(to be provided by DWQ)
Drainage Area Number: 3
Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six,
weeks).
— Snow, mulch or any other material will NEVER. be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.4 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available,upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate the roblem:
The entire BMP
Trash/debris is" resent.
Remove the trash/debris.
The perimeter of the
bioretention cell
'Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to �`Fa
remove the gully, and then plant a
ground cover and.water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
a licable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone verge is clogged or
-Remove sediment and clogged
covered in•sediinent (if
stone and replace with clean stone.
applicable).
Form 5W401-Bioretention O&M-Rev.3 Page 1 of 4

r
BMP element:
Potential roblems:
How I will remediate theproblem:
The pretreatment area
Flow is bypassing
Regrade if necessary to route all
pretreatment area and/or
flow to the pretreatment area,
gullies have formed.
Restabilize the area after grading.
Sediment has accumulated to
Search for the source of the
a depth greater than three
sediment and remedy the problem if
inches..
possible. Remove the sediment and
restabilize the pretreatment area.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand.
The bioretention cell:
Best professional practices
Prune according to best professional
vegetation
show that pruning is needed
practices.
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time '
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Tree stakes/wires are present
Remove tree stake/wires (which
six months after planting.
can kill the tree if not removed).
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random
soils and mulch
has floated away.
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Soils and/ or mulch are
clogged with sediment.
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location, Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
An annual soil test shows that
Dolomitic lime shall be applied as
pH has dropped or heavy
recommerided.per the soil test and
metals have accumulated in
toxic soils shall be removed,
the soil media.
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potential roblenis: ' ' '
How 1 will remediate theproblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Re air or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
ou tlet.
733-1786.
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Cason Building Supply
BMP drainage area number:Bioretention Area 43
Print name:John Gould - Gould Properties, LLC
Title:Member Manager
Address:PO Box 1005, Hendersonville, NC 28793
Phon
Sign,
Date
Note: The legally responsible party should not be a homeowners association unless more than 50% of
. the lots have been sold and a resident of the subdivision has been named the president.
l , a Notary Public for the State of
County ofC,�, , do hereby certify that
personally appeared before me this
day ff ,42c2l9f and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Bioretention I&M-Rev. 2 Page 4 of 4

Permit Numbe'r: SW_1,a`j 0 3 61
(to be provided by DWQ'
Drainage Area Number:
Bioretention Operation and Maintenance Agreement
I will keep a maintenance record on this $MP: This maintenance record will -be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
— Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
— Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken'to prevent sediment from entering.& bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month,and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a.known set Iocation
and will be available upon request.
Inspection activities shall be performed as follows. -Any problems that are found shall
be repaired immediately.
BMP element:
Potential roblems:.
now I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed..
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale '
applicable).
sediment off -site.
The pipe is cracked or
Replace'the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.' -
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
. .
Form SW401-Bioretention O&M-Rev.3 Page 1 of 4

BMP element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and/or
allies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred.
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Tree stakes/wires are present
six months after planting.
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows that
pH has dropped or heavy
metals have accumulated in
the soil media.
How I will remediate the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Res tab ilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area. _
Provide additional erosion T
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/wires (which
can kill the tree if not removed).
Spotmulch'ifthere are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.__
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
Dolomitic time shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-13ioretention.O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems: '
How I will remediate the roblem:
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The drop inlet is damaged
Re air or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
ou tlet.
733-1786.
Form SW401-Bioretention O&M-Rev.3 Page 3 of 4

Permit Number: '
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name:Cason Building Supply
BMP drainage area number: Bioretention Area #4
Print name:John Gould - Gould Properties, LLC
Title:Member Manager
Address:PO Box 1005. Hendersonville, NC 28793
S
Phone:[phone]/��-' Lo 1 2— 7) C,
-.---- ..
Sianature`� n/ S r (.
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and arresident of the subdivision has been named the president.
I, 4 //,1_ P ; a Notary Public for the State of
/V� , Count/of e'44Q� do hereby certify that
Ca vac �� personally appeared before me this
day a�2�_ 2Jo , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires
Form SW401-Bioretention 1&M-Rev. 2 Page 4 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number: S
Bioretention Operation and Maintenance Agreement.
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important operation and maintenance procedures:
Immediately after the bioretention cell is established, the plants will be watered
twice weekly if needed until the plants become established (commonly six
weeks).
Snow, mulch or any other material will NEVER be piled on the surface of the
bioretention cell.
— Heavy equipment will NEVER be driven over the bioretention cell.
— Special care will be taken to prevent sediment from entering the bioretention cell.
— Once a year, a soil test of the soil media will be conducted.
After the bioretention cell is established, I will inspect it once a month and within 24
hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblems:
How I will remediate theproblem:
The entire BMP
Trash/debris is present,
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
bioretention cell
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is,
established. Provide time and a
one-time fertilizer application
The inlet device: pipe,
The pipe is clogged (if
Unclog the pipe. Dispose of the
stone verge or swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the swale if necessary to
swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Stone.verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
Form SW401-Bioretenti6n O&M-Rev.3 Page 1 of 4

BMP. element:
The pretreatment area
The bioretention cell:
vegetation
The bioretention cell:
soils and mulch
Potential problems:
Flow is bypassing
pretreatment area and/or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred.
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, disease_ d or
dying,
Tree stakes/wires are present
six months after.planting.
Mulch is breaking down'or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows that
pH has dropped or heavy
metals have accumulated in ,
the soil media.
How 1 will remediate the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices.
Determine the source of the
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Remove tree stake/wires (which
can kill the tree if not iemoved).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
.remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging
- remove and replace either just the
top layers -or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple.shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
Dolomitic lime shall be applied as
recommended per.the soil test and
toxic.soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
The pretreatment area
The bioretention cell
vegetation
The bioretention cell:
soils and mulch
Potential problems: "k
Flow is bypassing,
pretreatment area and/or
gullies have formed.
Sediment has accumulated to
a depth greater than three
inches.
Erosion has occurred
Weeds are present.
Best professional practices
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
dying.
Tree stakes/wires are present
six months after_planting__
Mulch is breaking down or
has floated away.
Soils and/or mulch are
clogged with sediment.
An annual soil test shows that
pH has dropped or heavy
metals have accumulated in
the soil media.
How I will remediate the problem:
Regrade if necessary to route all
flow to the pretreatment area.
Restabilize the area after grading.
Search for the source of the
sediment and remedy the problem if
possible. Remove the sediment and
restabilize the pretreatment area.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Remove the weeds, preferably by
hand.
Prune according to best professional
practices. .
Determine the source of the
problem: soils, hydrology,, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary. _
Remove tree stake/wires (which
can kill the tree if not removed).
Spot mulch if there are only random
void areas. Replace whole mulch
layer if necessary. Remove the
remaining much and replace with
triple shredded hard wood mulch at
a maximum depth of three inches.
Determine the extent of the clogging
- remove and replace either just the
top layers or the entire media as
needed. Dispose of the spoil in an
appropriate off -site location. Use
triple shredded hard wood mulch at
a maximum depth of three inches.
Search for the source of the
sediment and remedy the problem if
possible.
Dolomitic lime shall be applied as
recommended per the soil test and
toxic soils shall be removed,
disposed of properly and replaced
with new planting media.
Form SW401-Bioretention O&M-Rev.3 Page 2 of 4

BMP element:
Potentialproblems:
How I will remediate the roblem:
The underdrain system'
Clogging has occurred.
Wash out the underdrain system.
if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of
the sediment off -site.
The dro2 inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW401=Bioretention O&M-Rev.3
Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Projecl name:Cason Building Supply
BMP drainage area number. Bioretention Area 95
Print name:John Gould - Gould Properties, LLC
Title: Member Manager
Address:PO Box 1005,_Hendersonville. NC 28793
Phon
Sign
Date:
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
a Notary Public for the State of
Q/C ��,++ Count of k LEA �k , do hereby certify that
Coo ��C / personally appeared before me this
day f /&ecl- ' , 2D� , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
SEAL
My commission expires_
Form 5W401-Bioretention I$M-Rev. 2 Page 4 of 4

-.`?�sw�,�� : �r,`,»'�,�'`a� .4��; ,��r, �w��� w �' � .1� } �>;� � �' • � DW U � �. t �� �,.F xi � ,,� � � � ry, ,- � � , d
Date Received
Fee Paid
Permit Number
W 10 T Q ZJ
State'of North Carolina\ o
Department of Environment and Natural Resources
Division of Water Quality.
:.: •" Y�z••Le'4 :,l: s.:ti'r_.:t.'M:-i �•� _.W ^'i: C[.. ...+. � . �:., \A�e�f V
STORMWATER MANAGEMENT PERMIT APPLICATION -
This form may be hotoco ied` or use ass a on ri bia
P Yl
I. GENERAL INFORMATION �I DEC - g 2009
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project): `
Gould Properties, LLC r.Tr -1L'° OTION TY Sr- i n�-t-a�^-F
2. Print Owner/Signing Official's name and title (person legally responsible for facilify'aiid compli1. ance)}
John Gould _..r._
3. Mailing Address for person listed in item 2 above:
PO Box 1005
City: Hendersonville State:NC Zip:28793
Phone: [phone] Fax:
Email:
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Casen Building Supply
5. Location of Project (street address):
King Street
City:Hendersonville County.Henderson Zip:
6. Directions to project (from nearest major intersection):
I-26 Upward Road exit. West to Old Spartanburg Hwy, South on US176, West on King Street
7. Latitude:35° 17 01" N Longitude:82° 25' 33" W of project
8. Contact person who can answer questions about the project:
Name:Mike Anderson, PE Telephone Number: (828 ) 252-4880
Email:mil<[e-mail] _
II. PERMIT INFORMATION:
1. Specify whether project is (check one):
❑Renewal ❑Modification
Form SWU-10i Version 09 25.08 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 - ❑UniversaI 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 ❑SedimL-ntation/Erosion' Control ❑404/401 Permit ❑NPDES Industrial Stormwater
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 treated through the use of bioretention cells. Water will be directed to the cells
using swales ditches and sheetflow
2. Stormwater runoff from this project drains to the French Broad River basin.
3. Total Property Area:17.2 acres 4. Total Coastal Wetlands Area: 0 acres
5. Total Property Area (3) -- Total Coastal Wetlands Area (4) = Total Project Area**.17.2 acres
6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA):56.7 %
7.. How many drainage areas does the project have?5
8. 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 ro'ects, com lete the table with one drainage area for each engineered stormwater device.
Bdsm Information y
.• ��. . E > t .,tf:,3 .L !r.i> a F.f a. xm..�. �N-:a�
Ej Drains eArea 1$ F= '
. r•M..;d..x.i$'x. } g
3 } � Dramage Area 2 4 r .:✓'
..h. ...•
ReceivingStream Name
SEE ATTACHED SHEETS
SEE...
ATTACHED SHEETS
Stream Class & Index No.
Total Drainage Area (so
On -site Drainage Area (so
Off -site Drainage Area (so
Existing Impervious* Area (sf)
Proposed Impervious*Area (so
% Impervious* Area (total)
P o�. * .. ..... reaps
Irri ervius Surface A... _
� ae re
DraingAa 1 •,� ,ax
.: ;:. •�...,..,... r..
,� �a ' Drainage Area 2 }
�,..., . ��,:. _•x ..•3.. .
On -site Buildings (so
SEE ATTACHED SHEETS
SEE ATTACHED SHEETS
On -site Streets (so
On -site Parking (so
On -site Sidewalks (so
Other on -site (so
Off -site (so
Total (so:
* 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 to exclude Coastal Wetlands from use when calculating the built upon area
percentage calculation. This is the area used to calculate overall percent project built upon area (BUA).
Form SWU-101 Version 09.25.08 Page 2 of

9. Plow was the off -site impervious area listed above derived?No offsite drainage is anticipated. The property
sits atop a knoll
Projects in Union County: Contact the DWQ Central Office staff to check to see f you project is located
within a Threatened & Endangered Species watershed that•may be subject to more stringent stormwater
requirements.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
One of the following property 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 Iot must be provided as an attachment.
Forms can be downloaded from http://h2o;enr.sstate,ilc.L s/su/bn2j2 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 DRPC4
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 property 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 NC DWQ 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 Permitting Lint at [phone] for the status and
availability of these forms. Forms can be downloaded from http://h2o.enr.state.nc.tis/su/bmp forms.htm.
Form SW401-Low Density
Low Density Supplement
Form SW401-Curb Outlet System
Curb Outlet System Supplement
Form SW401-Off-Site System
Off -Site System Supplement
Form SW401-Wet Detention Basin
Wet Detention Basin Supplement
Form SW401-Infiltration Basin
infiltration Basin Supplement
Form SW401-Infiltration Trench
Underground Infiltration Trench Supplement
Form SW401 -Bio retention Cell
Bioretention Cell Supplement
Form SW401-Level Spreader
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Form SW401-Wetland
Constructed Wetland Supplement
Form SW401-Grassed Swale
Grassed Swale Supplement
Form SW401-Sand Filter
Sand Filter Supplement
Form SW401-Permeable Pavement
Permeable Pavement Supplement
Form SW401-Cistern
Cistern Supplement
Form SWU-101 Version 09.25.08 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 zdI 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.ejir.state.nc.us/su/msi maps.htrn)
1. Please indicate that you have provided the following required information'by initialing in the space provided
next to each item.
Initials
• Original andpone copy bf the Stormwater Management Permit Application Form /P90-
L• Original and,one-copy'of the Deed Restrictions & Protective Covenants Form (if /►'
required as per Part IV above)
Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD)
i payable to NCDENR �y�!
Calculations & detailed'narrative description of stormwater treatment/management
Copy of any applicable soils report
�• Two copies of plans and specifications (sealed, signed & dated), including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- ScaIe
- 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 (such as additional information requests), please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm):Mike Anderson, PE Mike Anderson_ Engineering, PA
Mailing Address:206 E. Chestnut St Ste C
City:AsheviIIe State:NC Zip:28801
Phone: (828 } 2524880
Email: [e-mail]
VIII. APPLICANT'S CERTIFICATION
Fax- (828 _ } 2524881 `
I, (print or hjpe name of person listed in General Information, item 2) Iohn Gould _
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.
Signature:
Date: 0w
Form SWU-10.1 Version 09.25.08 Page.4 of 4

State Stormwater Inspection Report
General
Project Name: _tj p' i:t�l iris
F'et7ttit No: SW � D�D (
Expiration Date: IZ 1
Contact Person:
Phone Number: ' '
Inspection "Type:
Inspection Date:
Time In: 2; 3� i
Time Out: • 5Q r�"'t
Current Weather: tote Zt
Recent Rain (Date)? g 1-t I1
Rain G O• j in
k
Location
Facility Address / Location:
City: Zip: County: Lai: 0 1"N Long: - I"W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek High Quality Waters Outstanding Resource Waters
Density (circle one): ;High {HD}f` Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each). -
Wet Ponds Infiltration Basins Infiltration Trenches
Dry Pondsyl3ioretention C5) Permeable Pavement
Cistern Level Spreader/filter Strip Other (specify):
File Review
LD Swales Stormwater Wetlands
Sand filters (circle one) Open Closed
I. Is the permit active?
2. Signed Engineer's Certification on file?
v
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
t/
Site Visit- Ruiit tlnnn Area fRltAI Yes Nn N/A NIF
5. BUA is constructed and consistent with the permit requirements?
✓
6. BUA aspermitted) is graded such that the runoff drains to the system? (high density onl
✓
7. Drainage area is consistent withpermit? i.e. no un ermitted drainage to the SW BMPs
'J
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs Yes No NIA NIE
9. Stormwater BMPs are located per the approvedplans?
10. Stormwater BMPs have dimensions (e . length,". width, area) matching the approvedplans?
v
11. Stormwater BMPs are constructed per the approvedplans? Y
Site Visit: Operation and Maintenance Yes No NIA NIE
12. Access points to the site are clear and well maintained?
✓
13. Trash has been removed as needed?
v
14. Excessive landscape debris (grass clippings, leaves, etc) is controlled?
15. Stormwater BMPs being operated and maintained as per the ermit.rc uirements?
✓
16. Inspection and Maintenance records are available for inspection? (high densit' onl , 1995 —present only)
Site Visit: Other Permit Conditions Yes No NIA NIE
17. is the site compliant with other conditions of thepermit?
Site Visit: Other Water Quality Issues Yes No NIA NIE
18. Is the site compliant with other water quality issues as noted during the inspection'?
State Stornmater Inspection Report, Version 3.0 Page I of'2

State Stormwater Inspection Report
Comments
T'I 3�('S . Dors � fl��� `fiD �i7 /VVi" JTo I'JOLT-4
r io O k j' �( L, t> n1 S I -R(Z /L& I S A f l i t T Q! i��i�F-go A. po�ntc M �� Tfl�t �S S'r
-THIS N�+7S s
(T AMP_ )Itss«r5 (AJ,) 3AF#3 Is 1Ar r-Ts
� +-X- B A1P5 1G �fr^1 i t �{Nc � IS St.� c S ( Scflr,L� r i� r3�}�,� s. � o f .10 ti1S
wS P�/ No i AATC- r.Jr, Pars B c
InS ection Pictures (some of the pictures taken during the site visit)
Compliance Status 0 Compliant Non -Compliant
Letter Sent (circle one): )LP No Letter type: CEI NOV NOVRE Other
Date Sent: AReference Number:
Inspector Name and Signature:
21 .37
7
J
�D
Date:
State Stormwater Inspection Report, Version 3.0 Page 2 of 2