SW1131102_CURRENT PERMIT_20131209

STORMWATER. DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW /l r
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
DOC DATE
Aa(3azll
YYYYMMDD

r�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Tracy E. Davis, PE, CPM
Director
November 2S, 2013
Mr. Marcus Jones
County Engineer
Henderson County
1 Historical Courthouse
Hendersonville, North Carolina 28792
Subject: Stormwater Permit No. SW1131102
Tuxedo Park
Dear Mr. Jones:
Pat McCrory, Governor
John E. Skvarla, Ill, Secretary
The Stormwater Program under the Division of Energy, Mineral, and Land Resources (DELMR),
received a complete Stormwater Management Permit Application for the subject project. 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. SW1131102, dated November 25, 2013 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 November 24, 2021 and shall be subject to the conditions
and limitations as specified therein, and does not supersede any other agency permit that may be
required.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing by filing a written petition with the Office of Administrative
Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina General
Statutes. Per NCGS 143-215(e) the petition must be filed with the OAH within thirty (30) days of
receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a
filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh,
NC 27699-6714, or via telephone at 919-431-3000, or visit their website at www.NCOAH.com.
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 Mike Randall at [phone]; or
[e-mail].
Sincerely,
'>� ?X��
for Tracy E. Davis, PE, CPM, Director
cc: SW1131102 File, Asheville Regional Office
ec: William R. Buie, PE
DEC - 9 2013
Land Quattty Section
Asheville
Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hllp:!loortal.n.�denr.orglwebllrl
An Equal Opportunity I Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

State Stormwater Permit
Permit No. SW1131102
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Henderson County
Tuxedo Park
NC Highway 225 and Tuxedo Street (SR 1121) in Henderson County
FOR THE
construction, operation and maintenance of two bio retention cells 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 November 24, 2021, and
shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. The two bio retention cells are approved for the management of stormwater
runoff as described in the application documents and as shown on the approved
plans.
3. 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.
4. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
5. 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 4

State Stormwater Permit
Permit No. SW1131102
II. SCHEDULE OF COMPLIANCE
During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
2. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted two bio retention cells 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 rennoval.
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.
3. 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.
4. The permittee shall submit an annual summary report of the maintenance and
inspection records for each bio retention cell.. The report shall summarize the
inspection dates, results of the inspections, and the maintenance work
performed at each inspection.
5. The two bio retention cells shall be constructed in accordance with the approved
plans and specifications, the conditions of this permit, and with other supporting
data.
6. 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 two bio retention cells 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.
7. 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.
8. 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 was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
Page 2 of 4

E
State Stormwater Permit
Permit No. SW1131102
approved plan.
9. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of eight years from the date of the completion of
construction.
10. 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.
III. GENERAL CONDITIONS
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. 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 Caroiina General Statute 143-215.6A to 143-2'15.6C.
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 reference
and are enforceable parts of the permit.
Page 3 of 4

L
State Stormwater Permit
Permit No. SW1131102
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 21-1.1000, 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 25Ih day of November, 2013.
for I racy t. Uavcs, F'.t., um
Director Division of Energy, Mineral, and Land Resources
Page 4 of 4

SState Stormwater Permit
Permit No. SW1131102
Tuxedo Park
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.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
cc: NCDENR-DEMLR Regional Office
Page 1 of 1

DWQ USE ONLY ANEL
Date Received
Fee Paid
Permit Number
It1.11,)13
4509
.5Wt13Ito A
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 R'Ph 11- Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forin may N photocopied for use as all original
1. GENERAL INFORMATION
1. Project Name (subdivision, facility, or estabiishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Tuxedo Pa
2. Location of Project (street address):
Hii,hwav 225
City: County: Henderson Zip: 28792
3. Directions to project (from nearest major intersection):
From Asheville, follow 1-26 eastbound from I-40 to exit 54 (towards Greenville SC) merge right onto US 25
and follow for approx. 3.6 miles to exit 5 turn left onto Greenville Hwy NC 225 and follow for approx. 1.3
miles. Projet site will beat the intersection of NC 225 and "Tuxedo Street (SR 1121) on the left.
p
4. L.atitude:35° 13' 31" N Longitude:82" 25' 12" W of the main entrance to the project.
11, PERMIT INFORMATION: T)Cth&t5orn Cov,44 view
1. a. Specify whether project is (check one): ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
Specify the type of project (check one):
❑Low Density ®I-ligh Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state Stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 5.87 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.lf any of these permits have already been acquired please provide the Project Name, Project/Perrni Number,
issue date and the type of each permit: .
I -and Quality Section
Asheville
Dorm SWU-101 Version 07Jun2010 Page I of

III. CONTACT INFORM&N
0
I. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the projeq):
Applicant/Organization: I-lenderson County _
Signing Official & Title:Marcus Jones, P.E.; County Engineer
b.Contact information for person listed in item "la above:
Street Address:l Historical Courthouse Square, Suite 6
City: Hendersonville State: NC Zip: 28792
Mailing Address (if applicable):
City: State: Zip:
Phone: ( } Fax:
Email:[e-mail] _
c. Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address:
City: State: Zip:
Mailing Address (if applicable):
City: State: Zip:
Phone: ( } _ hax:
Email:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or otlier
person who can answer questions about the project:
Other Contact Person/Organization:William R. Buie, PE _
Signing Official & Title: -Consulting Engineer
b.Contact information for person listed in item 31 above:
Mailing Address:2"l4 North King Street _
City: Hendersonville State: NC Zip: 28792
Phone: [phone] EXT. 302 Fax: ( )
Email:[e-mail]
4. Local jurisdiction for building permits: Henderson County
Point of Contact: Toni Staufer Phone #: (828 ) 697-4830
Form SWU-101 Version 07.1un2010 Page 2 of 6

IV. PROJECT INFORMAN
�J
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater from the the proposed building and parking areas will be directed to two proposed bioretention
cells.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the Broad River River basin.
4. Total Property Area: 6.44 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project
Area+: 6.44 acres
Total project area shall he calculated to exclude the follozoing tire nrorrnal pool of impounded structures, the area
between the banks of streanns and rivers, the area below the Nornnal Hi b Water (NHW) lime or Meant High Water
(MHW) line, and coastal wetlands landward fivin the NNW (or MWI line. Tire resultant project area is used to
calculate overall percent built upon area (BUA). None -coastal zi)etlatrds landzijard of tine NHW (or MHW) line tntai/
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 21.8 %
9. How many drainage areas does the project have? 3 (For lrigli de) isity, count I for each proposed engineered
storrmoflter BMP. For lour density and other projects, use ]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
Draina >e Area 7
Draina e Area 2
Draina e Area 3
Draina e Area 4
Receiving Stream Name
Green River
Green River
Green River
Stream Class *
C;Tr
C;Tr
C;Tr
Stream Index Number *
9-29-(22)
9-29-(22)
9-29-(22)
Total Drainage Area (so
17,340
52,708
210,462
On -site Drainage Area (so
17,340
52,708
210,462
Off -site Drainage Area (sf)
0
0
0
Proposed Im ervious Area** (so
10,019
3-1,798
19,414
% Impervious Area** total
5T8
60.3
9.2
Im ervious" Surface Area
Drainage Area 7
Drainage Area 2
Drainage Area 3
Drainage Area 4
On -site Buildings/Lots (so
0
0
0
On -site Streets (so
0
0
1,159
On -site Parking (so
10,019
16,022
0
On -site Sidewalks (so
0
5,550
17,999
Other on -site (so
0
0
0
Future (so
0
10,226
256
Off -site (SO
0
0
0
I.xlsting BUA*** (SO
0
0
0
Total (so:
10,019
31,798
19,414
Stream Class and Index Number can be determined at: lit tp:/Ij)orta1.1ice fell r.on•g zoebAa�g&s/csrr/classi ncations
* )art teviorrs area is defined as fire built upon area including, bat not limiter! to, buildings, roads, parking areas,
sirliezvalks, gravel areas, etc.
"Report only that amount of existing BUA Nnat will rennainr after development. Do not report airy existing BUA that
is to be removed and wlridr Will be replaced by new BUA.
Form SWU-101 Version 07Jun2010 Page 3 of 6

11. How was the off -site impeious area listed above determined? Provideo-umentation. No Off -site
inipervoius area drainage crosses the roject site.
Projects -in Union County: Contact DIVQ Central Office stc+ff'to check if the project is located within a Threatened &
Endangered.Species it,atershed that way be subject to afore stringent stornni,ater requh,entetts as per NCAC 02B .0600,
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each 13MP specified for this project. The latest versions of the forms can be downloaded
from http:/ /portal.ncdennor web/wq ws/su/brnp-manual.
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. A detailed application instruction sheet and BMP
checklists are available from lift ortal.ncclenr.or web we ws su statesw forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at ht_tp://portal.ncdenr.org/web/wq/ws/suLnaLis.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from htt ortal.ticcicii .or web we ws su statesw forms does.
Initials
1. Original and one coley of the Stormwater Management Permit Application Form. W
2. Orifiittal and one copy of the signed and notarized Deed Restrictions & Protective Covenants tJ 4
Form. (if required as per Part V11 belo7v)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each I3MP.
4. Permit application processing fee of $505 payablc to NCOENR. (For an Express review, refer to
http1/www.envhelp.org/pages/onestopexpress.htnil for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/z mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d, Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
li. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MI-IW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-1W (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all 13UA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must he delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sires, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated bb€fers (where required).
Form SWU-101 Version 07.1un2010 Page 4 ol'6

9. Copy of any applicable sol*port with the associated SHWT clevatior lease identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifj the SH WI'prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1490 Page No: 326 _
11. For corporations and limited liability corporations (1,LC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
litti2://www.secretary.,state.nc.us/Corpc)ratioiis/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal.ncdenr.org/web1wq/ws/sn/statesw1forms dots. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, 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.
Vlll. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: William IZ. Buie, I'E
Consulting Firm: William G. Lapsle_y & Associates, P.A.
Mailing Address: 214 N. King Street
City: Hendersonville
Phone: (828 ) 687-7177 EXT. 302
Email: wbuieOwgla.com
State: NC Zip: 28792
Fax: (828 ) 687-7178
IX. PROPERTY OWNER AUTHORIZATION (if Contact Irformation, item 2 has been filled ort1, complete this
section)
1, (p ri)il or type came of persorr listed in Contact Information, item 2a) , certify that I
own the property identified in this permit application, and thus give permission to (print or type name r f person
lister! in Contact Information, iterrr 1a) with (print or type name of organization listed in
Contact Information, item 1a) to develop the projectas currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
form SWU-101 Version 07Jun2010 Page 5 of 6

0 0

As the legal property owner 1 i*owledge, understand, and agree by my suture below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending safe, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Dorm within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without,) valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up t(,),$25,000 per day, pursuant to NCGS 143-215.6.
Signature: / Date: /l / 3
I, a Notary Public for the State of County of
do hereby certify that
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type napne of person listed in Coii tact Information, iterx M) Marcus A. jokes, P.F.
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 the
applicable stormwater rules under 15A NeAC 21-I .1000, SL 2006-246 (Ph. II - Post Construction) or Sl- 2008-211.
Signature: (/ 3
, a Notary Public for the State of A4County of
do hereby certify that airt4l -f-) u6toe-.-j personally appeared
before me thisllday of Q L3 , and a kn "'ledge the quq,exCCL tlon of the application for
a stormwater permit. Witness my hand and official seal,
� r nDItIR
SISAL
My commission expires
Form SWU-101 Version 07Jun2010 Page 6 of 6

0 0
Permit Number:
(io he provided by DIYQ)
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 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 trasli/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 problenis with erosion.
Stone verge is clogged or
Remove sediment and clogged
covered in sediment (if
stone and replace with clean stone.
applicable).
t"%L'cej if'-U
ti. .
Q EC - 9 2013
Form SW401-I3ioretcntion 0&M-Itcv.3 l a,rld Quality ��cir'o1-4
Asheville

E
•
BMP element:
The pretreatment area
The bioretention cell
vegetation
The bioretention cell
soils and mulch
Potentialproblems:
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
pf-I has dropped or heavy
metals have accumulated in
the soil media.
I -low 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 pianting media.
Form SW401-13iorelention 0&.M-Rev.3 Page 2 o1'4

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-BioretcMion O&M-Rev.3 Page 3 oi'4

1
Pennit Number:
(Io be pr ovklecl li}+ DTV )
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.
1'rgjecl n(uneaUxedo Park _
BHP cl whinge area number: I (One) & 2 (Two)
Print name: Henderson County
Title: Owner
Address: 1 Historical Courthouse Sq. Hendersonville ,North Carolina 28792
Phon
5igm
Date:
Note: The legally responsible party should not be a 110rneoWnerS association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named (lie president.
1, L * rt n a Notary Public for the State of
j boh CaJA n- & ,, County of [Tee n , do hereby certify that
w5 A l p r) e.5 personally appeared before me this
day of L QoVU- , ZI ?J , and acknowledge the due execution of the
forgoing bioretention maintenance requirements. Witness my hand and official seal,
y
,pLDk.IC
r+;riii?OW
SEAL
My commission expires
Form SW401-Bioretention 1&M-Rev. 2
l'atie 4 of 4

14W Bio-retention Cells and Rain Gardens w I
Project:
Latitude: 35.2253
Long: 82.4200
Permitting Authority: Henderson County — public funded so deferred to State
Acres (Site): 6.44 acre
Drainage Area 2
Acres (Drainage Area): 52,708/43,560 acres =1.21 acres
Acres ( BUA):31,748/43,560 = 0.73 acres
%BUA:.73/1.21 = 60%
Design Storm:1 inch
Wetlands: None noted on plans and SW101
Regulatory Credits
I.,
✓ Pollutant Removal without Internal Water Storage (IWS)
85%TotaI Suspended Solids
35%TotaI Nitrogen
45%Total Phosphorus
fl Total Suspended Sn"d;
metal N- es
iK7�t:S�'1Cir}T:r:Mr.-T.<<t7R:
1 � �
I �
Requirements
✓ Side slopes stabilized with vegetation shall be no steeper than 3:1.
✓ Either a bypass or an internal overflow is required for bypassing storm flows in excess of the design flow for
bioretention cells.
✓ A vegetated filter strip is not required for overflows, bypass flows, or discharges from a bioretention cell {except fef
✓ The design shall be located a minimum of 30 feet from surface waters, and 50 feet from Class SA waters.
✓ The design shall be located a minimum of 100 feet from water supply wells.
✓ Bioretention facilities shall not be used where slopes greater than 20%
✓ Inflow must be sheet flow (1 ft/sec for mulch cells, 3 ft/sec for grass cells) or utilize energy dis 1'I, al es.
DEC - 9 2013
Land Quality Section
Asheville

io-retention Cells and Rain Gardens
SH WT
SHWT: 2049
Bottom of BMP: 2051
✓ Bioretention shall not be used where the seasonally high water table is less than 2 feet below bottom of the BMP,
Water Quality Treatment Volume
Water Quality Treatment Volume = 3630 * Rd * Rv * Ac
Where Ac=[sf of Drainage Area]/43,560 sf/ac = 31,798/43,560 = 0.73 acres
Rd = Design Storm = 1 inch
I = impervious Portion / Drainage Area = 60%
Rv=0.05+0.9*1=0.05+0.9*60=0.60-
Volume Required: 3630 * Rd * Rv * Ac = 3630 * 1.0 * 0.60'* 0.73 =1,590
Volume Provided: 2,650
10/10/10 Rule (Dimensions, Ponding Depth and Surface -Area) ,
✓ No dimension is less than 10 feet (width, length, or radius)
✓ Ponding depth approximately 10 inches (must be 12 inches or less, 9 inches or less is preferred)
✓ Surface area = 10% of the BUA = 45 * 38 = 1,710 sf vs. 10% of 31,798 (plans show a larger cell)
✓ Cells at or below 5,000 square feet tend to function more effectively than large bio-retention cells, therefore; the
surface area of bioretention BMPs should be at or below 5,000 square feet.
Dimensions: 45 * 38 =1,710 sf vs. 10% of 31,798 (plans show a larger cell)
Ponding Depth: 12 inches
Surface Area Required: 1000 +/-
Surface Area Provided: 1200 +/-
Soil Mix/Media
✓ 85-88 percent by volume sand
✓ 8-is-1210 percent fines (silt and clay), and
✓ 44e 5 percent organic matter (such as peat moss)
✓ P-Index bet •ter =;? a-nd 30
✓ Permeability between 1 and 6 inc-her, per hour, and" 2 che-5 ., r h „r °. rr.ferreil
✓ 2 feet minimum media depth for grassed cells, 3 feet for shFub/tree cells eF when using 4WS
Under Drains
✓ Where the infiltration rate is less than 2 in/hr
✓ Clean -out pipes must be provided (minimum one per every 1,000 square feet of surface area).
✓ Clean boLt;pipes,.Tq"t be capped.
Drainage Considerations
..
kj
✓ Ponded water shall completely drain into the soil within 12 hours
✓ Ponded water shall- completely drain to a level of 24 inches below the soil surface within 48 hours.
.ltl, w ,

'w Bio-retention Cells and Rain Gardens 1W
Project:
Latitude: 35.2253
Long: 82.4200
Permitting Authority: Henderson County- public funded so deferred to State
Acres (Site): 6.44 acre
Drainage Area 1
Acres (Drainage Area): 17,340/43,560 acres = 0.4 acres
Acres (BUA):10,019/43,560 = 0.23 acres
%BUA: 57.8%
Design Storm: 1 inch
Wetlands: None noted on plans and SW101
Regulatory Credits
✓ Pollutant Removal without Internal Water Storage (IWS)
85% Total Suspended Solids
35% Total Nitrogen
45% Total Phosphorus
9-5% Total Suspended Selid
U Total PhOSPI40FUS
85%- Tetal Suspended Solids
D gen
u b� Total phesphqFus
Requirements
✓ Side slopes stabilized with vegetation shall be no steeper than 3:1.
✓ Either a bypass or an internal overflow is regUired For bypassing storm flows in excess of the design flow for
bioretention cells.
✓ A vegetated filter strip is not required for overflows, bypass flows, or discharges from a bioretention cell (except fa
✓ The design shall be located a minimum of 30 feet from surface waters, and 50 feet from Class SA waters.
✓ The design shall be located a minimum of 100 feet from water supply wells.
✓ Bioretention facilities shall not be used where slopes greater than 20%
✓ Inflow must be sheet flow (1 ft/sec for mulch cells, 3 ft/sec for grass cells) or utilize energy dissip'a*V4 g:ddvic k
4 .
DEC -- 9 2013
Land Quality Section
Asheville

io-retention Cells and Rain Gardens
SH WT
SHWT: 2053
Bottom of BMP: 2055
✓ Bioretention shall not be used where the seasonallyhigh water table is less than 2 feet below bottom of the BMP.
Water Quality Treatment Volume
Water Quality Treatment Volume = 3630 * Rd * Rv * Ac
Where Ac=[sf of Drainage Area]/43,560 sf/ac=17,340/43,560 acres = 0.4 acres
Rd = Design Storm = 1 inch
I = Impervious Portion / Drainage Area = 57.8%
Rv=0.05+0.9* I=0.05+0.9*57.8=52.07
' Volume'Required: 3630 * Rd * Rv * Ac = 3630 * 1.0 * .52 * 0.4 = 755
Volume Provided: 2018
10/10/10 Rule (Dimensions, Ponding Depth and Surface Area)
✓. No•dimension,is less than 10 feet (width, length, or radius)
✓ Ponding depth approximately 10 inches (must be 12 inches or -less, 9 inches or less is -preferred)
Surface area ,= 10% of the BUA = 63 * 12 = 756 sf vs. 10% of 10,019
✓ ., Cells at or below 5,000 square feet tend to function more effectively than large bio-retention cells, therefore; the
surface area of bioretention BMPs should be at or below 5,000 square feet.
Dimensions:.63.* 12 = 756 sf vs. 10% of 10,019 - (plans show a larger cell)
Ponding Depth: 12 inches
Surface Area Required: 1,000 +/-
Surface Area Provided: 1,258
Soil Mix/Media
✓ 85-88 percent by volume sand
✓ to 1210 percent fines (silt and clay), and -.
✓ 44-9 5 percent organic matter (such as peat moss)
✓ P-Index between4O-andd 30
✓ Permeability between 1 and 6 i ,ehes per hour, ,^-' 1 `' ^^F heuF ^ ^feFFed
✓ 2 feet minimum media depth for grassed cells, 3 f^^` f^F ShFUb/tFee aells E; ,when ^n 15h1C
Under Drains
✓ Where the infiltration rate is less than 2 in/hr
✓ Clean -out pipes must be provided (minimum one per every 1,000 square feet of surface area).
✓ Clean out pipes must be capped.
Drainage Considerations
✓ Ponded water shall completely drain into the soil within 12 hours
✓ . Ponded water shall completely drain to a level of 24 inches below the soil surface within 48 hours.

Permit:
SW1131102
Project:
Tuxedo Park
Owner:
Henderson County
County:
Henderson
Region:
Asheville
Compliance Inspection Report
Effective:11126113 Expiration: 11/25/21
Contact Person: Marcus Jones Title:
Directions to Project:
Type of Project: State Stormwater - HD - Bioretention
Drain Areas:
On -Site Representative(s):
Related Permits:
Adress: NC Highway 225
CitylStatelZip: Hendersonvlle NC 28792
Phone: [phone]
Inspection Date: 03/21/2016 EntryTime: 01:15PM Exit Time: 01:30PM
Primary Inspector: Shawna Riddle Phone:
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: State Stormwater
Facility Status: Compliant ❑ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
page: 1

Permit: SW1131102
Inspection Date: 03/21/2016
Owner • Project: Henderson County
Inspection Type Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
Bio-retention cells have been installed as shown on the approved plan. Sediment and erosion control project is closed.
Operation and Maintenance
Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ 0 ❑
DWQ upon request?
Comment:
SW Measures
Are the SW measures constructed as per the approved plans?
Are the inlets located per the approved plans?
Are the outlet structures located per the approved plans?
Comment:
Yes No NA NE
M ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
page: 2

State Stormwater Permit
Permit No. SW 1131102
Tuxedo Park
Henderson Count
Designer's Certification
i, , as a duly registered in the
State of North Carolina, having been authorized to observe (periodicaliyl 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.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
cc: NCDENR-DEMLR Regional Office
Page 1 of 1