SWA000090_20054 SSW Fast Track ATC Form_Revised Sheet 2_20210216

Major Modification, replacing an existing stormwater permit Î provide existing permit number: SW
Status of construction? Not Started Partially Completed Completed
Major modifications must be submitted by the original permittee and are allowed only if the SW permit is
not expired. Minor modifications must use Standard Permitting Process. By choosing this option, you
are also requesting that DEQ rescind the previous SW Permit upon issuance of the new Fast
Track ATC Permit.
Transfer of existing Fast Track ATC Permit Î provide existing ATC permit number: SWA
2.Applicable state stormwater program(s) (check all that apply):
Coastal SA-HQW Urbanizing Areas (Phase 2)
Coastal SA-ORW Non-Coastal HQW
Is any portion of the project within 575 feet
of SA-ORW waters? Yes No Non-Coastal ORW
Coastal Freshwater ORW USMP
Coastal Î Other
3.Other Permits (as applicable; write ÐNAÑ for those permit types that are not applicable):
Project Name Permit/Appl Issue Date Other Information
No.
N/A
CAMA Major NA
Townhomes at Brookshire Phase 2A
Erosion &
Disturbed Area
Sedimentation Control
15.2
acre
NPDES Industrial
N/A
NA
Stormwater
Townhomes at Brookshire Proposed
404/401 Permit
Impacts 0.085
ac
4.Local jurisdiction for building permits: Wautaga County
Point of Contact:Planning and Inspections DeptPhone #: (828 ) 265-8043
D.CONTACT INFORMATION
1.Applicant/Financially Responsible Party (may be an Organization):RCPBD Investments,LLC
Signing Official Name & Title:Rick Miller, Registered Agent
Street Address:324 NC Hwy 105 Ext. Suite 1
City:BooneState:NC Zip:28607
Mailing Address (if different):
City: State: Zip:
Phone: (828) 265-6344 Fax: ( )
Email: [e-mail]
2.If the Applicant is a Corporation or LLC (Address must match address on file with NC Dept of the Secretary of
State):
Name of Registered Agent:Rick Miller
Mailing Address: PO Box 3018
City:Boone State:NC Zip:28607
Phone: (828) 265-6344 Fax: ( )
Email:[e-mail]
Stormwater Fast Track ATC Application Form Page 2 of 9 Feb. 10, 2018