SW1210801_Design Calculations_20210901

WGLA Engineering, PLLC
724 51h Avenue West
Hendersonville, NC 28739
[phone] wgla.com
August 11, 2021
Mr. Mike Randall
Stormwater Permitting Section
NC Dept. of Environment & Natural Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Access Rd to serve Pardee Partners ASC
Town of Mills River
Post Construction Stormwater Permit (Low -Density)
WGLA # 21108
Dear Mr. Randall:
Please find enclosed the Stormwater Management Plans and calculations for the proposed access
road to serve the Pardee Partners ASC building in Mills River, North Carolina. This project involves the
construction of a new shared roadway on the parent tract to serve a proposed medical facility in the
Town of Mills River, North Carolina. The estimated impervious area developed will be 0.55 +/- acres,
so the estimated percent built upon at completion will be approximately 3.11%. As a result this
project is considered a low -density development. Post construction stormwater management for this
project will be accomplished by grassed shoulders and sheet flow run-off.
Please note that a separate high -density application is filed for the actual project tract with associated
BMP.
If you have any questions about our submittal or need additional information, don't hesitate to
contact our office.
Sincerely,
WGLA Engineering, PLLC
Pli&
Jared L. DeRidder, P.E.
C I V I L E N G I N E E R S & L A N D P L A N N E R S

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
SUPPORTING CALCULATIONS
Pardee Partners ASC
Stormwater Management Plan (Low -Density) — Supporting Documentation
TOWN OF MILLS RIVER
HENDERSON C T , NOR C ROLINA
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PREPARED BY:
WGLA Engineering, PLLC
CONSULTING ENGINEERS
724 5T11 Avenue West
Hendersonville, NC 28739
P-1342
August 2021

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Narrative and Project Description:
Site Location: The site is located on Highway 280 in Mills River, North Carolina. The
construction entrance to this site is located approximately 3,700 if north of the
intersection of Highway 280 and Haywood Road (Hwy 191).
Project Description: The parent parcel to be developed is currently 21.00 +/- acres. The
parcel will be subdivided to a 17.69 acre parcel. This 17.69 acres is the area in which all
of the calculations are based on. Of the 17.69 acres a project area of 2.57 ac +/- will be
the site of the proposed road construction. Based on the project area with the proposed
road, sidewalk, and the currently unplanned miscellaneous impervious area, the total
impervious percentage for the project area will be approximately 3.11%.
Site Description: During the construction phase, one gravel construction entrance will be
installed along highway 280. Silt fencing with reinforced stabilized outlets will be
installed along the perimeter of the project area to capture runoff. No stream impacts are
proposed for this project. Several wetlands are planned to be filled per U.S. Army Corp
Permit 2016-01311. After completion of road construction, stormwater runoff will sheet
flow off the edge of the road / sidewalk and onto existing grade / vegetation to promote
infiltration to the greatest extent possible. No curb and gutter, swales, cross pipes or
stonnwater structures are currently proposed for this project.

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Table of Contents
Stormwater Management Permit Application Form
Permit Application Fee
Low Density Supplement Form
Low Density Storm EZ Form
Low Density Commercial Subdivision Deed Restrictions Form
Current Property Deed
USGS Site Location Map
Stream & Wetland Delineation w/ Corp Permit

Mills River Tract (+/- 20 AC)
Jurisdictional wetlands and waters identified on this map have been I
within sub -meter accuracy utilizing a Trimble mapping grade
Positioning System (GPS) and the subsequent differential correction
data. GPS points may demonstrate uncorrectable errors due to topoc
vegetative cover, and/or multipath signal error.
Note: The illustrated wetland and stream locations are approximate.
areas have been flagged in the field; however, they have not
surveyed. Although ClearWater Environmental Consultants, fnc. (C
confident in our assessment, the US Army Corps of Engineers (Corps
only agency that can make final decisions regarding jurisdictional v
and waters of the US delineations. Therefore, all preliminary delermir
are subject to change until written verification is obtained. CEC s
recommends that written verification be obtained from the Corps f
closing on the property, beginning any site work, or making an}
reliance on this determination.
This map was prepared by CEC using the best information available t
at the time of production. This map is for informational purposes or
should not be used to determine precise boundaries, roadways, pi
boundary lines, nor legal descriptions. This map shall not be constr
be an official survey of any data depicted.
Source Data: Topo is from Henderson County
Potentially Jurisdictional Water
Wetland (AC)
Streams (LF)
W1
0.03
S1
207
W2
0.06
S2
1,475
W3
0.02
W4
0.02
Total
0.13
Total
1,682
Legend
Data Form
Stream
Culvert
Linear Wetland
® Wetland
Contours
I Project Boundary
Drawn by: KAY 11.13.15; CEC Project#
839
CLearWater Stream & Wetland
Henderson County, Delineation Map
North Carolina 32 Clayton Street Delineated November 13, 2015
Asheville, North Carolina 28801 Figure 5

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Stormwater Management Permit Application Form

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This fonn may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Pardee Partners Mills River - Road
2. Location of Project (street address):
TBD Boylston Hwy
City:Mills River County:Henderson Zip:28759
3. Directions to project (from nearest major intersection):
From Interstate 26, take exit 40 to merge onto Hwy-280 East towards Brevard. Continue on 11w5-280 for
4.2 miles and turn left into site. The construction entrance is located directly off of Hwy-280.
4. Latitude:35° 23' 44.51" N Longitude:82° 34' 0.602" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenezvals with modifications also requires SWLI-102 - Renewal Application Form
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
2. Specify the type of project (check one):
®Low Density ❑High 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
DEMLR 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: 5.18 ac of Disturbed Area
❑NPDES Industrial Stormwater Z404/401 Permit: Proposed Impacts Wetland Impacts / USACOE
Permit #2016-01311
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Erosion Control to be submitted to NCDEQ - Asheville Branch
5. Is the project located within 5 miles of a public airport? []No ®Yes
If yes, see S.L. 2012-200, Part VI: httl2:Hl2ortal.ncdenr.org/web/Ir/rules-and-regulations
Forth SWU-101 Version Oct. 31, 2013 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Henderson County Hospital Corporation
Signing Official & Title:Tohnna Reed, Chief Administrative Officer
b. Contact information for person listed in item 1a above:
Street Address:800 North Tustice Street
City:Hendersonville
Mailing Address (if applicable):
City:_
Phone:
Email:
State:NC Zip:28791
State:
Fax:
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:Henderson County
Signing Official & Title John Mitchell, County Manager
b. Contact information for person listed in item 2a above:
Street Address:1 Historic Courthouse Square
City:Hendersonville State:NC Zip:28792
Mailing Address (if applicable):
City:_
Phone:
Email:
State:
Fax:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:.
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone: ( )
4. Local jurisdiction for building permits: Henderson
Point of Contact:Tom Staufer
State: Zip:
Fax:
Phone #: (828 ) 697-4830
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
N/A
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 French Broad River basin.
4. Total Property Area:17.69 acres 5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:17.69 acres
+ Total project area shall be calculated to exchtde the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area belozv the Normal High Water (NHM line or Mean High Water
(MHM line, and coastal zvetlands landward from the NHW (or MHVV) line. The resultant project area is used to
calcidate overall percent built upon area (B UA). Non -coastal zvetlands landward of the NHW (or MHM line may
be inchtded in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 3.11
9. How many drainage areas does the project have?1 (For high density, cotait I for each proposed engineered
stormzater BMP. For lozv densihj and other projects, ttse I for the zvhole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Mills River
Stream Class *
WSIII
Stream Index Number *
6-54-(5)
Total Drainage Area (so
770,576
On -site Drainage Area (so
770,576
Off -site Drainage Area (so
0
Proposed Impervious Area** (so
23,958
Impervious Area** total
3.11
Impervious' Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
0
On -site Streets (sf)
20,473
On -site Parking (so
0
On -site Sidewalks (so
3,485
Other on -site (so
0
Future (so
0
Off -site (so
0
Existing BUA*** (sf)
0
Total (so:
23,958
* Stream Class and Index Number can be determined at: ltttp. portal.ticdenr.org/zveb/wq&s/csu/classi ications
* hnpervious area is defined as the built upon area including, bttt not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by nezo BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Survey. Off -site
drainage will be bypassed around our site.
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per 15A 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 BMP specified for this project. The latest versions of the forms can be downloaded
from htW://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at hW2://portal.ncdenr.org/web/wq/ws/su/maps.)
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 htW://portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
I 'ti s
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants /V /-
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
hll]2://www.envhelp.org/pages/`onestopexpress.html 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/management
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 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & 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.
h. 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 MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA 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.
m. Wetlands delineated, or a note on the plans that none exist. (Must be 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 sizes, runoff calculations.
ell
for ✓
Form SW-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify AO
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 DEMLR to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1644 Page No: 608
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC Al 11-
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.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.
http:/ /www.secretary.state.nc.us/ Corporations/ 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 httl2:Hportal.ncdenr.org/web/lr/state-stormwater-
forms does. 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 DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. 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 fared L. DeRidder, PE
Consulting Firm: WGLA Engineering, PLLC
Mailing Address:725 51h Avenue West
City:Hendersonville State:NC Zip:28739
Phone: (828 ) 687-7177 x 306
Email:[e-mail]
Fax: ( )
IX. PROPERTY OWNER AUTHORIZATION (if Contact Infornation, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Joi+vi plGtic+c e v , certify that E vknj'rJ 50-
owrothe property hidentified in this permit application, and thus give permission to (print or tJp�name ofperson c+"
listed in Contact Information, item 1a) Tb)o i,u Ree �- with (print or hjpe name of organization listed in
Contact Information, item 1a) 1+0 H C, to develop the project as 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 Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature 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 sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form 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 a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action includin a assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date: 4 / Z V`�- f
I, / Aa m a Notary Public for the State of County of
14tVlAvsch do hereby certify that T"Allin e j�� e oL personally appeared
before me this day of T"t-1 6--2/ and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, AX'/a,"
is I I A
Notary Public 2Q%
Q Henderson m
= 00 County
My Comm. Exp.
2 08-04-2021
111111000
SEAL
My commission expires V (j' ay a I
X. APPLICANT'S CERTIFICATION John I �"
I, (print or type name of person listed in Contact Information, item 1a) 4 t �M
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 stormwat les ulicler 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Signature: ,� I Date: z
m I, Jr�AJ►.�'r1airin �,1)60n a Notary Public for the (State of &r`rhemo li County of
,X')C,,SOn do hereby certify that personally appeared
before me this eday of , an acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
JOANNE MARTIN HINSON
NOTARY PUBLIC
Henderson County
North Carolina
My Commission Expires May 23, 2023
SEAL
My commission expires a3 aO p(
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6

COPY

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Pardee Partners Mills River - Road
2. Location of Project (street address):
TBD Bovlston Hwv
City:Mills River County:Henderson
3. Directions to project (from nearest major intersection):
Zip:28759
From Interstate 26, take exit 40 to merge onto Hwy-280 East towards Brevard. Continue on Hwy-280 for
4.2 miles and turn left into site. The construction entrance is located directly off of Hwv-280.
4. Latitude:35° 23' 44.51" N Longitude:82° 34' 0.602" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SKU-102 - Renewal Application Form
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
2. Specify the type of project (check one):
®Low Density ❑High 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
DEMLR 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: 5.18 ac of Disturbed Area
❑NPDES Industrial Stormwater M404/401 Permit: Proposed Impacts Wetland Impacts / USACOE
Permit #2016-01311
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Erosion Control to be submitted to NCDEQ - Asheville Branch
Is the project located within 5 miles of a public airport? []No ®Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/Ir/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

IIl. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: Henderson County Hospital Corporation
Signing Official & Titlejohnna Reed, Chief Administrative Officer
b. Contact information for person listed in item 1a above:
Street Address:800 North Justice Street
City:Hendersonville
Mailing Address (if applicable):
City:_
Phone:
Email:
State:NC
State:
Fax: ( )
Zip:28791
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:Henderson County
Signing Official & Title John Mitchell County Manager
b. Contact information for person listed in item 2a above:
Street Address:1 Historic Courthouse Square
City:HendersonviIle State:NC Zip:28792
Mailing Address (if applicable):
City:
State:
Zip:
Phone: ( ) Fax: ( )
Email:
a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:.
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone:
State:
Fax:
4. Local jurisdiction for building permits: Henderson County
Point of Contact:Tom Staufer
Zip:
Phone #: (828 ) 697-4830
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
N/A
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 French Broad River basin.
4. Total Property Area: 17.69 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:17.69 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW lime. The resultant project area is used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHW) line inay
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 3.11 %
9. How many drainage areas does the project have?1 (For high deisihj, count 1 for each proposed engineered
storinwater BMP. For low density and other projects, use 1 for the whole properhj area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Drainage Area
Drainage Area
Drainage Area
Receiving Stream Name
Mills River
Stream Class *
WSIII
Stream Index Number *
6-54-(5)
Total Drainage Area (so
770,576
On -site Drainage Area (so
770,576
Off -site Drainage Area (so
0
Proposed Impervious Area** (sf)
23,958
% Impervious Area** (total)
3.11
Impervious** Surface Area
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
0
On -site Streets (so
20,473
On -site Parking (so
0
On -site Sidewalks (so
3,485
Other on -site (so
0
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (sf):
23,958
* Stream Class and Index Number can be dete"nined at: littp.- portal.)icdeiir.oiy/zoeb/zocl[ps/esu/classi cations
Impervious area is defined as the built upon area including, but not hinited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. Survey. Off -site
drainage will be bypassed around our site.
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A 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 BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/­­`­,,N,q/­­N,vs/­`su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http:/ /portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map athttt2://portal,ncdenr.org/web/wq/ws/su/maps.)
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 http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs.
'ti s
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html 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/management
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 1/2 mile of the site boundary, include the?/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & 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.
h. 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 MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA 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.
m. Wetlands delineated, or a note on the plans that none exist. (Must be 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 sizes, runoff calculations.
for
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify AO
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 DEMLR to verify the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 1644 Page No: 608
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC VA) / -
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.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.
http://www.secretary.state.nc.us/Corporations/"`­­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/web/lr/state-stormwater-
forms does. 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 DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. 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 fared L. DeRidder, PE
Consulting Firm: WGLA Engineering, PLLC
Mailing Address:725 511, Avenue West
City:Hendersonville State:NC Zip:28739
Phone: (828 ) 687-7177 x 306 Fax: )
Email:[e-mail]
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or hJpe name of person listed in Contact Information, item 2a) 20It 11 e r} . Cobn 411 ilk;nuc e v , certify that 1, 4nJ f' 5"-
own5the property identified in this permit application, and thus give permission to rint or tt e name o person
P p �' � p pp g� p (p Jp f
listed in Contact Information, item 1a) Tbhiji- Re with (print or hJpe name of organization listed in
Contact Information, item 1a) 1+0 N'G to develop the project as 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 Oct. 31, 2013 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature 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 sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form 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 a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action includm* e assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: Date:
a Notary Public for the State of ­0 C, County of
�7 e ✓t cf2�'sa�, , do hereby certify that To Ann e f�-P, aL personally appeared
before me this J3 day of T" tiand acknowledgethedue execution of the application for
a stormwater permit. Witness my hand and official seal,,-t�
S AC l
P �
7 Notary Public
Q Henderson m _
= m County _
My Comm. Exp.
08-04-2021 Q
C AiR`O\\\\\��
SEAL
My commission expires Zr/ '( 1 j a -al
X. APPLICANT'S CERTIFICATION r �Or )�1 i l�
I, (print or type name of person listed in Contact Information, item 1a)
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 stormwat les uDder 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Sigrnatu�re: Date: �� 2
I, _ (1on1 L� MOO [� 0600 a Notary Public for the State of &r4h/a& [(,(), County of
GOI" do hereby certify that ��h o V_ 6 tc&A personally appeared
before me this O day of ddq kal, an acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
JOANNE MAR'flN HINSON
NOTARY PUBLIC
Henderson County
North Carolina
My Commission Expires May 23, 2023
SEAL
My commission expires)P�
CX
Form SV M-101 Version Oct. 31, 2013 Page 6 of 6

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Permit Application Fee

PARDEE MEMORIAL HOSPITAL
800 NORTH JUSTICE STREET
HENDERSONVILLE, NC 28791
NC DEPT ENVIRONMENTAL QUALITY, 1606 MAIL SERVICE CENTER, RALEIGH
07/29/2021 597557
NC 27699-1606 (10935)
m
INV. NUMBER
DESCRIPTION
DATE
P.O. NO.
INV. AMOUNT
DEDUCTIONS
NET AMOUNT
STORMWATER H
I DENSITY
06/15/21
$505.00
$0.00
$505.00
Detach at Perforation Before Depositinq Check Totals
$505.00
$0.00
$505.00
Page 1 of I
0
IMAR60tT R. PARDEE MFMC)RiALIHOS`!-
�IIRST CITIZENS BANK
5NbERSONVILLE,/NC 9756
800 NORTH JUSTICE/STREEV HE28791
LIX �NC 2879f P46E
RSO
.
.HE
......... .
.....
6 &�Q
DO NbT F0(p Of'STAPLE
DATE VENDQW,,
0935`, RfAi*v 07/29/2f
$ *******505,00
Y
7e" 'Wwdwd 74,e -MV
Vold After 180 Days
PAY
NC DEPT ENVIRONMENTAL QUALITY
TTHEO 1606 MAIL SERVICE CENTER
ORDER RALEIGH NC 27699-1606
OF
11000597557111 1:0 5 3 LOO 3 001: 0 0 5 E L L 4 3 9 0 E E 'in

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Low Density Supplement Form

Permit No.
(to be provided by DEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This form may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H.
found in Session Law 2008-211, 15A NCAC 2H
Stormwater Best Management Practice Manual.
requirements in 15A NCAC 2H .1008(g).
I. PROJECT INFORMATION
1002(18). Low density requirements and density factors can be
.1000, Session Law 2006-246 and the State of North Carolina
Curb and gutter systems are allowed provided they meet the
Project Name : Pardee Partners ASC - Entrance Road
Contact Person: Walter Carpenter Phone Number: ( 828 )696-4709
Number of Lots:1 Allowable Built Upon Area (BUA) Per Lot*:4.24 acres
Number of Dwelling Units Per Acre**:0
Low Density Development (check one): ® without curb & gutter ❑ with curb & gutter, outlets to (check one):
❑ Swales ® Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
**(Phase II Post -Construction [non-SAl only)
II. BUILT UPON AREA
Refer to DEMLR's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects. (http://poital.ncdenr.org/web/lr/state-stormwater-foims_does)
Complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water.
• DF Density Factor - the appropriate percent built upon area divided by 100.
• RA Road Area - the total impervious surface occupied by roadways.
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non -uniform lots.
Forin SW401-Low Density-Rev.3-2/10/09 Page 1 of 4

For uniform lot sizes:
(SA: 111757 112 x DF:.23)-(RA: 20434 ft2) OA: 3270 ft2) = BUA per Lot = 2000 ft2
(No of Lots: 1)
For non -uniform lot sizes:
a. (SA: ft2 x DF: ) — (RA: ft2) — (OA: ft2) = Total allowable lot BUA = ft2
b. Total BUA from lot listing: sf. b must be < a
III. DESIGN INFORMATION
Complete the following table. If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http://hdse.nws.noaa.gov/hdsc/pfds/
Table 1. Swale design information based on the 10-vear storm.
Swale No.
Drainage
Area ac
Impervious
Area ac
Grassed
Area (ac)
C
Q
(cfs)
Slope
Va(1°w
(f s
Vactual
(fps)
Flow
Depth ft
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
IV. REQUIRED ITEMS CHECKLIST
Form SW401-Low Density-Rev.3-2/10/09 Page 2 of 4

The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H .1000, NCDENR BMP Manual (2007), Session Law 2006-246, and Session Law 2008-211.
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met,
then justification must be attached. Only complete items n through p for projects with curb outlets.
Page/Plan
Initials Sheet No.
A a. t
For projects in the 20 coastal counties: Per NCAC 2H.1005, a 50 foot wide vegetative buffer
is provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided.
k b. t
For HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative
buffer is provided adjacent to surface waters.
c. t
For Phase II Post -Construction projects: All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters.
rJ(h d.
Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
e.
Built upon area calculations are provided for the overall project and all lots.
N f.
Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H .1007)
k g.
Side slopes of swales are no steeper than 3:1; or no steeper than 5: ] for curb outlet swales.
�\k h.
Longitudinal slope of swales is no greater than 5%; fog° non -curb outlet projects,
calculations for shear stress and velocity are provided if slope is greater than 5%.
i.
At a minimum, swales are designed to carry the 10 year storm velocity at a non -erosive rate.
1�1Pr j.
Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non -erosive is velocity < 2 ft/s).
k. Swale detail and permanent vegetation is specified on the plans.
�IK 1. Swale detail provided on plans; includes grass type(s) for permanent vegetative cover.
m. Swales are located in recorded drainage easements.
n.tt Length of Swale or vegetated area is at least 100 feet for each curb outlet.
N o. o.tt The system takes into account the run-off at ultimate built -out potential from all surfaces
1 draining to the system (delineate drainage area for each swale).
6 k p." Curb outlets direct flow to a Swale or vegetated area.
t Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
It Only complete these items for projects with curb outlets.
Form SW401-Low Density-Rev.3-2/10/09 Page 3 of 4

V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches at
any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
3. Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Energy, Mineral
and Land Resources.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DEMLR of any problems with the system or prior to any
changes to the system or responsible party.
Print Name and Title: -To k,\..k Z,_e4 'Il c(1;e-F
Address: `Zoo ( . T .w-c, S�ree� �-CAJtrJOAat(t .1 Nc 2g791
Phone: 92K- (A_6 - I cob
Signature:
Date: 7 - 7o -- 2-o
Note: The legal6lresponsible party should not be a horneou ners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
r Gt rz
I,6 A � S `��'� �Q' , a Notary Public for the State of � �° ,County of
do hereby certify that -TV n n �1 �L personally appeared before me this _
day of Jc�l U �l , and acknowledge the due execution of the forgoing Swale maintenance requirements.
Witness my hand and official seal,
6
Notary signature
At
P �
Notary Public 0
Q Henderson 01 =_
= CO County _
S% Comm. Exp. —
2 08-04-2021
CA
1111110\\\
My commission expires 0 't / "l aj/
Form SW401-Low Density-Rev.3-2/10/09 Page 4 of 4

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Low Density Storm EZ Form

LOW DENSITY
DESIGN
REQUIREMENTS FOR LOW DENSITY PROJECTS FROM 02H .1003
1
Is project below density thresholds set forth in the applicable stormwater rule?
Yes
2
Does project maximize dispersed flow and minimize channelization of flow?
Yes
3
Has the use of piping been minimized per .1003(2)(c)?
Yes
4
Side slopes of the vegetated conveyances (H:V)
N/A
5
Maximum velocity in the vegetated conveyances during the 10-year storm?
A)IA
6
Are curb outlet swales proposed?
No
7
Maximum longitudinal slope of curb outlet swale(s) (%)
N/A
8
Bottom width of curb outlet swale(s) (feet)
N/A
9
Maximum side slope of curb outlet swale(s) (H:V)
N/A
10
Minimum length of curb outlet swale(s) (feet)
N/A
11
Are treatment swales used instead of curb outlet swales?
!�
12
Is stormwater released at the edge of the setback as dispersed flow?
Yes
13
Have stormwater outlets been designed to prevent downslope erosion?
Yes
14
Are variations to rule .1003 proposed?
No
ADDITIONAL INFORMATION
15
1 Please use this space to provide any additional information about this low density project:
No Swales are proposed for this low density development. The proposed Road will be placed on fill and runoff from the roadway and
sidewalk will sheet flow to existin2 grade.

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Low Density Commercial Subdivision Deed Restrictions Form

Low Density Commercial Subdivisions
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for Low Density Commercial Subdivisions where
lots will be subdivided and sold. Deed restrictions and protective covenants are necessary to ensure that the
development maintains a "built -upon" area consistent with the applicable regulation governing the density
level. The following deed restrictions and covenants must be recorded prior to the sale of any lot:
I, Johnna Reed , 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 Pardee Mills River
The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number TBD - , as issued by the Division of Energy, Mineral
and Land Resources under the Stormwater Management Regulations.
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 Energy, Mineral and Land Resources.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Energy, Mineral and Land Resources.
6. The maximum allowable built -upon area per lot is 184,938 square feet.
*Note: If the BUA per lot varies, please substitute the following statement for the one above and
provide a complete listing of the proposed BUA for each lot:
The maximum allowable built -upon area per lot is as follows:
Lot # Max. BUA
_Total _ 184,938 sf
These allotted amounts include 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. In the case of a lot within CAMA's regulated AEC, if the built -upon area for that lot, as calculated by
CAMA, is less than the amount shown in these restrictions, the most restrictive BUA will be the
maximum permitted limit for that lot.
8 Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with the
development except for average driveway crossings, is strictly prohibited by any persons.
9. Each lot will maintain a 30** foot wide vegetated buffer between all impervious areas and surface
waters.
10. All roof drains shall terminate at least 30** foot from the mean high water mark of surface waters.
11. Each lot, whose ownership is not retained by the permittee, shall submit a separate stormwater permit
application to the Division of Energy, Mineral and Land Resources and receive a permit prior to
construction. The application shall demonstrate compliance with the maximum BUA limit and the low
density requirements set forth in 15A NCAC 2H.1000. Lots whose ownership is retained by the
permittee shall be submitted as modifications to the original permit.
**50 foot for projects located in the 20 coastal counties.
Form DRPC-4 Rev.3 05Nov2009 Page 1 of 2

12. The maximum assigned built -upon area limit shall not be exceeded on any lot, unless the permit is
modified to hi h den sity,for all
lthe lots in the permitted subdivision.
Signature: Date: g ' 1.4 2,-f
certify that
instrument.
l f� �1a tic Y. 14- le V-a tiU-
County of
rR 2.t
a Notary Public in the State of
V,sw , do hereby
iersonally appeared before me this the
day of Amt., �'4- , 20 °' f and acknowledge the due execution of the foregoing
Witness my hand and official seal, p
Notary Signature
My Commission expires
Form DRPC-4 Rev.3 O5Nov2OO9 Page 2 of 2
SEAL
BARBARA S ALEXANDER
Notary Public, North Carolina
Henderson County
My Commission Expires
August.0.4,.2026

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
Current Property Deed

This document presented and filed:
12/18/2015 01:32:22 PM
�i
WILLIAM LEE KING, Henderson COUNTY, NC
Transfer Tax: $3,500.00
Doc Stamps $3,500.00 Prepared by: Matthew Mullinax
Deed Prep'n Only
STATE OF NORTH CAROLINA
GENERAL WARRANTY DEED
COUNTY OF HENDERSON
THIS DEED, made and entered into this 18" day of December, 2015, by and between JAMES CALVIN
MOORE, a single man, GARY EARL MOORE and wife, SHARON MOORE; DENNIS EDWIN MOORE and wife,
LISA MOORE, a one-half (%:) undivided interest, and BEULAH S. MOORE, a single woman, and BEULAH S.
MOORE, Collector of the Estate of Thomas W. Moore, Sr., a one-half (%3) undivided interest, (herein collectively
referred to as the "party ofthe first part" and having a mailing address of649 South Mills River Road; Mills River, NC
28759) and HENDERSON COUNTY, one ofthe counties ofthe State of North Carolina, (the "party ofthe second part'
and having a mailing address of 800 North Justice Street; Hendersonville, North Carolina 28791);
W ITNESSETH:
The said party ofthe first pan, for and in consideration ofthe sum ofTen Dollars ($10.00) and Other Valuable
Consideration to them in hand paid by the said party of the second part, the receipt of which is hereby acknowledged,
has bargained and sold, and by these presents does bargain, sell, and convey in fee simple unto said party ofthe second
part, its heirs and assigns, a certain tract or parcel of land lying and being in Mills River Township, Henderson County,
North Carolina, more particularly described as follows:
BEING all ofthat 21.00 acres tract depicted on plat entitled Plat of Survey for Calvin Moore and Tom
Moore, and dated December 17, 2015, of record at Plat Slide 9999 in the office of the Register of
Deeds for Henderson County, North Carolina, reference to which plat is hereby made for a more
particular description.
ALSO BEING all of that real property described in deed of record in Deed Book 450, at page 529 in
the office of the Register of Deeds for Henderson County, North Carolina.
TO HAVE AND TO HOLD the aforesaid tract or parcel of land, together with all privileges and appurtenances
thereunto belonging, to the said party of the second part, its successors and assigns in fee simple forever.
And said party of the first part does covenant that they are seized of said lands in fee simple and have the right
to convey the same in fee simple, that title to same is marketable and free and clear of all encumbrances, and that they
will warrant and defend the title herein conveyed against the lawful claims ofall persons whomsoever. This conveyance
and these warranties are made subject to the right-of-way of Highway 280/191, to those easements as described in those
instruments recorded in Deed Book 734, Page 347 and Deed Book 734, Page 333, Henderson County Registry, to the
utility easements of record and to 2015 Henderson County and Mills River ad valorem property taxes.

Book 1644
Page 609
The real property conveyed herein does not includes the primary residence of any part.
IN TESTIMONY WHEREOF, said party of the first part has hereunto set their respective hands and seals the
day and year first above written.
\l ,yes .�+ (�[����• V l 0ti1:k-• (SEAL)
-TAMES CALVIN MOORE
_(SEAL)
GARY EAR MOORE
.t�^
��o—uJ- � �1 ►i (SEAL)
SHARON MOORE
0141 y4'A IAUJ i'�V' (SEAL)
DENNIS EDWIN MOORE
C�,t/oL4L (Y� (SEAL)
LISA MOORE
L Jo.1 D 1. j d t e_- (SEAL)
BEULAH S. MOORE
13.. 1"_,Epd)t3t9?L>% (SEAL)
BEULAH S. MOORE, Collector
Estate of Thomas W. Moore, Sr.
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
I, a Notary Public of the County and State aforesaid, certify that JAMES CALVIN MOORE, a single man,
personally appeared before me this day and acknowledged the voluntary execution of the foregoing instrument for the
purpose stated therein. Witness my hand and official staam�mpllor seal, this 1 ,TM_ ldaly-_of'December, 201S.
�oI=C�CVI�
Notary Public
My commission expires: I I -. , -17
HEIDI BEAM
Notary Public
Henderson County
State of North Carolina

Book 1644
Page 610
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
1, a Notary Public of the County and State aforesaid, certify that GARY EARL MOORE and wife, SHARON
MOORE, personally appeared before me this day and acknowledged the voluntary execution ofthe foregoing instrument
for the purpose stated therein. Witness my hand and official stamp or s/yYK�
eal, this 18r" day of December, 2015.
�— /�-[.a , /l�l�Z
Notary Public
My commission expires: 11—a(t_17
HEIDI BEAM
Notary Public
Henderson County
State of North Carolina
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
1, a Notary Public ofthe County and State aforesaid, certify that DENNIS EDWIN MOORE and wife, LISA
MOORE, personally appeared before me this day and acknowledged the voluntary execution ofthe foregoing instrument
for the purpose stated therein. Witness my hand and official stamp or seal, this 18' day of December, 2015.
Notary Public
My commission expires: It a t` /,
HEIDI BEAM
Notary Public
Henderson County
STATE OF NORTH CAROLINA State of North Carolina
COUNTY OF HENDERSON
1, a Notary Public of the County and State aforesaid, certify that BEULAH S. MOORE, a single woman,
personally appeared before me this day and acknowledged the voluntary execution ofthe foregoing instrument for the
purpose stated therein. Witness my hand and official stamp or seal, this 18T'� December, 2015.
Notary Public
My commission expires: // _,?0- /7
HEIDI BEAM
Notary Public
Henderson County
State of North Carolina

Hook 1644
Page 611
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
I, a Notary Public ofthe County and State aforesaid, certify that BEULAH S. MOORE, Collector ofthe Estate
of Thomas W. Moore, SR., personally appeared before me this day and acknowledged the voluntary execution of the
foregoing instrument for the purpose stated therein. Witness my hand and official stamp or seal, this 18' day of
December, 2015.
Notary Public
My commission expires: ,/Y,17
HEIDI BEAM
Notary Public
Henderson County
State of North Carolina

Pardee Partners ASC
Town of Mills River
Henderson County, North Carolina
USGS Site Location Map

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DocuSign Envelope ID: B0473CAF-2BE6-4E23-B490-421C6848647E
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SEWER MAIN (TYP) 77 4 ' _ EXISTING PROPERTY
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EXISTING 100 YEAR
FLOODPLAIN (TYP)
EXISTING SANITARY
SEWER MANHOLE (TYP)
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EXISTING 20'
SANITARY SEWER
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GRAPHIC SCALE
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N 77`47'54"W
33.66'
A NEW FACILITY
FOR
PARDEE
PARTNERS
ASC
(T.B.D.) BOYLSTON HWY
MILLS RIVER, NC
28759
CASSErrY
J. CLINTON CASSETTY
ARCHITECT
E
�4
SEAL
0413490
�o
��0/S0L
IIII100\
�,
5/2221
CASSETTY
100 Country Club Dr., Suite 206
Hendersonville, TN 37075
[phone]
www.cassettyarch.com
THIS DRAWING AND DOCUMENT CONTAINS
INFORMATION PROPRIETARY TO THE
ARCHITECT. THE REPRODUCTION, COPY
OR USE OF THIS DRAWING AND DOCUMENT
WITHOUT THE WRITTEN CONSENT IS PROHIBITED
AND ANY INFRINGEMENT WILL BE SUBJECT TO
LEGAL ACTION. ALL RIGHTS RESERVED.
COPYRIGHT 2021.
ORIG. ISSUE DATE:
05-19-2021
DHSR PROJECT #
AS-440
PROJECT NUMBER
2120
MASTER
PLAN
C-100

DocuSign Envelope ID: 01 FC56BC-3EBC-4779-86C9-8DA1 E439BFFE
EXISTING 30' REAR
n
a
IN
-E)- - - - - - - - -
PROPOSED PROPERTY
BOUNDARY (TYP)
PROPOSED DOMESTIC WATER
SERVICE TO BUILDING (SEE
UTILITY PLANS FOR DETAILS)
PROPOSED FIRE LINE TO
BUILDING (SEE UTILITY
PLANS FOR DETAILS)
PROPOSED DOMESTIC WATER METER,
DOMESTIC AND FIRE REDUCED PRESSURE
BACKFLOW ASSEMBLIES ALL IN HEATED
ABOVE GROUND ENCLOSURE
3
3
3
3
3
0�
SS/
FRANKLIN FAMILY TRUST
9631-77-4946
PROPOSED ELECTRICAL
TRANSFORMER (SEE
Im
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IF
If
EXISTING WS—III IF
WATER CI IPPI Y If
SSV PROPOSED SEWER SERVICE
RL — RL — PROPOSED ROOF LEADER
PROPOSED STORMWATER PIPE
PROPOSED ASPHALT
PROPOSED CONCRETE
PROPOSED 2' CONTOURS
JURISDICTIONAL NOTES
1.) PROJECT BOUNDARY IS COMPLETELY WITHIN TOWN
LIMITS.
2.) PROJECT BOUNDARY IS WITHIN THE MILLS RIVER
CORRIDOR OVERLAY DISTRICT.
3.) PROJECT BOUNDARY IS PARTIALLY WITHIN THE
LOWER MILLS RIVER WS—III WATER SUPPLY WATERSHED
AND IS A PART OF THE FRENCH BROAD RIVER BASIN.
4.) A KEY BOX APPROVED MY MILLS RIVER FIRE AND
RESCUE WILL BE INSTALLED PRIOR TO ISSUING A
CERTIFICATE OF OCCUPANCY.
EXISTING 2' CONTOURS (TYP)
[phone]
JARED OWNBEY, PLS
OWNBEY LAND SURVEYING, PLLC
828-595-9668
PROPOSED STORMWATER
BMP (BIO RETENTION CELL)
100' HIGH DENSITY
STREAM BUFFER
EXISTING UNNAMED STREAM
(TRIBUTARY TO THE MILLS RIVER)
WATER SYSTEM: PUBLIC — CITY OF HENDERSONVILLE
SEWER SYSTEM: PUBLIC — MSD OF BUNCOMBE COUNTY
BUILDING SETBACKS: FRONT 40' GRAPHIC SCALE
SIDE 15' 20 0 10 20 40 so
REAR 30'
A NEW FACILITY
FOR
PARDEE
PARTNERS
ASC
(T.B.D.) BOYLSTON HWY
MILLS RIVER, NC
28759
CASSErrY
J. CLINTON CASSETTY
ARCHITECT
CARS''%%
SEAL =
041349 =
/10/2021
CASSE7'7"Y
100 Country Club Dr., Suite 206
Hendersonville, TN 37075
[phone]
www.cassettyarch.com
THIS DRAWING AND DOCUMENT CONTAINS
INFORMATION PROPRIETARY TO THE
ARCHITECT. THE REPRODUCTION, COPY
OR USE OF THIS DRAWING AND DOCUMENT
WITHOUT THE WRITTEN CONSENT IS PROHIBITED
AND ANY INFRINGEMENT WILL BE SUBJECT TO
LEGAL ACTION. ALL RIGHTS RESERVED.
COPYRIGHT 2021.
ORIG. ISSUE DATE:
05-19-2021
6-17-21 PREBID RFI (1)
8-10-21 ZONING (2)
DHSR PROJECT #
AS-440
PROJECT NUMBER
2120
SITE
PLAN
C-200
( IN FEET )

DocuSign Envelope ID: B0473CAF-2BE6-4E23-B490-421C6848647E
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PROPOSED 5'
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PROPOSED CITY OF HENDERSONVILLE
WATER MAIN EXTENSION (TYP)(SEE
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PLANS FOR DETAILS)
01
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WGLA ENGINEERING, Pff[C
724 5th AVE UE/EST
HENDERSONVIYLE, NC 28739
(828) 58�177
WGLA.CO -..
NC LICENSE P-1342
PARDEE
PARTNERS
ASC
(T.B.D.) BOYLSTON HWY
MILLS RIVER, NC
28759
CASSETTY
J. CLINTON CASSETTY
ARCHITECT
p Q^`�'OFESS/p�9
SEAL
• 041349 =
_ e
II1111��\\
/20/2021
CASSETTY
100 Country Club Dr., Suite 206
Hendersonville, TN 37075
[phone]
www.cassettyarch.com
THIS DRAWING AND DOCUMENT CONTAINS
INFORMATION PROPRIETARY TO THE
ARCHITECT. THE REPRODUCTION, COPY
OR USE OF THIS DRAWING AND DOCUMENT
WITHOUT THE WRITTEN CONSENT IS PROHIBITED
AND ANY INFRINGEMENT WILL BE SUBJECT TO
LEGAL ACTION. ALL RIGHTS RESERVED.
COPYRIGHT 2021.
ORIG. ISSUE DATE:
05-19-2021
DHSR PROJECT #
AS-440
PROJECT NUMBER
2120
ROADWAY GRADING
AND EROSION
CONTROL PLAN
C 300