20220041 Ver 1_1 - ORM Form_20220104

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 9: SAW- 2021-01627 Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Boylston Highway Site
2. Work Type: ❑Private ❑Institutional ❑Government ❑✓ Commercial
3. Project Description / Purpose [PCN Form 133d and B3e]:
The applicant proposes the construction of warehouse associated with tile products. In addition, two pad sites for retail/commercial use
are proposed in front of the warehouse facility. In addition to the buildings, driveway access to Boylston Highway (NC Highway 280),
vehicular and trailer parking, infrastructure improvements, landscaping, lighting and stormwater management measures are proposed to
support the project.
4. Property Owner / Applicant [PCN Form A3 or A4]: BFCMD
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Michelle Measday / ECS
6. Related Action ID Number(s) [PCN Form B5b]: NA
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
Boylston Highway, Mills River, North Carolina
8. Project Location —Tax Parcel ID [PCN Form Bla]: 9631425811
9. Project Location —County [PCN Form A2b]: Henderson County
10. Project Location —Nearest Municipality or Town [PCN Form A2c]: Mills River
11. Project Information — Nearest Waterbody [PCN Form 132a]: Mills River
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: Mills River/ 06010105
Authorization: Section 10 ❑ Section 404 ✓❑
Regulatory Action Type:
Standard Permit
✓ Nationwide Permit 9 39
Regional General Permit 9
Jurisdictional Determination Request
Section 10 and 404 ❑
Pre -Application Request
Unauthorized Activity
Compliance
No Permit Required
Revised 20150602