SW3220301_Application Form_20220420

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Proposed Sand Filter SCM
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 H - Post Construction
3. Stormwater runoff from this project drains to the Yadkin River basin.
4. Total Property Area:1.95 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+:1.95 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 Hi h Water (NHM line or Mean High Water
(MHM line, and coastal wetlands landward from the NHW (or W line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 85.94 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 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
Drainage Area 1
Drainage Area _
DrainageArea
Drainage Area
ReceivingStream Name
Rays Fork
_
_
Stream Class *
C
Stream Index Number *
13-17-36-8
Total Drain a Area (sf)
66130
On -site Drainage Area (so
62220
Off -site Drainage Area (sf)
3910
El
Pro osed Impervious Area** (so
56830
L%_Impervious Area** total
85.94
Impervious' Surface Area
Drains a Area 1
Drains a Area _
Drains a Area
Drains a Area
On -site Buildings/ Lots (sf)
21850
_
_
On -site Streets (sf)
0
On -site Parking (sf)
31170
On -site Sidewalks (sf)
350
Other on -site (sf)
320
Future (sf)
0
Off -site (sf)
3140
Existing BUA*** (sf)
0
Total (so:
56830
otrru►h .cuss unu index Number can oe aerermmea at: tit ; yt)rtal.ncttetir.org u�eb,'cotlfjas✓csu/classiflcatiotis
Im ous area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6