SWA000149_Application Form_20220725

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
SW Program(s): ❑ Coastal SA -HOW ❑ Coastal SA- ORW ❑ Coastal FW-ORW ❑ Coastal Other
❑ Non -coastal HQW ❑ Non -coastal ORW ❑ Urbanizing Areas ❑ USMP
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATI R FAST TRACK PROCESS:
"AUTHORIZATION TO CONSTRUCT" (ATC) PERMIT APPLICATION FORM
Link to Application Instructions
A. ELIGIBILITY FOR FAST -TRACK PERMITTING
To be considered for a Fast Track ATC Permit, all of the items below must be checked. if any item cannot
be checked, then the project must apply under the Standard Permitting Process.
Z The project and all SCMs (including existing SCMs associated with the project) will meet all applicable
requirements of 15A NCAC 02H .1000 - .1062, including the Minimum Design Criteria (MDC), upon project
completion.
Z The project is not proposing an alternative design.
Z The project is not claiming an exemption from the MDC based on vested rights, a waiver or a Director's
Certification.
Z The project is not out of compliance with an existing stormwater permit or any other environmental permit.
Z The project is not applying for an offsite permit, an exemption, or a minor modification (as defined in 15A
NCAC 02H .1002(25)) to an existing state stormwater permit.
Z The project application bears the signature and seal of a professional licensed pursuant to either Chapter 89A
or 89C of the NC General Statutes.
Z I understand that at project completion, an application with the as -built stormwater plans (as described in 15A
NCAC 02H .1044 must be submitted, and DEQ will review the as -built stormwater plans to confirm
compliance with the MDC. Approval of the as -built stormwater plans will be required before the Erosion and
Sedimentation Control Plan for the project may be closed out.
Z I understand that the Fast Track ATC Permit will expire five years after the date of issuance.
1 Project Name: Goode Preserve
2. Previous Project Name (if applicable): N/A
3. Location of Project (street address): 5674.Old Haywood Road
City:Mills River County: Henderson Zip:28759
4. Directions to project (from nearest major intersection):
Property is located approximately 1 75 miles north of intersection of Old Haywood Road (NC 191) and
Boylston Highway (NC 280) on the right hand side of the road
5. Latitude:35° 25' 42.6432" N Longitude:-82° 34' 27.3504" W of the main entrance to the project.
C. PERMIT INFORMATION
1. Specify whether project is (check one):
Z New, no previous application
[] New, replacing a previous Fast Track ATC Permit -- provide previous permit number: SWA
By choosing this option, you are also requesting that DEQ rescind the previous Fast Track ATC Permit
upon issuance of the new Fast Track ATC Pen -nit.
Stormwater Fast Track ATC Application Form Page 1 of 9 Feb. 10. 2018