SW4220801_Application Form_20220825

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 M mt 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.):
Newlin Meadows Sub Ph II
2. Location of Project (street address):
Mineral Spring Road
City:Graham County:Alamance
3. Directions to project (from nearest major intersection):
Travel south from the intersection between NC 54 and Mineral Springs Road
Continue for about 1.0 mi, and the destination is on the right.
Zip:27258
4. Latitude:35° 58' 16" N Longitude:79° 1746" 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 SWU-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 numberNA , its issue date (if known)NA and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
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, NA and the previous name of the project, if different than currently
proposed, NA
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: 7.00
❑NPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts _
ac of Disturbed Area
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:1) Newlin Meadows Sub, ALAMAO-2022-029, 01-24-2022, EC permited
2) Newlin Meadows Sub Phase II, ALAMA-2022-049, 05-25-2022, EC vermited
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI: httl2://12ortal.ncdenr.org/web/Ir/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The stormwater runoff will not be treated with SCM since the proposed BUA is less than 24%.
The stormwater runoff will be conveyed through the ditch/diversion in the proposed road shoulder.
All stormwater runoff on site will be discharged to existing conditions via a plunge pool and allowed to flow
from there via sheet/concentrated flows depending on field conditions
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: NA
❑ Valid Building Permit Issued Date: NA
❑ Other: NA Date: NA
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 Cape Fear River basin.
Total Property Area: 31.09084
acres
5. Total Coastal Wetlands Area: 0.00 acres
6. Total Surface Water Area: 0.4829 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area':30.6079 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 (NHM line or Mean High Water
(MH10 line, and coastal wetlands landward from the NHW (or MHM line. The resultant project area is used to
calculate overall percent built upon area (B UA). Non -coastal wetlands landward of the NHW (or MHVv) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 20.5%
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 _
Drainage Area _
Drainage Area _
Receiving Stream Name
Motes Creek
Stream Class *
WS-V
Stream Index Number
16-25
Total Drainage Area (sf)
1,333,281
On -site Drainage Area (sf)
1,333,281
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (sf)
273,779
Impervious Area** (total)
20.5%
Impervious- Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
248,779
On -site Streets (sf)
25,000
On -site Parking (sf)
On -site Sidewalks (sf)
0
Other on -site (sf)
0
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (sf)
0
Total (sf):
273,779
* Stream Class and Index Number can be determined at: http.Z&ortal.ncdenr.or /w�cl(ps/csu/classifications
Im ervious 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