SWA000229_Application Form_20231031

3. The Applicant is the (check all that apply):
• Property Owner
❑ Lessee (Attach a copy of the lease agreement& complete Item 4.)
[' Purchaser(Attach a copy of the pending sales agreement& complete Item 4.)
❑ Developer(Attach a copy of the development agreement& complete Item 4.)
4. If the Applicant is NOT the Property Owner (skip to Item 5 if the Applicant IS the Property Owner):
Property Owner Name/Organization:Empowered to Succeed Ministries
Signing Official &Title:Debra Stewart (Registered Agent)
Street Address:PO Box 1743
City:Dunn State:NC Zip:28334
Mailing Address (if applicable):141 Union Grove Church Road
City:Dunn State:NC Zip:28334
Phone: (919) 890-1160 _ Fax: (
Email:[e-mail]
5. The licensed Design Professional that will be retained for the duration of the project, who may provide
information on the Applicant's behalf, and who will prepare and certify the as-built package:
Consulting Engineer/Landscape Architect:J. Stephen Janowski
Consulting Firm: Rivers &Associates, Inc.
Mailing Address:107 E. Second Street
City:Greenville State:NC Zip:27835
Phone: (919 ) 594-1626 Fax: (
Email:[e-mail]
6. [OPTIONAL] If you would like to designate another person to answer questions about the project:
Name &Title:
Organization:
Mailing Address:
City: State: Zip:
Phone: ( ) Fax: (
Email:
E. PROJECT INFORMATION
1. Specify the type of project (check one): ❑ Low Density ® High Density
2. Briefly summarize how the stormwater runoff will be treated/conveyed:
Stormwater for this development will be conveyed to a wet detention pond through permanent ditches and
stormwater sewer pipes and detailed in the plans.
3. Stormwater runoff from this project drains to the Cape Fear River basin(s).
4. Receiving water information (if more than 3 receiving waters, provide additional information on an attached sheet):
Receiving Receiving Receiving
Water 1 Water 2 Water 3
Receiving Stream Name Mngo Swamp
Stream Classification C;Sw
Stream Index Number 18-68-12-2
Stormwater Fast Track ATC Application Form Page 3 of 9 Feb. 10, 2018

5. Project area and density information:
Total Property Area 273,121 sf
Total Surface Water Area 0 sf
Considered to include:
• the normal pool of impounded structures;
• the area between the banks of streams and rivers;and
• the area below the Normal High Water(NHW)line or Mean High Water(MHW)line.
Total Coastal Wetlands Area 0 sf
Considered to include: coastal wetlands landward from the NHW(or MHW)line.
Total Project Area 259,915 sf
Excludes the surface water area and coastal wetland area identified above.
May or may not be the same as Property Area.
Built-Upon Area(BUA)associated with Existing Development 0 sf
"Existing development"means those projects that are built or those projects that have established a
vested right under North Carolina law as of the effective date of the state storm water program or
applicable local government ordinance to which the project is subject.
Proposed New BUA 49,191 sf
Includes proposed new BUA that is not associated with existing development.
"BUA"is defined in N.C.G.S. 143-214.7(b2). It includes, but is not limited to:buildings, roads,parking
areas, sidewalks, and some gravel areas. The design volume of SCMs must take into account the runoff
from build out from all surfaces draining to the SCM in accordance with 15A NCAC 02H.1050(1).
Project Density
w/Existing Development: Project Density=(New BUA]/(Total Project Area—Existing BUA]x 100 or 17
w/o Existing Development: Project Density=(New BUA]/Total Project Area]x 100
6. Anticipated construction start date 09/01/2024
7. Is the project located within 5 miles of a public airport? ® No ❑ Yes
If Yes,'see S.L. 2012-200, Part VI: http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S229v6.pdf and
DEQ Stormwater Design Manual Chapter E-4 Airports.
8. For projects in Union County: Contact DEMLR Central Office Stormwater staff at 919-707-9200 to determine
if the project is located within a Threatened& Endangered Species watershed that may be subject to more
stringent storm water requirements per 15A NCAC 02B .0600.
Stormwater Fast Track ATC Application Form Page 4 of 9 Feb. 10, 2018