SW1190701_Application_20190709

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
a-7 , 09 - 7-D 10\
I to aPc 4 GD5
SW i l 9 0 -7 01
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Noit-Coastal SW- IIQW/ORW Watets ❑ Uttiveisal Stormwatet Mwtageiitettt Plait
❑ Other WQ Mgmt Plan:
State of North Carolina
r�t1p
Department of Environment and Natural Resources
P JUL G 9 !g'?g
Division of Energy, Mineral and Land Resources
DCNR-LAND QUALITY
STORMWATER MANAGEMENT PERMIT APPLICATIONMMUTER PCERiVil I TIN
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.):
The Riveter
2. Location of Project (street address):
701 Old Fanning Bridge Road
City:Mills River
County:Henderson Zip:28759
3. Directions to project (from nearest major intersection):
From NC 280
(Bolyston Highway-), tirn onto Fernchff Park Drive; site is adjacent to round -about on Old Fanning Bridge
4. Latitude:35' 25' 39.16" N Longitude: 82° 32' 44.84" W of the main entrance to the project.
Il. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SKU-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 number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. 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, and the previous name of the project, if different than currently
proposed,
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:
❑NPDES Industrial Stormwater ❑404/401 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:S&EC Permit: The Riveter Project ID: Hende2019-012
5. Is the project located within 5 miles of a public airport? ❑No ®Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

IIII• •_ "MWOMM
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Riveter Property Holdings
Signing Official & Title:Elizabeth Jackson, Principal
b. Contact information for person listed in item 1a above:
Street Address:132 King Street
City:Brevard State:NC Zip:28712
Mailing Address (if applicable):Same as above
City:
Phone: (828 ) 577-2263
Email:[e-mail]
State:
Fax: ( )
Zip:
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:Riveter Property Holdings
Signing Official & Title:Elizabeth Jackson
b. Contact information for person listed in item 2a above:
Street Address:132 King Street
City:Brevard State:NC Zip:28712
Mailing Address (if applicable):Same as above
City:
State:
Phone: (828 ) 577-2263 Fax: ( )
Email:[e-mail]
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/
Signing Official & Title:
b. Contact information for person listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: ( ) Fax: ( )
Email:
4. Local jurisdiction for building permits: Henderson County
Point of Contact: Phone #:
Form SWU-101 Version Oct. 31, 2013 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Runoff from the building roof will be dispursed into landscape areas adjoining, the building;
Runoff from the narking area and ancillary hardscane will be sheet flowed across a vegetated area and
a portion of the site that is to remain in agricultural use; there is additional ripiarian vegetation between the
agricultural area and the French Broad River
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 regulatlon(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 French Broad River basil.
4. Total Property Area: 16.67 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:16.67 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
(MHM line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHiM line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =12.55
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 _
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
French Broad
River
Stream Class *
B
Stream Index Number *
6-(54.75)
Total Drainage Area (so
285,754
On -site Drainage Area (sf)
285,754
Off -site Drainage Area (sf)
0
Proposed Impervious Area** (so
1 91,128
Impervious Area** total
12.55
Impervious— Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
40100
On -site Streets (so
9113
On -site Parking (sf)
38500
On -site Sidewalks (sf)
2935
Other on -site (so
480
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (so
0
Total (sf):
91128
* Stream Class and Index Number can be determined at: http. portal.ncdenr.orgZLveblzvq&s/csu/classi 'cations
Form SWU-101 Version Oct. 31, 2013 Page 3 of 6

Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. No off -site drainage.
is received. It is diverted by existing roadway ditches
Proiects in Union County: Contact UE'MLR Central Office staff to check f the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B . 0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
fromhtip://portal.ncdenr.org/web/wq /ws/su _bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
htW://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at hqp://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from hM2://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs.
1. Original and one copy of the Stormwater Management Permit Application Form. `
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M t
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
ht!p://vrvvw.envhelp.org/pages/onestopexpress.hbnl for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map. _ `� i�'!�'�
7. Sealed, signed and dated calculations (one copy). 11
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
before ine this . J da
a stormwater permit.
Date: '(- ''�-- � r,
a Notary Public for the State of /V C' , County of
do hereby certify that CI %an �OeA A Sty personally appeared
y
of 7 v �t��, 20 , quid acki dge the due ex lion of the applicalioti for
c� h
Witness my hand and official seal,
LLORI SEGER
NOTARY PUBLIC
BUNCOMBE COUNTY,NC
MMISSION EXPIRES 11/26/2022
X. APPLICANT'S CERTIFICATION
SEAL
My commission expiresJ4Z '7"r- _
RFC.171\/
JUL09 20131
DENR-i AND OUAUTY
STORPvi'vVAT R PERIMIUI-ING
I, (print or type name of person listed in Contact Information, item 1a) Elizabeth Jackson
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2H .1000 and any other applicable state stormwater requirements.
Date: "A — � — 1 of
a Notary Public for the State of A) C— County of
do hereby certify that �-1 I `�C �P l Ste(` A��inn personally appeared
before me this S day of �UVS, C> and acknow ge the due ex ution of the application for
a stormwater permit. Witness my hand and official seal,
=LORISEGEIRIC
,NC
1126/2022
SEAL
My commission expires 11
Form SWU-101 Version Oct. 31, 2013 Page 6 of 6