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HomeMy WebLinkAboutSW1200601_2020-05-29 Sanstone Forms and Supplemental Info_20200605 BROOKS ENOINEERINQ ASSOCIATES t7rlAopaatine Asheville MC2OD1 wwwOreekseecorn 122432d7e' Letter of Transmittal From: Date: NCDEQ STORMWATER PROGRAM ATTN: SUZANNE McCOY BRANDON THOMAS, PE 5/29/20 512 N. SALISBURY STREET RALEIGH, NC 27604 cc: (need tdihoneno. if Feder, no P.O.Box) (919) 707-3640 Project Name SANSTONE OFFICE & STORAGE EXPANSION Project No: 506319 ❑ Mail ❑Deliver ❑ Overnight* ❑ Other Document Description: Date: Copies:. STORMWATER PERMIT PLANS 05/29/20 2 CALCULATIONS (NRCS AND USGS MAPS INCLUDED) 05/29/20 1 DEEDS AND LLC INFORMATION 05/29/20 1 PERMIT APPLICATION (1-ORIGINAL, 1-COPY) 05/27/20 2 STORMWATER O&M AGREEMENT (ORIGINAL) 05/27/20 1 STORMWATER SUPPLEMENTAL FORM (ORIGINAL) 05/29/20 1 FEE 05/29/20 1 Comments: PLEASE CONTACT US WITH ANY QUESTIONS OR COMMENTS UEMLR1JSE ON Y 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 0 Other WQ MgmtPlan: 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.): SANSTONE O}FICE & STORAGE EXPANSION 2. Location of Project (street address): 0 OLD HAYWOOD ROAD City:MILLS RIVER County:HENDERSON Zip:28759 3. Directions to project (from nearest majorintersectiori): FROM NC-280 (BOYLSTON HIGHWAY), TURN NORTH ONTO OLD HAYWOOD ROAD (NC-191). CONTINUE FOR 1.5 MILES, THE PROJECT WILL BE ON THE LEFT ADJACENT TO THE LODGE AT MILLS RIVER 4. Latitude:35° 25' 28" N Longitude:82°341301' W of the main entrance to the project. II. PERMIT INFORMATION: 1. a.Specify whether project is (check one): ONew ['Modification ❑ Renewal w/ Modificationt tRenewals with modifications also requires SWU-102 -Renewal Application Form b.lf this application is being submitted as the result of a modification to an existing permit, list the existing permit numberN/A , its issue date (if known)_ , and the status of construction: f Not Started []Partially Completed* [] Completed* *provide a designer's certification 2. Specify the type of project (check one): [Low Density ZHigh 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): ❑CA1viAMajor SedimentationfErosion Control: 5.0 ac of Disturbed Area DNPDES Industrial Stormwater 0404/401 Permit: Proposed Impacts b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number, issue date and the type of each permit: 5. Is the project located within 5 miles of a public airport? [ lNo ®Yes If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/web/Ir/rules-and-regulations III. CONTACT INFORMATION 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:SANSTONE HOME OFFICE PROPERTIES,LI,C Signing Official &Title:CHRISTOPHER 1. SPRENGER, MANGER b.Contact information for person listed in item la above: Street Address;229 AIRPORT ROAD, SUl'i'E 7-104 City:ARDEN State:NC Zip:28704 Mailing Address (if applicable):SAME AS ABOVE City: State: Zip: Phone: ( Fax: ( ) Email: c. Please check the appropriate box. The applicant listed above is: [] The property owner (Skip to Contact Information, item 3a) .0 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) El 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: Signing Official &Title: b.Contact information for person listed in item 2a above: Street Address: City: State: Zip: Mailing Address (if applicable): City: State: Zip: Phone: ( ) Fax: j' ) Email: 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/Organization: GREENFINN GROUP Signing Official & Title: CHRIS FINN - PRESIDENT b.Contact information for person listed in item 3a above: Mailing Address: 825C MERRIMON AVE, SUITE 171 City: ASHEVILLE State: NC Zip: 28804 Phone: ( 828 ) 390-4819 Fax: ( ) Email: CFINN@GREENFINNGROUP.-COM 4. Local jurisdiction for building permits: TOWN OF MILLS RIVER Point of Contact:DANIEL COBB Phone #: (828 ) 890-2901 IV. PROJECT INFORMATION 1. In the space provided below,briefly summarize how the stormwater runoff will be treated. STORMWATER WILL BE CAPTURED IN A PIPED STORMWATER CONVEYANCE AND DISCHARGED TO A BIORETENTION CELL TITAT IS DESIGNED FOR WATER QUALITY AND QUANITY. 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: [i Other: Date: b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with: [] Coastal SW - 1995 El Ph II -- Post Construction 3. Stormwater runoff from this project drains to the French Broad River basin. 4. Total Property Area: 6.02 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+: 6.02 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 (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward from the NHW(or MHVV) line. The resultant project area is used to calculate overall percent built upon area (13I.1A). 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 = 25.2 9. How many drainage areas does the project have?3 (For high density, count 1 for each proposed engineered stornwater 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 2 Drainage Area 3 .Drainage Area Receiving Stream Name McDOWELL CK McDOWELL CK McDOWELL CK Stream Class * C C C Stream Index Number * 6-58 6-58 6-58 Total Drainage Area (sf) 253,192 32,119 11,494 On-site Drainage Area (sf) 205,867 32,119 11,494 Of site Drainage Area (sf) 47,325 0 0 Proposed Impervious Area** (sf) 65,852 0 951 % Impervious Area** (total) 26.0% 0% 8.3% Impervious*Surface Area ; Drainage Area 1 . . Drainage•Area 2 Drainage Area 3 Drainage Areal On-site Buildings/Lots (sf) 13,911 0 65 On-site Streets (sf) 0 0 0 On-site Parking (sf) 39,289 0 431 On-site Sidewalks (sf) 2,719 0 455 Other on-site (sf) 0 0 0 Future {sf) 9,100 0 0 Off-site (sf) 833 0 0 Existing BUA*** (sf) 0 0 0 Total (sf): 65,852 0 951 * Stream Class and Index Number can be determined at: http.I/portal.ncdenr.org/web/wg/ps/csu/classifications ** 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 w7I be replaced by new BUA. 11.H ow was the off-site impervious area listed above determined? Provide documentation. EXISTING SANSTONE OFFICE INFRASTRUCTURE WAS SURVEYED FOR THE DEVELOPMENT OF THIS PROTECT. Projects in Union County: Contact DEMLR Central Office staff to check if 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 from http://portal.ncdenr.org/web/wgJws/su/bmp-manual. VI. SUBMTITAL 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 http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. 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 athttp://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 http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. Initials 1. Original and one copy of the Stormwater Management Permit Application Form. BMT 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants BMT Form. (if required as per Part VII below) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M BMT agreement(s) for each BMP. 4. Permit application processing fee of$505 payable to NCDENR. (For an Express review, refer to BMT http://www.envhelp.org/pages/onestopexpress.html 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.) BMT 5. A detailed narrative (one to two pages) describing the stormwater treatment/management 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the BMT receiving stream drains to class SA waters within 1/z mile of the site boundary, include the '/2 mile radius on the map. 7. Sealed, signed and dated calculations (one copy). BMT 8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: BMT 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 M13W 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 MI-IW (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. m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a qualified person. Provide documentation of qualifications and identify the person who made the determination on the plans. n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations. o. Drainage areas delineated (included in the main set of plans, not as a separate document). p. Vegetated buffers (where required). 9. Copy of any applicable soils report with the associated SHWF elevations (Please identify BMT elevations in addition to depths) as well as a map of the boring locations with the existing elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the project area dearly delineated. For projects with infiltration BMPs, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verify the SHWT prior to submittal, (910) 796-7378.) 10. A copy of the most current property deed. Deed book: 28 Page No: 571 & DB 3373 PG 44 11. For corporations and limited liability corporations (LLC): Provide documentation from the NC BMT Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e). The corporation or LLC must be listed as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. http://www.secretary.state.nc.us/Corporations/CSearch.aspx VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed BUA allocations vary, a table listing each lot number, lot size, and the allowable built-upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded from http://portal.ncdenr.org/web/Ir/state- stormwater-forms docs. Download the latest versions for each submittal. In the instances where the applicant is different than the property owner, it is the responsibility of the property owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring that the deed restrictions are recorded. By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and protective covenants for this project, if required, shall include all the items required in the permit and listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot, VIII. CONSULTANT INFORMATION AND AUTHORIZATION Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as addressing requests for additional information). Consulting Engineer:BRANDON THOMAS Consulting Firm: BROOKS ENGINEERING ASSOCIATES, P.A. Mailing Address:17 ARI.TNGTON STREET City:ASHEVILLE State:NC Zip:28801 Phone: (828 ) 232-4700 Fax: ( Emai1:BTHOMASQBROOKSEA.COM TX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this section) I, (print or type name of person listed in Contact Information, item 2a) , certify that I own the property identified in this permit application, and thus give permission to (print or type name of person listed in Contact Information, item la) with (print or type name of organization Iisted in Contact Information, item 1a) to develop the project as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible for the operation and maintenance of the stormwater system. 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. Signature: Date: I, , a Notary Public for the State of , County of , do hereby certify that personally appeared before me this day of , , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, SEAL My commission expires X. APPLICANT'S CERTIFICATION I, (print or type name of person listed in Contact Information, item la) CHRISTOPHER SPRENGER certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be construct d i conformance with the approved plans, that the required deed restrictions and protective covenants w. be ry'i.rded, apd that the proposed project complies with the requirements of the applicable stormwater e tie 15A NQAC 2H .1000 and any other applicable state stormwater requirements. Signature: C <— — S' I L I2 0 2• gn p r Date: 1, 1'zOWe v, M chin , a Notary Public for the State of t\lksNoW C .-M i ln , County of 1AundtX50r , do hereby certify that Chvx,ioeNeWe 6v.4,15t,✓' personally appeared before me this 2 - day of Mat') , Zo?.o , and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, c)4A.A. _____Jkitk--.-- SEAL Karen McClain NOTARY PUBLIC Henderson County North Carolina My Commission Expires April 8, 2025 My commission expires -1. B , 70-4---- SUPPLEMENT-EZ COVER PAGE FORMS LOADED PROJECT INFORMATION. 1 Project Name SANSTONE OFFICE & STORAGE EXPANSION 2 Project Area (ac) 6.02 3 Coastal Wetland Area (ac) 0 4 Surface Water Area (ac) 0 5 Is this project High or Low Density? High 6 Does this project use an off-site SCM? No COMPLIANCE WITH 02H .1003(4) 7 Width of vegetated setbacks provided (feet) N/A 8 Will the vegetated setback remain vegetated? 9 Is BUA other that as listed in .1003(4)(c-d) out of the setback? 10 Is streambank stabilization proposed on this project? NUMBER AND TYPE OF SCMs: 11 Infiltration System 0 12 Bioretention Cell 1 13 Wet Pond 0 14 Stormwater Wetland 0 15 Permeable Pavement 0 16 Sand Filter 0 17 Rainwater Harvesting (RWH) 0 18 Green Roof 0 19 Level Spreader-Filter Strip (LS-FS) 0 20 Disconnected Impervious Surface (DIS) 0 21 Treatment Swale 0 22 Dry Pond 0 23 StormFilter 0 24 Silva Cell 0 25 Bayfilter 0 26 Filterra 0 FORMS LOADED DESIGNER CERTIFICATION 27 Name and Title: BRANDON THOMAS, PROJECT ENGINEER 28 Organization: BROOKS ENGINEERING ASSOCIATES, P.A. 29 Street address: 17 ARLINGTON STREET 30 City, State, Zip: ASHEVILLE, NC 28801 31 Phone number(s): 828-232-4700 32 Email: BTHOMAS@BROOKSEA.COM Certification Statement: I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or supervision; that the information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and that the engineering plans, specifications, operation and maintenance agreements and other supporting information are consistent with the information provided here. Designer ``lotiiiiiiiii Q�C ` .1 Ise Z. • • .2• • SEAL : a Signature of Des ner • • o • 042150 v ; 0 � `/i�j�. el N �•® ii iv iiiiiiito `‘ ga ` ZO Seal Date DRAINAGE AREAS 1 Is this a high density project? _ Yes 2 If so,number of drainage areas/SCMs _ 1 Is all/part of this project subject to previous rule 3 versions? No FORMS LOADED DRAINAGE AREA INFORMATION Entire Site 1 4 Type of SCM N/A BIORETENTION 5 Total BUA in project(sq ft) 65970 sf 65019 sf New BUA on subdivided lots(subject to 6 permitting)(sq ft) N/A N/A New BUA outside of subdivided lots(subject to 7 permitting)(sf) _ N/A _ N/A 8 Offsite-total area(sq ft) _ 47325 sf _ 47325 sf 9 Offsite BUA(sq ft) 833 sf 833 sf 10 Breakdown of new BUA outside subdivided lots: N/A N/A -Parking(sq ft) 39720 sf 39289 sf -Sidewalk(sq ft) 3174 sf 27119 sf -Roof(sq ft) 13976 sf 13911 sf -Roadway(sq ft) N/A N/A -Future(sq ft) 9100 sf 9100 sf -Other,please specify in the comment box below(sq ft) N/A N/A New infiltrating permeable pavement on 11 subdivided lots(sq ft) N/A N/A New infiltrating permeable pavement outside of 12 subdivided lots(sq ft) N/A N/A Exisitng BUA that will remain(not subject to 13 permitting)(sq ft) N/A N/A 14 Existing BUA that is already permitted(sq ft) N/A N/A 15 Existing BUA that will be removed(sq ft) N/A N/A 16 Percent BUA 25% 30% 17 Design storm(inches) 1 in 1 in 18 Design volume of SCM(cu ft) 5858 cf 5858 cf 19 Calculation method for design volume SIMPLE SIMPLE ADDITIONAL INFORMATION Please use this space to provide any additional information about the 20 drainage area(s): BIORETENTION CELL 1 Drainage area number 1 2 Design volume of SCM(cu ft) 5858 cf GENERAL MDC FROM 02H.1050 • 3 'Is the SCM sized to treat the SW from all surfaces at build-out? Yes 4 Is the SCM located away from contaminated soils? Yes 5 What are the side slopes of the SCM(H:V)? 3:1 Does the SCM have retaining walls,gabion walls or other engineered side 6 slopes? No Are the inlets,outlets,and receiving stream protected from erosion(10- 7 year storm)? Yes Is there an overflow or bypass for inflow volume in excess of the design 8 volume? Yes _ 9 What is the method for dewatering the SCM for maintenance? Pump(preferred) 10 If applicable,will the SCM be cleaned out after construction? Yes _ 11 Does the maintenance access comply with General MDC(8)? Yes 12 Does the drainage easement comply with General MDC(9)? Yes If the SCM is on a single family lot,does(will?)the plat comply with 13 General MDC(10)? 14 Is there an O&M Agreement that complies with General MDC(11)? Yes 15 Is there an O&M Plan that complies with General MDC(12)? Yes 16 Does the SCM follow the device specific MDC? Yes 17 Was the SCM designed by an NC licensed professional? Yes BIORETENTION CELL MDC FROM 02H.1052 18 SHWT elevation(fmsl) 2175.75 19 Bottom of the bioretention cell(fmsl) 2177.75 20 Ponding depth of the design storm(inches) 12 in 21 Surface area of the bioretention cell(square feet) 5873 sf 22 Design volume of the bioretention cell(cubic feet) 5858 cf _ 23 Is the bioretention cell used for peak attenuation? Yes 24 Depth of peak attenuation over planting surface(in) 24 in _ 25 Height of peak attenuation outlet above the planting surface(in) 18 in 26 Infiltration rate of the in situ soil(inch/hour) 2 in/hr 27 Diameter of the underdrain pipes(if applicable) 6 in 28 Does the design include Internal Water Storage(IWS)? Yes 29 if so,elevation of the top of the IWS(fmsl) 2179.5 30 Elevation of the planting surface(fmsl) 2181 31 What type of vegetation will be planted? (grass,trees/shrubs,other)? Grass 32 Media depth(inches) 30 in _ 33 Percentage of medium to coarse washed sand by volume 75-85% _ 34 Percentage of fines(silt and clay)by volume 8-10% _ 35 Percentage of organic matter by volume 5-10% _ 36 Type of organic material PINE BARK _ 37 Phosphorus Index(P-Index)of media(unitless) LESS THAN 50 38 Will compaction be avoided during construction? Yes _ 39 Will cell be maintained to a one inch/hour standard? Yes 40 Depth of mulch,if applicable(inches) N/A 41 Type of mulch,if applicable N/A 42 How many clean out pipes are being installed? 3 43 Type of pretreatment that will be used: RIPRAP ADDITIONAL INFORMATION Please use this space to provide any additional information about the 44 bioretention cell(s): Bioretention 3 5:29 PM 5/28/2020 -\fr r �.�_ - fA T e «a r m�m wwir, .s 6y criYn v $ 4{=l ' ' � • m 1 S � Project Name: SANSTONE OFFICE & STORAGE EXPANSION . Project Location: MILLS RIVER, HENDERSON COUNTY, NORTH CAROLINA Co�t�r<Pa ` Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s). The BMP(s) on this project include (check all that apply & corresponding O&M tables will be added automatically): Bioretention Cell Quantity: 1 Location(s): OLD.HAYWOOD_ ROAD Dry Detention Basin Quantity: Location(s): Grassed Swale Quantity: Location(s): Green Roof Quantity: Location(s): Infiltration Basin Quantity: Location(s): Infiltration Trench Quantity: Location(s): Level SpreaderNFS Quantity: Location(s): Permeable Pavement Quantity: Location(s): _ Proprietary System Quantity: Location(s): Rainwater Harvesting Quantity: _ Location(s): Sand Filter Quantity: Location(s): _ Stormwater Wetland Quantity: Location(s): Wet Detention Basin Quantity: 0 Location(s): Disconnected Impervious Area Present: No Location(s): User Defined BMP -Present:, No Location(s): I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to the system or responsible party. * Responsible Party: CHRISTOPHER J. SPRENGER Title & Organization: MANAGER, SANSTONE HOME OFFICE PROPERTIES, LLC Street address: 229 AIRPORT ROAD, SUITE 7-104 City, state, zip: ARDEN, NC 28704 Phone number(s): Email: Signature: Date: T Z-t 20 Z� 1, go ilf_.A Me Uat , a- bta public for the State of 0049tA Courohra County of ck( Oy\ , do hearby certify that C.In+A yA4.✓ ,vi9tr• personally appeared-before me this 11 day of 11AA low and acknowledge the due execution of the Operations and Maintenance Agreement . Witness my hand and official seal, ,/� Karen McClain NOTARY PUBLIC Henderson County North Carolina My Commission Expires April 8, 2025 Bloteteti'titott Mite ail Re"'ulremitift• Important operation and maintenance procedures: - Immediately after the bioretention cell is established, the plants will be watered twice weekly if needed until the plants become established (commonly six weeks). - Snow, mulch or any other material will NEVER be piled on the surface of the bioretention cell. - Wheeled or tracked equipment will NEVER be driven over the bioretention planting surface. - Special care will be taken to prevent sediment from entering the bioretention cell. - If standing water is present 2 days after rainfall, conduct an infiltration test of the soil media. After the bioretention cell is established, inspect it quarterly. Inspection activities shall be performed as follows and maintenance activates shall commence immediately to remedlate any problems observed per the table below. BMP element: Potential problem: How to remedlate the problem: The entire BMP Trash/debris is present. Remove the trash/debris. The perimeter of the BMP Areas of bare soil and/or Regrade the soil to remove the gully, and plant a ground cover and erosive gullies have formed. water until it is established. Provide lime and a one-time fertilizer application. Vegetation is too short or too Maintain vegetation at a height of approximately six inches. long. The inlet device The pipe is clogged. Unclog the pipe. Dispose of the sediment off-site. The pipe is cracked or Replace the pipe. otherwise damaged. Erosion is occurring in the Regrade the swale to smooth it over and provide erosion control swale. devices such as reinforced turf matting or riprap to avoid future problems. Stone verge is clogged or Remove sediment and replace with clean stone. covered in sediment (if applicable). The pretreatment area Flow is bypassing Regrade if necessary to route all flow to the.pretreatment area. pretreatment area and/or Restabilize the area after grading. gullies have formed. Sediment has accumulated to Search for the source of the sediment and remedy the problem if a depth greater than three possible. Remove the sediment and restabilize the pretreatment area. inches. Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Weeds are present. Remove the weeds, preferably by hand. The bloretention cell: Best professional practices Prune according to best professional practices. vegetation show that pruning is needed to maintain optimal plant health. Plants are dead, diseased or Determine the source of the problem: soils, hydrology, disease, etc. dying. Remedy the problem and replace plants. Provide a one-time fertilizer application to establish the ground cover if a soil test indicates it is necessary. Tree stakes/wires are present Remove tree stake/wires (which can kill the tree if not removed). six months after planting. l - iirbmObts, 01'41601 BMP element: Potential problem: How to remediate the problem: The bioretention cell: Mulch Is breaking down or Spot mulch if there are only random void areas. Replace whole mulch soils and mulch has floated away. layer if necessary. Remove the remaining much and replace with triple shredded hard wood mulch at a maximum depth of three Inches. Soils and/or mulch are Determine the extent of the clogging - remove and replace either just clogged with sediment. the top layers or the entire media as needed. Dispose of the spoil in an appropriate off-site location. Use triple shredded hard wood mulch at a maximum depth of three inches. Search for the source of the sediment and remedy the problem if possible. An annual soil test shows that Dolomitic lime shall be applied as recommended per the soil test and pH has dropped or heavy toxic soils shall be removed, disposed of properly and replaced with metals have accumulated in new planting media. the soil media. The underdrain system Clogging has occurred. Wash out the underdrain system. (if applicable) The drop inlet Clogging has occurred. Clean out the drop inlet. Dispose of the sediment off-site. The drop inlet is damaged Repair or replace the drop inlet. The receiving water Erosion or other signs of Contact the local NC Department of Environment and Natural damage have occurred at the Resources Regional Office. outlet. BOOK 3373 PAGE 444 (3 ) 909096 This document presented and filed: 08/15/2019 01 :07:29 PM =ram WILLIAM LEE KING, Henderson COUNTY, NC Transfer Tax: $550.00 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $550.00 Parcel Identifier No. Portion of Current REID 10002132 By: --' Mail/Box to: Phillip Price — 1200 Ridgefield Blvd., Ste. 180, Asheville, NC 28806 This instrument was prepared by: C. Page Collie (Deed Preparation Only — No Title Search Performed) Brief description for the IInddeex: 5.00 acres +/- Plat Book 2019 at Page 11929 THIS DEED made this ( "ram day of August, 2018, by and between GRANTOR GRANTEE DONNA JEAN WILSON, as Executor of the CHRISTOPHER SPRENGER and ESTATE OF CARRIE LOU WILSON, and MICHAEL D. DeLOACH, DONN JEAN WILSON, Unmarried, Individually as Tenants in Common Address : 69 Shook Knoll Address: 229 Airport Road Mills River, NC 28759 Arden, NC 28704 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the Town of Mills River, Mills River Township, Henderson County, North Carolina and more particularly described as follows: SEE ATTCHED EXHIBIT A NC Bar Association Form No. 3 © 1976, Revised © 1977, 2002 Printed by Agreement with the NC Bar Association — 1981 - Chicago Title Insurance Company Book 3373 Page 445 The property being transferred by this Deed does not include the primary residence of the Grantor. (Per N.C.G.S. § 105-317.2) The property hereinabove described was acquired by Grantor by instrument recorded in Book 349, at Page 004, Henderson County, North Carolina Register of Deeds Office. A map showing the above described property is recorded in Plat 11929, Henderson County, North Carolina Register of Deeds Office. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, other than the following exceptions: Henderson County ad valorem taxes for 2017, and subsequent years, which are a lien, but not yet due and payable, easements, rights of way and restrictions of record. IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. AL) DONNA JEA ILSON, Executor of the ESTATE OF CARRIE LOU WILSON (SEAL) SEAL-STAMP State of North Carolina — County of Henderson I, Margaret D. Gipe, the undersigned Notary Public of the County and State aforesaid, NNIIM,,,,tI �.•`'� T ,,,, certify that DONNA JEAN WILSON, Unmarried, Individually and as Executor of the ''�s ESTATE OF CARRIE LOU WILSON, Grantors, personally appeared before me this day ar NOTARY and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. PUBLIidt C V Witness my hand and Notarial stamp or seal this �� day of August, 2019. Ge My Commission Expires: “ p , 9/ 10/2019 Margaret g. Gipe, Notary Pub c NC Bar Association Form No. 3 © 1976, Revised © 1977, 2002 Printed by Agreement with the NC Bar Association — 1981 - Chicago Title Insurance Company Book 3373 Page 446 EXHIBIT A LYING AND BEING IN THE TOWN OF MILLS RIVE, MILLS RIVER TOWNSHIP, HENDERSON COUNTY, NORTH CAROLINA BEING all of that 5 .00 acres +/- as shown as Tract A on that Plat of Survey recorded on July 16, 2019, in Plat Book 2019 at Page 11929, Henderson County Registry, which plat is titled "Subdivision Survey for Sprenger Deloach Development" as the same was prepared by Blue Ridge Land Surveying, Inc., on July 8, 2019, as Job No. 19-076-D. This Conveyance is made SUBJECT TO easements, restrictions, rights of way of record and utility lines which may be in existence over or under the subject property. TOGETHER WITH and SUBJECT TO easements, rights of way and all other such matters as shown on the above-referenced plat and further of record in the Henderson County Registry. AND BEING a portion of that property conveyed to William P. Shook and wife, Jessie Ruth Shook, by that Deed recorded on February 25 , 1956, in Deed Book 349, at Page 4, Henderson County Registry. Jessie Ruth Shook acquired sole title to the property by operation of law upon the passing of William P. Shook a/k/a William Pritchard Shook, on August 30, 1964, in Henderson County, North Carolina. Ruth Shook Smith a/k/a Ruth Mclnturff Smith f/k/a Jessie Ruth Shook passed on October 9, 1985 , in Henderson County, North Carolina. Her Last Will & Testament, as the same was probated in Henderson County, North Carolina, as Estate File 85 E 488, left the above described property to Carrie Lou Wilson. Carrie Lou Wilson passed on July 13 , 2018 and pursuant to the terms of her Last Will & Testament, as the same was probated in Henderson County, North Carolina, as Estate File 18 E 674, the above described property was inherited by Donna Jean Wilson. 19-574 Wilson BOOK 28 PAGE 571 (1) 891732 I 1111111111 - IIIIIIIIII This document presented and filed: 10/02/2018 10.49:49 AM VJ B WILLIAM LEE KING, Henderson COUNTY, NC North Carolina Department of The Secretary of State CERTIFICATE OF NAME CHANGE I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby certify that on the 21st day of September, 2018, articles duly executed by the proper officer to change the company name of the limited liability company named below, were filed in this office: Name at time of submission of name change amendment: DELSPRE PROPERTIES,LLC Name Change To SANSTONE HOME OFFICE PROPERTIES,LLC I FURTHER CERTIFY that this certificate is in compliance with North Carolina General Statutes 55D-26 and may be recorded in the office of the Register of Deeds in the same manner as deeds, the former name of the limited liability company appearing in the "Grantor" index and the amended name of the limited liability company appearing in the"Grantee" index. - IN WITNESS WHEREOF, I have hereunto ``' set myhand and affixed myofficial seal at ,`, �t ,� r ;'� _; • the City of Raleigh, this 28th day of j.1�#' ti - ;`<< ••' ' Di!' September, September, 2018. .%, t ti -:;;'' f i CI le •+'1• 11 -2 t didigat/ .....4- f,o4,alaie S !!! niine. Certification#103333847-1 Reference#14802775-JRS Page: 1 of 1 Secretary of State Verify this certificate online at httpJ/www.sosnc.gov/verification BOOK 3130 PAGE 466 (3) 874002 This document presented and filed: 11/17/2017 03.10.06 PM WB WILLIAM LEE KING, Henderson COUNTY, NC Transfer Tax: $80.00 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $80.00 Parcel Identifier No. Verified by County on the day of ,20 By: Mail/Box to: Phillip Price— 1200 Ridgefield Blvd.,Ste. 180,Asheville,NC 28806 This instrument was prepared by: C. Page Collie(Deed Preparation Only—No Title Search Performed) Brief description for the Index: THIS DEED made this day of November,2017,by and between GRANTOR GRANTEE CARRIE LOU WILSON, Widow DELSPRE PROPERTIES, LLC, A North Carolina Limited Liability Corporation Address: 69 Shook Knoll Address: 229 Airport Road,S . - 04 Mills River, NC 28759 Arden,NC 28704 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular,plural,masculine,feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot or parcel of land situated in the Town of Mills River, Mills River Township, Henderson County, North Carolina and more particularly described as follows: SEE ATTCHED EXHIBIT A NC Bar Association Form No. 3 © 1976,Revised© 1977,2002 Printed by Agreement with the NC Bar Association— 1981 -Chicago Title Insurance Company Book 3130 Page 467 The property being transferred by this Deed does not include the primary residence of the Grantor. (Per N.C.G.S. *105-317.2) The property hereinabove described was acquired by Grantor by instrument recorded in Book 349, at Page 004, Henderson County,North Carolina Register of Deeds Office. A map showing the above described property is recorded in Plat Book , at Page , and re-indexed in Plat Cabinet Slide ,Henderson County,North Carolina Register of Deeds Office. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever,other than the following exceptions: Henderson County ad valorem taxes for 2017, and subsequent years, which are a lien, but not yet due and payable, easements,rights of way and restrictions of record. IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. tLf22(1j00 CARRIE LOU WILSON (SEAL) SEAL-STAMP State of North Carolina—County of Henderson I, Margaret D. Gipe, the undersigned Notary Public of the County and State aforesaid, ,1M11111,,,,,,,,I,,, certify that CARRIE LOU WILSON, Widow, Grantors, personally appeared before me ,,`' WET O •, this day and acknowledged the due execution of the foregoing instrument for the purposes S Q. Q4-1/ therein expressed. 1IOTATI' " Witness my hand and Notarial stamp or seal this /- ' day of November,2017. ism P l-3 L C C�.' My Commission Expires: � 9/10/2019 Margaret ipe,Notary Public NC Bar Association Form No. 3 © 1976,Revised© 1977,2002 Printed by Agreement with the NC Bar Association— 1981 -Chicago Title Insurance Company Book 3130 Page 468 EXHIBIT A LYING AND BEING IN MILLS RIVER TOWNSHIP, HENDERSON COUNTY, NORTH CAROLINA BEING all of that 1.00 acres +/- as shown on that Plat of Survey recorded on September 27, 2017, in Plat Book 2017, at Page 10889, Henderson County Registry, which plat is titled "Recombination Survey for Henderson-Beystone Heathcare Properties, LLC" as the same was prepared by Blue Ridge Land Surveying, Inc., on September 14, 2017, as Job No. 17-131-D. This Conveyance is made SUBJECT TO easements, restrictions, rights of way of record and utility lines which may be in existence over or under the subject property. TOGETHER WITH and SUBJECT TO easements, rights of way and all other such matters as shown on the above-referenced plat and further of record in the Henderson County Registry. AND BEING a portion of that property conveyed to William P. Shook and wife, Jessie Ruth Shook, by that Deed recorded on February 25, 1956, in Deed Book 349, at Page 4, Henderson County Registry. Jessie Ruth Shook acquired sole title to the property by operation of law upon the passing of William P. Shook a/k/a William Pritchard Shook, on August 30, 1964, in Henderson County, North Carolina. Ruth Shook Smith a/k/a Ruth McInturff Smith f/k/a Jessie Ruth Shook passed on October 9, 1985, in Henderson County, North Carolina. Her Last Will & Testament, as the same was probated in Henderson County, North Carolina, as Estate File 85 E 488, left the above described property to Carrie Lou Wilson. 17-758