SW3210803_Supplemental Info Review_20210810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/10/2021 4:01:49 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/10/2021 4:12:53 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/10/2021 4:02 PM

Submittal from 8/10/2021
Permit Information:
Rease provide specific permit details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SW3210803
Begins with "SW', "NOG', or "NOS'
What DEQ Office is Reviewer: Rease correct if nisidentlfied, close this review forrn and reassign taskto the appropriate contact.
the Primary r Central Office
Contact?* r Washington Regional Office (Attn: Carl Dunn)
f Wilmington Regional Office (Attn: Christine Hall)
Project Name* Belle Mar Subdivision
Owner/Operator* Kent Olson, Development Solutions Group, LLC
County: Union
Submitter Name:* Patrick Matthew Needham
Mo is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7048412588
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary submittals)
File Type* Plansheet - Cover Sheet
File Upload Oickthe upload button, or drag and drop files to attach
080421 - Belle Mar —CIVIL PLANS (REV A).pdf 29.7MB
Only RDFfiles are accepted.
File Type* Stormwater Report
File Upload Click the upload button, or drag and drop files to attach
080421 - Belle Mar_Stormwater Report (REV A).pdf 7.11 MB
Only RDFfiles are accepted.
File Type* O&M Agreement/Plan

File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar - O-M-EZ.pdf
223.33KB
Only RYfiles are accepted.
File Type*
Deed Restriction/Protective Covenant Form
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar - SSW-DeedRestric-LDResid.pdf
119.1 1KB
Only FM are accepted.
File Type*
Application Form
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar - SSW-SWU-1 01 -Application. pdf
659.99KB
Only RYfiles are accepted.
File Type*
Supplement-EZ Form
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar - SuppEZ.pdf
221.09KB
Only RYfiles are accepted.
File Type*
Property Deed
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar Deed_DB 3498_PG 775.pdf
133KB
Only RYfiles are accepted.
File Type*
Development Agreement
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar Land Ovver Letter of Authorization. pdf
371.73KB
Only R Ffiles are accepted.
File Type*
USGS Topographic Site Map
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar Quad Map.pdf
17.67MB
Only FDFfiles are accepted.
File Type*
Soils/Geotechnical Report
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar Soil_Report.pdf
948.96KB
Only FDFfiles are accepted.
File Type*
Wetland Determination/Report
File Upload
aickthe upload button, or drag and drop files to attach
Belle Mar Wetlands Report.pdf
2.21 MB
Only F DFfiles are accepted.
File Type*
Signing Official Title & Position Information
File Upload
aickthe upload button, or drag and drop files to attach
farm docs 052721.PDF
628.95KB
Only FDFfiles are accepted.
File Type*
Signing Official Title & Position Information

File Upload aickthe upload button, or drag and drop files to attach
NCSOS - DSG Annual Report.pdf 30.56KB
Only FDFfiles are accepted.
Uploads contain r NO
Confidential f YES
Information * NOTE The following information cannot be claimed as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, information required by MODES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
17 By checking the box and signing box below, I certify that:
have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Patrick Matthew Needham
Signature:
Date Submitted: 08/10/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW3210803
Who needs a Reviewer selections will only be required for offices checked here.
copy? * rJ Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 08/10/2021