SW3210802_Supplemental Info Review_20210811

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/11/2021 1:21:26 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/12/2021 7:08:49 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/11/2021 1:22 PM

Submittal from 8/11/2021
Permit Information:
Rease provide specific permt details below.
........ ......... ......... .........
What Type of
Choose one:
Permit?*
r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number*
SW3210802
Begins with "SW', "NCG', 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*
The Estates at Marvin Branch
Owner/Operator* JCH NC, LLC
County: Union
Submitter Name:* Robb Klauk
ftio is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 7043330325
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 subnittals)
File Type*
Application Form
File Upload
Oickthe upload button, or drag and drop files to attach
Stormwater Permit Application.pdf 269.19KB
Only RDFfiles are accepted.
File Type*
Stormwater Report
File Upload
Oickthe upload button, or drag and drop files to attach
1020319 - Calc Report.pdf 2.76MB
Only R7Ffiles are accepted.
File Type*
Deed Restriction/Protective Covenant Form

File Upload
aickthe upload button, or drag and drop files to attach
Low Density Deed Restrictions. pdf
82.5KB
Only FM are accepted.
File Type*
Supplement-EZ Form
File Upload
aickthe upload button, or drag and drop files to attach
Low Density Supplement.pdf
153.6KB
Only FDF files are accepted.
File Type*
Property Deed
File Upload
aickthe upload button, or drag and drop files to attach
L_Images_Deeds_7917_79170614.tif doc.pdf
476.74KB
Only FDF files are accepted.
File Type*
Signing Official Title & Position Information
File Upload
aickthe upload button, or drag and drop files to attach
JCH NC, LLC - NC Approval.pdf
1.54MB
Only FDF files are accepted.
File Type*
Plansheet - Other
File Upload
aickthe upload button, or drag and drop files to attach
2021-08-04 The Estates at Marvin Branch Land
52.06MB
Development Package.pdf
Only FDF files are accepted.
Uploads contain r NO
Confidential f YES
Information * NOTE The following infornation cannot be clained as confidential: the narre and address of any pernit applicant or
perrrittee, permt applications, pernits, effluent data, infornation required by NODES application forns provided by
the Director inclusive of all forms and attachments [%f. 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:* Robb Klauk
Signature:
Date Submitted: 08/11/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW3210802
Who needs a
Reviewer selections will only be required for offices checked here.
copy? *
r% Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Corey Anen
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 08/12/2021