SWA000114_Supplemental Info Review_20210901

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2021 4:00:39 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/2/2021 8:08:57 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/1/2021 4:00 PM

Submittal from 9/1/2021
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*
SWA000114
Begins with "SW', "NOG', or "NCS'
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*
Crescent Hill Subdivision
Owner/Operator*
Thyme Properties, LLC
County:
Forsyth
SubmitterName:*
Alex Carter
ftio is subnitting this infornation?
E-mail Address:*
[e-mail]
Phone Number*
336-748-0071
Additional E-mail for (Optional)
Submittal
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
1-SSW Fast Track ATC Form 20180210.pdf 1.44MB
Only RDFfiles are accepted.
File Type*
USGS Topographic Site Map
File Upload
Oickthe upload button, or drag and drop files to attach
3-USGS NC_Rural_Hall.pdf 5.34MB
Only RDFfiles are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan

File Upload
Oickthe upload button, or drag and drop files to attach
4-Crescent Hill SP.pdf
1.12MB
Only FM are accepted.
File Type*
Construction Sequence
File Upload
Oickthe upload button, or drag and drop files to attach
5-SW Construction Sequence.pdf
254.81 KB
Only F DFfiles are accepted.
File Type*
Property Deed
File Upload
Oickthe upload button, or drag and drop files to attach
6A-DB3503 Pg460 Corvus.pdf
153.74KB
Only F DFfiles are accepted.
File Type*
Property Deed
File Upload
Oickthe upload button, or drag and drop files to attach
6B-DB3527 Pg3937 Doughit.pdf
125.57KB
Only F DFfiles are accepted.
File Type*
Recorded Document
File Upload
Oickthe upload button, or drag and drop files to attach
7-Thyme Properties LLC - Sec of State Filing.pdf
64.25KB
Only F DFfiles are accepted.
Uploads contain r NO
Confidential r YES
Information * NOTE The following infornation cannot be claimed as confidential: the nave and address of any perrrit applicant or
pernittee, pernit applications, pernits, effluent data, information required by I FDM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
Fast Track Application
* V By checking the box and signing box below, I certify that
o I have given true, accurate, and complete information on this form;
o 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')
o 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');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Alex Carter
Signature:
Date Submitted: 09/01/2021

Initial Review
Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SWA000114
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 * 09/02/2021