SW6220907_Supplemental Info Review_20221006

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/6/2022 3:08:17 PM (Supplemental Submittal)
Submit by Tran, Kieu M 10/7/2022 8:04:10 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 10/6/2022 3:08 PM

Submittal from 10/6/2022
Permit Information:
Please provide specific hermit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
State Stormwater (Post -Construction) Permit
• Other
Permit Number*
SW6220907
Begins with "SW", "NCG", or "NCS'
What DEQ Office is
Reviewer: Please correct if misidentified, close this review form, and reassign task to the appropriate contact.
the Primary Contact?
e Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Project Name* Mason Landing Subdivision
Owner/Operator*
Hal Long
County:
Harnett
Submitter Name: *
Jared Matthews, PE
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
9195520849
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may remove unnecessary submittals)
File Description* Deeds
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Deed1
2022_08_23_08_44_09_571951380_doc_967022
Deed2
2022_08_23_08_44_09_571951380_doc_673443
Only PDF files are accepted.
File Description* Ditch Calculations
File name will incorporate this description.
94.37KB
94.37KB

File Upload
Click the upload button, or drag and drop files to attach
Ditch Calcs.pdf
904.79KB
Only PDF files are accepted.
File Description*
Application Form
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
NC DENR DEMLR - Form SWU-101 -
_Stormwater Management_Permit_Application_F...
786.84KB
- Signed.pdf
...............................................................................................................................................................
Only PDF files are accepted.
File Description*
O-M-EZAgreement
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
0-M-EZ-20201215-2.1--3- - Signed.pdf
205.49KB
Only PDF files are accepted.
File Description*
Site Plan Cover
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Site Plan Cover.pdf
1.28MB
..................................................................................................
Only PDF files are accepted.
File Description*
Site Plan Erosion (Drainage Areas)
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Site Plan Erosion.pdf
1.23MB
Only PDF files are accepted.
File Description*
Site Plan Grading and Drainage
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Site Plan Grading.pdf
872.1KB
Only PDF files are accepted.
File Description*
Site Overall Layout
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Site Plan Overall Layout.pdf
776.42KB
Only PDF files are accepted.
File Description*
Deed Restriction
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
SSW-DeedRestric-LDResid-2015061 1 -DEMLR-SW -
296.68KB
Signed.pdf
Only PDF files are accepted.
File Description*
Supplement EZ Form
File name will incorporate this description.

File Upload Click the upload button, or drag and drop files to attach
SuppEZ - Signed.pdf 239.93KB
Only PDF files are accepted.
Uploads contain • NO
Confidential YES
Information* NOTE: The following information cannot be claimed as confidential: the name and address of any permit applicant
or permittee, permit applications, permits, effluent data, information required by NPDES application forms provided
by the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
* By checking the box and signing box below, I certify that:
• I 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: * jared matthews
Signature:
Date Submitted: 10/06/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW6220907
Who needs a Copy?* Reviewer selections will only be required for offices checked here.
Central Office Staff
Regional Office Stormwater Contact
State Stormwater RO Staff
No Copy Needed
Central Office Reviewer:*
Notifies CO Staff with Email
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 10/07/2022