SW4210601_Supplemental Info Review_20221026

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2022 2:17:42 PM (Supplemental Submittal)
Submit by Tran, Kieu M 10/27/2022 8:13:08 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 10/26/2022 2:17 PM

Submittal from 10/26/2022
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*
SW4210601
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?
• Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Project Name* Wynnfall Subdivision - Phase I
Owner/Operator*
Buel B. Barker, Jr.
County:
Davidson
Submitter Name: *
Timothy S. Kennerly
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
336.775.2118
Additional E-mail for (Optional)
Submittal
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Application Form
File Upload Click the upload button, or drag and drop files to attach
_20-050 - Wynfall SSW-SWU-101-
1.94MB
Application_REV.pdf
Only PDF files are accepted.
File Type* Deed Restriction/Protective Covenant Form
File Upload Click the upload button, or drag and drop files to attach
SSW-DeedRestric-LDResid-20150611-DEMLR-
439.15KB
SW.pdf
Only PDF files are accepted.

File Type*
O&M Agreement/Plan
File Upload
Click the upload button, or drag and drop files to attach
20-050 - 0-M-EZ-20201215-2.1--3-.pdf
801.46KB
.........
Only PDF files are accepted.
......... ... ...............................................
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
20-050 - SuppEZ-2020-Version-2.1.3_1.pdf
1.6MB
Only PDF files are accepted.
File Type*
USGS Topographic Site Map
File Upload
Click the upload button, or drag and drop files to attach
20-050 - Wynnfall Subdivision USGS.pdf
1.52MB
Only PDF files are accepted.
File Type*
Stormwater Narrative
File Upload
Click the upload button, or drag and drop files to attach
20-050 - WYNNFALL SUBDIVISION PROJECT
73.14KB
NARRATIVE.pdf
Only PDF files are accepted.
File Type*
Response To Comments
File Upload
Click the upload button, or drag and drop files to attach
DEMLR-Storm Comments on 04-26-22B-
390.5KB
Resp_2022-10-25.pdf
Only PDF files are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
Click the upload button, or drag and drop files to attach
C-200 - Site Plan.pdf
1.36MB
Only PDF files are accepted.
File Type*
Plansheet - Existing Drainage Area
File Upload
Click the upload button, or drag and drop files to attach
DA-1 - Drainage Area Map - Culvert.pdf
1.59MB
Only PDF files are accepted.
File Type*
Plansheet - Existing Drainage Area
File Upload
Click the upload button, or drag and drop files to attach
DA-2 - Drainage Area Map - Sediment Basin.pdf
1.56MB
Only PDF files are accepted.
File Type*
Plansheet - Proposed Drainage Area
File Upload
Click the upload button, or drag and drop files to attach
DA-3 - Drainage Area Map - Ditch.pdf
1.62MB
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:
Attached are the revised items requested in the comment letter dated 4/26/22 from Jim Farkas
* 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:* Timothy S. Kennerly
Signature:
F" !1 A"
Date Submitted: 10/26/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4210601
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 Owner doesnt match with BIMS
Added Info for CO
Staff Reviewer?
Review Date* 10/27/2022