SW4230701_Supplemental Info Review_20231107

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/7/2023 1:19:36 PM (Supplemental Submittal)
Accept by Kaitlin Peck 11/7/2023 2:18:13 PM(Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 11/7/2023 1:19:37 PM

=DEQ •
Submittal from 11/7/2023
Permit Information:
Please provide specific permit details below.
................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
* NPDES Industrial or MS4 Permit
State Stormwater(Post-Construction)Permit
Other
Permit Number* SW4230701
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* High Meadows, Sec 2
Owner/Operator* PR-King Development, LLC
County: Stokes
Submitter Name:* Alex Carter
Who is submitting this information?
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 may remove unnecessary submittals)
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
1_SSW-SWU-101-Application-High Meadows REV
1.55MB
11-6-23-Sig ned.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
2—Deed Restriction_High Meadows_Signed.pdf 292.55KB
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
3_SuppEZ_11-6-23_Signed.pdf 464.45KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
3b_OM_High Meadows_Signed.pdf 922.52KB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
5 Post Construction Stormwater Cover Letter
278.53K6
SIGNED.pdf
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
6_NC_King_20190804_U SGS.pdf 9.12M B
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
7_SW_Calcs_11-7-23_Signed.pdf 1.37MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
8_21-202_High_Meadows_PLAN SET.pdf 19.32MB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
9_NRCS_Soil_Map.pdf 942.16KB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
9b 8567 Maverick Trail Drive Wet Delin
191.06K6
Map_10.14.22.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
10_Deed_07400425.pdf 124.47KB
Only PDF files are accepted.
File Type* Signing Official Title&Position Information

File Upload Click the upload button,or drag and drop files to attach
11_Articles of Incorporation_PR-King.pdf 61.27KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
SW4230701 Response for Additional Information.pdf 350.58KB
Only PDF files are accepted.
Is this project funded No
with ARPA grant Yes
funds?*
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:
* WA 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:* Alex Carter
Signature:
Alex 691 fne
Date Submitted: 11/07/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4230701
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* 11/07/2023