SW4210802_Supplemental Info Review_20210816

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/16/2021 1:21:27 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/17/2021 3:57:04 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/16/2021 1:21 PM

Submittal from 8/16/2021
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* SW4210802
Begins with "SW', "NOG', 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* Middleton Subdivision
Owner/Operator* RS Parker Homes, LLC
County: Davidson
Submitter Name:* Rich Glover
Mo is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 3368865523
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
Middleton-App.pdf 808.49KB
Only RDFfiles are accepted.
File Type*
Deed Restriction/Protective Covenant Form
File Upload
Clickthe upload button, or drag and drop files to attach
Middleon-Restrict.pdf 489.07KB
Only RDFfiles are accepted.
File Type*
Design Calculations

File Upload
aickthe upload button, or drag and drop files to attach
Middleton -Ph 1-Calcs.pdf
417.69KB
Only FM are accepted.
File Type*
Property Deed
File Upload
aickthe upload button, or drag and drop files to attach
DB2452-2061. pdf
240.56KB
Only F DFfiles are accepted.
File Type*
USGS Topographic Site Map
File Upload
aickthe upload button, or drag and drop files to attach
Middleton-USGS.pdf
504.54KB
Only R Ffiles are accepted.
File Type*
Stormwater Narrative
File Upload
aickthe upload button, or drag and drop files to attach
Middleton-Narr.pdf
59.14KB
Only R Ffiles are accepted.
File Type*
Wetland Determination/Report
File Upload
aickthe upload button, or drag and drop files to attach
SAW-2020-01142 (signed PJD).pdf
740.61KB
Only F DFfiles are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
aickthe upload button, or drag and drop files to attach
01.PDF
1.81 MB
Only F DFfiles are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
aickthe upload button, or drag and drop files to attach
08.PDF
1.9MB
Only FDFfiles are accepted.
File Type*
Plansheet - Other
File Upload
aickthe upload button, or drag and drop files to attach
09-REV.PDF
919.42KB
Only F DFfiles are accepted.
File Type*
Plansheet - Misc. Detail
File Upload
aickthe upload button, or drag and drop files to attach
10.pdf
1.39MB
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 N DM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].

Notes about the attachments:
* P 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:* Thomas R. Glover Jr.
Signature:
Date Submitted: 08/16/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW4210802
Who needs a Reviewer selections will only be required for offices checked here.
copy? * rJ Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 08/17/2021