SW3220306_Supplemental Info Review_20230216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/16/2023 9:05:39 AM (Supplemental Submittal)
Submit by bethany.georgoulias 2/16/2023 7:59:54 PM (Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 2/16/2023 9:06 AM

Submittal from 2/16/2023
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*
SW3220306
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* Preserve at Forest Creek Phase 1
Owner/Operator* Waxhaw Ventures, LLC
County: Union
Submitter Name: * Frank McMahan
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 704-333-0325
Additional E-mail for [e-mail]
Submittal (Optional)
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
Stormwater Management Permit Application Form
229.53KB
(Signed 2-13-23).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-HDResid-2015061 1 -DEMLR-SW
157.7KB
(updated 6.22.22).pdf
Only PDF files are accepted.

File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
Deed Restriction/Protective Covenant Form
Click the upload button, or drag and drop files to attach
SSW -Deed Restric-H DResid-20150611-DEM LR-SW
149.84KB
(updated 2.13.23).pdf
Only PDF files are accepted.
...................................... ......................................
Design Calculations
Click the upload button, or drag and drop files to attach
Preserve at Forest Creek Calculation Book (02-10-
23).pdf
Only PDF files are accepted.
Plansheet - Proposed Drainage Area
Click the upload button, or drag and drop files to attach
Forest Creek Phase 1 - Storm Drainage Chapter 4
.pdf
Only PDF files are accepted.
Plansheet - Existing Drainage Area
Click the upload button, or drag and drop files to attach
Forest Creek Phase 1 - Erosion Control Chapter
6.pdf
Only PDF files are accepted.
Supplement-EZ Form
Click the upload button, or drag and drop files to attach
Supplement-EZ Form - Signed (2-15-23).pdf
Only PDF files are accepted.
Response To Comments
53.37MB
29.45MB
70.93MB
136.26KB
Click the upload button, or drag and drop files to attach
1020233 Comment Response Letter 6.24.2022.pdf 72.56KB
Only PDF files are accepted.
Response To Comments
Click the upload button, or drag and drop files to attach
1020233 Comment Response Letter 2-15-2023.pdf 183.35KB
Only PDF files are accepted.
O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
O&M EZ 071414_1.1 (10.20.22) SIGNED.pdf 121.3KB
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:
All files uploaded will be delivered to Jim Farkas via UPS.
* 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
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* David Gusty
Signature:
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Date Submitted: 02/16/2023

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3220306
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* 02/16/2023