SW4231203_Supplemental Info Review_20240214

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/14/2024 4:01:33 PM (Supplemental Submittal)
Accept by Kaitlin Peck 2/16/2024 7:41:48 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 2/14/2024 4:01:34 PM

=DEQ •
Submittal from 2/14/2024
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* SW4231203
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* Noland Farm
Owner/Operator* Sagamore Homes, NC Inc.A North Carolina Corporation
County: Davidson
Submitter Name:* Paul A.Stimpson
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7045608514
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
notarized application.pdf 816.85KB
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
revised stormwater calculations.pdf 411.96KB
Only PDF files are accepted.
File Type* As-Built-Certification

File Upload Click the upload button,or drag and drop files to attach
as-built designer's certification.pdf 243.73KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
as-built permittee certification.pdf 163.63KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
C1.0-revised Record Drawing 02-14-24.pdf 4.13MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
C4.0.pdf 1.9MB
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
re-recorded plat to reference operation&
275.26K6
maintenance agreement.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
revised supplement with Drainage Areas page
316.72K6
added.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
Deed Restrictions&Covenants.pdf 440.03KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
deed 2533.pdf 125.89KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
deed 2544.pdf 104.2KB
Only PDF files are accepted.
File Type* BUA Allocations

File Upload Click the upload button,or drag and drop files to attach
project density calculation.pdf 35.54KB
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:
* 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:* Paul Alexander Stimpson
Signature:
V/�I tr./i�i 5✓iwAJnr
Date Submitted: 02/14/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4231203
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* 02/16/2024