SW3220803_Supplemental Info Review_20240813

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/13/2024 8:31:42 AM (Supplemental Submittal)
Accept by bethany.georgoulias 8/19/2024 2:58:25 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 8/13/2024 8:31:44 AM
• bethany.georgoulias assigned the task to bethany.georgoulias 8/19/2024 2:57:59 PM

=DEQ •
Submittal from 8/13/2024
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* SW3220803
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* Cresswind Phase 4
Owner/Operator* KH Wesley Chapel, LLC
County: Union
Submitter Name:* Matthew Kiker
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9805215999
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* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
27842.0004-Cresswind-Phase 4-Full Set Sealed
79.79MB
2024-08-08.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
27842.0004 NCDEQ Supplemental EZ Form-
143.26K6
Updated 2024-08-12.pdf
Only PDF files are accepted.

File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
27842.0004-SW Management Report-2024-08
10.48M B
08.pdf
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
D00081224-08122024145924.pdf 1 M B
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
d I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Matthew S Kiker
Signature: yyyy ^�
1wev17l,W,[��t
Date Submitted: 08/13/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3220803
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
Brianna Holland
Any Comments or Still assigned to J. Farkas in BIMS.
Added Info for CO
Staff Reviewer?
Review Date* 08/19/2024