SW4240501_Supplemental Info Review_20240819

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/19/2024 3:47:14 PM (Supplemental Submittal)
Accept by bethany.georgoulias 8/20/2024 4:28:20 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 8/19/2024 3:47:16 PM
• bethany.georgoulias assigned the task to bethany.georgoulias 8/20/2024 12:30:37 PM

=DEQ •
Submittal from 8/19/2024
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* SW4240501
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* Reserve at Old Hollow
Owner/Operator* YP Walkertown, LLC
County: Forsyth
Submitter Name:* Norris Clayton
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 3362759826
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-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
2024-08-19 Reserve at Old Hollow-Grading.pdf 1.35MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail

File Upload Click the upload button,or drag and drop files to attach
2024-08-19 Reserve at Old Hollow-Wet Pond 1
436.77KB
Detail.pdf
2024-08-19 Reserve at Old Hollow-Wet Pond 2
448.99KB
Detail.pdf
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
SSW-SWU-101-Application-DEMLR-SPU Oct
65.06KB
2013.pdf
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
Stormwater Narrative.pdf 162.48KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Su pp EZ-2020-Version-2.1.3-20201203-D EM LR-
2.27MB
SW_signed-2.pdf
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
hydro.pdf 391.3KB
Wet Pond-2-rev.pdf 44.5KB
Wet Pond_2-Supplement_Wet
147.33K6
Basin_Rev9_Locked.pdf
Wet Pond-1-rev.pdf 44.48KB
Wet Pond_1-Supplement_Wet
147.38KB
Basin_Rev9_Locked.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
0-M-EZ-20201215-2.1--3-.pdf 11.5KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Reserve at Old Hollow Comment Response.pdf 66.41 KB
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:
Only revised sheets per comments have been included with this submittal.
* Q 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:* Norris Z. Clayton
Signature:
e�WW-4'&lQtJ 2W
Date Submitted: 08/19/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4240501
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* 08/20/2024