SWA000106_Supplemental Info Review_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/21/2021 10:24:06 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 6/22/2021 7:57:29 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 6/21/2021 10:24 AM

Submittal from 6/21/2021
Permit Information:
Rease provide specific permit details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SWA000106
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* Pinewood Subdivision
Owner/Operator* Olde South Land Partners, Inc
County: Cabarrus
Submitter Name:* Kate Underwood
Mo is submitting this information?
E-mail Address:* [e-mail]
Phone Number* [phone]
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
Click the upload button, or drag and drop files to attach
Application_Signed and Sealed.pdf 555.71 KB
Only RDFfiles are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
210113.000 Property Deed.pdf 133.96KB
Only RDFfiles are accepted.
File Type*
USGS Topographic Site Map

File Upload
aickthe upload button, or drag and drop files to attach
210113.000 USGS Topo Map.pdf 9.17MB
Only FM are accepted.
File Type*
Design Calculations
File Upload
aickthe upload button, or drag and drop files to attach
210113.000 Full Report Culvert Calcs_Sealed.pdf 4.91 MB
Only F DFfiles are accepted.
File Type*
Plansheet - Other
File Upload
aickthe upload button, or drag and drop files to attach
210113 PINEWOOD SUBDIVISION.pdf 11.86MB
Only F DFfiles are accepted.
File Type*
Signing Official Title & Position Information
File Upload
aickthe upload button, or drag and drop files to attach
210113.000 NC Sec of State Search Results.pdf 44.92KB
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, permits, effluent data, information required by I FDM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
* V 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:* Addisen Rowles
Signature:
Date Submitted: 06/21/2021

Initial Review
Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SWA000106
Who needs a
Reviewer selections will only be required for offices checked here.
copy? *
r% Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Corey Anen
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 06/22/2021