SW5210701_Supplemental Info Review_20210707

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/7/2021 12:21:14 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 7/7/2021 12:44:33 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 7/7/2021 12:21 PM

Submittal from 7/7/2021
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*
SW5210701
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*
Beaver Creek Phases 2 & 3
Owner/Operator* Little Bear Creek Properties, LLC
County: Nash
Submitter Name:* Stephen Ballentine
Mo is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9195941626
Additional E-mail for (Optional)
Submittal
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary submittals)
File Type* Application Form
File Upload Clickthe upload button, or drag and drop files to attach
2021-06-17 STORM WATER Submittal #1
14.08MB
Combined.pdf
Only R7Ffiles are accepted.
File Type* Property Deed
File Upload aick the upload button, or drag and drop files to attach
DB 3038 PG 548.pdf 216.05KB
Only RYfiles are accepted.

File Type* Plansheet - Other
File Upload aickthe upload button, or drag and drop files to attach
2021-07-01 BEAVER CREEK PHASES 2&3.pdf 26.26MB
Only R Ffiles 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, pernits, effluent data, information required by INFCM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
The attachments do not have signatures. We mailed you the signed/notarized paper application and deed
restrictions. We do not have PDFs with signatures. Refer to the signed, notarized paper documents, which you asked
us to mail to you.
* 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:* Stephen Ballentine
Signature:
Date Submitted: 07/07/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW5210701
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 * 07/07/2021