SW6210702_Supplemental Info Review_20210803

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/3/2021 9:58:56 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/3/2021 3:44:30 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/3/2021 9:59 AM

Submittal from 8/3/2021
Permit Information:
Reese provide specific permt details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
f State Stormwater (Post -Construction) Permit
r Other
Permit Number* SW6210702
Begins with "SW', "NC C3', or "NOS'
What DEQ Office is Reviewer: Reese 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* Walter Meadow
Owner/Operator* Walters Meadow LLC
County:
Submitter Name:*
E-mail Address:*
Phone Number*
Hoke
Lee Humphrey
Mo is subnitting this infornation?
[e-mail]
9106848646
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may rerrove unnecessary subnittals)
File Description* Walters Meadow
File nacre will incorporate this description.

File Upload Oickthe upload button, or drag and drop files to attach
Walters Meadow Deed Restrictions Signed.pdf
1.02MB
Walters Meadow Signed Application.pdf
3.66MB
Walters Meadow Signed O&M Agreement.pdf
669.4KB
Walters Meadow Calculations.pdf
5.06MB
Walters Meadow Fully Executed
12.64MB
OTP 4.29.2021.pdf
Walters Meadow LLC.pdf
313.58KB
Walters Meadow Ownership Deeds.pdf
2.92MB
Walters Meadow Property Owner Authorization. pdf
294.57KB
Walters Meadow SHWT Report.pdf
2.24MB
Walters Meadow SW Plan.pdf
9.48MB
Only FDFfiles are accepted.
Uploads contain r NO
Confidential r YES
Information * NOTE The following information cannot be claimed as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, information required by NODES application forms provided by
the Director inclusive of all forms and attachments [%f. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
Stormwater Permit Application Information for Walters Meadow.
17 By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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')
• 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');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Lee Humphrey
Signature:
16e, wl"tely
Date Submitted: 08/03/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW6210702
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
I suspect the file names may not be correct.
Added Info for CO
Staff Reviewer?
Review Date * 08/03/2021