SW4200702_Supplemental Info Review_20210810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/10/2021 4:08:31 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/11/2021 1:24:04 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/10/2021 4:09 PM

Submittal from 8/10/2021
Permit Information:
Rease provide specific permt details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SW4200702
Begins with "SW', "NCG', or "NCS'
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* Lewisville Community Center
Owner/Operator* Town of Lewisville
County: Forsyth
Submitter Name:* Jacob Moore
Vft is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 3364783348
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary subnittals)
File Type* Design Calculations
File Upload Oickthe upload button, or drag and drop files to attach
Lewisville CC Stormwater Calculations 08.03.21.pdf 4.01 MB
Only RDFfiles are accepted.
File Type* Application Form
File Upload Oickthe upload button, or drag and drop files to attach
Signed Stormwater Permit 08.03.21.pdf 499.57KB
Only R7Ffiles are accepted.
File Type* Supplement-EZ Form

File Upload
aick the upload button, or drag and drop files to attach
Signed & Sealed EZ Form.pdf
242.9KB
Only RYfiles are accepted.
File Type*
Stormwater Narrative
File Upload
Oickthe upload button, or drag and drop files to attach
Stormwater Narrative.pdf
98.58KB
Only RYfiles are accepted.
File Type*
USGS Topographic Site Map
File Upload
Oickthe upload button, or drag and drop files to attach
Lewisville CC USGS Map 06.26.20.pdf
1.62MB
Only FDFfiles are accepted.
File Type*
Property Deed
File Upload
Oickthe upload button, or drag and drop files to attach
Recombination Deed for Community Center.pdf
172.13KB
Only RYfiles are accepted.
File Type*
Soils/Geotechnical Report
File Upload
aick the upload button, or drag and drop files to attach
Lewisville_Community_Center_-
5.13MB
_Geotech_Report.pdf
Only FDFfiles are accepted.
File Type*
Soils/Geotechnical Report
File Upload
Click the upload button, or drag and drop files to attach
NRCS Soils Report.pdf
735.12KB
Only FDFfiles are accepted.
File Type*
O&M Agreement/Plan
File Upload
Oickthe upload button, or drag and drop files to attach
Lewisville Stormwater _Signed O&M Agreement.pdf
1.02MB
Only FDF files are accepted.
File Type*
Plansheet - E)asting Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
C-100 - E)asting Conditions.pdf
1.3MB
Only FDF files are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
C-101 - Demolition & Phase I ES Plan - Rev #7.pdf
1.32MB
Only FDF files are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
C-102 - Phase 11 Erosion Control Plan - Rev #9.pdf
1.73MB
Only FDFfiles are accepted.

File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
cickthe upload button, or drag and drop files to attach
C-200 - Site Layout Plan - Rev #13.pdf
Only RDFfiles are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
cickthe upload button, or drag and drop files to attach
C-300 - Utility Plan - Rev #10.pdf
Only RDFfiles are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
cickthe upload button, or drag and drop files to attach
C-400 - Grading & Drainage Plan - Rev #13.pdf
Only RDFfiles are accepted.
File Type*
Plansheet - SCM Detail
File Upload
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C-401 - Biocell Notes & Details - Rev #6.pdf
Only RDFfiles are accepted.
File Type*
Plansheet - Proposed Drainage Area
File Upload
cickthe upload button, or drag and drop files to attach
C-402 - Watershed Plan - Rev #13.pdf
Only RDFfiles are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
C-500 - Sanitary & Storm Sewer Profiles - Rev
#9. pdf
Only FDF files are accepted.
File Type*
.........
Plansheet - Misc. Detail
File Upload
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C-600 - Notes & Details - Rev #7.pdf
Only FDFfiles are accepted.
File Type*
Plansheet - Misc. Detail
File Upload
Oicktheupload button, ordrag and drop files toattach
C-601 - Notes & Details - Add #3.pdf
Only FDFfiles are accepted.
File Type*
Plansheet - Misc. Detail
File Upload
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C-602 - Notes & Details.pdf
Only FDFfiles are accepted.
File Type*
Plansheet - Misc. Detail
1.83MB
984.04KB
1.32MB
600.17KB
1.8MB
525.74KB
1013.25KB
1.17MB
3.37MB

File Upload
Oickthe upload button, or drag and drop files to attach
C-603 - Notes & Details.pdf
5.41 MB
Only FDFfiles are accepted.
File Type*
Plansheet - Landscape/Planting Plan
File Upload
aick the upload button, or drag and drop files to attach
1-1.0 - Tree Save Plan - Add #1.pdf
812.47KB
Only FDFfiles are accepted.
File Type*
Plansheet - Landscape/Planting Plan
File Upload
aickthe upload button, or drag and drop files to attach
L1.1 - Landscape Plan - Rev #10.pdf
1.14MB
Only FDFfiles are accepted.
File Type*
Plansheet - Landscape/Planting Plan
File Upload
Click the upload button, or drag and drop files to attach
1-1.2 - Enhanced Landscape Plan - Rev #10.pdf
1.01 MB
Only FDFfiles are accepted.
Uploads contain F NO
Confidential r YES
Information * NOTE The following infornetion cannot be clained as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, infornation required by MODES application forns provided by
the Director inclusive of all forms and attachments [%f. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
17 By checking the box and signing box below, I certify that:
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:* Jacob Moore
Signature:
Date Submitted: 08/10/2021

Initial Review
Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW4200702
Who needs a Reviewer selections will only be required for offices checked here.
copy? * rJ Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 08/11/2021