SW4210801_Supplemental Info Review_20210811

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/11/2021 2:16:51 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/12/2021 7:06:50 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/11/2021 2:17 PM

Submittal from 8/11/2021
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*
SW4210801
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*
Holt Farm
Owner/Operator*
Cimland, LLC
County:
Alamance
Submitter Name:*
Joel Sain
ftio is subnitting this infornation?
E-mail Address:*
[e-mail]
Phone Number*
9199876178
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*
Application Form
File Upload
Oickthe upload button, or drag and drop files to attach
B - Stormwater application.pdf 5.03MB
Only RDFfiles are accepted.
File Type*
Recorded Document
File Upload
Oickthe upload button, or drag and drop files to attach
C - Fee (check# 1471).pdf 389.68KB
Only R7Ffiles are accepted.
File Type*
Deed Restriction/Protective Covenant Form

File Upload
Oickthe upload button, or drag and drop files to attach
D - Deed restrictions. pdf
1.1 1MB
Only R Ffiles are accepted.
File Type*
Recorded Document
File Upload
Oickthe upload button, or drag and drop files to attach
E - LLC report.pdf
25.84KB
Only F DFfiles are accepted.
File Type*
Design Calculations
File Upload
Click the upload button, or drag and drop files to attach
F - Calculations package.pdf
10.06MB
Only F DFfiles are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.0 Cover sheet.pdf
667.45KB
Only FDFfiles are accepted.
File Type*
Plansheet - E)asting Conditions/Survey
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.1 EC1.pdf
1.25MB
Only F DFfiles are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.2 EC2.pdf
1.26MB
Only F DFfiles are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.3 Pre Plat 2.pdf
908.93KB
Only FDFfiles are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.4 Grading plan.pdf
737.24KB
Only F DFfiles are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
Oickthe upload button, or drag and drop files to attach
C-1.5 PP.pdf
592.57KB
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 permt applicant or
pernittee, pernit applications, pernits, effluent data, information required by M DM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].

Notes about the attachments:
* r% 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")
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');
• 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:* Joel Sain
Signature:
Date Submitted: 08/11/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW4210801
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 * 08/12/2021