SW6210702_Supplemental Info Review_20210907

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/7/2021 2:15:50 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/9/2021 7:00:38 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/7/2021 2:16 PM

Submittal from 9/7/2021
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*
SW6210702
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*
Walter Meadow
Owner/Operator* Walters Meadow LLC
County: Hoke
Submitter Name:* Lee Humphrey
Mo is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 9106848646
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* O&M Agreement/Plan
File Upload Oickthe upload button, or drag and drop files to attach
Signed O&M Agreement Walter Meadow.pdf 996.87KB
Only RDFfiles are accepted.
File Type* Plansheet - Other
File Upload Oickthe upload button, or drag and drop files to attach
Walters Meadow 9.1.21.pdf 8.5MB
Only RDFfiles are accepted.

Uploads contain F NO
Confidential r YES
Information * NOTE The following inforrretion cannot be clairred as confidential: the narre and address of any pernit applicant or
perrrittee, permt applications, pernits, effluent data, inforrretion required by MODES application forrrs provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
Hard Copies will be dropped in the mail priority Wednesday.
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:* Lee Humphrey
Signature:
lee, � =/dlfi7 te9l
Date Submitted: 09/07/2021

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
Added Info for CO
Staff Reviewer?
Review Date * 09/09/2021