SW6210901_Supplemental Info Review_20210908

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/8/2021 3:32:18 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/9/2021 7:03:26 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/8/2021 3:32 PM

Submittal from 9/8/2021
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*
SW6210901
Begins with "SW', "NCG', 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*
Gates Farm Subdivision
Owner/Operator* Spout Springs Holdings, LLC
County: Hoke
Submitter Name:* Matt Lowder
VUio is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 9195536570
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
Gates Farm Subdivision_ Application.pdf 761.45KB
Only RDFfiles are accepted.
File Type*
Deed Restriction/Protective Covenant Form
File Upload
Oickthe upload button, or drag and drop files to attach
Gates Farm Subdivision —Deed Restrictions. pdf 188.78KB
Only RDFfiles are accepted.
File Type*
Supplement-EZ Form

File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Supplement.pdf
298.77KB
Only RYfiles are accepted.
File Type*
O&M Agreement/Plan
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_O&M Agreement.pdf
376.61 KB
Only FM are accepted.
File Type*
Design Calculations
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Calculations.pdf
5.16MB
Only FDF files are accepted.
File Type*
Property Deed
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Deed.pdf
99.87KB
Only FDF files are accepted.
File Type*
Signing Official Title & Position Information
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_LLC.pdf
314.13KB
Only FDF files are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision —Cover Sheet.pdf
373.35KB
Only R Ffiles are accepted.
File Type*
Plansheet - Existing Conditions/Survey
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Existing Conditions
417.4KB
Plan.pdf
Only FDF files are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Site Plan.pdf
561.96KB
Only FDF files are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Grading & Drainage
646.67KB
Plan.pdf
Only FDF files are accepted.
File Type*
Plansheet - SCM Detail

File Upload Oickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_SCM Detail.pdf 625.44KB
Only FDFfiles are accepted.
File Type* Plansheet - Misc. Detail
File Upload aickthe upload button, or drag and drop files to attach
Gates Farm Subdivision_Drainage Details.pdf 591.39KB
Only FDFfiles are accepted.
Uploads contain r NO
Confidential f 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 NODES application forns provided by
the Director inclusive of all fours 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:* Matt Lowder
Signature:
Date Submitted: 09/08/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW6210901
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