SW3210301_Supplemental Info Review_20220209

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/9/2022 9:08:19 AM (Supplemental Submittal)
Submit by EADS\bageorgoulias 2/14/2022 8:36:13 AM (Supplemental Info Submittal)
• EADS\bageorgoulias reassigned the task to EADS\bageorgoulias 2/12/2022 10:09 AM
• The task was assigned to McCoy, Suzanne 2/9/2022 9:08 AM

Submittal from 2/9/2022
Permit Information:
Please provide specific hermit details below.
What Type of Permit? Choose one:
* NPDES Industrial or MS4 Permit
• State Stormwater (Post -Construction) Permit
Other
Permit Number*
SW3210301
Begins with "SW", "NCG", or "NCS'
What DEQ Office is
Reviewer: Please correct if misidentified, close this review form, and reassign task to the appropriate contact.
the Primary Contact?
• Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Project Name* Cresswind Phases 2 & 3
Owner/Operator* KH Wesley Chapel, LLC
County: Union
Submitter Name: * Matthew S. Kiker
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9805215999
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
27842.0002 and 27842.0003 - NCDEQ
Supplemental EZ Form -Updated - Sealed 2021-11- 905.65KB
17.pdf
Only PDF files are accepted.
File Type* Design Calculations

File Upload Click the upload button, or drag and drop files to attach
27842.0002 - SW Management Report - Sealed
12.37MB
2021-09-16. pdf
27842.0003 - SW Management Report - Sealed
11.76MB
2021-11-10.pdf
Only PDF files are accepted.
_...................................................................__ ...................
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
27842.0002 - O&M Agreement.pdf 94.42KB
27842.0003 - O&M Agreement.pdf 437.98KB
Only PDF files are accepted.
Uploads contain • NO
Confidential YES
Information* NOTE: The following information cannot be claimed as confidential: the name and address of any permit applicant
or permittee, permit applications, permits, effluent data, information required by NPDES application forms provided
by the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
* 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:* Matthew S. Kiker
Signature:
0 esv 6-1
Date Submitted: 02/09/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3210301
Who needs a Copy?* Reviewer selections will only be required for offices checked here.
Central Office Staff
Regional Office Stormwater Contact
State Stormwater RO Staff
No Copy Needed
Central Office Reviewer:*
Notifies CO Staff with Email
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 02/14/2022