SW3200101_Supplemental Info Review_20220216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/16/2022 9:38:33 AM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 2/17/2022 8:06:16 AM (Supplemental Info Submittal)
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 2/16/2022 5:19 PM
• The task was assigned to McCoy, Suzanne 2/16/2022 9:38 AM

Submittal from 2/16/2022
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*
SW3200101
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 - Phase 1 - Major Modification
Owner/Operator*
KH Wesley Chapel, LLC
County:
Union
Submitter Name: *
Matthew 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* Plansheet - SCM Detail
File Upload Click the upload button, or drag and drop files to attach
27842.0001 - C3.33 Wet Pond Plan and Details -
998.89KB
REV 8 - Sealed 2021-12-09.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
27842.0001 - NCDEQ Supplemental EZ Form -
827.42KB
Major Mod Revision - Sealed 2021-12-09.pdf
Only PDF files are accepted.

File Type* Design Calculations
File Upload Click the upload button, or drag and drop files to attach
27842.0001 - SW Management Report - Major Mod
21.92MB
Revision - Sealed 2021-12-09.pdf
Only PDF files are accepted.
.............................................................................................................
File Type* Property Deed
File Upload Click the upload button, or drag and drop files to attach
Cresswind Wesley Chapel Phase 1A Plat.pdf 1.57MB
Cresswind Wesley Chapel Phase 1 B Plat.pdf 7.1 MB
WC Amenity Plat.pdf 644.14KB
Only PDF files are accepted.
File Type* As -Built - Certification
File Upload Click the upload button, or drag and drop files to attach
General MDC As Built Certification - Sealed 2022-02-
898.57KB
07.pdf
Permittee Cert - As Built Certification. pdf 830.16KB
Wet Detention Pond As Built Certification - Sealed
162.87KB
2022-01-24.pdf
Only PDF files are accepted.
File Type* Deed Restriction/Protective Covenant Form
File Upload Click the upload button, or drag and drop files to attach
Recorded Deed Restrictions. pdf 917.19KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button, or drag and drop files to attach
SSW-SWU-1 01 -Application Signed.pdf 316.57KB
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:
o I have given true, accurate, and complete information on this form;
o 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');
o 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:* Matthew S. Kiker
Signature:
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Date Submitted: 02/16/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3200101
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* 02/17/2022