SW6211206_Supplemental Info Review_20220314

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/14/2022 5:32:47 PM (Supplemental Submittal)
Submit by Tran, Kieu M 3/15/2022 9:34:18 AM (Supplemental Info Submittal)
• Georgoulias, Bethany A reassigned the task to Tran, Kieu M 3/15/2022 8:03 AM
• The task was assigned to Georgoulias, Bethany A 3/14/2022 5:32 PM

Submittal from 3/14/2022
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*
SW6211206
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* Baywood Terrace Subdivision
Owner/Operator* R Chi, LLC
County: Cumberland
Submitter Name: *
George M Rose
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
9109775822
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*
Application Form
File Upload
Click the upload button, or drag and drop files to attach
BaywoodTerrace.stormwaterappl.pdf 2.29MB
Only PDF files are accepted.
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
BaywoodTerrace.SupplEZ.pdf 801.26KB
..........................................
Only PDF files are accepted.
.......................................................................................
File Type*
Design Calculations

File Upload Click the upload button, or drag and drop files to attach
BaywoodTerrace_stormcalcs.pdf 111.38KB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button, or drag and drop files to attach
USGS. portion Fay. pdf 494.22KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button, or drag and drop files to attach
SSEASanderosa.soilrpt.pdf 1.65MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button, or drag and drop files to attach
DB11210PG624RCHI.pdf 337.04KB
Only PDF files are accepted.
File Type* Signing Official Title & Position Information
File Upload Click the upload button, or drag and drop files to attach
SOS.RChiLLC.pdf 316.58KB
Only PDF files are accepted.
.................. ......... ......... ......... ......... .........
File Type* Plansheet - Other
File Upload Click the upload button, or drag and drop files to attach
BaywoodTerrace.set31022.pdf 22.71 MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
O&MEZ.cover.pdf 395.32KB
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:
I mailed the original Deed Restriction document on 12-16-21 and apparently didn't get a copy that I can scan and
upload.
* 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

o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* George M Rose
Signature:
PL76 �- 416
Date Submitted: 03/14/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW6211206
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* 03/15/2022