SW3181201_Supplemental Info Review_20220407

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/7/2022 2:46:51 PM (Supplemental Submittal)
Submit by Tran, Kieu M 4/8/2022 11:55:50 AM (Supplemental Info Submittal)
• Georgoulias, Bethany A reassigned the task to Tran, Kieu M 4/8/2022 8:26 AM
• The task was assigned to Georgoulias, Bethany A 4/7/2022 2:47 PM

Submittal from 4/7/2022
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*
SW3181201
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* Rob Wallace Park - Phase 1113
Owner/Operator*
Cabarrus County
County:
Cabarrus
Submitter Name: *
MATTHEW BLACKMON
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
7048315686
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
Rob Wallace Ph2B - Stormwater Applicatation
2.09MB
(Signed & Notarized).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
Rob Wallace Ph2B - O&M-EZ (Signed &
939.58KB
Notarized).pdf
Only PDF files are accepted.

File Type*
Plansheet - Cover Sheet
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Cover.pdf 463.86KB
Only PDF files are accepted.
File Type*
Plansheet - Existing Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Existing
1.05MB
Conditions.pdf
.....................................................................................................................
Only PDF files are accepted.
File Type*
Plansheet - Notes
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Erosion
4.29MB
Notes.pdf
Only PDF files are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
Click the upload button, or drag and drop files to attach
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
Rob Wallace Phase 2B Plan Set (Storm) - Site
923.62KB
Plan.pdf
Only PDF files are accepted.
Plansheet - Grading/Drainage Plan
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Grading
Plan.pdf
Only PDF files are accepted.
Plansheet - Existing Drainage Area
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Erosion
Plan - Pre.pdf
Only PDF files are accepted.
...........................................................................
Plansheet - Proposed Drainage Area
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Erosion
Plan - Post.pdf
Rob Wallace Park - Phase IIB - DA-1 REVISED
Drainage Area Map.pdf
Only PDF files are accepted.
Plansheet - Misc. Detail
1.25MB
1.58MB
1.86MB
1.5MB

File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Details (2
1.04MB
of 2).pdf
Rob Wallace Phase 2B Plan Set (Storm) - Details (1
2.72 M B
of 2).pdf
..........................................................................................................
Only PDF files are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Phase 2B Plan Set (Storm) - Utility
1.19MB
Plan.pdf
Only PDF files are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Ph2B - Property Plat_DB 8528-PG
298.51 KB
0313.pdf
....................................................................................................................................
Only PDF files are accepted.
File Type*
Response To Comments
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Park - Phase IIB - Response to
464.7KB
Comments Letter - 3.31.22.pdf
Only PDF files are accepted.
File Type*
Stormwater Narrative
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Ph2B - Narrative.pdf
21.74KB
Only PDF files are accepted.
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Ph2B - SuppEZ-2020-Version-2.1.3
1010.08K6
(Signed and Sealed).pdf
Only PDF files are accepted.
File Type*
USGS Topographic Site Map
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Ph2B - USGS Map.pdf
1.1MB
_..........................................................................................................___
Only PDF files are accepted.
_._
File Type*
As -Built - Certification
File Upload
Click the upload button, or drag and drop files to attach
Rob Wallace Ph2 - Stormwater Certification (Signed
1.03MB
& Sealed).pdf
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:
The above are for your review for the Stormwater Permit Application for the Rob Wallace Park - Phase I I project.
Please feel free to contact me with any questions, comments or concerns.
* 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 BLACKMON
Signature:
Date Submitted: 04/07/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3181201
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* 04/08/2022