SW4210801_Supplemental Info Review_20220421

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/21/2022 12:35:40 PM (Supplemental Submittal)
Submit by Tran, Kieu M 4/21/2022 3:47:31 PM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 4/21/2022 12:35 PM

Submittal from 4/21/2022
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*
SW4210801
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* Holt Farms
Owner/Operator*
Cimland, LLC
County:
Alamance
Submitter Name: *
Joel Sain
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
919-987-6178
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*
Response To Comments
File Upload
Click the upload button, or drag and drop files to attach
B - Responde to comments.pdf 1.55MB
Only PDF files are accepted.
File Type*
Application Form
File Upload
Click the upload button, or drag and drop files to attach
C - Revised stormwater application.pdf 4.04MB
....................................
Only PDF files are accepted.
.......................
File Type*
Supplement-EZ Form

File Upload
Click the upload button, or drag and drop files to attach
D - Revised EZ supplement form.pdf
2.29MB
..................................................................................................................................................................
Only PDF files are accepted.
File Type*
Schedule of Compliance
File Upload
Click the upload button, or drag and drop files to attach
E - Pipe certification. pdf
1.17MB
Only PDF files are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
Click the upload button, or drag and drop files to attach
C-1.0 Cover sheet.pdf
757.41 KB
Only PDF files are accepted.
File Type*
Plansheet - Existing Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
C-1.1 Existing EC.pdf
1.31 MB
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
C-1.2 EC 2.pdf
1.09MB
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
C-1.3 Pre plat.pdf
1006.12KB
Only PDF files are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
Click the upload button, or drag and drop files to attach
C-1.4 Grading plan.pdf
814.26KB
Only PDF files are accepted.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
Click the upload button, or drag and drop files to attach
C-1.5 PP.pdf
761.87KB
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;

• 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:* Joel Sain
Signature:
Date Submitted: 04/21/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4210801
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* 04/21/2022