SW3220403_Supplemental Info Review_20220429

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/29/2022 10:40:57 AM (Supplemental Submittal)
Submit by Tran, Kieu M 4/29/2022 1:12:46 PM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 4/29/2022 10:41 AM

Submittal from 4/29/2022
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*
SW3220403
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* The Bluffs at Wesley Chapel
Owner/Operator*
JCH NC, LLC
County:
Union
Submitter Name: *
Robb Klauk
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
7042587968
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
SSW-SWU-101-Application-DEMLR-SPU Oct
381.31 KB
2013_03.15.21.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
O&M Agreement.pdf 111 KB
Only PDF files are accepted.

File Type*
Design Calculations
File Upload
Click the upload button, or drag and drop files to attach
The Bluffs at Wesley Chapel - Engineering Calcs
12.91 MB
(2.28.22).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
Deed Restriction.pdf
53.07KB
Only PDF files are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
_10.0.1.6_U nion_I mages_Deeds_0755_0755039...
190.44KB
Only PDF files are accepted.
File Type*
Response To Comments
File Upload
Click the upload button, or drag and drop files to attach
1021119 Comment Response 4.26.2022.pdf
147.47KB
....................- ..........................................................................
Only PDF files are accepted.
File Type*
Plansheet - SCM Detail
File Upload
Click the upload button, or drag and drop files to attach
2022-04-27_The Bluffs at Wesley Chapel_NCDEQ
7.37MB
Submittal.pdf
_ .............................__
Only PDF files are accepted.
................................
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
Supplement.pdf
259.41 KB
..........................
Only PDF files are accepted.
.....................
File Type*
Wetland Determination/Report
File Upload
Click the upload button, or drag and drop files to attach
2021-0147_BillyHoweyRoadSite_Prelim_12.2.21.pdf
4.25MB
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
JCH NC, LLC - NC Approval.pdf
1.54MB
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
Actions of Managers JCH NC LLC Re Officers
216.44KB
Signatories (SIGNED)- (2021).pdf
Only PDF files are accepted.
File Type*
Development Agreement

File Upload Click the upload button, or drag and drop files to attach
Authorization Letters.pdf 82.42KB
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: * Robb Klauk
Signature:
Date Submitted: 04/29/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3220403
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* 04/29/2022