SW4220301_Supplemental Info Review_20220524

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/24/2022 4:17:37 PM (Supplemental Submittal)
Submit by Tran, Kieu M 5/25/2022 7:35:55 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 5/24/2022 4:18 PM

Submittal from 5/24/2022
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*
SW4220301
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* Woodhaven Subdivision
Owner/Operator*
Randy Dunston
County:
Forsyth
Submitter Name: *
Ravindra Bissram
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
3365446426
Additional E-mail for (Optional)
Submittal
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-1 01 -Application-DEMLR-SPU Oct 2013
665.87KB
signed-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
2022-02-08 WOODHAVEN SUBDIVISION-
412.8KB
signedlocked_cover.pdf
Only PDF files are accepted.

File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
Plansheet - Other
Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
574.05KB
signedlocked_abbreviations.pdf
Only PDF files are accepted.
.............................................................................................................
Plansheet - Misc. Detail
Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
1.18MB
signedlocked_detail1.pdf
Only PDF files are accepted.
Plansheet - Misc. Detail
Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_detail2.pdf
Only PDF files are accepted.
Plansheet - Grading/Drainage Plan
Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_overallgrading.pdf
Only PDF files are accepted.
Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_grading 1.pdf
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_grading2.pdf
Only PDF files are accepted.
File Type*
Plansheet - Notes
File Upload
Click the upload button, or drag and drop files to attach
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_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
2022-02-08 WOODHAVEN SUBDIVISION-
signedlocked_siteplan.pdf
Only PDF files are accepted.
4.32MB
9.51 MB
3.22MB
2.71 MB
2MB
5.19MB

File Type*
Plansheet - Existing Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
Existing Conditions.pdf
5.98MB
.........................................................................................................................................................................................
Only PDF files are accepted.
File Type*
Stormwater Report
File Upload
Click the upload button, or drag and drop files to attach
2022-02-14 Stormwater Report-Ir.pdf
5AMB
Only PDF files are accepted.
File Type*
Design Calculations
File Upload
Click the upload button, or drag and drop files to attach
SWALES-perm.pdf
43.21 KB
2022-03-01 Revised Ditchline Calcs.pdf
5.5MB
....................................................................................
Only PDF files are accepted.
File Type*
O&M Agreement/Plan
File Upload
Click the upload button, or drag and drop files to attach
Revised O&M-signed.pdf
197.64KB
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 restrictions-signed.pdf
140.79KB
Only PDF files are accepted.
.................
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
6. DEED.pdf
119.79KB
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.pdf
97.24MB
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:
Attachments are requested from the first plan submittal.
* 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:* Ravindra Bissram
Signature:
Date Submitted: 05/24/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4220301
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* 05/25/2022