SW6220504_Supplemental Info Review_20220606

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/6/2022 4:54:25 PM (Supplemental Submittal)
Submit by Tran, Kieu M 6/7/2022 7:43:02 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 6/6/2022 4:54 PM

Submittal from 6/6/2022
Permit Information:
Please provide specific permit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
• State Stormwater (Post -Construction) Permit
Other
Permit Number*
SW6220504
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* Cameron Village
Owner/Operator* Cameron Village of Hoke, LLC
County: Hoke
Submitter Name: *
Lee Humphrey
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
910-684-8646
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
Signed Stormwater Permit Application Cameron
532.11 KB
Village.pdf
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button, or drag and drop files to attach
Cameron Village_Calculations.pdf 4.36MB
Only PDF files are accepted.

File Type*
Plansheet - Grading/Drainage Plan
File Upload
Click the upload button, or drag and drop files to attach
Grading Plan.pdf
3.01 MB
.........................................................................................................................................................................................
Only PDF files are accepted.
File Type*
Plansheet - SCM Detail
File Upload
Click the upload button, or drag and drop files to attach
Cameron Village_SW Plan.pdf
11.25MB
Only PDF files are accepted.
File Type*
Plansheet - Existing Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
Existing Conditions.pdf
8.53MB
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
Site Plan.pdf
19.6MB
Only PDF files are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
Click the upload button, or drag and drop files to attach
Cover Sheet.pdf
5.71 MB
Only PDF files are accepted.
File Type*
Plansheet - Proposed Drainage Area
File Upload
Click the upload button, or drag and drop files to attach
Storm Drainage Area Plan.pdf
2.59MB
..................................................................................................................................
Only PDF files are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
1439-122 SWD Cameron Property to Cameron
172.29KB
Village.pdf
1439-126 QCD Cameron Property to Cameron
105.04KB
Village.pdf
Hendrix DB 1089, Pg 134.pdf
135.64KB
...............................................................................................................
Only PDF files are accepted.
.........
File Type*
Soils/Geotechnical Report
File Upload
Click the upload button, or drag and drop files to attach
Cameron Village SHWT Report.pdf
2.89MB
Only PDF files are accepted.
File Type*
Stormwater Narrative
File Upload
Click the upload button, or drag and drop files to attach
Cameron Village Narrative.pdf
65.58KB
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
Signed Cameron Village EZ Supplement.pdf 332.59KB
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
Signed Cameron Village Deed Restrictions. pdf 234.38KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
Signed Cameron Village O&M Agreement.pdf 541.32KB
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
Cameron Village of Hoke LLC - DE Certificate of
22.29KB
Good Standing form only.pdf
Cameron Village of Hoke, LLC - NCSOS Certificate
1.39MB
of Authority.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
Cameron Village USGS Map.pdf 280.95KB
Only PDF files are accepted.
........ ......... ......... ......... .........
File Type* Soils/Geotechnical Report
File Upload Click the upload button, or drag and drop files to attach
Cameron Village Soils Maps.pdf 456.66KB
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:* Jonathan Lee Humphrey
Signature:
Date Submitted: 06/06/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW6220504
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* 06/07/2022