SW4210801_Supplemental Info Review_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/18/2022 9:43:56 AM (Supplemental Submittal)
Submit by Tran, Kieu M 8/19/2022 8:32:44 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 8/18/2022 9:44 AM

Submittal from 8/18/2022
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: *
Chad E Abbott
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
9196257368
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* Design Calculations
File Upload Click the upload button, or drag and drop files to attach
A - SW4210801 Holt Farm - Revised swale
824.23KB
calculation.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
B - SW4210801 Holt Farm - Revised Deed
934.13KB
restriction.pdf
Only PDF files are accepted.

File Type* Application Form
File Upload Click the upload button, or drag and drop files to attach
C - SW4210801 Holt Farm Application (only pg 3
4.08MB
revised).pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
D - SW4210801 Holt Farm - Revised EZ
1.86MB
supplement.pdf
Only PDF files are accepted.
File Type*
Response To Comments
File Upload
Click the upload button, or drag and drop files to attach
E - SW4210801 Holt Farm - Submittal 4 Response to
481.88KB
comments.pdf
0 - SW4210801 Holt Farm - Submittal 4
637.18KB
Transmittal.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:
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
o 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')
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC Genera[ 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:* Chad E. Abbott
Signature:
Date Submitted: 08/18/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
S W4210801
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* 08/19/2022