SW6200904_Supplemental Info Review_20220823

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/23/2022 1:45:34 PM (Supplemental Submittal)
Submit by Tran, Kieu M 8/24/2022 8:04:56 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 8/23/2022 1:47 PM

Submittal from 8/23/2022
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*
SW6200904
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?
e Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Project Name*
Timberland Ranch
Owner/Operator*
Timberland Ranch, LLC
County:
Hoke
Submitter Name: *
Lee Humphrey
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
19106848646
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may remove unnecessary submittals)
...........................
File Description* Revised Permit Application Page 3
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Timberland
212.76KB
Ranch_Stormwater Application_Revised_Pg3.pdf
Only PDF files are accepted.
File Description* Revised EZ Supplement Form
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Timberland Ranch —Supplement E-Z_Rev.pdf 285.03KB
Only PDF files are accepted.

File Description* Comment Response
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
ResponseToComments#2.pdf 58.86KB
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')
• 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:
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Date Submitted: 08/23/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW6200904
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 The submitter identified supplemental information upload as "Other" instead of State
Added Info for CO SW, however files were described accurately.
Staff Reviewer?
Review Date* 08/24/2022