SW3221002_Supplemental Info Review_20221004

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/4/2022 3:23:00 PM (Supplemental Submittal)
Submit by Tran, Kieu M 10/6/2022 8:51:04 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 10/4/2022 3:23 PM

Submittal from 10/4/2022
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*
SW3221002
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* Cardinal Row
Owner/Operator*
Edge 5 Realty, Inc
County:
Union
Submitter Name: *
Madison Grace Daniel
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
7048824222
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
SW3221002 - 5851 - SW Application - Signed.PDF 408.16KB
......................... .........
Only PDF files are accepted.
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File Type*
O&M Agreement/Plan
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - O&M Signed.PDF 119.94KB
Only PDF files are accepted.
File Type*
USGS Topographic Site Map

File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - USGS - QUAD MAP.pdf
2.22MB
Only PDF files are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - Cardinal Row - Preliminary Plat
45.74MB
- 2022-08-17 - Signed.pdf
...........................................................................................................................................................................
Only PDF files are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - Deed B8144 P0097.pdf
117.9KB
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
SW3221002 - 5851 - Deed Rest. & Protectiive -
38.24KB
Signed.PDF
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
SW3221002 - 5851 - LLC.pdf
13.72KB
Only PDF files are accepted.
File Type*
Stormwater Narrative
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - Stormwater Narrative.pdf
118.9KB
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Only PDF files are accepted.
...........
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - SuppEZ-2020-Version-2.1.3 -
411.59KB
Signed.pdf
.......................
Only PDF files are accepted.
........................
File Type*
Wetland Determination/Report
File Upload
Click the upload button, or drag and drop files to attach
SW3221002 - 5851 - Woodford Chase
362.35KB
DelineationMap 021418.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;
• 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:* Madison Grace Daniel
Signature:
l?elwe r rtaly 1W11-f
Date Submitted: 10/04/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3221002
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* 10/06/2022