SW6221102_Supplemental Info Review_20221128

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/28/2022 9:33:12 AM (Supplemental Submittal)
Submit by Tran, Kieu M 11/28/2022 2:14:29 PM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 11/28/2022 9:33 AM

Submittal from 11/28/2022
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*
SW6221102
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*
Ashley Heights
Owner/Operator*
Ashley Heights, LLC
County:
Hoke
Submitter Name: *
Lee Humphrey
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
19106848646
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may remove unnecessary submittals)
File Description* Ashley Heights SHWT
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Ashely Heights _SHWT.pdf 781.85KB
Only PDF files are accepted.
File Description* Ashley Heights Deed
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Ashley Heights Deeds.pdf 464.54KB
Only PDF files are accepted.
......... ......... ......... ......... .........

File Description*
Ashley Heights Narrative
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights Narrative.pdf
33.55KB
Only PDF files are accepted.
File Description*
Ashley Heights USGS
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights USGS.pdf
339.9KB
Only PDF files are accepted.
File Description*
Ashley Heights Calculations
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights_Calculations.pdf
10.72MB
.............................................................................................................
Only PDF files are accepted.
File Description*
Signed Ashley Heights Deed Restrictions
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Signed Deed Restrictions. pdf
237.01 KB
Only PDF files are accepted.
File Description*
Ashley heights LLC
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights_LLC.pdf
12.74KB
Only PDF files are accepted.
File Description*
Signed Ashley Heights O&M Agreement
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Signed O&M Agreement Ashley Heights.pdf
2.06MB
...................................................................................................................
Only PDF files are accepted.
File Description*
Signed Ashley Heights Supplement EZ
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights —Supplement E-Z.pdf
434.82KB
Only PDF files are accepted.
......................................
File Description*
Ashley Heights Permit Application
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Signed Application Ashley Heights.pdf
1.84MB
Only PDF files are accepted.
File Description*
Ashley Heights SCM Plans
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Ashley Heights —SW Plans.pdf
15.64MB
Only PDF files are accepted.

File Description* Ashley Heights Plans
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Ashley Heights 11-11-22.pdf 18.33MB
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 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:* Jonathan Lee Humphrey
Signature:
Date Submitted: 11/28/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
S W6221102
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 Project Name doesnt match with Facility Name in BIMS
Added Info for CO
Staff Reviewer?
Review Date* 11/28/2022