SW4220301_Supplemental Info Review_20221214

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/14/2022 2:04:00 PM (Supplemental Submittal)
Submit by DeBerry, Margie V 12/15/2022 8:46:26 AM (Supplemental Info Submittal)
• The task was assigned to DeBerry, Margie V 12/14/2022 2:04 PM

Submittal from 12/14/2022
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*
SW4220301
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* Woodhaven Subdivision
Owner/Operator*
Randall Dunston
County:
Forsyth
Submitter Name: *
Ravindra Bissram
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
3365446426
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
2. SuppEZ-2020-Version-2.1.3-updated-sea Ied. pdf 229.99KB
Only PDF files are accepted.
File Type*
Design Calculations
File Upload
Click the upload button, or drag and drop files to attach
2a. SWALES-perm-revised 2022-12-14.pdf 46.71KB
.........
Only PDF files are accepted.
......... .........
File Type*
Plansheet - Grading/Drainage Plan

File Upload Click the upload button, or drag and drop files to attach
Overall Grading.pdf 2.35MB
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
Drainage - sheet 1.pdf 1.85MB
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
Drainage - sheet 2.pdf 1.65MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button, or drag and drop files to attach
2022-12-14 Response to comments-NCDEQ.pdf 642.65KB
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:
These sheets are revised per comments from NCDEQ dated September 6, 2022
* 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:* Ravindra Bissram
Signature:
Date Submitted: 12/14/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4220301
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* 12/15/2022