SW3220701_Supplemental Info Review_20230315

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/15/2023 12:43:04 PM (Supplemental Submittal)
Submit by bethany.georgoulias 3/17/2023 10:59:44 AM (Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 3/15/2023 12:43:05 PM

Submittal from 3/15/2023
Permit Information:
Please Drovide sDecific Dermit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
State Stormwater (Post -Construction) Permit
Other
Permit Number*
SW3220701
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* Old Town Village
Owner/Operator*
Broadstreet Homes
County:
Union
Submitter Name:*
Mason Greeson
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
7049004755
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
SSW-SWU-101-Application-DEMLR-SPU Oct
901.37KB
2013. pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
Supplemental EZ Form.pdf 1.65MB
Only PDF files are accepted.

File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
Deed Restriction/Protective Covenant Form
Click the upload button, or drag and drop files to attach
SSW-DeedRestric-HDResid-2015061 1 -DEMLR-
SW.pdf
Only PDF files are accepted.
Plansheet - Landscape/Planting Plan
Click the upload button, or drag and drop files to attach
Planting C-807.pdf
Only PDF files are accepted.
Response To Comments
709.41 KB
1.84MB
Click the upload button, or drag and drop files to attach
Old Town Village NCDEQ Comment Response.pdf 309.99KB
Only PDF files are accepted.
Design Calculations
Click the upload button, or drag and drop files to attach
Old Town Village Engineering Calcs (2-20-23).pdf 11.68MB
Only PDF files are accepted.
Signing Official Title & Position Information
Click the upload button, or drag and drop files to attach
Broadstreet Homes Principal Verification, Brian
12.45KB
lagnemma.pdf
Only PDF files are accepted.
Deed Restriction/Protective Covenant Form
Click the upload button, or drag and drop files to attach
1-8-14, Broadstreet Homes Bylaws, fully
8.49M6
executed.pdf
Only PDF files are accepted.
Signing Official Title & Position Information
Click the upload button, or drag and drop files to attach
6-9-2022, Broadstreet Homes, Inc. - Certificate of
18.65KB
Good Standing State of NC.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:* Mason L. Greeson, PE
Signature:
Ma"A L, ;Yee O* PC
Date Submitted: 03/15/2023

Initial Review
Verify Permit No.* IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
SW3220701
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* 03/17/2023