SW6230604_Supplemental Info Review_20230629

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/29/2023 9:50:50 AM (Supplemental Submittal)
Accept by Kaitlin Peck 6/29/2023 1:14:54 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 6/29/2023 9:50:52 AM

=DEQ •
Submittal from 6/29/2023
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* SW6230604
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* Fox Field Farms
Owner/Operator* RP Wellons Land&Development, LLC
County: Harnett
Submitter Name:* Fleet Temple
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9106582446
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
Stormwater Mang Application SIGNED.pdf 509.83KB
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
Deed Restrictions-Protective Covenants
676.79KB
SIGNED.pdf
Only PDF files are accepted.

File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Swale_Calc_Data-Equations SIGNED 06-20-
531.99K6
2023.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
O&M Agreement SIGNED.pdf 1.65MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
C1.0.pdf 1.66MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
C3.0.pdf 1.52MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
C3.1.pdf 1.54MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
C5.1.pdf 4.56MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DB3565-743.pdf 417.96KB
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
LLC Documentation.pdf 49.89KB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
Project Narrative.pdf 139.59KB
Only PDF files are accepted.
File Type* Supplement-EZ Form

File Upload Click the upload button,or drag and drop files to attach
Low Density Supplement Form.pdf 2.28MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
Fox Field USGS with Site.pdf 328.1 KB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
Old US 421_Wetland Investigation Memorandum.pdf 162.69KB
Only PDF files are accepted.
Is this project funded No
with ARPA grant Yes
funds?
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
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Peter E N Temple
Signature: ��}}
Date Submitted: 06/29/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6230604
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
Brianna Holland
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 06/29/2023