SW3230701_Supplemental Info Review_20230706

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/6/2023 3:02:27 PM(Supplemental Submittal)
Accept by Kaitlin Peck 7/7/2023 1:38:20 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 7/6/2023 3:02:28 PM

=DEQ •
Submittal from 7/6/2023
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* SW3230701
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* Stewart's Grove Subdivision
Owner/Operator* Southbury Development, LLC
County: Union
Submitter Name:* M.Shane Sanders, PE, PLS
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 910-725-1020
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
23.06.29 REV-Application.PDF 263.28KB
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 restriction.PDF 73.52KB
Only PDF files are accepted.
File Type* Design Calculations

File Upload Click the upload button,or drag and drop files to attach
23.06.21 Stormwater Impact Analysis(SIA).pdf 7.26MB
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.PDF 1.39MB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
C1.0 COVER.pdf 732.85KB
Only PDF files are accepted.
File Type* Plansheet-Notes
File Upload Click the upload button,or drag and drop files to attach
C1.1 NOTES.pdf 646KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
C1.213 EXIST CONDITIONS PHll.pdf 1.41 MB
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
C1.3A SITE.pdf 1.35MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
C1.4 GRADING.pdf 2.12MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
C2.8 SCM DETAILS.pdf 1.03MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DB 814-345.pdf 147.22KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
63AO091 (Southbury Dev.-Stewarts Pond
5.56MB
Development)-GEO.RPT.pdf
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
supplement EZ.PDF 1.29MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
USGS.pdf 219.35KB
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
NCSOS_SouthburyDevelopmentLLC Annual
11.8KB
Filing.pdf
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');
d 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:* Matthew Shane Sanders
Signature:
Date Submitted: 07/06/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3230701
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* 07/07/2023