SW4231203_Supplemental Info Review_20231211

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/11/2023 3:15:54 PM (Supplemental Submittal)
Accept by Kaitlin Peck 12/13/2023 1:23:19 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 12/11/2023 3:15:56 PM

=DEQ •
Submittal from 12/11/2023
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* SW4231203
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* Noland Farm
Owner/Operator* Sagamore Homes, NC Inc.A North Carolina Corporation
County: Davidson
Submitter Name:* Paul Stimpson
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 704-560-8514
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
revised application 11-30-23.pdf 706.43KB
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
revised stormwater calculations 11-30-23.pdf 373.25KB
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 form revised 11-30-23.pdf 210.26KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
As-Built Designer's certification for General MDC.pdf 257.54KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
As-Built Designer's Certification for Low Density.pdf 240.45KB
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&Covenants.pdf 440.03KB
Only PDF files are accepted.
File Type* BUA Allocations
File Upload Click the upload button,or drag and drop files to attach
project density calculation.pdf 35.54KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
Deed Restrictions&Covenants.pdf 440.03KB
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
SIGNED 2222629-Noland Farm-C1.0-RECORD
DRAWING SITE,Stormwater AND UTILITY 1.55MB
PLAN.pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
SIGNED 2222629-Noland Farm-C4.0
1.67M6
DRAINAGE AREA MAP.pdf
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
signed-as-built permittee certification.pdf 164.46KB
Only PDF files are accepted.
File Type* Property Deed

File Upload Click the upload button,or drag and drop files to attach
deed 2533.pdf 125.89KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
deed 2544.pdf 104.2KB
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
Noland Farm Plat_Recorded_11-17-23.pdf 267.98KB
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
documentation from secretary of state.pdf 27.38KB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
stormwater narrative.pdf 143.59KB
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 quad map 11-20-23.pdf 104.76KB
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:
o I have given true,accurate,and complete information on this form;
d 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)
d 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');
o 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:* Paul Alexander Stimpson
Signature:
Date Submitted: 12/11/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4231203
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* 12/13/2023