SW3230901_Supplemental Info Review_20240104

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/4/2024 12:05:54 PM (Supplemental Submittal)
Accept by Kaitlin Peck 1/5/2024 8:14:05 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 1/4/2024 12:05:56 PM

=DEQ •
Submittal from 1/4/2024
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* SW3230901
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* Baylor Grove
Owner/Operator* Cameron Helms
County: Union
Submitter Name:* Kayle Schmidt
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7048824222
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* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-(3)SuppEZ-
776.49K6
2024-01-03.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-C-0.0 Cover
1.63M6
Sheet-2024-01-03.pdf
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
SW3230901 -7756-Baylor Grove-C-1.0 Site Plan
3.27M6
2024-01-03.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-C-2.2 Erosion
2.67MB
Control Plan Ph3-2024-01-03.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-C-2.3 Erosion
8.74M6
Control Data Sheet-2024-01-03.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-C-2.4 Baylor
1.37M6
Grove Rd-2024-01-03.pdf
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-Comment
319.14K6
Response Letter-2024-01-03.pdf
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
SW3230901 -7756-Baylor Grove-On Site
95.49KB
Determination Email-2023-12-18.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');
• 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:* Cameron Helms
Signature:
�`!!I/Y!-IAY yy�IIYJ
Date Submitted: 01/04/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3230901
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* 01/05/2024