SW6170202_Supplemental Info Review_20240109

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/9/2024 10:00:28 AM (Supplemental Submittal)
Accept by Kaitlin Peck 1/9/2024 1:10:13 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 1/9/2024 10:00:30 AM

=DEQ •
Submittal from 1/9/2024
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* SW6170202
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* Bedford Commercial
Owner/Operator* H&M Bedford LLC
County: Hoke
Submitter Name:* Cynthia Smith
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 910-484-5191
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* Deed Restriction/Protective Covenant Form
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Covenants.pdf 7.14MB
Bedford Commercial Covenants 4th Amendment.pdf 111.35KB
Bedford Commercial Covenants 5th Amendment.pdf 604.86KB
Bedford Commercial Covenants 1st Amendment.pdf 499.49KB
Bedford Commercial Covenants 2nd Amendment.pdf 218.14KB
Bedford Commercial Covenants 3rd Amendment.pdf 165.06KB
Only PDF files are accepted.
File Type* Application Form

File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Stormwater Permit Transfer
2.27MB
Form.pdf
Bedford Commercial Stormwater Permit.pdf 308.97KB
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Current Owners Sec of State
977.03KB
Docs.pdf
Bedford Commercial Owners Assoc Articles of
730.88KB
Incorporation.pdf
Bedford Commercial Owners Assoc Sec of State
596.36KB
Docs.pdf
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
Bedford Commercial West Deed.pdf 696.28KB
Bedford Commercial East Deed.pdf 1.02MB
Only PDF files are accepted.
File Type* As-Built-SCM Plansheet
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Pond 1 Inspection.pdf 2.45MB
Bedford Commercial Pond 3 Inspection.pdf 2.85MB
Bedford Commercial Pond 2 Inspection.pdf 2.29MB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Designer's Certification.pdf 468.04KB
Only PDF files are accepted.
File Type* As-Built-SCM Plansheet
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Pond 2_20231204_0001.pdf 4.15MB
Bedford Commercial Pond 1_20231204_0001.pdf 4.18MB
Bedford Commercial Pond 3_20231204_0001.pdf 4.22MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
Bedford Commercial Pond 2 O&M.pdf 1.47MB
Bedford Commercial Pond 3 O&M.pdf 1.49MB
Bedford Commercial Pond 1 O&M.pdf 1.47MB
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:* Cynthia Smith
Signature:
Date Submitted: 01/09/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6170202
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* 01/09/2024