SW1231102_Supplemental Info Review_20240327

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/27/2024 4:55:06 PM (Supplemental Submittal)
Accept by Kaitlin Peck 3/28/2024 8:23:35 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 3/27/2024 4:55:07 PM

=DEQ •
Submittal from 3/27/2024
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* SW1231102
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* Nesbitt Farms Subdivision Phase 1
Owner/Operator* Billy Taylor,The Farm at Mills River, LLC
County: Henderson
Submitter Name:* Jesse Gardner
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 8282168399
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
SSW-SWU-101-Application-DEMLR-
873.44K6
Ph 1_20240319_executed.pdf
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
21802 Ph1 Storm RD Calcs 2024-03-21.pdf 4.14MB
Only PDF files are accepted.

File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Engineer Cert_AsBuiltCert_1.pdf 271.21 KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Low Density_AsBuiltCert 1.pdf 202.75KB
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
SSW-DeedRestric-LDResid-2015061 1-DEMLR-
161.74KB
SW_1_executed.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
Nesbitt Farms_Recorded_O&M.pdf 222.9KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Warranty Deed_3210.463.pdf 154KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Warranty Deed_3210.467.pdf 140.12KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
EZ Supplement Forms_2024.03.27.pdf 245.42KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Soils Report—Nesbitt Farms.pdf 1.18MB
Only PDF files are accepted.
File Type* Photos/Pictures
File Upload Click the upload button,or drag and drop files to attach
Pics_Com pressed.pdf 267.59KB
Only PDF files are accepted.
File Type* As-Built-SCM Plansheet

File Upload Click the upload button,or drag and drop files to attach
21802-Nesbitt Farms Phase 1 Stormwater
2.8MB
Record_2024.03.27.pdf
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Perm itteeCert AsBuiltCert_1_signed.pdf 182.6KB
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
TheFarmAtMillsRiver Recorded Restrictions.pdf 2.23MB
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;
o 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)
o 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:* Jesse Gardner
Signature:
��Yldt�tdir�t
Date Submitted: 03/27/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW1231102
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* 03/28/2024