SW4240203_Supplemental Info Review_20240515

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/15/2024 8:45:39 AM (Supplemental Submittal)
Accept by bethany.georgoulias 5/17/2024 9:29:30 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 5/15/2024 8:45:41 AM
• The task was assigned to bethany.georgoulias by round robin distribution 5/15/2024 8:45:41 AM

=DEQ •
Submittal from 5/15/2024
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* SW4240203
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* Hidden Woods Village Residential Subdivision
Owner/Operator* Sheppard Inc
County: Forsyth
Submitter Name:* Alex Carter
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 336.748.0071
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
1-SSW-SWU-101 Application Signed.pdf 2.6MB
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
2-Deed Restrictions Signed.pdf 674.78KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan

File Upload Click the upload button,or drag and drop files to attach
3A-0-M Signed.pdf 562.96KB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
5-Post Construction Stormwater Cover Letter.pdf 288.59KB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
6-USGS Rural Hall.pdf 3.55MB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
7-Side_Ditch_Calcs.pdf 845.68KB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
8A-Hidden_Woods_Village_SP_SET.pdf 3.15MB
813-Kristofer Glenn 2008 City Signed ENG.pdf 21.53MB
8C-Hidden_Woods_Village_EC_Set.pdf 14.06MB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
9A-Stanleyville Dr—Wet Report_07.07.23.pdf 2.12MB
913-Stanleyville Drive_USACE E-mail
285.22KB
Concu rrence_8.16.23.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
10-Deed Bk3761 Pg2812.pdf 191.27KB
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
11-Sheppard Articles.pdf 56.16KB
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:
Third submittal of documents to portal.
* 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:* Alex Carter
Signature:
Gflax�`��trrr
Date Submitted: 05/15/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4240203
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* 05/17/2024