SW4240102_Supplemental Info Review_20240524

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/24/2024 10:27:24 AM (Supplemental Submittal)
Accept by bethany.georgoulias 5/27/2024 11:19:22 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 5/24/2024 10:27:26 AM
• The task was assigned to bethany.georgoulias by round robin distribution 5/24/2024 10:27:26 AM

=DEQ •
Submittal from 5/24/2024
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* SW4240102
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* Pine Ridge-Phase 2
Owner/Operator* L R Pine Ridge Associates II, LLC
County: Forsyth
Submitter Name:* Steve Causey
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 3367652377
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* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
SWM 1.pdf 786.04KB
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
SWM 2.pdf 1.12MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan

File Upload Click the upload button,or drag and drop files to attach
SWM 3.pdf 491.11KB
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
SWM 4.pdf 927.08KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
SWM 5.pdf 471.98KB
SWM 6.pdf 503.19KB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
SWM 7.pdf 477.68KB
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 and
377.32KB
covenances_SIGN ED_PineRidgePh2.pdf
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
DEED Bk3789, Pg2000_2O240118 LR PINE RIDGE
149.21 KB
II.pdf
NC SOS Certificate of
33.06KB
Authority_LRPineRidgeAssociatesl I,LLC.pdf
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 topo map.pdf 3.66MB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
stormwater narrative-pine ridge.pdf 3.47MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
o&m agreement_SIGNED_PineRidge2.pdf 554.16KB
Only PDF files are accepted.

File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
permit app_SIGNED_PineRidgePh2.pdf 1.06MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SUPP EZ.pdf 506.44KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
letter.pdf 119.83KB
response to comments.pdf 49.01 KB
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:
It should be noted that the stormwater narrative includes the design calculations and soils map for the site. In addition,
the secretary of state information is provided with the two documents under the file type,"Recorded Documents".
* 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');
d 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:* Steve Causey
Signature:
0awd-VI
Date Submitted: 05/24/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4240102
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 Still assigned to Kaitlin Peck in BIMS.
Added Info for CO
Staff Reviewer?
Review Date* 05/27/2024