SW4240203_Supplemental Info Review_20240625

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/25/2024 10:08:23 PM(Supplemental Submittal)
Accept by Kaitlin Peck 6/26/2024 8:19:15 AM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 6/25/2024 10:08:29 PM
• The task was assigned to Kaitlin Peck by round robin distribution 6/25/2024 10:08:29 PM

=DEQ •
Submittal from 6/25/2024
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 (Optional)
Submittal
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-1 01-Application-Hidden Woods Village
166.09K6
Revised Pages 3-4.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
2-Revised Deed Restrictions Signed.pdf 2.11 MB
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
3-SuppEZ-2020-Version-2.1.3-6-25-24.pdf 380.42KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
5-
SW4240203_Response_for_Additional_Informatio... 365.06KB
25-24.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
8-23-201_H idden_Woods_Vi Ilage_S P_S ET_Rev_6-
2.37MB
25-24.pdf
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
8B-23-
201_Hidden_Woods_Village_EC_SHTS_for_SW_... 5.11 MB
25-24.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
8C-Prior Plan Sheets P-4 through P-6.pdf 1.55MB
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:
This upload is only for revised documents and plans requested for additional information
* Q 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:
� �/rG�a�ttrjt
Date Submitted: 06/25/2024

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* 06/26/2024