SW3240801_Supplemental Info Review_20240814

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/14/2024 9:56:23 AM (Supplemental Submittal)
Accept by Jacob Beeker 8/15/2024 4:35:43 PM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 8/14/2024 9:56:25 AM
• Jacob Beeker assigned the task to Jacob Beeker 8/15/2024 4:33:32 PM

=DEQ •
Submittal from 8/14/2024
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* SW3240801
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* Adelina Phase 1
Owner/Operator* Shea Homes-JC Champion
County: Union
Submitter Name:* Rodney Johnson
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* [phone]
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* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Supplemental EZ Forms
741.94K6
Submittal.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
Adelina Phase 1 -Operation&Maintenance
3.74M6
Agreement-07.28.2024-Submittal.pdf
Only PDF files are accepted.

File Type* Development Agreement
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -High Density Residential
Subdivisions Deed Restrictions Protective 1.08MB
Covenances Form-07.28.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Stormwater Permit Application
3.33M6
Form-07.28.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Pfister-RECORDED Special Warranty Deed
221.28K6
(Christine).pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
West Fork-RECORDED Special Warranty Deed.pdf 307.67KB
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
Shea Homes Carolina, LLC-Sole Member Consent-
327.26KB
10.23.2023-Submittal.pdf
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
Shea Homes Carolina, LLC-Certificate of Existence
22.77KB
-07.29.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Adelina(Phase 1)-Storm&Erosion Control Report
22.86MB
06.11.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Cover Sheet-07.01.2024-
686.67KB
Submittal.pdf
Only PDF files are accepted.

File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Exisiting Conditions
2.1 MB
07.01.2024.pdf
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
Adelina Phase 1 -Phasing&Site Plans-07.01.2024
11.4MB
-Submittal.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
Adelina Phase 1 -Grading&Drainage Area Sheets-
17.4MB
07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -SCM Sheets-07.01.2024-
3.96MB
Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Tree Preservation&Landscape
9.64M6
Sheets-07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Site Detail Sheets-07.01.2024-
10.23M B
Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Erosion Control Detail Sheets-
16.81 MB
07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Landscape Detail Sheets
1.25M6
07.01.2024-Submittal.pdf
Only PDF files are accepted.

File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Storm Profile Sheets-07.01.2024
4.05MB
-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -RDPP&Sight Distance Sheets
11.78M6
07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Rezoning Plan Sheets
4.12MB
07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -TOPO Survey Sheets
3.34M6
07.01.2024-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -ALTA Survey Sheets-07.01.2024
4.11 MB
-Submittal.pdf
Only PDF files are accepted.
File Type* Plansheet-Existing Drainage Area
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Pre-Development Map.pdf 900.5KB
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
Adelina Phase 1 -Post Development Map.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:* Rodney H.Johnson
Signature:
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Date Submitted: 08/14/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3240801
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
Jacob Beeker
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 08/15/2024