SW4240902_Supplemental Info Review_20241004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/4/2024 1:46:13 PM (Supplemental Submittal)
Accept by bethany.georgoulias 10/8/2024 4:37:37 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/4/2024 1:46:14 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 10/8/2024 4:33:03 PM

=DEQ •
Submittal from 10/4/2024
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* SW4240902
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* Bryson Park 1-3
Owner/Operator* Clinard Farm Partners
County: Davidson
Submitter Name:* Jason Cheek
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 3369703333
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
Bryson Park 1-3_Application.pdf 340.54KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Bryson Park 1-3—Supplement EZ.pdf 1.45MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan

File Upload Click the upload button,or drag and drop files to attach
Bryson Park 1-3—O&M Agreement.pdf 1.69MB
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
Bryson Park 1-3—Deed Restriction Form.pdf 960.97KB
Only PDF files are accepted.
File Type* BUA Allocations
File Upload Click the upload button,or drag and drop files to attach
Bryson Park Letter 8.29.24.pdf 392.79KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Deed 2 Bryson 1-3.pdf 94.53KB
Deed Bryson 1-3.pdf 220.95KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Clinard Farm Full Boring Report.pdf 2.08MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
NC_Welcome_20220817_TM_geo.pdf 41.22MB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
404-approval(SAW-2019-01557)and signed PJD for
6.41 MB
Bryson Park.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
Bryson-404401-exhibits.pdf 3.29M B
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:* Jason G. Cheek
Signature:
Date Submitted: 10/04/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4240902
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* 10/08/2024