SW4210704_Supplemental Info Review_20241023

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/23/2024 6:53:43 AM(Supplemental Submittal)
Accept by bethany.georgoulias 11/4/2024 4:33:24 PM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/23/2024 6:53:44 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 11/4/2024 4:11:00 PM

=DEQ •
Submittal from 10/23/2024
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* SW4210704
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* Dolcetto
Owner/Operator* New Ventures Land Development, LLC
County: Davidson
Submitter Name:* Justin Nifong
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7045625012
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
Pages from Dolcetto Stormwater permit transfer
1.97MB
individual components Application Form.pdf
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
Pages from Dolcetto Stormwater permit transfer
191.48KB
individual components Good Standing.pdf
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
Pages from Dolcetto Stormwater permit transfer
222.54K6
individual components signing official.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
183.49KB
individual components-current permit holder.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
641.14K6
individual components deed documents.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
Pages from Dolcetto Stormwater permit transfer
2.15M6
individual components O and M.pdf
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
individual components recorded deeds and o and 3.28MB
m.pdf
Only PDF files are accepted.
File Type* BUA Allocations
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
1.02M6
individual components-BUA calculation.pdf
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
277.87K6
individual components professional letter.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Pages from Dolcetto Stormwater permit transfer
1.67M6
individual components more than 50%owned.pdf
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:* Justin Robert Nifong
Signature:
Afar 121"AV
Date Submitted: 10/23/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4210704
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* 11/04/2024