SW6241007_Supplemental Info Review_20241111

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/11/2024 8:57:35 AM(Supplemental Submittal)
Accept by bethany.georgoulias 11/12/2024 2:46:40 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 11/11/2024 8:57:37 AM
• bethany.georgoulias assigned the task to bethany.georgoulias 11/12/2024 2:45:56 PM

=DEQ •
Submittal from 11/11/2024
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* SW6241007
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* Shahbain Farms
Owner/Operator* Raeford Development Company, LLC
County: Hoke
Submitter Name:* Donald Sever, PE
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-553-6570
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* Application Form
File Upload Click the upload button,or drag and drop files to attach
Forms-SSW Application_Shahbain Farms.pdf 850.52KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Forms-SuppEZ_Shahbain Farms.pdf 1.01 MB
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_Shahbain Farms.pdf 696.23KB
Only PDF files are accepted.
File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
Shahbain Farms-Calculations.pdf 12.21 MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
Shahbain Farms-Topo Map.pdf 770.02KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Deed.pdf 113.33KB
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
Raeford Development Company LLC-SOS
11.64KB
Report.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
01_Shahbain Farms-Cover Sheet.pdf 418.98KB
Only PDF files are accepted.
File Type* Plansheet-Notes
File Upload Click the upload button,or drag and drop files to attach
02_Shahbain Farms-Notes.pdf 844.94KB
Only PDF files are accepted.
File Type* Plansheet-Existing Drainage Area
File Upload Click the upload button,or drag and drop files to attach
03_Shahbain Farms-Pre-Developed Drainage
919.3KB
Area.pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
04_Shahbain Farms-Site Plan(Post-Developed
1011.56KB
Drainage Area).pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail

File Upload Click the upload button,or drag and drop files to attach
05_Shahbain Farms-SCM Plan and Details.pdf 1.51 MB
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:
The site contains an existing pond retrofitted to address the Wet Pond MDC.
* 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:* Kyle Xavier Organo
Signature:
/�� /
Date Submitted: 11/11/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6241007
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* 11/12/2024