SW6241008_Supplemental Info Review_20241112

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/12/2024 4:25:37 PM (Supplemental Submittal)
Accept by bethany.georgoulias 11/18/2024 8:48:48 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 11/12/2024 4:25:39 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 11/18/2024 8:34:45 AM

=DEQ •
Submittal from 11/12/2024
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* SW6241008
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* Kirwin Village Phase 2
Owner/Operator* Cameron Village of Hoke, LLC
County: Hoke
Submitter Name:* Lee Humphrey
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9106848646
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* Property Deed
File Upload Click the upload button,or drag and drop files to attach
1439-126 QCD Cameron Property to Cameron
105.04K6
Village.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
Cameron Village of Hoke LLC Annual Report.pdf 11.97K6
Only PDF files are accepted.

File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Kirwin Phase 2 Cover.pdf 6.39MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Kirwin Phase 2 Erosion Control Plan.pdf 13.54MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
Kirwin Phase 2 Existing Conditions.pdf 8.02MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Kirwin Phase 2 Grading Plan.pdf 9.89MB
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
Kirwin Phase 2 Site Plan.pdf 12.57MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
Kirwin Village_SW Plans.pdf 1.5MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Kirwin Village_Supp EZ.pdf 1.14MB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Signed Kirwin Village Phase 2 Application.pdf 960.6KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
Signed Kirwin Phase 2 O&M.pdf 1.1 MB
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
Signed Kirwin Deed Restrictions.pdf 186.03KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Stormwater Report-Kirwin Village.pdf 9.54MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
USGS Map.pdf 292.04KB
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:
• I have given true,accurate,and complete information on this form;
• 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')
• 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');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature;AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Jonathan Lee Humphrey
Signature:
Date Submitted: 11/12/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6241008
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* 11/18/2024