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HomeMy WebLinkAboutSW4240501_Supplemental Info Review_20241121 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 11/21/2024 12:08:44 PM (Supplemental Submittal) Accept by Jacob Beeker 11/21/2024 1:59:14 PM(Supplemental Info Submittal) • The task was assigned to DEMLR Post-Construction Team 11/21/2024 12:08:46 PM • Jacob Beeker assigned the task to Jacob Beeker 11/21/2024 1:58:51 PM =DEQ • Submittal from 11/21/2024 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* SW4240501 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* Reserve at Old Hollow Owner/Operator* YP Walkertown, LLC County: Forsyth Submitter Name:* Hugh Creed Associates, Inc., P.A. Who is submitting this information? E-mail Address:* hca@hughcreedassociates.com Phone Number* 3362759826 Additional E-mail for d.ward@hughcreedassociates.com 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 000-DB 3788 PG 1168.pdf 607.14KB 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 Deed Res Cov_signed.pdf 2.82MB 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_75M in uteTopo_20240304_202656787000_TM... 54.8M B Only PDF files are accepted. File Type* Application Form File Upload Click the upload button,or drag and drop files to attach Reserve at Old Hollow_Application.pdf 8.35MB Only PDF files are accepted. File Type* O&M Agreement/Plan File Upload Click the upload button,or drag and drop files to attach OM EZ.pdf 36.12KB 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 YP Walkertown LLC Annual Report.pdf 11.52KB 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: We do not have scanned copy of O&M EZ form, blank form uploaded with correct information. * By checking the box and signing box below, I certify that: o I have given true,accurate,and complete information on this form; d 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:* Dalton Ward Signature: 011lW ve�lLtll' Date Submitted: 11/21/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW4240501 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* 11/21/2024