SW5241101_Supplemental Info Review_20241119

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/19/2024 10:02:18 PM(Supplemental Submittal)
Accept by bethany.georgoulias 11/27/2024 9:28:18 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 11/19/2024 10:02:23 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 11/27/2024 8:48:11 AM

=DEQ •
Submittal from 11/19/2024
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* SW5230902
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* Forest Hills Subdivision
Owner/Operator* Bobby Sumner
County: Franklin
Submitter Name:* John Eric Benton
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-793-8432
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
2014-11-19Application Form.pdf 2.81MB
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
2024-11-19 Deed Restriction.pdf 647.94KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan

File Upload Click the upload button,or drag and drop files to attach
_2024-11-19 O&M Agreement.pdf 2.41 MB
Only PDF files are accepted.
File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 Storm Report.pdf 4.07MB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 Cover Sheet.pdf 1.3MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 Existing Conditions.pdf 955.61KB
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
2024-11-19 Overall Site Plan.pdf 1.16MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 Overall Grading Plan.pdf 1.97MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 SCM Detail Sheet.pdf 3.91MB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 Landscape Plan.pdf 1.11MB
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-USDA-FEMA.pdf 1.74MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
2024-11-19 EZ Form.pdf 557.13KB
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SNAPTOOL.pdf 515.6KB
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:* John Eric Benton
Signature:
Date Submitted: 11/19/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW5241101
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 Submitter used incorrect permit number(SW5230902-Returned). Revised to new
Added Info for CO permit number assigned to this project in BIMS.
Staff Reviewer?
Review Date* 11/27/2024