SW4210703_Supplemental Info Review_20211203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/3/2021 12:35:21 PM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 12/4/2021 1:46:27 PM (Supplemental Info Submittal)
• EADS\bageorgoulias reassigned the task to EADS\bageorgoulias 12/4/2021 1:30 PM
• The task was assigned to McCoy, Suzanne 12/3/2021 12:35 PM

Submittal from 12/3/2021
Permit Information:
Please provide specific hermit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
• State Stormwater (Post -Construction) Permit
Other
Permit Number*
SW4210703
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* Tally Pointe
Owner/Operator*
Sagamore Homes NC. Inc.
County:
Davidson
Submitter Name: *
Rich Glover
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
3368865523
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*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
2.pdf.pdf 623.54KB
......................... .........
Only PDF files are accepted.
......... .........
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag and drop files to attach
3.pdf.pdf 1.02MB
Only PDF files are accepted.
File Type*
Plansheet - Other

File Upload Click the upload button, or drag and drop files to attach
04.PDF 887.79KB
Only PDF files are accepted.
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:* Thomas R. Glover, Jr.
Signature:
�� Cam. cam•
Date Submitted: 12/03/2021

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4210703
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
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 12/04/2021