SW4240101_Supplemental Info Review_20240129

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/29/2024 7:54:34 AM (Supplemental Submittal)
Accept by Kaitlin Peck 1/29/2024 11:17:38 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 1/29/2024 7:54:35 AM

=DEQ •
Submittal from 1/29/2024
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* SW4240101
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* Lakeside Ph. One, Forsyth County
Owner/Operator* IRS Parker Homes, LLC
County: Forsyth
Submitter Name:* Hugh Creed Associates, Inc., P.A.
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 336-275-9826
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
Stormwater Management Application.pdf 9.14MB
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 Restrictions&Protective Covenances.pdf 1.62MB
Only PDF files are accepted.
File Type* Design Calculations

File Upload Click the upload button,or drag and drop files to attach
Lakeside Ph One FC Calcs 2024-01-02.pdf 1.97MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
0-M-EZ-20201215-2.1--3 Signed-.pdf 3.81MB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Lakeside Overall Sketch Plan 2024-01-12.pdf 1.93MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
lakeside Ph One Plans Ex Conditions 2024-01-12.pdf 801.34KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Lakeside Ph One Plans Stormwater 2024-01-12.pdf 1.23MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DB 3725 PG 1747.pdf 374.03KB
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
NCSOS LLC Documentation.pdf 178.67KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Soils Map.pdf 1.19MB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
Lakeside Ph One Forsyth Co Narrative.pdf 152.49KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SuppEz-Low Density Signed.pdf 4.23MB
Only PDF files are accepted.

File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
Lakeside USGS.pdf 2.02MB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
5725.1_Van Hoy Road—Wet Report_09.30.20.pdf 2.57MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Belews Lake Wetlands Inventory.pdf 387.85KB
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:
this submittal is for Lakeside Phase One in Forsyth County only
* 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
d I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Norris Z. Clayton
Signature:
JoW1 Z. QOOA,
Date Submitted: 01/29/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW4240101
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* 01/29/2024