SW3221007_Supplemental Info Review_20230203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/3/2023 9:27:58 AM (Supplemental Submittal)
Submit by bethany.georgoulias 2/15/2023 10:21:36 AM (Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 2/3/2023 9:28 AM

Submittal from 2/3/2023
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*
SW3221007
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* Dollar General - Store #24556
Owner/Operator*
Teramore Development, LLC
County:
Rowan
Submitter Name: *
Justin Church
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
336-844-4088
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*
Application Form
File Upload
Click the upload button, or drag and drop files to attach
SIGNED_STORMWATER_APP_goodman.pdf 868.77KB
......................... .........
Only PDF files are accepted.
......... ......... ..................
File Type*
Application Form
File Upload
Click the upload button, or drag and drop files to attach
SIGNED_STORMWATER_APP_RABON.pdf 547.76KB
....................................
Only PDF files are accepted.
.....................
File Type*
Design Calculations

File Upload Click the upload button, or drag and drop files to attach
STO RM WATE R_CALCS_02022023. pdf 2.84 M B
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
DG_SALISBURY_BRIGGS_PLANS.pdf 10.46MB
Only PDF files are accepted.
..........................................................................................................................
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
SIGN ED_O&M_TRENCH.pdf 1.6MB
Only PDF files are accepted.
................................
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
SIGNED_SUPPLEMENTAL.pdf 402.38KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button, or drag and drop files to attach
RESPONSE —LETTER _02032023.pdf 410.53KB
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:* Justin Church
Signature:
Date Submitted: 02/03/2023

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW3221007
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* 02/15/2023