SW5230801_Supplemental Info Review_20230804

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/4/2023 3:26:26 PM(Supplemental Submittal)
Accept by Kaitlin Peck 8/7/2023 7:41:00 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 8/4/2023 3:26:28 PM

=DEQ •
Submittal from 8/4/2023
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* SW5230801
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* Allen Pipkin Youngsville SCM Conversion
Owner/Operator* Allen Pipkin
County: Franklin
Submitter Name:* Andrew Stocks
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 252.459.8196
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* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
7-26-23 Full SCM Calculation Packet and
11.5MB
Narrative.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Cover.pdf 100.75KB
Only PDF files are accepted.

File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
CE-01.pdf 168.87KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
CE-02.pdf 363.92KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
CE-03.pdf 298.74KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Deed.pdf 127.06KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Geotechnologies Soils Report.pdf 1.46MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
O&M EZ Form.pdf 920.28KB
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
Secretary of State E-Filed Report.pdf 15.21 KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
SSW-SWU-1 01-Application REV.pdf 763.25KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
S u p p E Z-2020-Version-2.1.3-20201203-D E M L R-
863.77K6
SW.pdf
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 Map Small.pdf 617.61 KB
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:
* p 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
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* James Andrew Stocks
Signature:
0/,/ Wt1 w4f t 5-�AIAI
Date Submitted: 08/04/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW5230801
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
Brianna Holland
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 08/07/2023