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HomeMy WebLinkAboutSW7981013_Supplemental Info Review_20210527Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 5/27/2021 11:57:37 AM (Supplemental Submittal) Submit by Dunn, William C 5/27/2021 2:02:33 PM (Supplemental Info Submittal) • The task was assigned to Dunn, William C 5/27/2021 11:57 AM Submittal from 5/27/2021 Permit Information: Rease provide specific permit details below. ........ ......... ......... ......... What Type of Choose one: Permit?* r NPDES Industrial or MS4 Permit r State Stormwater (Post -Construction) Permit f Other Permit Number* SW7981013 Begins with "SW', "NOG', or "NOS' What DEQ Office is Reviewer: Rease correct if nisidentlfied, close this review forrn and reassign taskto the appropriate contact. the Primary r Central Office Contact?* r Washington Regional Office (Attn: Carl Dunn) f Wilmington Regional Office (Attn: Christine Hall) Project Name* Kitty Hawk Asphalt Plant Owner/Operator* FSC II, LLC County: Dare Submitter Name:* Carl Dunn Vft is subrritting this information? E-mail Address:* carl.dunn@ncdenr.gov Phone Number* 2529483959 Additional E-mail for (Optional) Submittal Confirmation: State Stormwater (Post -Construction) Information Uploads Choose file type and upload attachment (Reviewer nay rerrove unnecessary subnittals) File Type* Application Form File Upload Oickthe upload button, or drag and drop files to attach WaRO-05242021154207.pdf 5.06MB Only RDFfiles are accepted. Uploads contain F NO Confidential r YES Information * NOTE The following information cannot be claimed as confidential: the narre and address of any pernit applicant or perrrittee, permt applications, pernits, effluent data, information required by NR7ES application forms provided by the Director inclusive of all forms and attachrrents [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:* Carl Dunn Signature: Date Submitted: 05/27/2021 Initial Review Verify Permit No.* I1\410RfAi T. RE\/lRAE 2SH0LLDVMFY and revise here if necessary. SW7981013 Who needs a Reviewer selections will only be required for offices checked here. copy? * Central Office Staff r Regional Office Stormwater Contact 17 State Stormwater RO Staff Identify Regional Office: * Washington Regional Office — 252-946-6481 State Stormwater RO Carl Dunn (WaRO) Reviewer* Review Date * 05/27/2021