SW5210602_Supplemental Info Review_20210616

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/16/2021 8:58:19 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 6/16/2021 9:02:40 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 6/16/2021 8:59 AM

Submittal from 6/16/2021
Permit Information:
Rease provide specific permt details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SW5210602
Begins with "SW', "NCG", 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* Phobos Solar, LLC - Phase I
Owner/Operator* Pine Gate Renewables - Ben Catt
County: Nash
Submitter Name:* Michael Ivy
VUio is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 919.610.9625
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 Click the upload button, or drag and drop files to attach
Phobos—Substation—Stormwater Application.pdf 383.31 KB
Only RDFfiles are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
Phobos_Substation_SSW-Permit-LowDen-Supp.pdf 276.31 KB
Only RDFfiles are accepted.
File Type* Design Calculations

File Upload
aickthe upload button, or drag and drop files to attach
_Binder.pdf
347.75KB
Only FM are accepted.
File Type*
Wetland Determination/Report
File Upload
aickthe upload button, or drag and drop files to attach
Phobos_WT Delin Report (Final)_04-19-18.pdf
11.45MB
Only RYfiles are accepted.
File Type*
USGS Topographic Site Map
File Upload
aickthe upload button, or drag and drop files to attach
Phobos Subtation_USGS.pdf
581.76KB
Only RYfiles are accepted.
File Type*
Stormwater Narrative
File Upload
aickthe upload button, or drag and drop files to attach
Phobos_Stormwater Narrative.pdf
93.03KB
Only RYfiles are accepted.
File Type*
Soils/Geotechnical Report
File Upload
aickthe upload button, or drag and drop files to attach
200664.21 Phobos Solar Substation GEO Report
4.22MB
12-15-20.pdf
Only FDFfiles are accepted.
File Type*
Property Deed
File Upload
aickthe upload button, or drag and drop files to attach
Draper Family Partnership Recorded Vesting Deed
374.55KB
(PIN 274700782815).pdf
Only FDF files are accepted.
File Type*
Lease Agreement
File Upload
aickthe upload button, or drag and drop files to attach
DOCS-#776831 -v1 -SilverCreek Phobos -
554.29KB
—Recorded—Memorandum—of Ground_Lease_(Dra...
Only FDF files are accepted.
File Type*
Plansheet - Other
File Upload
aickthe upload button, or drag and drop files to attach
06-11-2021—Phobos Substation_IFP_Rev.C.pdf
32.16MB
Only FDF files are accepted.
File Type*
Soils/Geotechnical Report
File Upload
aickthe upload button, or drag and drop files to attach
Phobos -Phase I_NRCS Soils Map.pdf
4.79MB
Only FDF files are accepted.
File Type*
Recorded Document

File Upload Oickthe upload button, or drag and drop files to attach
_Binder NC SoS Documents.pdf 79KB
Only PDF files 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, perrrit applications, pernits, effluent data, information required by NODES application forms provided by
the Director inclusive of all forms and attachments [%f. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
17 By checking the box and signing box below, I certify that:
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:* Michael D. Ivy
Signature:
Date Submitted: 06/16/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW5210602
Who needs a
Reviewer selections will only be required for offices checked here.
copy? *
r% Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Corey Anen
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 06/16/2021