SW6230903_Supplemental Info Review_20230919

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/19/2023 4:46:40 PM (Supplemental Submittal)
Accept by Kaitlin Peck 9/20/2023 7:31:59 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 9/19/2023 4:46:41 PM

=DEQ •
Submittal from 9/19/2023
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* SW6230903
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* Track&Field Renovations-North Moore High School
Owner/Operator* Moore County Board of Education
County: Moore
Submitter Name:* Steven J. Miller
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-443-4067
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
SSW-SWU-101 Permit Application.pdf 630.79KB
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
SWM Calcs.pdf 636.92KB
Only PDF files are accepted.
File Type* As-Built-Certification

File Upload Click the upload button,or drag and drop files to attach
As-Built Designer Cert.pdf 243.86KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
As-Built Permittee Certification for NMHS Track.pdf 820.75KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
SW6190501 NMHS_Recorded O&M Agmt.pdf 622.84KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
SW6190501 NMHS Designer Cert.pdf 81.99KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Deed.pdf 155.86KB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
SWM Narrative.pdf 211.3KB
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.pdf 559.06KB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Plansheet_COV Cover.pdf 1.94MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
Plansheet_C-1.1 Ex Cond.pdf 1.05MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
Plansheet_C2.1 Site Plan.pdf 1.53MB
Only PDF files are accepted.

File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Plansheet_C3.1 Grading Plan.pdf 1.12MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
Plansheet_C-02 SWM Plan.pdf 910.71 KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Checklist.pdf 166.46KB
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:
* 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:* Steven J. Miller
Signature:
5rsvvw J ,Nic c s�
Date Submitted: 09/19/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6230903
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* 09/20/2023