SW5240103_Supplemental Info Review_20240422

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/22/2024 9:54:05 AM (Supplemental Submittal)
Accept by Kaitlin Peck 4/22/2024 10:33:42 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 4/22/2024 9:54:07 AM
• The task was assigned to Kaitlin Peck by round robin distribution 4/22/2024 9:54:07 AM

=DEQ •
Submittal from 4/22/2024
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* SW5240103
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* Rocky Mount Memorial Park
Owner/Operator* RMMP LLC
County: Nash
Submitter Name:* Phillip Joyner
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 2524463017
Additional E-mail for (Optional)
Submittal
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
P210191-RM Memorial Park SW App Page 3.pdf 95.41 KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
2023-10-21_Stormwater Calculations Manual.pdf 8.65MB
Only PDF files are accepted.
File Type* Property Deed

File Upload Click the upload button,or drag and drop files to attach
Deed Book 2814 Page 773.pdf 333.48KB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
P70237669_Rocky Mount Memorial Park
376.92K6
Proposal.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
1.18M6
27-2023 1.pdf
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
907.46K6
27-2023 13.pdf
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
P210191 -Rocky Mount Memorial Park-signed 10-
864.88KB
27-2023 3.pdf
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
1.2MB
27-2023 4.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
1.07MB
27-2023 7.pdf
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
1.26M6
27-2023 11.pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area

File Upload Click the upload button,or drag and drop files to attach
P210191 -Rocky Mount Memorial Park-signed 10-
1.23MB
27-2023 12.pdf
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:
• 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:* Phillip Joyner Jr
Signature:
,a/iYloj�Jrr�t jt
Date Submitted: 04/22/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW5240103
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* 04/22/2024