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HomeMy WebLinkAboutNCG060126_Supplemental Info Review (DMR)_20211228 (4)Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/28/2021 10:45:30 AM (Supplemental Submittal) Submit by Georgoulias, Bethany A 12/29/2021 11:58:19 AM (Supplemental Info Submittal) IN DMR Upload • Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 12/29/2021 11:53 AM • The task was assigned to McCoy, Suzanne 12/28/2021 10:45 AM Submittal from 12/28/2021 Permit Information: Please provide specific hermit details below. What Type of Permit? Choose one: * • NPDES Industrial or MS4 Permit State Stormwater (Post -Construction) Permit Other Permit Number* NCG060126 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) Facility Name* Smithfield Fresh Meats Corp For NPDES permits Owner/Operator* Adrian Mitchell County: Bladen Submitter Name: * Robert Harris Who is submitting this information? E-mail Address:* rharris@smithfield.com Phone Number* 757-613-1339 Additional E-mail for (Optional) Submittal Confirmation: NPDES Permit Information Uploads Choose file type and upload attachment (Reviewer may remove unnecessary submittals) .................................................................................................................................................................................................................................................................................... File Type* Monitoring Information File Upload Click the upload button, or drag and drop files to attach THSW DMR 11192021.pdf 473.96KB Only PDF files are accepted. ........ ......... ......... ......... 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 o I intend to electronically sign and submit the Supplemental Information Upload form. Full Name:* Robert P Harris Jr Signature: ��c��� �•���r tom. Date Submitted: 12/28/2021 Initial Review Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary. NCG060126 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 Review Date* 12/29/2021