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HomeMy WebLinkAboutSW4211101_Supplemental Info Review_20220125Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 1/25/2022 12:13:35 PM (Supplemental Submittal) Submit by Georgoulias, Bethany A 1/28/2022 9:23:01 AM (Supplemental Info Submittal) • Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 1/28/2022 9:06 AM • The task was assigned to McCoy, Suzanne 1/25/2022 12:13 PM Submittal from 1/25/2022 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* SW4211101 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* BARROW FARMS Owner/Operator* CYD-BARROW FARMS LLC County: Forsyth Submitter Name: * Jordan Young Who is submitting this information? E-mail Address:* Jordan@greenmountainengineers.com Phone Number* 336-252-2781 Additional E-mail for Jordan@greenmountainengineers.com Submittal (Optional) Confirmation: State Stormwater (Post -Construction) Information Uploads Choose file type and upload attachment (Reviewer may remove unnecessary submittals) File Type* Plansheet - Grading/Drainage Plan File Upload Click the upload button, or drag and drop files to attach C-3.00 GRADING PLAN.pdf 1 AMB Only PDF files are accepted. File Type* Plansheet - Misc. Detail File Upload Click the upload button, or drag and drop files to attach C-4.04 ESC CALCS.pdf 3.14MB 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: I wanted to exchange these pages out from the previous upload since you have not started the review yetr * 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:* Jordan Young Signature: Date Submitted: 01/25/2022 Initial Review Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary. SW4211101 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 Applicant wanted to exchange these pages out from the previous upload ahead of Added Info for CO your review, Jim. Staff Reviewer? Review Date* 01/28/2022