NCG030390_Supplemental Info Review (ROS Renewal)_20221206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/6/2022 11:15:16 AM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 12/7/2022 11:14:40 AM (Supplemental Info Submittal)
IN Confirmed monitoring suspension for 001 entered in BIMS system (already recorded) and 002 ROS
identified.
• Tran, Kieu M reassigned the task to Georgoulias, Bethany A 12/6/2022 1:57 PM
IP General permit upload
• The task was assigned to Tran, Kieu M 12/6/2022 11:15 AM

Submittal from 12/6/2022
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*
NCG030390
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* ros renewal
Owner/Operator* PEERLESS BLOWERS - MADISON MFG. CO.
County: Madison
Submitter Name: * DON WALLIN
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 828-622-7500
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may remove unnecessary submittals)
File Description* ros renewal
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
DOC1 1 3022-11302022071902.pdf 120.56KB
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:* DON WALLIN
Signature:
Date Submitted: 12/06/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
NCG030390
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
Brittany Carson
Any Comments or Confirmed monitoring suspension for 001 entered in BIMS system (already
Added Info for CO recorded, effective 12/1/2021) and 002 ROS identified.
Staff Reviewer?
Review Date* 12/07/2022