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Home My WebLink AboutSWA000216_Supplemental Info Review_20230801 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 8/1/2023 1:02:41 PM(Supplemental Submittal) Accept by Kaitlin Peck 8/2/2023 7:51:25 AM (Supplemental Info Submittal) • The task was assigned to Kaitlin Peck 8/1/2023 1:02:43 PM =DEQ • Submittal from 8/1/2023 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* SWA000216 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* Circle K-Old US 52&Hickory Tree Rd Owner/Operator* Circle K Stores, Inc. County: Davidson Submitter Name:* Jacob Dooley Who is submitting this information? E-mail Address:* jacob.dooley@timmons.com Phone Number* 9198664937 Additional E-mail for jacob.dooley@timmons.com 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 Stormwater Permit Application.pdf 647.61 KB Only PDF files are accepted. File Type* Construction Sequence File Upload Click the upload button,or drag and drop files to attach Construction Sequence.pdf 52.01KB Only PDF files are accepted. File Type* Soils/Geotechnical Report File Upload Click the upload button,or drag and drop files to attach Geotech Report.pdf 4.54MB Only PDF files are accepted. File Type* Property Deed File Upload Click the upload button,or drag and drop files to attach Copy of Deeds.pdf 379.98KB 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 48.13MB Only PDF files are accepted. File Type* Stormwater Report File Upload Click the upload button,or drag and drop files to attach Storm Report.pdf 10.24MB Only PDF files are accepted. File Type* Wetland Determination/Report File Upload Click the upload button,or drag and drop files to attach NWI Map.pdf 1.29MB Only PDF files are accepted. File Type* Supplement-EZ Form File Upload Click the upload button,or drag and drop files to attach Supplement.pdf 243.56KB Only PDF files are accepted. File Type* O&M Agreement/Plan File Upload Click the upload button,or drag and drop files to attach O&M Agreement.pdf 303.82KB Only PDF files are accepted. File Type* Soils/Geotechnical Report File Upload Click the upload button,or drag and drop files to attach SHWT_Report.pdf 2.43MB Only PDF files are accepted. File Type* Signing Official Title&Position Information File Upload Click the upload button,or drag and drop files to attach NC Secretary of State-Circle K Stores.pdf 119.74KB Only PDF files are accepted. File Type* Development Agreement File Upload Click the upload button,or drag and drop files to attach Purchase Agreement.pdf 7.93MB Only PDF files are accepted. File Type* Plansheet-Cover Sheet File Upload Click the upload button,or drag and drop files to attach [1]C0.0 COVER SHEET.pdf 398.09KB Only PDF files are accepted. File Type* Plansheet-Existing Conditions/Survey File Upload Click the upload button,or drag and drop files to attach [2]C1.0 EXISTING CONDITIONS.pdf 1.37MB Only PDF files are accepted. File Type* Plansheet-Notes File Upload Click the upload button,or drag and drop files to attach [15]C7.0 NOTES AND DETAILS.pdf 700.11 KB Only PDF files are accepted. File Type* Plansheet-Notes File Upload Click the upload button,or drag and drop files to attach [16]C7.1 NOTES AND DETAILS.pdf 833.4KB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [3]C1.1 DEMOLITION PLAN.pdf 1.66MB 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 [4]C2.0 SITE PLAN.pdf 826.36KB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [5]C2.1 PAVEMENT PLAN.pdf 920.49KB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [6]C2.2 VEHICLE ROUTING PLAN.pdf 731.11KB Only PDF files are accepted. File Type* Plansheet-Grading/Drainage Plan File Upload Click the upload button,or drag and drop files to attach [7]C3.0 GRADING AND DRAINAGE PLAN.pdf 1.24MB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [81 C3.1 ROAD WIDENING&STRIPING PLAN.pdf 925.05KB Only PDF files are accepted. File Type* Plansheet-SCM Detail File Upload Click the upload button,or drag and drop files to attach [91 C3.2 SCM DETAILS.pdf 671.93KB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [101 C4.0 EROSION CONTROL PLAN-PHASE I.pdf 1.69MB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [111 C4.1 EROSION CONTROL PLAN-PHASE 1.23M6 II.pdf Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [121 C4.2 EROSION CONTROL NOTES AND 996.51 KB DETAILS.pdf Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [131 C4.3 EROSION CONTROL NOTES AND 1.02M6 DETAILS.pdf Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [141 C5.0 UTILITY PLAN.pdf 1.04MB Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach [171 A2.4 DIESEL CANOPY PLAN AND 1.65MB ELEVATIONS.pdf Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach Circle K-Expansion 2723205 Old US HWY 13.69MB 52_Hickory Tree Rd-Site Plans-2023.05.02.pdf Only PDF files are accepted. File Type* Plansheet-Existing Drainage Area File Upload Click the upload button,or drag and drop files to attach PRE DEVELOPMENT DRAINAGE AREA MAP.pdf 1.24MB Only PDF files are accepted. File Type* Plansheet-Proposed Drainage Area File Upload Click the upload button,or drag and drop files to attach POST DEVELOPMENT DRAINAGE AREA MAP.pdf 1.15MB 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 o I intend to electronically sign and submit the Supplemental Information Upload form. Full Name:* Jacob Dooley Signature: Date Submitted: 08/01/2023 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SWA000216 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* 08/02/2023