SW3210702_Supplemental Info Review_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/3/2024 9:37:16 AM(Supplemental Submittal)
Accept by Kaitlin Peck 1/3/2024 9:45:37 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 1/3/2024 9:37:17 AM

=DEQ •
Submittal from 1/3/2024
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* SW3210702
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* Provision Church
Owner/Operator* Provision Church of Union County
County: Union
Submitter Name:* Neal Smith Engineering, Inc.
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 910-695-8825
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
Application.pdf 813.78KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Response Letter 02Jan24.pdf 233.81 KB
Only PDF files are accepted.
File Type* Plansheet-Other

File Upload Click the upload button,or drag and drop files to attach
2200682-Provision Church Site Plans(Revised
26.37MB
Parking)Cert. 15Nov23.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SuppEZ-2020-Version-2.1 Low Density Provision
118.76KB
Church.pdf
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
Provision Church-Narrative LD.pdf 206.26KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
SW7310702-Provision Church Stormwater
302.76KB
Calculations Cert.24July23.pdf
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
NC—WATSON USGS.pdf 86.11 MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
L_Images_Deeds_7764_77640790.tif doc.pdf 176.19KB
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:* Bryan C Welborn
Signature:
Pk ak C lUqbG k
Date Submitted: 01/03/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3210702
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 Cook
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 01/03/2024