SW6130203_Supplemental Info Review_20240116

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/16/2024 2:29:31 PM (Supplemental Submittal)
Accept by Kaitlin Peck 1/19/2024 1:47:09 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 1/16/2024 2:29:33 PM

=DEQ •
Submittal from 1/16/2024
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* SW6130203
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* O'Reilly Auto Parts Area Infiltration Basin
Owner/Operator* Allied Development, Inc.
County: Harnett
Submitter Name:* Jarrod E. Hilliard, PE, CFM
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-352-2834
Additional E-mail for [e-mail]
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 management permit application form
2.76MB
SWU-101.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
supplement EZ.pdf 1.42MB
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 91.76MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Storm Water PERMITTING TRANSMITTAL-
31.91 KB
230515.pdf
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Storm Water PERMITTING TRANSMITTAL-
30.99KB
240110.pdf
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
O'Reilly Storm Water Narrative.pdf 190.05KB
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-reilly area Signed O&M Agreement.pdf 644.04KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
o'reilly area signed permit renewal form.pdf 1.24MB
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 sos data.pdf 78.72KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
I-USDA Soils Report.pdf 688.72KB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Hilliard,Jarrod-Buffalo Lake Rd-SOILS REPORT-
252.56KB
230512.pdf
Only PDF files are accepted.

File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
designers certification for original infiltration basin.pdf 329.87KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
SCM INSPECTION LETTER.pdf 173.11KB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
OREILLY SHEET SET-230515.pdf 7.3MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
OREILLY-Sheet Set ex-REVISED PER STORM
671.71 KB
COMM E NTS-240109-S.pdf
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:
d 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)
cl 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');
d 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:* Jarrod E. Hilliard
Signature:
c%t-t,W V.-//, t,a,
Date Submitted: 01/16/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6130203
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* 01/19/2024