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HomeMy WebLinkAboutSW6180703_Supplemental Info Review_20240625 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 6/25/2024 1:13:18 PM (Supplemental Submittal) Accept by Kaitlin Peck 6/25/2024 1:16:35 PM (Supplemental Info Submittal) • The task was assigned to DEMLR Post-Construction Team 6/25/2024 1:13:18 PM • The task was assigned to Kaitlin Peck by round robin distribution 6/25/2024 1:13:18 PM =DEQ • Submittal from 6/25/2024 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* SW6180703 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* Avery Pond Owner/Operator* Little Cross, LLC County: Harnett Submitter Name:* Adcock Law Firm, PA Who is submitting this information? E-mail Address:* paula@adcocklawfirm.com Phone Number* 9195526600 Additional E-mail for hughsurlesbuilders@gmail.com Submittal (Optional) Confirmation: State Stormwater (Post-Construction) Information Uploads Choose file type and upload attachment(Reviewer may remove unnecessary submittals) File Type* Signing Official Title&Position Information File Upload Click the upload button,or drag and drop files to attach Avery Pond HOA Annual Meeting Minutes-2023.pdf 1.6MB 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 Avery Pond HOA Minutes 02092023.pdf 330.82KB 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 d I intend to electronically sign and submit the Supplemental Information Upload form. Full Name:* Paula M.Whitsell Signature: C�Z"Ilr 6 �-iitrlw! Date Submitted: 06/25/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW6180703 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 Review Date* 06/25/2024