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HomeMy WebLinkAboutNCG140072_Supplemental Info Review (Dormant Status)_20240719 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 7/19/2024 2:27:37 PM (Supplemental Submittal) Accept by bethany.georgoulias 7/23/2024 9:19:33 AM (Supplemental Info Submittal) • The task was assigned to DEMLR Post-Construction Team 7/19/2024 2:27:38 PM • bethany.georgoulias reassigned the task to bethany.georgoulias 7/22/2024 8:54:12 PM pEQNC Stormwater - Supplemental Information Upload Submittal from 7/19/2024 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* NCG140072 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) ................................................................................................................................................................................................................................................................................................................................................................................................. Facility Name* Ready Mix Concrete Company-White For NPDES permits Owner/Operator* Argos USA County: Franklin Submitter Name:* Ben Hartman Who is submitting this information? E-mail Address:* bhartman@argos-us.com Phone Number* 4706120193 Additional E-mail for (Optional) Submittal Confirmation: NPDES Permit Information Uploads Choose file type and upload attachment(Reviewer may remove unnecessary submittals) ...................................................................................................................................................................................................................................... File Type* Dormant Status Initial Request File Upload Click the upload button,or drag and drop files to attach NCG 14-Dormant-Status-Request-Form-202108-v2- 595.87KB F-White.pdf Only PDF files are accepted. ........................................................................................................................................................ Is this project funded QQ No with ARPA grant Q 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:* Ben Hartman Signature: Date Submitted: 07/19/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. NCG 140072 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 Identify Regional Office:* Raleigh Regional Office—919-791-4200 Any Comments or This is a Dormant Status request for a ready-mix concrete site. Added Info for CO Staff Reviewer? Select RO Stormwater Contact(s): thad.valentine@deq.nc.gov Kicks off e-mail notification Review Date* 07/23/2024