SW6240301_Supplemental Info Review_20241001

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/1/2024 2:49:18 PM (Supplemental Submittal)
Accept by bethany.georgoulias 10/8/2024 8:16:40 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/1/2024 2:49:19 PM
• bethany.georgoulias assigned the task to bethany.georgoulias 10/8/2024 8:15:38 AM

=DEQ •
Submittal from 10/1/2024
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* SW6240301
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* Ambrosia Farm Ph 1
Owner/Operator* Mclean Road Investors, LLC
County: Harnett
Submitter Name:* Strong Rock Engineering
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 984-200-1932
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* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
20240822 Stormwater Report-Ambrosia.pdf 51.44MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
20240822 SW RTC.pdf 112.58KB
Only PDF files are accepted.
File Type* Supplement-EZ Form

File Upload Click the upload button,or drag and drop files to attach
20240822 Ambrosia Farm Ph 1 Supplement Info
251.9KB
Signed.pdf
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
20240822 Ambrosia Farm Ph 1 SW App Signed.pdf 4.87MB
Only PDF files are accepted.
File Type* Deed Restriction/Protective Covenant Form
File Upload Click the upload button,or drag and drop files to attach
20240823 Ambrosia SH2O Deed Restrictions
912.68KB
Signed.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
20240822 Ambrosia Farm Ph 1 O&M Agree
536.48KB
Signed.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:
ypdated and uploaded since Brianna Holland's comments emailed on 10/1
* 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:* Sara Rogan
Signature: C�
Date Submitted: 10/01/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6240301
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
Brianna Holland
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 10/08/2024