SW6241005_Supplemental Info Review_20241105

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/5/2024 9:29:20 AM(Supplemental Submittal)
Accept by bethany.georgoulias 11/5/2024 2:12:45 PM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 11/5/2024 9:29:22 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 11/5/2024 1:59:46 PM

=DEQ •
Submittal from 11/5/2024
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* SW6241005
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* Compton Addy-Popeyes-Spout Springs, NC
Owner/Operator* CT Spout Springs
County: Harnett
Submitter Name:* Paige Weidner
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9376483213
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* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
ATC Report of SHGWT for Popeye's Spout Springs
3.9MB
NC 091624.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
0-M-EZ-20201215-2.1--3-Signed.pdf 309.34KB
Only PDF files are accepted.

File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
S u p p E Z-2020-Version-2.1.3-20201203-D E M L R-S W-
507.54K6
signed.pdf
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Sand Filter_AsBuiltCert_20180209_signed.pdf 164.7KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
North Carolina Secretary of State Search Results.pdf 72.77KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
SSW-SWU-101-Application-DEMLR-SPU Oct
564.77KB
2013_signed.pdf
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Stormwater Calculations and Narrative_Signed.pdf 30.68MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
762181_Popeyes_Spout_Springs_NC-Revision
19.21 M B
5—Full Set.pdf
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
CESO-Blew#23-0824.01 Cameron NC(final 10-30)
932.73K6
(1).pdf
Only PDF files are accepted.
File Type* Development Agreement
File Upload Click the upload button,or drag and drop files to attach
EXECUTED--Cameron Purchase Agreement--
468.95K6
Spout Springs(EXECUTED_12.7.22).pdf
Only PDF files are accepted.
File Type* As-Built-Certification

File Upload Click the upload button,or drag and drop files to attach
General MDC_AsBuiltCert_20180209_signed.pdf 272.79KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
PermitteeCert_AsBuiltCert_20180209_signed.pdf 174.03KB
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
POPEYE'S-POND AS-BUILT-240626.pdf 2.1 MB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Stormwater Management Permit Applicaition
7.49MB
Form_Signed.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Spout Springs Deed.pdf 652.19KB
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 7.98MB
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:
This submittal is to ensure that all of the documents have been uploaded under permit SW6241005. Everything has
been submitted already in both physical and digital form.
* 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:* Paige Weidner
Signature:
Date Submitted: 11/05/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6241005
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* 11/05/2024