SW5210603_Supplemental Info Review_20210622

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/22/2021 2:45:23 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 6/23/2021 7:49:55 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 6/22/2021 2:45 PM

Submittal from 6/22/2021
Permit Information:
Rease provide specific permt details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SW5210603
Begins with "SW', "NCU, or "NCS'
What DEQ Office is Reviewer: Rease correct if nisidentlfied, close this review forrn and reassign taskto the appropriate contact.
the Primary r Central Office
Contact?* r Washington Regional Office (Attn: Carl Dunn)
f Wilmington Regional Office (Attn: Christine Hall)
Project Name* Duck Thru at Spring Hope, NC
Owner/Operator* It's Farm Time, LLC
County: Nash
Submitter Name:* Isaac Hardison
ftio is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 2522177821
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary subnittals)
File Type* Plansheet - Misc. Detail

File Upload Oickthe upload button, or drag and drop files to attach
CE-01. pdf
180.38KB
CE-02 Site.pdf
708.19KB
CE-03 Grading.pdf
835.68KB
CE-04 Pond.pdf
221.07KB
COVER.pdf
262.76KB
CE-05 Erosion.pdf
414.06KB
D-01.pdf
1.13MB
D-02.pdf
1.41 MB
D-03.pdf
222.47KB
D-04.pdf
120.75KB
D-05.pdf
493.52KB
Only FDFfiles are accepted.
Uploads contain F NO
Confidential r YES
Information * NOTE The following infornation cannot be clained as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, infornation required by NODES application forns provided by
the Director inclusive of all forms and attachments [%f. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
17 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:* Isaac Mitchel Hardison
Signature:
Date Submitted: 06/22/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW5210603
Who needs a Reviewer selections will only be required for offices checked here.
copy? * rJ Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 06/23/2021