SW4210601_Supplemental Info Review_20210628

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/28/2021 11:39:58 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 6/29/2021 7:49:02 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 6/28/2021 11:40 AM

Submittal from 6/28/2021
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*
SW4210601
Begins with "SW', "NOG', 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*
Wynnfall Subdivision
Owner/Operator*
BBJ Building, Inc.
County: Davidson
Submitter Name:* Timothy S. Kennerly
ftio is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 336.775.2118
Additional E-mail for (Optional)
Submittal
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary subnittals)
File Type* Application Form
File Upload Oickthe upload button, or drag and drop files to attach
_20-050 EC & Culvert Calcs Phase One_REV.pdf
4.31 MB
WynnFall SSW-SWU-1 01 -Application-
_20-050
1.93MB
DEMLR-SPU Oct 2013.pdf
20-050 - Transmittal Stormwater.pdf
302.09KB
SOS BBJ Building, Inc.pdf
44.82KB
WYNNFALL SUBDIVISION PROJECT
75.35KB
NARRATIVE.pdf
Only RDFfiles are accepted.

Uploads contain r NO
Confidential r YES
Information * NOTE The following information cannot be claimed as confidential: the narre and address of any permt applicant or
pernittee, pernit applications, permits, effluent data, information required by WDM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
* P 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:* Timothy S. Kennerly
Signature:
TI;PV7 #Y Ems-. iJ I
Date Submitted: 06/28/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW4210601
Who needs a
Reviewer selections will only be required for offices checked here.
copy? *
r% Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Corey Anen
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date * 06/29/2021