SW5210702_Supplemental Info Review_20210708

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/8/2021 9:44:13 AM (Supplemental Submittal)
Submit by Farkas, Jim J 7/9/2021 2:29:12 PM (Supplemental Info Submittal)
• McCoy, Suzanne reassigned the task to Farkas, Jim J 7/9/2021 7:01 AM
* There are plan sheets that may need to be removed prior to uploading.
• The task was assigned to McCoy, Suzanne 7/8/2021 9:44 AM

Submittal from 7/8/2021
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* SW5210702
Begins with "SW', "NCG", or "NOS'
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* Louisburg Annex
Owner/Operator* Louisburg OP LLC
County: Franklin
Submitter Name:* Bohler Engineering NC, PLLC (c/o Steven Keidel)
Vft is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 919-578-9000
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 Click the upload button, or drag and drop files to attach
Stormwater Application - Signed.pdf 1014.55KB
Stormwater Full Report.pdf 3.69MB
Deed.pdf
80.57KB
Stormwater Deed Restriction Form - Signed.pdf
638.8KB
C-101 - Cover Sheet.pdf
909.09KB
C-102 - General Notes.pdf
296.71 KB
C-201 - Ex Conditions Plan.pdf
469.51 KB
C-301 - Site Plan.pdf
537.94KB
C-401 - Grading Plan.pdf
623.07KB
C-501 - Utility Plan.pdf
434.65KB
C-601 - EC Plan Stage 1.pdf
509.81KB
C-602 - EC Plan Stage 2.pdf
553.55KB
C-701 - Landscape Plan.pdf
499.39KB
C-702 - Landscape Details.pdf
772.02KB
C-901 - Site Details.pdf
493.3KB
C-902 - Storm Details.pdf
618.91 KB
C-903 - Utility Details.pdf
1.6MB
C-904 - Erosion Details.pdf
941.03KB
C-905 - Erosion Details.pdf
5.86MB
Only PDF files are accepted.
Uploads contain F NO
Confidential r YES
Information * NOTE The following infornetion cannot be clained as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, infornation required by MODES 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:
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:* Steven Keidel
Signature:
Date Submitted: 07/08/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW5210702
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 * 07/09/2021