SW1191201_Supplemental Info Review_20210825

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/25/2021 12:53:19 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/26/2021 9:39:10 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/25/2021 12:53 PM

Submittal from 8/25/2021
Permit Information:
Rease provide specific permit details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* r NPDES Industrial or MS4 Permit
r State Stormwater (Post -Construction) Permit
f Other
Permit Number* SW1191201
Begins with "SW', "NOG', 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* NCNG - Morganton Regional Readiness Center
Owner/Operator* Rodney D. Newton
County: Burke
Submitter Name:* Lynsie Barnes
Mo is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9195323291
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* Supplement-EZ Form
File Upload Oickthe upload button, or drag and drop files to attach
supp ezwetpond.pdf 567.73KB
Only RDFfiles are accepted.
Uploads contain F NO
Confidential r YES
Information * NOTE The following information cannot be claimed as confidential: the narre and address of any permit applicant or
perrrittee, permt applications, permits, effluent data, information required by NR7ES application forms provided by
the Director inclusive of all fours and attachrrents [Ref. 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:* Lynsie Maree Barnes
Signature:
C yV�6 )��W PAhW
Date Submitted: 08/25/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW1191201
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 * 08/26/2021