SW1210601_Supplemental Info Review_20210830

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/30/2021 3:28:05 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/31/2021 8:03:05 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/30/2021 3:28 PM

Submittal from 8/30/2021
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* SW1210601
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* MoJo Storage
Owner/Operator* John Fields
County:
Submitter Name:* daniel hyatt
Mo is subnitting this infornation?
E-mail Address:* [e-mail]
Phone Number* 8287123916
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* Photos/Pictures
File Upload Clickthe upload button, or drag and drop files to attach
C2.0. pdf
549.82KB
C2.1. pdf
352.69KB
C2.3.pdf
2.49MB
pic 1.pdf
306.15KB
pic-2.pdf
392.47KB
pic-3.pdf
455.23KB
pic-4.pdf
370.45KB
pic-5.pdf
435.87KB
Only RYfiles 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, permits, effluent data, inforrretion required by MODES application forms provided by
the Director inclusive of all fours and attachments [Ref. 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:* R. Daniel Hyatt
Signature:
Date Submitted: 08/30/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SW 1210601
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 * 08/31/2021