SWA000117_Supplemental Info Review_20210927

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/27/2021 9:03:11 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 10/4/2021 8:07:08 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/27/2021 9:03 AM

Submittal from 9/27/2021
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*
SWA000117
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*
Kernodle Landing Phase 3
Owner/Operator*
Gerringer Mill Road, LLC
County: Alamance
Submitter Name:* Aden R. Stoltzfus, PE
VUio is submitting this information?
E-mail Address:* [e-mail]
Phone Number* [phone]
Additional E-mail for (Optional)
Submittal
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer nay rerrove unnecessary submittals)
File Type* Application Form
File Upload Clickthe upload button, or drag and drop files to attach
Kernodle Landing Phase 3 Stormwater Permit-
6.32MB
Signed.pdf
Only R7Ffiles are accepted.
File Type* Plansheet - Proposed Conditions/Site Plan
File Upload Oickthe upload button, or drag and drop files to attach
2021-08-13 Kernodle Landing Phase 3 Site Plan.pdf 1.88MB
Only RYfiles are accepted.

File Type* Property Deed
File Upload aickthe upload button, or drag and drop files to attach
Deed BK 4171 PG 74.pdf 382.86KB
Only RYfiles are accepted.
File Type* USGS Topographic Site Map
File Upload aickthe upload button, or drag and drop files to attach
Kernodle Landing Phase 3 USGS Map.pdf 226.06KB
Only RYfiles are accepted.
File Type* Stormwater Narrative
File Upload aickthe upload button, or drag and drop files to attach
Kernodle Phase 3 Project Narrative & Calculations-
1.5MB
Sealed.pdf
Only PDF files are accepted.
File Type* Signing Official Title & Position Information
File Upload aickthe upload button, or drag and drop files to attach
NC Secretary of State.pdf 449.03KB
Only PDF files are accepted.
Uploads contain r NO
Confidential f YES
Information * NOTE The following information cannot be claimed as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, pernits, effluent data, information required by NODES application forms 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:* Aden R. Stoltzfus
Signature:
Date Submitted: 09/27/2021

Initial Review
Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
SWA000117
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 * 10/04/2021