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HomeMy WebLinkAboutSWA000119_Supplemental Info Review_20210927Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 9/27/2021 10:41:57 AM (Supplemental Submittal) Submit by McCoy, Suzanne 10/4/2021 8:41:47 AM (Supplemental Info Submittal) • The task was assigned to McCoy, Suzanne 9/27/2021 10:43 AM Submittal from 9/27/2021 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* SWA000119 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* Duncan's Creek Owner/Operator* R&R Development Group of NC, LLC County: Harnett Submitter Name:* Jeremy Keeny Vft is subnitting this infornation? E-mail Address:* jkeeny@mragta.com Phone Number* 984-200-2103 Additional E-mail for pnaik@mragta.com Submittal (Optional) 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 SSW Fast Track ATC Form.pdf 211.88KB Only RDFfiles are accepted. File Type* USGS Topographic Site Map File Upload Oickthe upload button, or drag and drop files to attach USGS MAP.pdf 79.14MB Only RDFfiles are accepted. File Type* Plansheet - Other File Upload aickthe upload button, or drag and drop files to attach Duncan's Creek - Construction Drawing Set 09-16- 44.98MB 21.pdf Only FDFfiles are accepted. File Type* Property Deed File Upload aickthe upload button, or drag and drop files to attach Deed (Duncan's Creek Site).pdf 209.82KB Only FDFfiles are accepted. File Type* Signing Official Title & Position Information File Upload aickthe upload button, or drag and drop files to attach NCSOS Corporate Applicant Documentation.pdf 48.36KB Only RDFfiles 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, 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: Please find the State Stormwater Fast Track submittal for Duncan's Creek (permit number SWA000119) enclosed. 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:* Jeremy Keeny Signature: C'z21j Cry Date Submitted: 09/27/2021 Initial Review Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary. SWA000119 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