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