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HomeMy WebLinkAboutSWA000115_Supplemental Info Review_20211007Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 10/7/2021 9:13:24 AM (Supplemental Submittal) Submit by McCoy, Suzanne 10/12/2021 8:04:45 AM (Supplemental Info Submittal) • The task was assigned to McCoy, Suzanne 10/7/2021 9:13 AM Submittal from 10/7/2021 Permit Information: Rease provide specific permit details below. ........ ......... ......... ......... What Type of Choose one: Permit?* F NPDES Industrial or MS4 Permit r State Stormwater (Post -Construction) Permit f Other Permit Number* SWA000115 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) Facility Name * Tanglewood For NR7E5 pernits Owner/Operator* James W. Johnson III County: Harnett Submitter Name:* Michael Stewart Mo is submitting this information? E-mail Address:* stewartpe@aol.com Phone Number* 9197791855 Additional E-mail for ewilliamsonpe@gmail.com Submittal (Optional) Confirmation: NPDES Permit Information Uploads Choose file type and upload attachrrent (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 20180210 2.25MB FINAL_LOCKED (2).pdf Only RDFfiles are accepted. File Type* Site Map or Topographic Map File Upload aick the upload button, or drag and drop files to attach COMBINED ANGIER AND COAT QUAD MAP.pdf 1.04MB Only RYfiles are accepted. File Type* Calculations File Upload aickthe upload button, or drag and drop files to attach 00_STORM WATER REPORT TO NCDEQ.pdf 1.62MB Only R Ffiles are accepted. File Type* Other (Not Listed) File Upload aickthe upload button, or drag and drop files to attach Wilma - DEED.pdf 86.8KB Only R Ffiles are accepted. File Type* Site Plan or Diagram File Upload aickthe upload button, or drag and drop files to attach C-00 TANGLEWOOD CONSTRUCTION PLAN 32.99MB SET.pdf Only RDFfiles are accepted. Uploads contain r NO Confidential r YES Information * NOTE The following information cannot be claimed as confidential: the narre and address of any pernit applicant or perrrittee, permit 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:* Michael L. Stewart Signature: 441;C6AWL �- 5TF+1A�-r Date Submitted: 10/07/2021 Initial Review Verify Permit No.* INRORfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary. SWA000115 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 * 10/12/2021