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HomeMy WebLinkAboutNCG020978_Supplemental Info Review_20211013Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 10/13/2021 11:16:03 AM (Supplemental Submittal) Submit by McCoy, Suzanne 10/13/2021 11:28:27 AM (Supplemental Info Submittal) • The task was assigned to McCoy, Suzanne 10/13/2021 11:16 AM Submittal from 10/13/2021 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* NCG020978 Begins with "SW', "NCG', or "NCS' 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 * Gainey Road Mine For 4UM permits Owner/Operator* DR Allen and Son, Inc. County: Cumberland Submitter Name:* Tracy E. Davis, PE - ATS Environmental Solutions, PLLC Vft is submitting this information? E-mail Address:* tracy.davis@atsenvirosolutions.com Phone Number* 9193680246 Additional E-mail for (Optional) Submittal Confirmation: NPDES Permit Information Uploads Choose file type and upload attachrrent (Reviewer nay rerrove unnecessary subnittals) File Type* Site Plan or Diagram File Upload Oickthe upload button, or drag and drop files to attach 2021.07.02 - Gainey Road Mine - Revised Mine 8.22MB Permit Map Set.pdf Only R7Ffiles are accepted. Uploads contain r NO Confidential r YES Information * NOTE The following information cannot be claimed as confidential: the nave and address of any permt applicant or permittee, permit applications, permits, effluent data, information required by WCM application forms provided by the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)]. Notes about the attachments: Attached is the latest mining plan set 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 o I intend to electronically sign and submit the Supplemental Information Upload form. Full Name:* Tracy E. Davis Signature: TAA--Y F- P4V1.6 Date Submitted: 10/13/2021 Initial Review Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary. NCG020978 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 Suzanne McCoy Any Comments or Added Info for CO Staff Reviewer? Review Date * 10/13/2021