SW5211202_Supplemental Info Review_20220203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/3/2022 12:24:10 AM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 2/7/2022 6:43:44 AM (Supplemental Info Submittal)
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 2/6/2022 9:31 AM
• The task was assigned to McCoy, Suzanne 2/3/2022 12:24 AM

Submittal from 2/3/2022
Permit Information:
Please provide specific hermit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
• State Stormwater (Post -Construction) Permit
Other
Permit Number*
SW5211202
Begins with "SW", "NCG", or "NCS'
What DEQ Office is
Reviewer: Please correct if misidentified, close this review form, and reassign task to the appropriate contact.
the Primary Contact?
• Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Project Name* Nash 97 Solar 97, LLC
Owner/Operator* Cypress Creek Renewables, LLC
County: Nash
Submitter Name: * Mario Carreon
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 916.802.6470
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Application Form
File Upload Click the upload button, or drag and drop files to attach
2020-12-12-SSW-SWU-1 01 -Application-DEMLR- 137.38KB
SPU Oct 2013 - Nash 97_Rev3_Page_1.pdf
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button, or drag and drop files to attach
Nash 97 USDA Soil Report.pdf 841.03KB
Only PDF files are accepted.

File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
Stormwater Narrative
Click the upload button, or drag and drop files to attach
2021-12-12_Narrative_Nash97. pdf
Only PDF files are accepted.
............................................................................................................. .............
Response To Comments
Click the upload button, or drag and drop files to attach
2021-12-13_NCDELMR Comments Response
Lette r_N ash 97_Resu b 1. pdf
Only PDF files are accepted.
Plansheet - Misc. Detail
135.73KB
186.96KB
Click the upload button, or drag and drop files to attach
2021-12-13_Solar Panel and Racking Details —Nash
290.53KB
97.pdf
Only PDF files are accepted.
Wetland Determination/Report
Click the upload button, or drag and drop files to attach
Nash 97_WT Delin Report_07-14-15.pdf
Only PDF files are accepted.
Signing Official Title & Position Information
Click the upload button, or drag and drop files to attach
Secretary's Certificate Trinity SW Projects —Final
12.13.21.pdf
Only PDF files are accepted.
..................................................
Property Deed
Click the upload button, or drag and drop files to attach
2776-398 - Deed Nash 97 Solar.pdf
Only PDF files are accepted.
USGS Topographic Site Map
Click the upload button, or drag and drop files to attach
USGS_Map_Nash 97.pdf
Only PDF files are accepted.
Plansheet - Existing Conditions/Survey
Click the upload button, or drag and drop files to attach
Nash 97 - As -Built ALTA.pdf
Only PDF files are accepted.
Plansheet - Proposed Conditions/Site Plan
Click the upload button, or drag and drop files to attach
Nash —Civil IFC Plan Set_11-15-15.pdf
Only PDF files are accepted.
BUA Allocations
32.88MB
349.8KB
1.75MB
505.36KB
677.9KB
5.26MB

File Upload Click the upload button, or drag and drop files to attach
2021-12-13 Nash 97 SW Permit BUA
17.47MB
Calcs_Rev 1 _MTC. pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
SuppEZ-2020-Version-2.1.3_Nash97_MTC.pdf 9.66MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
0-M-EZ-20201215-2.1_Nash97_AN.pdf 9.13MB
Only PDF files are accepted.
................................................................................................................
File Type* Application Form
File Upload Click the upload button, or drag and drop files to attach
2020-12-20-SSW-SW U-101-Application-DEM LR-
31.47MB
Nash 97_12-22-21_(7 Pgs).pdf
Only PDF files are accepted.
Uploads contain • NO
Confidential YES
Information* NOTE: The following information cannot be claimed as confidential: the name and address of any permit applicant
or permittee, permit applications, permits, effluent data, information required by NPDES application forms provided
by the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
The SWM Permit Application Form contains 7 pages - i.e., 2 copies of Page 6 (each signed& notarized by Andrew
Nourafshan and Joe Cleary). This form contains the original version of Page 1 with the incorrect project coordinates,
which is to be replaced by the revised version uploaded here and mailed hard copy.
* By checking the box and signing box below, I certify that:
• I 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:* Mario T Carreon
Signature:
e P-a"-5ow
Date Submitted: 02/03/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW5211202
Who needs a Copy?* Reviewer selections will only be required for offices checked here.
Central Office Staff
Regional Office Stormwater Contact
State Stormwater RO Staff
No Copy Needed
Central Office Reviewer:*
Notifies CO Staff with Email
Jim Farkas
Any Comments or The SWM Permit Application Form contains 7 pages - i.e., 2 copies of Page 6 (each
Added Info for CO signed& notarized by Andrew Nourafshan and Joe Cleary). This form contains the
Staff Reviewer? original version of Page 1 with the incorrect project coordinates, which is to be
replaced by the revised version uploaded here and mailed hard copy.
Review Date* 02/07/2022