NCG030572_Supplemental Info Review (ROS Renewal)_20210917

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/17/2021 2:27:48 PM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 3/29/2022 3:29:56 PM (Supplemental Info Submittal)
IN ROS Renewal Form was not signed. Reviewer requested signed copy by email on 3/29/2022. ROS
status for 001 and 004 recorded in BIMS with monitoring suspensions for other outfalls to facilitate
eDMR entry once registered.
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 3/23/2022 9:56 AM
• Georgoulias, Bethany A reassigned the task to DEMLR SW Admin 2/17/2022 11:07 AM
IP Disregard -just reassigning to Team
• Reese, Deborah W assigned the task to Reese, Deborah W 2/17/2022 9:35 AM
• Georgoulias, Bethany A reassigned the task to DEMLR SW Admin 2/16/2022 5:15 PM
• The task was assigned to McCoy, Suzanne 9/17/2021 2:27 PM

Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Tuesday, March 29, 2022 3:25 PM
To: [e-mail]
Subject: NCG030572 ROS Renewal Certification
Attachments: ROS-Renewal-Certification-Form-2021-v3-fillable.pdf; Representative Outfall
Status.pdf
Good afternoon,
We received this upload some time ago for renewing the ROS status for your stormwater permit. However, the
certification form is not signed. Could you please send a signed copy?
Thank you,
Bethany Georgoulias (she/her)
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http_//deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
"'D
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.

Submittal from 9/17/2021
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*
NCG030572
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)
Facility Name* Continental Automotive Systems, Inc
For NPDES permits
Owner/Operator* Continental Automotive Systems, Inc.
County: Henderson
Submitter Name: * Brian Deckard
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* [phone]
Additional E-mail for (Optional)
Submittal
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Representative Outfall Status Renewal Request
File Upload Click the upload button, or drag and drop files to attach
ROS-Renewal-Certification-Form-2021 -v3-fi liable. pdf 578.34KB
Representative Outfall Status.pdf 25.39KB
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:
* 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')
o 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:* Brian Deckard
Signature:
Date Submitted: 09/17/2021

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
NCG030572
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
Review Date* 03/29/2022