SW3220201_Supplemental Info Review_20220425

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/25/2022 11:16:07 AM (Supplemental Submittal)
Submit by Tran, Kieu M 4/25/2022 12:57:27 PM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 4/25/2022 11:16 AM

Submittal from 4/25/2022
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*
SW3220201
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* Frank Liske Park Barn
Owner/Operator*
Cabarrus County
County:
Cabarrus
Submitter Name: *
Matthew Blackmon
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
[phone]
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
Frank Liske Park Barn - SSW-SWU-101 - Application
2.13MB
- 4.12.22.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button, or drag and drop files to attach
Frank Liske Park - O&M Agreement - 2.2.22.pdf 880.54KB
Only PDF files are accepted.
................................................................................................

File Type* USGS Topographic Site Map
File Upload Click the upload button, or drag and drop files to attach
Frank Liske Park Barn - USGS Topo - FLP -
2.2.22.pdf
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button, or drag and drop files to attach
Frank Liske Park - Deed Page - 10.28.21.pdf
Frank Liske Park Barn - State Letter for
Development.pdf
Only PDF files are accepted.
File Type* Plansheet - Existing Conditions/Survey
File Upload Click the upload button, or drag and drop files to attach
Frank Liske Park - Property Line Survey for State
Lease (2017).PDF
Frank Liske Park Barn - C100 OVERALL DEMO
PLAN (Revised).pdf
Frank Liske Park Barn - C101 DEMO PLAN.pdf
Only PDF files are accepted.
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
File Upload
File Type*
Plansheet - Proposed Conditions/Site Plan
Click the upload button, or drag and drop files to attach
Frank Liske Park Barn - C200 SITE PLAN.pdf
Frank Liske Park Barn - C102 BUILT UPON AREA
SITE PLAN.pdf
Only PDF files are accepted.
Plansheet - Grading/Drainage Plan
Click the upload button, or drag and drop files to attach
Frank Liske Park Barn - C300 GRADING.pdf
Only PDF files are accepted.
Plansheet - Landscape/Planting Plan
4.27MB
2.31 MB
1.66MB
416.26KB
1.13MB
971.73KB
979.9KB
20.46MB
1.21 MB
Click the upload button, or drag and drop files to attach
Frank Liske Park Barn - C600 LANDSCAPE.pdf 1.14MB
Only PDF files are accepted.
Plansheet - Notes
Click the upload button, or drag and drop files to attach
Frank Liske Park Barn - C301 EROSION NOTES.pdf 2.73MB
Only PDF files are accepted.
Plansheet - Existing Drainage Area

File Upload
Click the upload button, or drag and drop files to attach
Frank Liske Park Barn -
C303 EROSION PRE (2 of
724.27KB
2).pdf
Frank Liske Park Barn -
C302 EROSION PRE (1 of
1.07MB
2).pdf
Only PDF files are accepted.
File Type*
Plansheet - Proposed Drainage
Area
File Upload
Click the upload button, or drag
and drop files to attach
Frank Liske Park Barn -
C305 EROSION POST (2 of
719.51 KB
2).pdf
Frank Liske Park Barn -
C304 EROSION POST (1 of
1.31 MB
2).pdf
Only PDF files are accepted.
File Type*
Plansheet - Misc. Detail
File Upload
Click the upload button, or drag
and drop files to attach
Frank Liske Park Barn -
C503 DETAILS.pdf
498.41 KB
Frank Liske Park Barn -
C500 DETAILS.pdf
1.64MB
Frank Liske Park Barn -
C501 DETAILS.pdf
690.12KB
Frank Liske Park Barn -
C502 DETAILS.pdf
919.56KB
Only PDF files are accepted.
File Type*
Plansheet - Other
File Upload
Click the upload button, or drag
and drop files to attach
Frank Liske Park Barn -
C401 UTILITY PLAN (1 of
1.14MB
2).pdf
Frank Liske Park Barn -
C402 UTILITY PLAN (2 of
614.74KB
2).pdf
Frank Liske Park Barn -
C400 OVERALL UTILITY.pdf
1.04MB
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;
o I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
INC 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');
o 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:* Matthew Blackmon
Signature:
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Date Submitted: 04/25/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
S W 3220201
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
Added Info for CO
Staff Reviewer?
Review Date* 04/25/2022