SW4220501_Supplemental Info Review_20220510

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/10/2022 9:28:54 AM (Supplemental Submittal)
Submit by Tran, Kieu M 5/10/2022 2:24:54 PM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 5/10/2022 9:29 AM

Submittal from 5/10/2022
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*
SW4220501
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* Valle Crucis School
Owner/Operator* Watauga County Board of Education
County: Watauga
Submitter Name: * Steven Klotz - Civil Design Concepts
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 8282525388
Additional E-mail for (Optional)
Submittal
Confirmation:
State Stormwater (Post -Construction) Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Stormwater Report
File Upload Click the upload button, or drag and drop files to attach
2022-04-11 Combined Storm & Erosion Calcs for
77.97MB
Submittal - 21931 - SIGNED.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button, or drag and drop files to attach
Supplement EZ Form - 2022-04-01-SIGNED.pdf 304.59KB
Only PDF files are accepted.

File Type*
Application Form
File Upload
Click the upload button, or drag and drop files to attach
21931 Stormwater Permit Application.pdf
648.19KB
Only PDF files are accepted.
....................................................................................................... .
File Type*
O&M Agreement/Plan
File Upload
Click the upload button, or drag and drop files to attach
21931 Bayfilter Operation & Maintenance
15.19MB
Agreement -SIGN ED.pdf
Only PDF files are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
Click the upload button, or drag and drop files to attach
Cover.pdf
420.24KB
Only PDF files are accepted.
File Type*
Plansheet - Existing Conditions/Survey
File Upload
Click the upload button, or drag and drop files to attach
Ex Con.pdf
1.38MB
Only PDF files are accepted.
File Type*
Plansheet - Proposed Conditions/Site Plan
File Upload
Click the upload button, or drag and drop files to attach
Site.pdf
1.03MB
....................................................................................................
Only PDF files are accepted.
.
File Type*
Plansheet - Grading/Drainage Plan
File Upload
Click the upload button, or drag and drop files to attach
Grad ing-Drainage.pdf
21.95MB
Only PDF files are accepted.
File Type*
Plansheet - SCM Detail
File Upload
Click the upload button, or drag and drop files to attach
SCM and Details.pdf
21.98MB
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")

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:* Steven Klotz
Signature:
Date Submitted: 05/10/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW4220501
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* 05/10/2022