NCG060069_Supplemental Info Review (ROS Renewal)_20220525

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/25/2022 3:10:15 PM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 6/1/2022 8:55:22 AM (Supplemental Info Submittal)
* Added Outfall 003 (used same coordinates as 002) to permit and entered monitoring suspension in
BIMS.
• Tran, Kieu M reassigned the task to Georgoulias, Bethany A 5/26/2022 9:07 AM
P industrial permit
• The task was assigned to Tran, Kieu M 5/25/2022 3:10 PM

Submittal from 5/25/2022
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*
NCG060069
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* Procter & Gamble Manufacturing Company
For NPDES permits
Owner/Operator* April Haley
County:
Guilford
Submitter Name: *
April Haley
Who is submitting this information?
E-mail Address:*
[e-mail]
Phone Number*
336-207-5348
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
P&G ROS Renewal Certification Form.pdf 188.96KB
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:* April LaFrance Haley
Signature:
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Date Submitted: 05/25/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
NCG060069
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* 06/01/2022