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HomeMy WebLinkAboutNCG030095_Supplemental Info Review_20220805Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 8/5/2022 3:19:43 PM (Supplemental Submittal) Submit by Georgoulias, Bethany A 8/24/2022 1:27:51 PM (Supplemental Info Submittal) * Reassigned from Christine Hall at WiRO. Should have been NPDES permit upload for Central Office. • Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 8/24/2022 11:23 AM • The task was assigned to Hall, Christine 8/5/2022 3:19 PM Submittal from 8/5/2022 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* NCG030000 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? e Central Office * Washington Regional Office (Attn: Carl Dunn) Wilmington Regional Office (Attn: Christine Hall) Project Name* Brian Lambe paperwork for tier change of Stanadyne LLC Owner/Operator* Stanadyne LLC County: Onslow Submitter Name: * Jacob Davis Who is submitting this information? E-mail Address:* Jdavis@stanadyne.com Phone Number* (910) 391-6378 Additional E-mail for (Optional) Submittal Confirmation: Other Information Uploads Describe file and upload attachment (Reviewer may remove unnecessary submittals) File Description* Map of Stanadyne File name will incorporate this description. File Upload Click the upload button, or drag and drop files to attach Map of plant with SDO's.pdf 153.19KB Only PDF files are accepted. File Description* Application File name will incorporate this description. File Upload Click the upload button, or drag and drop files to attach Application finished for NPDES-ROS Request 165.36KB DEMLR-SW Tier change.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 application's question 4 has the information needed for the second checklist requirement. I attached the site map with the SDO's labeled and a description. I have a Excel file of the last 5 years of samples summarized that is in the mail as summary of results and/or supporting documents. * 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 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 o I intend to electronically sign and submit the Supplemental Information Upload form. Full Name:* Jacob Davis Signature: Date Submitted: 08/05/2022 Initial Review Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary. NCG030095 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 Brittany Carson Identify Regional Office:* Wilmington Regional Office — 910-796-7215 Any Comments or This looks like an ROS Request. Added Info for CO Staff Reviewer? Select RO Stormwater Contact(s): * brian.lambe@ncdenr.gov Kicks off e-mail notification Review Date* 08/24/2022