SW6221007_Supplemental Info Review_20221102

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/2/2022 10:40:36 AM (Supplemental Submittal)
Submit by Tran, Kieu M 11/7/2022 8:38:08 AM (Supplemental Info Submittal)
• The task was assigned to Tran, Kieu M 11/2/2022 10:40 AM

Submittal from 11/2/2022
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*
SW6221007
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* Spout Springs Self Storage and Miracle Movers Warehouse
Owner/Operator* Kenneth Donald Terrell
County: Harnett
Submitter Name: * Jarrod E. Hilliard, PE, CFM
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-352-2834
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
A -SIGNED STORM APPLICATION.pdf 7.79MB
Only PDF files are accepted.
File Type*
Supplement-EZ Form
File Upload
Click the upload button, or drag and drop files to attach
B-SIGNED AND SEALED SUPPLEMENT EZ.pdf 2.79MB
....................................
Only PDF files are accepted.
........
File Type*
Supplement-EZ Form

File Upload
Click the upload button, or drag and drop files to attach
C-WET DETENTION BASIN SUPPLMENT.pdf
2.53MB
Only PDF files are accepted.
File Type*
O&M Agreement/Plan
File Upload
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D-SIGNED OM AGREEMENTpdf
1.49MB
Only PDF files are accepted.
File Type*
Stormwater Narrative
File Upload
Click the upload button, or drag and drop files to attach
E-SSSS and MMWH Storm Water Management
248.03KB
Statement.pdf
Only PDF files are accepted.
File Type*
USGS Topographic Site Map
File Upload
Click the upload button, or drag and drop files to attach
F-NC_Olivia_20220817_TM.pdf
1.39MB
Only PDF files are accepted.
File Type*
Soils/Geotechnical Report
File Upload
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G-soils map from USDA report.pdf
763.16KB
Only PDF files are accepted.
File Type*
Property Deed
File Upload
Click the upload button, or drag and drop files to attach
J-DEED SSSS and MMWH.pdf
143.52KB
Only PDF files are accepted.
.... ................
File Type*
Signing Official Title & Position Information
File Upload
Click the upload button, or drag and drop files to attach
K-SIGNED LANDOWNER CONSENT.pdf
452.98KB
.......................................................................................
Only PDF files are accepted.
File Type*
Plansheet - Proposed Drainage Area
File Upload
Click the upload button, or drag and drop files to attach
L-WET POND UPDATED DRAINAGE AREA
4.87MB
MAP.pdf
Only PDF files are accepted.
File Type*
Plansheet - Cover Sheet
File Upload
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P1-COVER SHEET.pdf
1.36MB
Only PDF files are accepted.
File Type*
Plansheet - Existing Conditions/Survey

File Upload Click the upload button, or drag and drop files to attach
P2-EX COND.pdf 1.58MB
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
P3-SITE PLAN.pdf 1.51 MB
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload Click the upload button, or drag and drop files to attach
P4.1-GRADING PLAN.pdf 3.07MB
Only PDF files are accepted.
File Type* Plansheet - Grading/Drainage Plan
File Upload
Click the upload button, or drag and drop files to attach
P4.2-GRADING PLAN.pdf 1.44MB
Only PDF files are accepted.
File Type*
Plansheet - SCM Detail
File Upload
Click the upload button, or drag and drop files to attach
P5-POND DETAIL.pdf 1.57MB
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
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Jarrod E. Hilliard
Signature:
Date Submitted: 11/02/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
SW6221007
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* 11/07/2022