SWA000190_Supplemental Info Review_20230405

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/5/2023 10:33:21 AM (Supplemental Submittal)
Submit by bethany.georgoulias 4/17/2023 4:50:49 PM (Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 4/5/2023 10:33:22 AM

Submittal from 4/5/2023
Permit Information:
Please Drovide sDecific Dermit details below.
What Type of Permit?
Choose one:
*
NPDES Industrial or MS4 Permit
State Stormwater (Post -Construction) Permit
Other
Permit Number*
SWA000190
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* Fairview Fire and Rescue
Owner/Operator* Fairview Fire and Rescue Association
County: Union
Submitter Name:* Garrett Kraus
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9807773266
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment (Reviewer may remove unnecessary submittals)
File Description* Existing Storm Exhibit
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Existing Storm Exhibit.pdf 2.66MB
Only PDF files are accepted.
File Description* Jurisdictional Feature Determination
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
7520 Concord Highway Jurisdictional Feature
368.81 KB
Determination (02-24-23).pdf
Only PDF files are accepted.

File Description* Meeting Minutes from Fairview Fire and Rescue Assc
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
Meeting Minutes.pdf 20.56KB
Only PDF files are accepted.
File Description*
Property Deed
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Property Deed.pdf
109.38KB
Only PDF files are accepted.
File Description*
Secretary of State Entity Search
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
NC Secretary of State Search Fairview Fire.pdf
73.79KB
Only PDF files are accepted.
File Description*
Hydrologic Soil Map
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
Hydrologic Soil Group.pdf
415.07KB
Only PDF files are accepted.
File Description*
Response Letter to Comments
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
220726.000 Stormwater Response Letter.pdf
655.56KB
Only PDF files are accepted.
File Description*
Sealed Plans with Omitted Sheets
File name will incorporate this description.
File Upload
Click the upload button, or drag and drop files to attach
220726.000 Fairview Fire and Rescue Omitted.pdf
11.24MB
Only PDF files are accepted.
File Description* Site Report Sealed
File name will incorporate this description.
File Upload Click the upload button, or drag and drop files to attach
CESI Site Report for Storm Pipes.pdf 5.73MB
Only PDF files are accepted.
Is this project funded No
with ARPA grant
Yes
funds?
This question was added 3/19/2023 and will not be answered on submissions prior to that date. Reviewer may
update if known.
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 plans included the sheets necessary to complete your review. Extraneous sheets have been omitted.
* By checking the box and signing box below, I certify that:
o 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');
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
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Garrett Allen Kraus
Signature:
ein t tevr
Date Submitted: 04/05/2023

Initial Review
Verify Permit No.* IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
SWA000190
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* 04/17/2023