SW6230401_Supplemental Info Review_20230612

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/12/2023 11:06:17 AM (Supplemental Submittal)
Accept by Kaitlin Peck 6/13/2023 2:14:22 PM (Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 6/12/2023 11:06:18 AM
• bethany.georgoulias reassigned the task to Kaitlin Peck 6/13/2023 6:46:37 AM

=DEQ •
Submittal from 6/12/2023
Permit Information:
Please provide specific permit details below.
................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
* NPDES Industrial or MS4 Permit
State Stormwater(Post-Construction)Permit
Other
Permit Number* SW6230401
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* Phalanx Crossfit
Owner/Operator* Phalanx Fitness, LLC
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* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
02-SITE LAYOUT SITE(2.pdf 5.51 MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
03-ERO ERO-C3-1.pdf 8.79MB
Only PDF files are accepted.
File Type* Plansheet-Other

File Upload Click the upload button,or drag and drop files to attach
03-ERO ERO-C3-2.pdf 5.16MB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
04-GRADING GRADING.pdf 5.51MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
04-POND DETAIL POND DETAIL-C4.pdf 2.08MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
08-NCDOT NCDOT.pdf 3.16MB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
L1-LANDSCAPE LANDSCAPE PLAN.pdf 7.7MB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
M-PHALANX REVISED CALC SHEETS STORM
3.84MB
AND EC REPORT.pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
P-REVISED DRIVEWAY CULVERT DRAINAGE
2.33MB
AREA MAP.pdf
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
X1-Phalanx SuppEZ-2020-Version-2.1.3-WET POND
109.2 KB
SHEET.pdf
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
X2-Storm Water PERMITTING TRANSMITTAL-
32.68KB
230519.pdf
Only PDF files are accepted.

Is this project funded No
with ARPA grant Yes
funds?
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:
��raes'WMW-e
Date Submitted: 06/12/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6230401
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
Brianna Holland
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 06/13/2023