SW6221001_Supplemental Info Review_20230622

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/22/2023 2:04:49 PM (Supplemental Submittal)
Accept by Kaitlin Peck 6/26/2023 7:37:37 AM(Supplemental Info Submittal)
• The task was assigned to bethany.georgoulias 6/22/2023 2:04:50 PM
• bethany.georgoulias reassigned the task to Kaitlin Peck 6/23/2023 3:42:11 PM

=DEQ •
Submittal from 6/22/2023
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* SW6221001
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* Macridge&Chicken Road Intersection Improvements
Owner/Operator* Fort Bragg Directorate of Public Works
County: Cumberland
Submitter Name:* James Reed
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 910-824-7731
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* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
20230622-NCDEQ-Storm-response4.pdf 276.68KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
20230622-BAR1040-PP05_REV-sealed.pdf 2.16MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail

File Upload Click the upload button,or drag and drop files to attach
20230622-BAR1040-SCMO1_REV-sealed.pdf 647.16KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
20230622-Signed-Su ppEZ-2020-Version
362.7KB
2.1.3_REV20230615.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:
Sheet PP-05 has redundant information to that of the detailed SCM-01 plan/profile sheet and was only included to
indicate the design changes based on the revisions to SCM-01.
* By checking the box and signing box below, I certify that:
o I have given true,accurate,and complete information on this form;
d 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');
d 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:* James B. Reed
Signature:
oTWnf
Date Submitted: 06/22/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6221001
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* 06/26/2023