SW6230401_Supplemental Info Review_20230707

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/7/2023 8:59:19 AM(Supplemental Submittal)
Accept by Kaitlin Peck 7/7/2023 1:39:33 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 7/7/2023 8:59:21 AM

=DEQ •
Submittal from 7/7/2023
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* Application Form
File Upload Click the upload button,or drag and drop files to attach
A-Phalanx SW Permit App.pdf 8.04MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
B-Phalanx Supp EZ.pdf 1.55MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan

File Upload Click the upload button,or drag and drop files to attach
C-Phalanx OM Agreement.pdf 4.68MB
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
D-Phalanx Narrative.pdf 247.32KB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
E-Phalanx USGS Map.pdf 2.18MB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
F-Phalanx Soils Map.pdf 311.58KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
H-Phalanx Deed.pdf 82.72KB
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
I-Phalanx NC SOS Art of Organ.pdf 842.95KB
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* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
AAA-PHALANX STORM AND EC REPORT-RFS-
6.05MB
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:
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:* Jarrod E. Hilliard
Signature:
r,/,?r t'W'c5'
Date Submitted: 07/07/2023

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* 07/07/2023