NCG210168_Supplemental Info Review (ROS Renewal)_20230712

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/12/2023 5:38:01 PM (Supplemental Submittal)
Accept by bethany.georgoulias 7/13/2023 4:44:23 PM (Supplemental Info Submittal)
0 Added Outfall 002 and recorded Representative Outfall Status for 001 in BIMS; monitoring
suspension effective 6/1/2023.
• The task was assigned to Kaitlin Peck 7/12/2023 5:38:02 PM
• Kaitlin Peck reassigned the task to bethany.georgoulias 7/13/2023 8:02:06 AM
0 Hey Bethany! I'm not sure that is this PCSW.

pEQNC Stormwater - Supplemental Information Upload
Submittal from 7/12/2023
Permit Information:
Please provide specific permit details below.
...................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
0 NPDES Industrial or MS4 Permit
0 State Stormwater(Post-Construction)Permit
Other
Permit Number* NCG210168
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* Request for renewal of representative outfall status
Owner/Operator* Georgia-Pacific Wood Products LLC
County: Wayne
Submitter Name:* Elizabeth Meyer
Who is submitting this information?
E-mail Address:* elizabeth.meyer1 @gapac.com
Phone Number* 9105477080
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment(Reviewer may remove unnecessary submittals)
.......................................................................................................................................................................................................................................................................
File Description* ROS Renewal Certification
File name will incorporate this description.
File Upload Click the upload button,or drag and drop files to attach
ROS as submitted.pdf 1.03MB
Only PDF files are accepted.
.....................................................................................................................................
Is this project funded DQ No
with ARPA grant 0 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:* Elizabeth Meyer
Signature:
cF&eZaArrif eArrt
Date Submitted: 07/12/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
NCG210168
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
Brittany Cook
Any Comments or Added Outfall 002 and recorded Representative Outfall Status for 001 in BIMS;
Added Info for CO monitoring suspension effective 6/1/2023. Original approval from 2017 inspection
Staff Reviewer? report included.
Review Date* 07/13/2023