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HomeMy WebLinkAboutSW6230104_Supplemental Info Review_20230814 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 8/14/2023 8:42:53 AM (Supplemental Submittal) Accept by Kaitlin Peck 8/14/2023 10:10:57 AM (Supplemental Info Submittal) • The task was assigned to Kaitlin Peck 8/14/2023 8:42:54 AM pEQNC Stormwater - Supplemental Information Upload Submittal from 8/14/2023 Permit Information: Please provide specific permit details below. ................................................................................................................................................................................................................................................................................................................................................................................................... What Type of Permit? Choose one: * rl NPDES Industrial or MS4 Permit State Stormwater(Post-Construction)Permit Other Permit Number* SW6230104 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* Dunn, NC-Petco Owner/Operator* PC-DUNN, NC-1-UT,LLC County: Harnett Submitter Name:* Brian Kemp Who is submitting this information? E-mail Address:* bkemp@mcclurevision.com Phone Number* 8167560444 Additional E-mail for bkemp@mcclurevision.com Submittal (Optional) Confirmation: State Stormwater (Post-Construction) Information Uploads Choose file type and upload attachment(Reviewer may remove unnecessary submittals) ................................................................................................................ ............................................. File Type* Wetland Determination/Report File Upload Click the upload button,or drag and drop files to attach NCDEQ WETLAND DETERMINATION PetCo site 3.1 MB Dunn, NC.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:* Brian Kemp Signature: ff Date Submitted: 08/14/2023 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW6230104 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* 08/14/2023