SW1230602_Supplemental Info Review_20230929

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/29/2023 10:35:28 AM (Supplemental Submittal)
Accept by Kaitlin Peck 9/29/2023 10:40:59 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 9/29/2023 10:35:29 AM

=DEQ •
Submittal from 9/29/2023
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* SW1230602
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* Legacy Soccer Complex
Owner/Operator* RHI Legacy Foundation, Inc.
County: Rutherford
Submitter Name:* Carrie Caviness
Who is submitting this information?
E-mail Address:* carrie.caviness.1 @gmail.com
Phone Number* 919656453
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-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
041 C-9.3 STORMWATER POND DETAILS.pdf 576.89KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Revised Drawdown Time Calculations.pdf 39.03KB
Only PDF files are accepted.
File Type* Supplement-EZ Form

File Upload Click the upload button,or drag and drop files to attach
SuppEZ-2020-Version-2.1.3(5)_DAand WP
150.96K6
pag es_09.29.2023.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
0-M-EZ-20201215-2.1--3-(4)_09.29.2023.pdf 92.65KB
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)
d 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
d I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Carrie Caviness
Signature:
6'a-t tt-�,C'mmovJ
Date Submitted: 09/29/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW 1230602
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* 09/29/2023