SWA000225_Supplemental Info Review_20231003 (2)

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/3/2023 10:34:17 AM (Supplemental Submittal)
Accept by Kaitlin Peck 10/3/2023 10:37:34 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 10/3/2023 10:34:18 AM

=DEQ •
Submittal from 10/3/2023
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* SWA000225
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* Crepe Myrtle Storage Units
Owner/Operator* Gregory Family Properties LLC
County: Harnett
Submitter Name:* Blake Hesse
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-894-7765
Additional E-mail for (Optional)
Submittal
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
SSW Fast Track ATC Form_20180210 FINAL.pdf 1.46MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
5152-WARREN-ANGIER-STORAGE SITE
7.3MB
20231003.pdf
Only PDF files are accepted.

File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
GIS MAP.pdf 832.14KB
USGS.pdf 45.75MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DB3741-P692.pdf 96.98KB
PBPC#C-P76B.pdf 49.48KB
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:
The application form is the first signed and stamped application with the first page swapped for the latitude and
longitude adjusted to the correct degrees-minutes-seconds.All other information should be the same.
* By checking the box and signing box below, I certify that:
d 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');
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:* Blake Hesse
Signature:
6C*#roc
Date Submitted: 10/03/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SWA000225
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* 10/03/2023