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HomeMy WebLinkAboutSWA000222_Supplemental Info Review_20231102 (2) Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 11/2/2023 1:57:59 PM (Supplemental Submittal) Accept by Kaitlin Peck 11/2/2023 2:09:16 PM(Supplemental Info Submittal) • The task was assigned to Kaitlin Peck 11/2/2023 1:58:00 PM =DEQ • Submittal from 11/2/2023 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* SWA000222 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* Compton Addy-Popeyes-Spout Springs, NC Owner/Operator* CT Spout Springs County: Harnett Submitter Name:* Paige Weidner Who is submitting this information? E-mail Address:* weidner@cesoinc.com Phone Number* 9376483213 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* Pending Sales Agreement File Upload Click the upload button,or drag and drop files to attach EXECUTED--Cameron Purchase Agreement-- 468.95K6 Spout Springs(EXECUTED_12.7.22).pdf Only PDF files are accepted. File Type* Property Deed File Upload Click the upload button,or drag and drop files to attach Vesting Deed_2089.879.pdf 185.87KB Only PDF files are accepted. File Type* USGS Topographic Site Map File Upload Click the upload button,or drag and drop files to attach USGS Map.pdf 7.98MB 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 North Carolina Secretary of State Search Results.pdf 67.4KB 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; d 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:* Paige Weidner Signature: Date Submitted: 11/02/2023 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SWA000222 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* 11/02/2023