NCG070015_Supplemental Info Review (ROS Request)_20231113

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/13/2023 8:57:53 AM(Supplemental Submittal)
Accept by bethany.georgoulias 11/16/2023 9:53:34 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 11/13/2023 8:57:54 AM
• Kaitlin Peck reassigned the task to bethany.georgoulias 11/13/2023 9:15:08 AM
41 NCG07

pEQNC Stormwater - Supplemental Information Upload
Submittal from 11/13/2023
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* NCG070015
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 Representative Outfall status
Owner/Operator* Electric Glass Fiber America, LLC
County: Cleveland
Submitter Name:* Terry Steinert
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 704-434-2261
Additional E-mail for (Optional)
Submittal
Confirmation:
Other Information Uploads
Describe file and upload attachment(Reviewer may remove unnecessary submittals)
................................................................................................................................................................... ..........................................................................
File Description* Designate Outfall 008 as representative outfall
File name will incorporate this description.
File Upload Click the upload button,or drag and drop files to attach
Representative Outfall 2023-11-13 request.pdf 1021.57KB
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:* Terry L Steinert
Signature:
0--t tJ vr�i :rett
Date Submitted: 11/13/2023

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
NCG070015
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
Identify Regional Office:*
Mooresville Regional Office—704-663-1699
Any Comments or Entered ROS Requested date 11/13/2023 in BIMS. Events tab needs to be updated
Added Info for CO with final determination,and monitoring suspensions for applicable outfalls will need
Staff Reviewer? to be added if ROS approved.
Select RO Stormwater Contact(s):
[e-mail]
Kicks off e-mail notification
Review Date* 11/16/2023