SW6240204_Supplemental Info Review_20240226

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/26/2024 3:33:16 PM (Supplemental Submittal)
Accept by Kaitlin Peck 2/26/2024 3:42:18 PM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 2/26/2024 3:33:19 PM

=DEQ •
Submittal from 2/26/2024
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* SW6240204
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* Dollar General Market-Store#25705
Owner/Operator* Zaremba Group, LLC
County: Hoke
Submitter Name:* Robert Wingate
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-287-0798
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* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
33.6572 Dollar General-Raeford-ECS Geotechnical
7.12MB
Report.pdf
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
2023-12-29 Letter of Consent.pdf 41.44KB
Only PDF files are accepted.

File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
2024-02-14-ZBG23004-SIA Combined Report.pdf 14.82MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
2024-02-19 SuppEZ Form.pdf 1.11 MB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
2024-02-19-Stormwater Application-Signed.pdf 2.86MB
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
Dearborn Land Investment LLC-Articles of
128.98KB
Organization.PDF
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DG Raeford Property Deed.pdf 181.52KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
O and M Agreement Signed.pdf 1.42MB
Only PDF files are accepted.
File Type* Pending Sales Agreement
File Upload Click the upload button,or drag and drop files to attach
PSA Redacted.pdf 3.33MB
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
ZBG23004-NC SOS Application for Certificate of
61.13KB
Authority.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
ZBG23004-USGS TOPO MAP.pdf 956.74KB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet

File Upload Click the upload button,or drag and drop files to attach
01-ZBG23004 Cover.pdf 1.57MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
02-ZBG23004 Alta 1.pdf 1.79MB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
03-ZBG23004 Alta 2.pdf 1.17MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
04-ZBG23004 C1.01 Demolition Plan.pdf 1.12MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
05-ZBG23004 C2.00 Overall Site Plan.pdf 1.17MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
06-ZBG23004 C2.01 Site Plan.pdf 1.22MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
07-ZBG23004 C2.02 Pavement and Signage
1.23M6
Plan.pdf
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
08-ZBG23004 C3.00 Grading and Drainage Plan.pdf 1.45MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
09-ZBG23004 C4.00 Utility Plan.pdf 1.19MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail

File Upload Click the upload button,or drag and drop files to attach
10-ZBG23004 C6.00 Erosion Control Plan-Stage
1.47MB
1.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
11-ZBG23004 C6.01 Erosion Control Plan-Stage
1.53M6
2.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
12-ZBG23004 C6.02 Erosion Control Details.pdf 1.53MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
13-ZBG23004 C6.03 Erosion Control Details.pdf 3.19MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
14-ZBG23004 C6.04 Erosion Control Details.pdf 1.86MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
15-ZBG23004 C6.05 Erosion Control Maintenance
957.08KB
Notes.pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Conditions/Site Plan
File Upload Click the upload button,or drag and drop files to attach
16-ZBG23004 C8.00 Site Details.pdf 1.55MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
17-ZBG23004 C8.01 Water Details.pdf 2.46MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
18-ZBG23004 C8.02 Sewer Details.pdf 1.02MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail

File Upload Click the upload button,or drag and drop files to attach
19-ZBG23004 C9.00 Stormwater Management
1.17MB
Facility Profile.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
20-ZBG23004 C9.01 Stormwater Management
1.09MB
Facility Details.pdf
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
21-ZBG23004 C9.02 Stormwater Management
1.12M6
Facility Details.pdf
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
22-ZBG23004 L5.00 Landscape Plan.pdf 1.45MB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
23-ZBG23004 L5.01 Landscape Details.pdf 995.71KB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
24-ZBG23004 L6.00 Lighting Plan.pdf 175.53KB
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:
• I have given true,accurate,and complete information on this form;
• 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)
• 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');

• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature;AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Robert Wingate
Signature:
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Date Submitted: 02/26/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6240204
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* 02/26/2024