SW6131201_Supplemental Info Review_20240229

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/29/2024 3:06:11 PM(Supplemental Submittal)
Accept by Kaitlin Peck 3/1/2024 8:19:07 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 2/29/2024 3:06:12 PM

=DEQ •
Submittal from 2/29/2024
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* SW6131201
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* Rooms to Go Building and Parking Expansion
Owner/Operator* Rooms to Go Distribution Company LLC
County: Harnett
Submitter Name:* Nicole Brown
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 815-412-4248
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* Application Form
File Upload Click the upload button,or drag and drop files to attach
Stormwater Management Permit Application.pdf 1.87MB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Designer's Certification_20150716.pdf 936.43KB
Only PDF files are accepted.
File Type* As-Built-SCM Plansheet

File Upload Click the upload button,or drag and drop files to attach
RTGSRC-503 GRADING SW RECORD
1.06MB
2015.08.24.pdf
RTGSRC-504 GRADING SE RECORD
746.07KB
2015.08.24.pdf
Only PDF files are accepted.
File Type* Change of Permittee Information
File Upload Click the upload button,or drag and drop files to attach
Permit Update Application Form.pdf 836.13KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
BK 3190 PG 372-375.pdf 244.65KB
BK4220 PG 1131-1134.pdf 118.21KB
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&M Agreement_Recorded.pdf 2.89MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
NC_Du n n_20220816_TM_geo.pdf 32.28M B
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 001_Cover.pdf 536.4KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 100_Existing Conditions.pdf 1.29MB
RTGDE_Site 101_Demo Plan South.pdf 1.29MB
RTGDE_Site 102_Demo Plan North.pdf 626.55KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 300_Overall Grading Plan.pdf 1.21 MB
RTGDE_Site 301_Grading Plan South.pdf 712.69KB
Only PDF files are accepted.
File Type* Plansheet-Existing Drainage Area

File Upload Click the upload button,or drag and drop files to attach
RTGDE_DA 1.0_Existing Drainage Area.pdf 1.2MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
RTGDE_DA 2.0_Post-Development Drainage
1.21 MB
Area.pdf
RTGDE_DA 3.0_Inlet Drainage Area Plan.pdf 1.04MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SCM Supplement EZ.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
RTGDE_North Carolina Secretary of State.pdf 34.78KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
RTGDE_SD_REPORT_20240222.pdf 25.77MB
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:
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)
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
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Nicole Brown

Signature:
ejuwv ot~
Date Submitted: 02/29/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6131201
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* 03/01/2024