NCG110116_Supplemental Info Review (ROS Request)_20240301

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/1/2024 11:13:15 AM(Supplemental Submittal)
Accept by bethany.georgoulias 3/5/2024 4:06:45 PM(Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 3/1/2024 11:13:16 AM
• Kaitlin Peck reassigned the task to bethany.georgoulias 3/5/2024 9:29:09 AM

pEQNC Stormwater - Supplemental Information Upload
Submittal from 3/1/2024
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* NCG110116
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)
.................................................................................................................................................................................................................................................................................................................................................................................................
Facility Name* North Cary Water Reclamation Facility
For NPDES permits
Owner/Operator* Town of Cary
County: Wake
Submitter Name:* Jim Bridges
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-677-0850
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachment(Reviewer may remove unnecessary submittals)
......................................................................................................................................................................................................................................
File Type* Representative Outfall Status Initial Request
File Upload Click the upload button,or drag and drop files to attach
ROS 2024 Combined.pdf 705.91 KB
Only PDF files are accepted.
......... ......... ......... ......... .........
Is this project funded QQ No
with ARPA grant Q 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:* James E Bridges
Signature:
r,/,;Ws'J
Date Submitted: 03/01/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
NCG110116
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:*
Raleigh Regional Office—919-791-4200
Any Comments or CO-Please enter the ROS Request in BIMS(rec'd 3/1/2024)
Added Info for CO RRO-Please review submittal and schedule a site visit
Staff Reviewer?
Select RO Stormwater Contact(s):
[e-mail]
Kicks off e-mail notification
Review Date* 03/05/2024