SWG040163_Supplemental Upload Record (Recovered)_20240314

3/18/24,8:28 AM Supplemental Submittal
NC Stormwater - Supplemental Information Upload
Fields marked with an asterisk are required.
NOTE: Do not use this form to upload industrial stormwater Data Monitoring Reports (DMRs). Please use this
DMR Upload form instead.
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* SWG040163
Begins with"SW","NCG",or"NCS"
Post-construction projects in the 20 coastal counties are reviewed by the regional office, and other projects are reviewed
by the Central Office. To see counties handled by each coastal office, view information for the Wilmington Regional
Office or Washington Regional Office. Be sure to choose the office below that matches the one listed in your
confirmation email.
What DEQ Office is Central Office
the Primary Contact? Washington Regional Office (Attn: Carl Dunn)
*
Wilmington Regional Office (Attn: Christine Hall)
...................................................................................................................................................................................................................................................................................................................................................................................................
Project Name* Town of Rosman and City of Brevard Waterline Interconnect
Owner/Operator* Transylvania County
County:* Transylvania
Submitter Name:* Jacob Gray
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 8032318149
https://edocs.deq.nc.gov/Forms/form/submission/history/187603/573083?hideHeader=true&showlnstanceDetails=false&from Instances=true 1/4

3/18/24,8:28 AM Supplemental Submittal
Additional E-mail for (Optional)
Submittal
Confirmation:
IMPORTANT! Use the "Add Another" link below the Upload button to upload file(s)that should be identified as a
different File Type. Everything uploaded together will be identified as the single File Type chosen for that set.
State Stormwater (Post-Construction) Information Uploads
Choose file type and upload attachment.ENTIRE PLAN SETS should NOT be uploaded,but rather individual sheets should be uploaded by their
respective type.
File Type* Application Form
Upload individual plan sheets by respective type
File Upload* Click the upload button,or drag and drop files to attach
SSW-NOI-SWG04-201 002 1 7-DWQ-SPU -Signed.pdf 1.25MB
Only PDF files are accepted.
.........................................................................................................................................................
File Type* USGS Topographic Site Map
Upload individual plan sheets by respective type
File Upload* Click the upload button,or drag and drop files to attach
04_USGS Quad_2024-02-23.pdf 107.37KB
Only PDF files are accepted.
................................................................................
File Type* Plansheet-Cover Sheet
Upload individual plan sheets by respective type
File Upload* Click the upload button,or drag and drop files to attach
TRA012_PERMIT SET_1_2024-03-07.pdf 123.87KB
Only PDF files are accepted.
File Type* Plansheet- Grading/Drainage Plan
Upload individual plan sheets by respective type
File Upload* Click the upload button,or drag and drop files to attach
TRA012_PERMIT SET_3_2024-03-07.pdf 362.92KB
Only PDF files are accepted.
.........................................................................................................................................................
WARNING! Uploading multiple different File Types under a single File Type set will result in the submission being
cancelled and will delay the review of the submitted materials. All of the files uploaded together under a specific File
Type Upload section will be identified as whatever File Type is selected in the dropdown menu when the form is
submitted. Changing the File Type in the dropdown menu before adding each file to the same File Upload section will not
result in each file being uploaded as a different File Type, but rather they will all be uploaded as whatever File Type was
last selected in the menu. Please use the "Add Another" link under the upload button to add additional File Types to the
submission.
https://edocs.deq.nc.gov/Forms/form/submission/history/187603/573083?hideHeader=true&showlnstanceDetails=false&from Instances=true 2/4

3/18/24,8:28 AM Supplemental Submittal
Please indicate if this an ARPA(American Rescue Plan Act) funded project:
Is this project funded No
with ARPA grant Yes
funds?*
ARPA Project No.* Project number assigned by Division of Water Infrastructure(e.g.,SRP-D-ARP-0090)
Session Law 2022-6 House Bill 243. Project
Number TBD
Letter of Intent to Please upload the Letter of Intent to Fund provided by the N.C.Division of Water Infrastructure(DWI)for this
Fund (LOIF)ARPA project that references the assigned ARPA Project number.
Project* SL2022-6.pdf 541.82KB
Must be PDF format
Please alert us to any CONFIDENTIAL information contained in the uploaded documents.
Do NOT upload copies of checks with routing number information.
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:
I've attached the NCGA Session Law as the LOIF.Transylvania County was directly apportioned $7,000,000 for water
and sewer projects (see page 19 of the pdf). They will be using some of these funds towards this project.
* 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:* Jacob Gray
Signature:
https://edocs.deq.nc.gov/Forms/form/submission/history/187603/573083?hideHeader=true&showlnstanceDetails=false&from Instances=true 3/4

3/18/24,8:28 AM Supplemental Submittal
,d: 03/14/2024
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