SW1240301_Supplemental Info Review_20240319

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/19/2024 6:03:21 PM (Supplemental Submittal)
Accept by Kaitlin Peck 3/20/2024 10:00:26 AM (Supplemental Info Submittal)
• The task was assigned to Kaitlin Peck 3/19/2024 6:03:22 PM

=DEQ •
Submittal from 3/19/2024
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* SW1240301
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* Marketplace at Mills River
Owner/Operator* James Goode Revocable Trust
County: Henderson
Submitter Name:* Lauryn Falkenstein
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 4703752001
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* Property Deed
File Upload Click the upload button,or drag and drop files to attach
21-118-715 689 DOT Deed.pdf 819.48KB
21-118-742 213 DOT Deed.pdf 927.84KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Stormwater Permit Application
2.76M6
SIGNED.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
21-118-20240301-2024 FL Corporate Profit Annual
5.6KB
Report-Sec.of State.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-O&M Agreement-SIGNED.pdf 528.23KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
21-118-20240305-SuppEZ-2-SEALED.pdf 1.15MB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Mills River-C-0-Cover Sheet.pdf 664.59KB
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
21-118-20240229-Mills River-C-1.1-Overall SP.pdf 1.21MB
21-118-20240229-Mills River-C-1.2-Site Plan.pdf 609.5KB
21-118-20240229-Mills River-C-1.3-Site Plan.pdf 647.72KB
21-118-20240229-Mills River-C-1.4-Site Plan.pdf 347.41KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Mills River-C-2.1-Ex. Cond&
632.66KB
Demo.pdf
21-118-20240229-Mills River-Survey1.pdf 501.16KB
21-118-20240229-Mills River-Survey2.pdf 482.44KB
21-118-20240229-Mills River-Survey3.pdf 331.82KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Mills River-C-3.1-Overall GD.pdf 966.89KB
21-118-20240229-Mills River-C-3.2-Grading.pdf 849.5KB
21-118-20240229-Mills River-C-3.3.Grad ing.pdf 502.14KB
21-118-20240229-Mills River-C-3.4-Grading.pdf 385.37KB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail

File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Mills River-C-8-Details.pdf 1.18MB
21-118-20240229-Mills River-C-9-Details.pdf 375.45KB
Only PDF files are accepted.
File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Stormwater Management
13.6MB
Report.pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
21-118-20240229-Mills River-C-6.1-Storm
160.29KB
Profiles.pdf
21-118-20240229-Mills River-C-6.2-Storm
364.08KB
Profiles.pdf
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:
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)
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');
d 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:* Lauryn Falkenstein
Signature:
,�rut�w l��rLF�irJtirr
Date Submitted: 03/19/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW 1240301
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* 03/20/2024