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HomeMy WebLinkAboutSW3160401_Supplemental Info Review_20240325 (7) Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 3/25/2024 9:26:11 AM(Supplemental Submittal) Accept by Kaitlin Peck 3/25/2024 12:00:27 PM (Supplemental Info Submittal) • The task was assigned to Kaitlin Peck 3/25/2024 9:26:12 AM =DEQ • Submittal from 3/25/2024 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* SW3160401 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* SW3160401 Statesville 8-Year Renewal Owner/Operator* State Employees'Credit Union County: Iredell Submitter Name:* John F. Elliott Who is submitting this information? E-mail Address:* jelliott@ncsecu.org Phone Number* 919-839-8011 Additional E-mail for (Optional) Submittal Confirmation: State Stormwater (Post-Construction) Information Uploads Choose file type and upload attachment(Reviewer may remove unnecessary submittals) File Type* O&M Agreement/Plan File Upload Click the upload button,or drag and drop files to attach 2024.03.22-Scanned Copy of RECORDED O&M 3.1 MB Showing Book&Page Number.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: Attached is the PDF of the"wet-copy"O&M for SW3160401 -Statesville.The attachment shows the Register of Deeds Book and Page Numbers where the O&M has been recorded. Per instructions,the actual wet-copy(original)is on the way to NCDEQ via US Postal Service.Thank you. * 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:* John F. Elliott Signature: Date Submitted: 03/25/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW3160401 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 Review Date* 03/25/2024