SW3240102_Supplemental Info Review_20240501

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/1/2024 4:28:46 PM(Supplemental Submittal)
Accept by bethany.georgoulias 5/6/2024 2:32:52 PM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 5/1/2024 4:28:47 PM
• The task was assigned to bethany.georgoulias by round robin distribution 5/1/2024 4:28:47 PM

=DEQ •
Submittal from 5/1/2024
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* SW3240102
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* Lanes Creek Volunteer Fire Department
Owner/Operator* Lanes Creek Volunteer Fire Depertment
County: Union
Submitter Name:* Bryan Moreno
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 704-510-9797
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* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Civil-4-29-24.pdf 20.46MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SuppEZ-Rev1-Signed.pdf 246.57KB
Only PDF files are accepted.
File Type* USGS Topographic Site Map

File Upload Click the upload button,or drag and drop files to attach
USGS Quad Map-Cropped-REV.pdf 2AMB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
Full-O&M Agreement.pdf 962.28KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
21-036 Full Calculations-Signed.pdf 1.94MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
SW3240102 Add Info_20240426_Response.pdf 322.55KB
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:
See attached for an updated plan set, Supplement EZ Form, USGS Map, O&M Agreement, Project Calcs,and a
comments Response.
* 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")
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:* Bryan Moreno
Signature: �yy
Date Submitted: 05/01/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3240102
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* 05/06/2024