SW3231005_Supplemental Info Review_20240524

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/24/2024 4:41:47 PM (Supplemental Submittal)
Accept by bethany.georgoulias 5/27/2024 11:23:34 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 5/24/2024 4:41:48 PM
• The task was assigned to bethany.georgoulias by round robin distribution 5/24/2024 4:41:48 PM

=DEQ •
Submittal from 5/24/2024
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* SW3231005
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* DKOTA Salisbury
Owner/Operator* Josh Rine
County: Rowan
Submitter Name:* Josh Rine
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7045171610
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* Application Form
File Upload Click the upload button,or drag and drop files to attach
Application.pdf 488.76KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
OandMAgreement.pdf 151.99KB
Only PDF files are accepted.
File Type* Stormwater Narrative

File Upload Click the upload button,or drag and drop files to attach
Narrative.pdf 341.35KB
Only PDF files are accepted.
File Type* Deed Restriction/Protective Covenant Form
File Upload Click the upload button,or drag and drop files to attach
1417-812_Deed of Trust—Corporate Center.pdf 3.64MB
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 Map.pdf 1.07MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
NC Stormwater-Supplemental Information Upload
224.13K6
(2).pdf
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Geotechnical Report.pdf 979.13KB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Civil Package.pdf 5.21 MB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
Calcs.pdf 1.63MB
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;

• 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)
• 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');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature;AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Josh Rine
Signature:
Date Submitted: 05/24/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3231005
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
Brianna Holland
Any Comments or Still assigned to Kaitlin Peck in BIMS.Also, upload identified as'Supplement-EZ
Added Info for CO Form'was just a copy of the Laserfiche Supplemental Upload record.
Staff Reviewer?
Review Date* 05/27/2024