SW1240602_Supplemental Info Review_20240617

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/17/2024 3:40:11 PM(Supplemental Submittal)
Accept by Kaitlin Peck 6/18/2024 8:49:26 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 6/17/2024 3:40:13 PM
• The task was assigned to Kaitlin Peck by round robin distribution 6/17/2024 3:40:13 PM

=DEQ •
Submittal from 6/17/2024
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* SW1240602
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* Jackson County Splash Pad
Owner/Operator* Jackson County
County: Jackson
Submitter Name:* Jason Seickel
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 828.253.6856
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
SW_application_revised_05132024_signed.pdf 1.32MB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
REVIEW PACKAGE_FINAL_revised_05132024.pdf 4.91MB
Only PDF files are accepted.
File Type* O&M Agreement/Plan

File Upload Click the upload button,or drag and drop files to attach
O&M.pdf 448.35KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DEED1.pdf 119.45KB
DEED2.pdf 72.96KB
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
CVCC Equinox5-17.pdf 53.05KB
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
North Carolina Secretary of State Search Results.pdf 54.54KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Revisions based on comments received via email.pdf 123.07KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SUPPLEMENT.pdf 2.15MB
S u p p E Z-2020-Version-2.1.3-20201203-D E M L R-
104.26KB
SW.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
Cover.pdf 1.02MB
Only PDF files are accepted.
File Type* Plansheet-Notes
File Upload Click the upload button,or drag and drop files to attach
Notes.pdf 674.47KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
Existing Conditions.pdf 4.54MB
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
Site Plan.pdf 523.55KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Grading.pdf 710.91 KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
Stormwater.pdf 341.42KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
SCM details.pdf 363.79KB
Only PDF files are accepted.
File Type* Plansheet-Existing Drainage Area
File Upload Click the upload button,or drag and drop files to attach
Drainage Exhibit.pdf 323.19KB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
Planting.pdf 6.85MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
Other details.pdf 934.81 KB
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:
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")

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');
• 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:* Jason Seickel
Signature: f
Date Submitted: 06/17/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW 1240602
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* 06/18/2024