SW6131201_Supplemental Info Review_20240625

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/25/2024 11:45:02 AM (Supplemental Submittal)
Accept by Kaitlin Peck 6/25/2024 1:15:49 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 6/25/2024 11:45:03 AM
• The task was assigned to Kaitlin Peck by round robin distribution 6/25/2024 11:45:03 AM

=DEQ •
Submittal from 6/25/2024
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* SW6131201
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* Rooms To Go Building and Parking Expansion
Owner/Operator* Rooms to Go Distribution Center LLC
County: Harnett
Submitter Name:* Nicole Brown
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 8154124248
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* Application Form
File Upload Click the upload button,or drag and drop files to attach
Permit Update Application Form.pdf 836.13KB
Stormwater Management Permit Application.pdf 1.89MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
SCM Supplement EZ_Signed.pdf 794.65KB
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
RTGDE_North Carolina Secretary of State.pdf 34.78KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
BK 3190 PG 372-375.pdf 244.65KB
BK4220 PG 1131-1134.pdf 118.21KB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
NC_Du n n_20220816_TM_geo.pdf 32.28M B
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 Agreement_Recorded.pdf 2.89MB
Only PDF files are accepted.
File Type* Photos/Pictures
File Upload Click the upload button,or drag and drop files to attach
Rooms to Go(Dunn)Maintenance Report Log
12.73MB
August 2021-February 2024.pdf
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Comment Response_20240625.pdf 542.79KB
Only PDF files are accepted.
File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
RTGDE_SD_REPORT_20240624.pdf 30.89MB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Designer's Certification_20150716.pdf 936.43KB
Only PDF files are accepted.
File Type* As-Built-SCM Plansheet

File Upload Click the upload button,or drag and drop files to attach
RTGSRC-503 GRADING SW RECORD
1.06MB
2015.08.24.pdf
RTGSRC-504 GRADING SE RECORD
746.07KB
2015.08.24.pdf
Only PDF files are accepted.
File Type* As-Built-Planting Plan
File Upload Click the upload button,or drag and drop files to attach
RTGSRC-703 LANDSCAPE SW RECORD
516.09KB
2015.08.24.pdf
RTGSRC-704 LANDSCAPE SE RECORD
473.31 KB
2015.08.24.pdf
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 001_Cover.pdf 441.87KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 100_Existing Conditions.pdf 1.14MB
RTGDE_Site 101_Demo Plan South.pdf 554.49KB
RTGDE_Site 102_Demo Plan North.pdf 415.05KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 300A SCM Details.pdf 715.96KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
RTGDE_Site 300_Overall Grading Plan.pdf 1.22MB
RTGDE_Site 301_Grading Plan South.pdf 734.77KB
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;
d 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:* Nicole Brown
Signature:
�l�Ot~
Date Submitted: 06/25/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6131201
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
Added Info for CO
Staff Reviewer?
Review Date* 06/25/2024