SW7210301_Supplemental Info Review_20240626

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/26/2024 8:02:30 AM (Supplemental Submittal)
Accept by Kaitlin Peck 6/26/2024 8:18:37 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 6/26/2024 8:02:31 AM
• The task was assigned to Kaitlin Peck by round robin distribution 6/26/2024 8:02:31 AM

=DEQ •
Submittal from 6/26/2024
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* SW7210301
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* Dollar General
Owner/Operator* Vanguard Ventures, LLC
County: Currituck
Submitter Name:* Carlo Pardo
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9195536570
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* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
As-Built Permittee Certification-DG Barco NC.pdf 51.82KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Designer Certification_MDC.pdf 77.14KB
Only PDF files are accepted.
File Type* As-Built-Certification

File Upload Click the upload button,or drag and drop files to attach
Designer Certification_Wet Pond.pdf 55.03KB
Only PDF files are accepted.
File Type* As-Built-Planting Plan
File Upload Click the upload button,or drag and drop files to attach
Pond Plant List for Wet Detention Pond DG Barco,
365.68K6
NC.pdf
Only PDF files are accepted.
File Type* Recorded Document
File Upload Click the upload button,or drag and drop files to attach
04.15.24 Recorded O&M Agreement-Barco.pdf 291.51 KB
Only PDF files are accepted.
File Type* Photos/Pictures
File Upload Click the upload button,or drag and drop files to attach
Photos.pdf 1.31 MB
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:
• 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:* Carlo Pardo
Signature:
r1all4 C�VWAI-1_
Date Submitted: 06/26/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW7210301
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* 06/26/2024