SW7160803_Supplemental Info Review_20240709

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/9/2024 12:33:10 PM (Supplemental Submittal)
Accept by bethany.georgoulias 7/13/2024 1:46:08 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 7/9/2024 12:33:11 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 7/11/2024 5:34:49 PM

pEQNC Stormwater - Supplemental Information Upload
Submittal from 7/9/2024
Permit Information:
Please provide specific permit details below.
...................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
* rl NPDES Industrial or MS4 Permit
State Stormwater(Post-Construction)Permit
Other
Permit Number* SW7160803
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* SECU-Washington
Owner/Operator* SECU
County: Beaufort
Submitter Name:* Joseph Bradley
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-839-8461
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* Change of Permittee Information
File Upload Click the upload button,or drag and drop files to attach
SW7160803-Permit Information Update
1.15MB
Application.pdf
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:
Contact Name&Contact Information Update
* By checking the box and signing box below, I certify that:
o 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:* Joseph Bradley
Signature:
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Date Submitted: 07/09/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW7160803
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
Mike Lawyer
Identify Regional Office:*
Washington Regional Office—252-946-6481
Any Comments or This is a permit information update form.The digital copy will go into Laserfiche in
Added Info for CO the permit file, but WaRO may need to request an original signed copy if you didn't
Staff Reviewer? receive one already-I am not sure.
Select RO Stormwater Contact(s):
[e-mail]
Kicks off e-mail notification
Review Date* 07/13/2024