SW3240701_Supplemental Info Review_20240724

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/24/2024 9:00:00 AM (Supplemental Submittal)
Accept by bethany.georgoulias 7/24/2024 2:10:51 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 7/24/2024 9:00:02 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 7/24/2024 1:57:23 PM

=DEQ •
Submittal from 7/24/2024
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* SW3240701
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* QuikTrip#1069
Owner/Operator* QuikTrip Corporation
County: Union
Submitter Name:* Duane Ensor
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 8646723439
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
1069 NCDEQ Phase II Stormwater Management
3.77MB
Permit Application-Signed.pdf
Only PDF files are accepted.
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
1069 Stormwater Management Narrative.pdf 62.7KB
Only PDF files are accepted.

File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
1069 USGS Site Map.pdf 5.1 MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Property Deed BK 8822-PG 0421 (Stegall).pdf 203.72KB
Property Deed BK 8833-PG 0517(ANDZ).pdf 145.59KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
1069-NCDEQ O&M EZ Form.pdf 3.06MB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
QT 1069 Geotech Report.pdf 3.07MB
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
NCSOS Corporation Annual Report.pdf 27.68KB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Wetland Plans.pdf 1.2MB
Only PDF files are accepted.
File Type* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Cover Sheet(C001).pdf 668.23KB
Only PDF files are accepted.
File Type* Plansheet-Existing Conditions/Survey
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Survey(CO20).pdf 723.39KB
81-1069 Civil-Survey(CO21).pdf 743.64KB
81-1069 Civil-Demolition Plan(C030).pdf 829.38KB
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
81-1069 Civil-Site Plan(C100).pdf 808.95KB
Only PDF files are accepted.

File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Grading Plan(Cl 10).pdf 883.29KB
81-1069 Civil-Storm Plan(C120).pdf 729.8KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Drainage Details III (C574).pdf 5.02MB
Only PDF files are accepted.
File Type* Plansheet-Existing Drainage Area
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Pre-Developed Drainage Map
835KB
(Cl 21).pdf
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Inlet Area Drainage Map(C123).pdf 807.79KB
81-1069 Civil-Post-Developed Drainage Map
783.78KB
(C122).pdf
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Landscape Plan(L100).pdf 1.26MB
Only PDF files are accepted.
File Type* Plansheet-Misc. Detail
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Drainage Details I (C540).pdf 709.04KB
81-1069 Civil-Drainage Details I (C572).pdf 3.23MB
81-1069 Civil-Drainage Details II (C573).pdf 4.85MB
81-1069 Civil-Utility Details II (C576).pdf 2.47MB
81-1069 Civil-Misc.Site Details I (C500).pdf 534.66KB
81-1069 Civil-Misc.Site Details II(C501).pdf 389.82KB
81-1069 Civil-Site Details(C577).pdf 6.37MB
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
81-1069 Civil-Storm Sewer Profiles(C300).pdf 510.421KB
81-1069 Civil-Storm Sewer Profiles(C301).pdf 399.51 KB
Only PDF files are accepted.
File Type* Supplement-EZ Form

File Upload Click the upload button,or drag and drop files to attach
1069-NCDEQ Supplement EZ Form.pdf 1.28MB
Only PDF files are accepted.
File Type* Stormwater Report
File Upload Click the upload button,or drag and drop files to attach
81-1069 Stormwater Report.pdf 17.73MB
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:
* WA 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:* Duane Ensor
Signature:
Date Submitted: 07/24/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3240701
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* 07/24/2024