SWA000222_Supplemental Info Review_20240730

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/30/2024 11:01:41 AM (Supplemental Submittal)
Accept by bethany.georgoulias 8/15/2024 5:06:26 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 7/30/2024 11:01:41 AM
• bethany.georgoulias assigned the task to bethany.georgoulias 8/15/2024 5:05:58 PM

=DEQ •
Submittal from 7/30/2024
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* SWA000222
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* Compton Addy-Popeyes-Spout Springs
Owner/Operator* CT Spout Springs
County: Harnett
Submitter Name:* Paige Weidner
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9376483213
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
Stormwater Management Permit Applicaition
7.49MB
Form_Signed.pdf
Only PDF files are accepted.
File Type* As-Built-Calculations
File Upload Click the upload button,or drag and drop files to attach
POPEYE'S-POND AS-BUILT-240626.pdf 2.1 MB
Only PDF files are accepted.

File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
762181_Popeyes_Spout_Springs_NC-Revision
19.21 M B
5—Full Set.pdf
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
USGS Map.pdf 7.98MB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Spout Springs Deed.pdf 652.19KB
Only PDF files are accepted.
File Type* Development Agreement
File Upload Click the upload button,or drag and drop files to attach
EXECUTED--Cameron Purchase Agreement--
468.95K6
Spout Springs(EXECUTED_12.7.22).pdf
Only PDF files are accepted.
File Type* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
CESO-Blew#23-0824.01 Cameron NC(final 10-30)
932.73K6
(1).pdf
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
General MDC_AsBuiltCert_20180209_signed.pdf 272.79KB
Only PDF files are accepted.
File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
PermitteeCert_AsBuiltCert_20180209_signed.pdf 174.03KB
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:* Paige Weidner
Signature:
Date Submitted: 07/30/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SWA000222
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 Still assigned to J. Farkas in BIMS.
Added Info for CO
Staff Reviewer?
Review Date* 08/15/2024