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HomeMy WebLinkAboutSW4240102_Supplemental Info Review_20240823 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 8/23/2024 12:46:14 PM (Supplemental Submittal) Accept by bethany.georgoulias 9/4/2024 10:34:08 AM (Supplemental Info Submittal) • The task was assigned to DEMLR Post-Construction Team 8/23/2024 12:46:15 PM • bethany.georgoulias assigned the task to bethany.georgoulias 9/3/2024 7:00:52 PM =DEQ • Submittal from 8/23/2024 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* SW4240102 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* Pine Ridge-Phase 2 Owner/Operator* LR Pine Ridge Associates, LLC County: Forsyth Submitter Name:* Steve Causey Who is submitting this information? E-mail Address:* scausey@allied-engsurv.com Phone Number* 3367652377 Additional E-mail for nicole@allied-engsurv.com 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 app_SIGNED_PineRidgePh2.pdf 1.01 MB 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_SIGN ED_PineRidge2.pdf 554.83KB Only PDF files are accepted. File Type* Response To Comments File Upload Click the upload button,or drag and drop files to attach Itr-DEMLR_Stormwater Submittal—Pine Ridge, Phase 194.03KB 2-resubmittal 3.pdf response to comments.pdf 65.01 KB Only PDF files are accepted. File Type* Stormwater Narrative File Upload Click the upload button,or drag and drop files to attach stormwater narrative-pine ridge.pdf 3.68MB Only PDF files are accepted. File Type* Supplement-EZ Form File Upload Click the upload button,or drag and drop files to attach SUPP EZ signed.pdf 504.16KB 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: Stormwater narrative includes calculations. * By checking the box and signing box below, I certify that: d 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) cl 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:* Steve Causey Signature: t�t�6>RuJl� Date Submitted: 08/23/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW4240102 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 K. Peck in BIMS. Added Info for CO Staff Reviewer? Review Date* 09/04/2024