NCG020115_Supplemental Info Review (ROS Renewal)_20240913

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/13/2024 9:49:46 AM (Supplemental Submittal)
Accept by bethany.georgoulias 9/23/2024 1:30:30 PM (Supplemental Info Submittal)
0 SDO 003 represents 005;SD 005 is not even in BIMS,so just added note to description of SDO 003.
Also,only first page of approval letter upload, but original entire letter can be found in this file:
NCG020115 COMPLETE FILE-HISTORICAL 20110328
• The task was assigned to DEMLR Post-Construction Team 9/13/2024 9:49:47 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 9/20/2024 5:02:49 PM

pEQNC Stormwater - Supplemental Information Upload
Submittal from 9/13/2024
Permit Information:
Please provide specific permit details below.
...................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
* 0 NPDES Industrial or MS4 Permit
0 State Stormwater(Post-Construction)Permit
Other
Permit Number* NCG020115
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)
.................................................................................................................................................................................................................................................................................................................................................................................................
Facility Name* East Forsyth Quarry
For NPDES permits
Owner/Operator* Vulcan Materials Company
County: Forsyth
SubmitterName:* Tonyjohnson
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7045477076
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachment(Reviewer may remove unnecessary submittals)
......................................................................................................................................................................................................................................
File Type* Representative Outfall Status Renewal Request
File Upload Click the upload button,or drag and drop files to attach
East Forsyth ROS Renewal Form.pdf 25.57KB
East Forsyth Quarry ROS(1).pdf 32.37KB
Only PDF files are accepted.
.............................................................................................................................................................................
Is this project funded QQ No
with ARPA grant Q 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:
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:* Tony johnson
Signature:
arm rl o&-Y-Mw
Date Submitted: 09/13/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
NCG020115
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* 09/23/2024