SW5240501_Supplemental Info Review_20240925

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/25/2024 2:41:08 PM (Supplemental Submittal)
Accept by bethany.georgoulias 9/30/2024 2:50:29 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 9/25/2024 2:41:09 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 9/30/2024 9:17:14 AM

=DEQ •
Submittal from 9/25/2024
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* SW5240501
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* Gaston Concrete
Owner/Operator* Gaston Concrete
County: Franklin
Submitter Name:* Josh Crumpler, PE
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9194131704
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* Plansheet-Cover Sheet
File Upload Click the upload button,or drag and drop files to attach
2024-09-25 Gaston Concrete Site Plans-Signed.pdf 3.54MB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Gaston Concrete-SSW-SWU-101-Application-
DEMLR-SPU Oct 2013-September 2024 Revised 1.2MB
Signed.pdf
Only PDF files are accepted.

File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
Gaston SNAP Version 4.2.0-Combined.pdf 405.59KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Gaston SuppEZ-2020-Version-2.1.3-20201203
295.63K6
DEMLR-SW-Signed.pdf
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
Gaston-O-M-EZ Agreement-Signed.pdf 892.37KB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
2024-09-25 Gaston-NCDEQ SW-Response to
124.76K6
comments.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:
* 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:* Josh Crumpler
Signature:
Date Submitted: 09/25/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW5240501
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* 09/30/2024