SW6240903_Supplemental Info Review_20241002

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/2/2024 9:26:25 AM (Supplemental Submittal)
Accept by bethany.georgoulias 10/8/2024 4:41:12 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/2/2024 9:26:28 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 10/8/2024 4:33:03 PM

=DEQ •
Submittal from 10/2/2024
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* SW6240903
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* 42 Mini Storage
Owner/Operator* F&S Land Development
County: Harnett
Submitter Name:* Fleet Temple
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9106582446
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
Stomwater Application SIGNED.pdf 3.59MB
Only PDF files are accepted.
File Type* Deed Restriction/Protective Covenant Form
File Upload Click the upload button,or drag and drop files to attach
Deed Restriction&Covenants.pdf 1.02MB
Only PDF files are accepted.
File Type* Design Calculations

File Upload Click the upload button,or drag and drop files to attach
Pond 2 Calcs 07-31-2024.pdf 362.77KB
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-EZ-20201215 SIGNED.pdf 3.63MB
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
C1.0.pdf 1.12MB
Only PDF files are accepted.
............................................................................................................... ......
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
C2.0.pdf 1.14MB
Only PDF files are accepted.
..................
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
C4.4.pdf 1.71 MB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
C4.5.pdf 809.07KB
Only PDF files are accepted.
.............................................. .............................................................
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
DB4177-867.pdf 114.97KB
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
LLC Documentation.pdf 50.79KB
Only PDF files are accepted.
.......................................................................................................................................
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Duncan Infiltration Report.pdf 1.42MB
Only PDF files are accepted.
.....................................................................................................................................
File Type* Stormwater Narrative
File Upload Click the upload button,or drag and drop files to attach
Project Narrative.pdf 134.06KB
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 07-29-2024.pdf 2.67MB
Only PDF files are accepted.
File Type* USGS Topographic Site Map
File Upload Click the upload button,or drag and drop files to attach
42 storage USGS Quad with Site.pdf 356.56KB
Only PDF files are accepted.
File Type* Wetland Determination/Report
File Upload Click the upload button,or drag and drop files to attach
Lunker Ln wetland map Rev.1.pdf 425.85KB
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
d I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Peter E Norfleet Temple
Signature:
ci�rr c5'�Il tiP,rr,�7,w.�.
Date Submitted: 10/02/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6240903
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* 10/08/2024