SW6240701_Supplemental Info Review_20241008

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/8/2024 4:36:44 PM (Supplemental Submittal)
Accept by bethany.georgoulias 10/11/2024 4:48:54 PM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/8/2024 4:36:46 PM
• bethany.georgoulias reassigned the task to bethany.georgoulias 10/11/2024 1:39:11 PM

=DEQ •
Submittal from 10/8/2024
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* SW6240701
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* MCDONALD'S
Owner/Operator* MCDONALD'S USA LLC
County: Hoke
Submitter Name:* Brian Soltz
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 919-848-6121
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* Plansheet-Other
File Upload Click the upload button,or drag and drop files to attach
32-1742 Raeford—NC-Civil Plans.pdf 40.18MB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
S u p p E Z-2020-Version-2.1.3-20201203-D E M L R-
264.45KB
SW.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
7-USGS Map(Rev1).pdf 10.52MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
2024-10-08 Response to Comments.pdf 275.11 KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
1 a-Stormwater Management Permit Application
4.28MB
Form(Rev1).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:
• 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)
d 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:* Brian Soltz
Signature:
113?t1e;?W c5wnz
Date Submitted: 10/08/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW6240701
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* 10/11/2024