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HomeMy WebLinkAboutSW4210704_Supplemental Info Review_20241023 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 10/23/2024 6:53:43 AM(Supplemental Submittal) Accept by bethany.georgoulias 11/4/2024 4:33:24 PM(Supplemental Info Submittal) • The task was assigned to DEMLR Post-Construction Team 10/23/2024 6:53:44 AM • bethany.georgoulias reassigned the task to bethany.georgoulias 11/4/2024 4:11:00 PM =DEQ • Submittal from 10/23/2024 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* SW4210704 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* Dolcetto Owner/Operator* New Ventures Land Development, LLC County: Davidson Submitter Name:* Justin Nifong Who is submitting this information? E-mail Address:* justin@lycoproperties.com Phone Number* 7045625012 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* Application Form File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 1.97MB individual components Application Form.pdf 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 Pages from Dolcetto Stormwater permit transfer 191.48KB individual components Good Standing.pdf 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 Pages from Dolcetto Stormwater permit transfer 222.54K6 individual components signing official.pdf Only PDF files are accepted. File Type* Plansheet-Other File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 183.49KB individual components-current permit holder.pdf Only PDF files are accepted. File Type* Property Deed File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 641.14K6 individual components deed documents.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 Pages from Dolcetto Stormwater permit transfer 2.15M6 individual components O and M.pdf Only PDF files are accepted. File Type* Recorded Document File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer individual components recorded deeds and o and 3.28MB m.pdf Only PDF files are accepted. File Type* BUA Allocations File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 1.02M6 individual components-BUA calculation.pdf Only PDF files are accepted. File Type* As-Built-Certification File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 277.87K6 individual components professional letter.pdf Only PDF files are accepted. File Type* Property Deed File Upload Click the upload button,or drag and drop files to attach Pages from Dolcetto Stormwater permit transfer 1.67M6 individual components more than 50%owned.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:* Justin Robert Nifong Signature: Afar 121"AV Date Submitted: 10/23/2024 Initial Review Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary. SW4210704 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 Jacob Beeker Any Comments or Added Info for CO Staff Reviewer? Review Date* 11/04/2024