SW1240602_Supplemental Info Review_20241024

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/24/2024 9:23:04 AM(Supplemental Submittal)
Accept by bethany.georgoulias 11/5/2024 10:07:52 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 10/24/2024 9:23:05 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 11/4/2024 6:35:52 PM

=DEQ •
Submittal from 10/24/2024
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* SW1240602
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* Jackson County Splash Pad
Owner/Operator* Jackson County
County: Jackson
Submitter Name:* Jason Seickel
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 828.253.6856 x203
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
Application_revised_10222024.pdf 3.27MB
Only PDF files are accepted.
File Type* Response To Comments
File Upload Click the upload button,or drag and drop files to attach
Comment response_10222024.pdf 1.03MB
Only PDF files are accepted.
File Type* Lease Agreement

File Upload Click the upload button,or drag and drop files to attach
Lease Agreement.pdf 161.34KB
Only PDF files are accepted.
File Type* Supplement-EZ Form
File Upload Click the upload button,or drag and drop files to attach
Supplement_EZ_revised_10222024.pdf 1.25MB
Only PDF files are accepted.
File Type* Plansheet-Proposed Drainage Area
File Upload Click the upload button,or drag and drop files to attach
1-0.3 Drainage Exhibit.pdf 843.07KB
Only PDF files are accepted.
File Type* Plansheet-Grading/Drainage Plan
File Upload Click the upload button,or drag and drop files to attach
L4.0 Stormwater Plan.pdf 1004.42KB
Only PDF files are accepted.
File Type* Plansheet-Landscape/Planting Plan
File Upload Click the upload button,or drag and drop files to attach
L5.3 Plant Schedule.pdf 290.8KB
Only PDF files are accepted.
File Type* Plansheet-SCM Detail
File Upload Click the upload button,or drag and drop files to attach
L6.2 Stormwater Details.pdf 468.9KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
REVIEW PACKAGE_FINAL_revised_10222024.pdf 9.11MB
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")

• 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:* Jason Seickel
Signature: f
Date Submitted: 10/24/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW 1240602
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 Still assigned to J. Farkas in BIMS.
Added Info for CO
Staff Reviewer?
Review Date* 11/05/2024