SW3141103_Supplemental Info Review_20240416

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/16/2024 9:20:56 AM (Supplemental Submittal)
Accept by Kaitlin Peck 4/16/2024 10:04:03 AM(Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 4/16/2024 9:20:58 AM
• The task was assigned to Kaitlin Peck by round robin distribution 4/16/2024 9:20:58 AM

=DEQ •
Submittal from 4/16/2024
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* SW3141103
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* Agility-Building Expansion
Owner/Operator* Sixth Sense(NC)LP
County: Rowan
Submitter Name:* Chase Burton
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 7045538881
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
Permit Mod Application.pdf 311.02KB
Renewal Application.pdf 88.72KB
Permit Transfer Application.pdf 285.51 KB
Only PDF files are accepted.
File Type* Design Calculations
File Upload Click the upload button,or drag and drop files to attach
AssembledCalcs 02.21.24.pdf 9.07MB
Only PDF files are accepted.

File Type* As-Built-Certification
File Upload Click the upload button,or drag and drop files to attach
Designer Cert-sealed.pdf 23.61 KB
Only PDF files are accepted.
File Type* O&M Agreement/Plan
File Upload Click the upload button,or drag and drop files to attach
recorded OM.pdf 206.05KB
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 24.03KB
Only PDF files are accepted.
File Type* Property Deed
File Upload Click the upload button,or drag and drop files to attach
Deed.pdf 167.89KB
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 Form.pdf 256.47KB
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 Report.pdf 45.41 KB
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
Agility Expansion-VE-sealed.pdf 24.71MB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
Geotech Rpt#08-4794 ECS 8-31-07.pdf 2.73MB
Only PDF files are accepted.
File Type* Soils/Geotechnical Report
File Upload Click the upload button,or drag and drop files to attach
10438-Project Marley-SHWT Report.pdf 432.31 KB
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
Certificate of Good Standing.pdf 33.69KB
Only PDF files are accepted.
File Type* Application Form
File Upload Click the upload button,or drag and drop files to attach
SSW Permit name update.pdf 636.5KB
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:
* WA 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:* Chase Burton
Signature:
Date Submitted: 04/16/2024

Initial Review
Verify Permit No.* IMPORTANT:REVIEWER SHOULD VERIFY and revise here if necessary.
SW3141103
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
Jim Farkas
Any Comments or
Added Info for CO
Staff Reviewer?
Review Date* 04/16/2024