SWA000071_Supplemental Info Review_20200617

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/17/2020 10:37:02 AM (Supplemental Submittal)
Submit by Strickland, Shane 6/18/2020 9:40:12 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 6/17/2020 10:37 AM

Submittal Dated: 6/17/2020
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Existing Project Information:
Rease suDDly the Derrrit nunber for this Drciect.
D# * Perrrit N irrber
SWA000071
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Cash Solar LLC
County: Nash
Name: Dwight Kensil
Vft is subrritting the inforr ation?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
0. 12044-Signed Transmittal.pdf
29.24KB
1. Signed Authorization to construct (ATC) permit
360.5KB
Application.pdf
2. Check $505.pdf
42.75KB
3. NC —Red —Oak USGS_Map.pdf
2.87MB
4. 12044 - Cash Solar - 2020.05.18.pdf
15.2MB
5. Construction Sequence.pdf
49.75KB
6. 12044 - Deed.pdf
274.02KB
7. Pine Gate Renewables - Resolution Appointing
85.07K6
Signatories (Executed 12.2019).pdf
9. Redacted Lease agreement.pdf
14.12MB
Only pdf files are accepted.
Please alert us to any confidential information contained in the uploaded documents.
Uploads contain r NO
Confidential r YES
Information * NOTE The following infornation cannot be claimed as confidential: the nave and address of any permt applicant or
perrrittee, perrrit applications, perrrits, effluent data, information required by WCM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

Attached are the required files for the Cash Solar LLC application SW000071
* V 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* DWIGHT N KENSIL JR
Signature: 77�x
Date Submitted: 06/17/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000071
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 06/18/2020