SW4200601_Supplemental Info Review_20200702

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/2/2020 2:44:06 PM (Supplemental Submittal)
Submit by Strickland, Shane 7/6/2020 1:22:05 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 7/2/2020 2:44 PM

Submittal Dated: 7/2/2020
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 Drolect.
D# * Perait N irrber
SW4200601
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* SOUTHWICK SOLAR, LLC
County: Graham
Name: PINEGATE RENEWABLES, LLC
Vft is subrritting the information?
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
12052-Southwick Solar LLC-Calc Book.pdf 8.52MB
12052-Southvvick Solar LLC-Plan Set.pdf 13.78MB
12052-Southwick Solar LLC-Submittal Docs.pdf 2.03MB
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 inforrretion cannot be claimed as confidential: the narre and address of any perrrit applicant or
pernittee, pernit applications, permits, 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:
ATTACHMENT INCLUDES:
Check in the amount of $505 for application fee
Stormvvater Management Application Form (1 original and 1 copy)
Copy of current property deed(s)
Supporting engineering calculations
24" x36" engineering plans
* V By checking the box and signing box below, I certify that:
o 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 form."
Full Name:* Ethan Liner
Signature:
Ad Lint
Date Submitted: 07/02/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4200601
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 07/06/2020