SWA000085_Supplemental Info Review_20201221

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/21/2020 1:45:53 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 12/22/2020 1:19:21 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 12/21/2020 1:46 PM

Submittal Dated: 12/21/2020
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# * Perrrit Number
SWA000085
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Summerhaven West Phase 1
County: Alamance
Name: DESCO Summerhaven, 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
Deeds.pdf
672.23KB
Fast Track ATC Permit Application.pdf
2.8MB
Fully executed_Incumbency Certificate of Manager
889.44 KB
Desco Summerhaven LLC_R.... pdf
Quad Map.pdf
1.13MB
Summerhaven West Phase 1 12-17-20.pdf
8.23MB
Summerhaven West Phasel and 2 Construction
53.7KB
Sequence.pdf
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 information cannot be clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, information required by MODES application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Submittal documents for post -construction stormvvater permit.
* 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');
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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Amy L. Leach
Signature:
Date Submitted: 12/21/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000085
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 12/22/2020