SWA000079_Supplemental Info Review_20201223

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/23/2020 8:30:31 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 12/29/2020 3:24:05 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 12/23/2020 8:31 AM

Submittal Dated: 12/23/2020
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 urciect.
D# * Perrrit Number
SWA000079
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* United Rentals - Salisbury
County: Rowan
Name: Brandon Simpson
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
2020-12-22 Full Set of Plans.pdf
33.78MB
Executed Lease.pdf
3.01 MB
United Rentals Realty LLC UWC_appointment of
369.06K6
officers 05.07.2020 - signe.... pdf
URI Board Minutes (01.23.2020) - executed.pdf
1.93MB
2020-12-23 State Stormwater Fast Track Process
3.63MB
ATC Application.pdf
2020-12-22 Comment Response NCDEQ.pdf
3.49KB
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 attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
The attachments are the requested information for the resubmittal.
* 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:* Brandon Simpson
Signature:
Date Submitted: 12/23/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000079
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 12/29/2020