SW6201201_Supplemental Info Review_20210120

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/20/2021 5:09:37 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 1/21/2021 2:27:16 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 1/20/2021 5:09 PM

Submittal Dated: 1/20/2021
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 urolect.
D# * Perrrit Nurrber
SW6201201
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Static Line Brewery
County: Harnett
Name: Scott Brown, PE
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
1641 POND 1 drawdown.pdf 9.05KB
1641 POND 1 ROUTING (1yr storm).pdf 40.55KB
1641 Supplement Wet Pond.pdf 73.83KB
Static Line revision.pdf 3.76MB
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 clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, infornation required by NR7ES application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Revisions to address review comments.
* 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
I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Scott Brown
Signature:
d , z?-01Qi W,
Date Submitted: 01/20/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6201201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date* 01/21/2021