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HomeMy WebLinkAboutSW4210302_Supplemental Info Review_20210317Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 3/17/2021 8:30:53 AM (Supplemental Submittal) Submit by McCoy, Suzanne 3/17/2021 8:45:47 AM (Supplemental Info Submittal) • The task was assigned to McCoy, Suzanne 3/17/2021 8:31 AM Submittal Dated: 3/17/2021 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 Drciect. D# * Fbrnit Nurrber SW4210302 Ecarrples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx Facility Name:* ASU Poplar Grove Child Development Center Expansion County: Watauga Name: Michael Cain Vft is subaitting the inforrration? Email Address:* mcain@cdcgo.com Please upload all files that need to be submited. aick the upload button or drag and drop files here to attach document 2021-03-04 Cover Letter.pdf 474.46KB 2021-03-04 Transmittal.pdf 255.57KB Application.pdf 323.68KB Bayfilter Supplemental.pdf 398.56KB Check.pdf 73.96KB DEED 2020-12-15.pdf 77.48KB USGS 2021-3-4.pdf 98.58MB ASU Child Development Center - Wood Report of 4.87M6 Geotechnical Exploration.pdf 2021-02-26 Hydrology Report with Appendices.pdf 4.63MB 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 claimed as confidential: the narre and address of any perrrit applicant or pernittee, pernit 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: Application and supporting information, * 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:* Michael J Cain Signature: Date Submitted: 03/17/2021 Initial Review Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary. SW4210302 Who needs a W Central Office copy?* r Regional Office Central Office Reviewer:* Corey Anen - eads\scanen Review Date * 03/17/2021