SWA000097_Supplemental Info Review_20210319

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/19/2021 3:31:35 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 3/19/2021 3:35:23 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 3/19/2021 3:32 PM

Submittal Dated: 3/19/2021
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 Drolect.
D# * Perrrit Number
SWA000097
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* HENNESSY INTERNATIONAL WAREHOUSE
County: Alamance
Name: Nicholas Scheopner
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
21-02-02_SITE-007-REVIEW. pdf
12.22 MB
CERTIFICATE OF AUHORITY.pdf
186.66KB
Company_lncorporation.pdf
201.13KB
DB 3917 DP 0985.pdf
169.25KB
USGS MAP.pdf
7.43MB
CONSTRUCTION SEQUENCE.pdf
115.24KB
STORMWATER FASTTRACK.pdf
551.84KB
21-03-12_REV 2_REVISED.pdf
12.07MB
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:
21-02-02_SITE-007-REVIEW.pdf: WAS THE ORIGINAL PLAN SET THAT WAS MAILED TO YOU
21-03-12_REV 2_REVISED.pdf: IS THE REVISED SITE PLAN

* 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:* Nicholas William Scheopner
Signature:
(9111 ✓Mrra 45'rs¢1PPI"
Date Submitted: 03/19/2021

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000097
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 03/19/2021