SWA000058_Supplemental Info Review_9/27/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/27/2019 1:40:32 PM (Supplemental Submittal)
Submit by Strickland, Shane 9/30/2019 9:26:47 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 9/27/2019 1:41 PM

Submittal Dated: 9/27/2019
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 supply the perrrit nunber for this project.
D# * Perrrit Narrber
SWA000058
Examples: SWxxxxxxx, NO&xxxxx, or NOSxxxxxx
Facility Name:* Project Cure Wetpond #1
County: Catawba
Name: Matthew Johnson
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
nick the upload button or drag and drop files here to attach document
Carol Lutz Financial Responsible Party Letter 4-9
50.77KB
19.pdf
Hollar Authorization letters.pdf 56.54KB
Trivium Authorization to Build Letter.pdf 170.78KB
Project Cure -SSW Fast Track ATC Form_20180210
547.27KB
FINAL_LOCKED-SIGNED.pdf
Deed BK 3428 PG 1448-1450 Ruth Hollar.pdf 145.16KB
Deed BK 3453 PG 0613-0615 Trivium.pdf
162.15KB
Deed BK 3453 PG 0616-0619 Trivium.pdf
226.97KB
Deed Book 656 PG 0297 Carol Lutz.pdf
90.74KB
Option Deeds for Trivium.pdf
2.86MB
185984-Stormwater Report with calculation book.pdf
33.33MB
Site Map.pdf 930.33KB
Stormwater Submittal Cover Letter.pdf 84.22KB
USGS MAP.pdf 21.81 MB
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 * NDTE The following information cannot be claimed as confidential: the narre and address of any permit applicant or
pernittee, perrrit applications, permits, effluent data, information required by WE ES application forms provided by
the erector inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Attached are the following stormwater permit submittals for a Proposed Wet Pond located in Trivium Corporate
Center a business park located in Hickory, North Carolina:
• Site Plan;
• Fast Track Stormwater Application;
• Property deeds;
• USGS topographical map;
• Addition property owners authorization to construct letters;
• Option to purchase property agreements; and
• Stormwater engineering report and calculations;
* W 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:* Matthew Johnson
Signature:
caner, [I&iKl1le
Date Submitted: 9/27/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SWA000058
Who needs a V Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]