SW6190603_Supplemental Info Review_9/30/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/30/2019 9:50:15 AM (Supplemental Submittal)
Submit by Strickland, Shane 9/30/2019 9:54:04 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 9/30/2019 9:50 AM

Submittal Dated: 9/30/2019
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# * FL-rrrit Narrber
SW6190603
Exarrples: SWxxxxxxx, NOGxxxxxx, or NCSaxxxx
Facility Name:* Cubera Solar, LLC
County: Harnett
Name: Josh Houde
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
Pine Gate Renewables -
_Resolution_Appointing_Signatories (fully 228.85KB
executed).pdf
Signed Comment Response letter.pdf 51.54KB
Signed Transmittal.pdf 23.23KB
2019-09-27 NCDEQ Set.pdf 6.46MB
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 permit applicant or
perrrittee, perrrit applications, permits, effluent data, information required by NRDES application forms provided by
the arector inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
The following documents contain the response to comments, corrected drawings, and additional documents
requested.
* 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)
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Joshua B Houde
Signature: �Ax
Date Submitted: 9/30/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190603
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]