SW1190701_Supplemental Info Review_11/3/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/3/2019 9:24:11 PM (Supplemental Submittal)
Submit by Strickland, Shane 11/5/2019 11:18:34 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 11/3/2019 9:24 PM

Submittal Dated: 11/3/2019
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# * Permit Namber
SW1190704
Ecanples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* The Riveter
County: Henderson
Name: Dana J Bolden
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
SW1190701 - The Riveter - Adlnfo Cover.pdf 151.91 KB
The Riveter - SSW-SWU-1 01 -Application-Signed.pdf 10.91MB
G RADING_C5-rev2019-10-25. pdf 366.04KB
Shear Stress Calculation.pdf 580.29KB
Supplement EZ - Signed.pdf 1.08MB
EX_CONDITIONS_C2.1-rev2019-10-25.pdf 438.29KB
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 permit applicant or
perrrittee, perrrit applications, permits, effluent data, information required by NRDES application forms provided by
the arector inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
See included cover letter
* 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:* Dana J Bolden
Signature:
ktoj Pr(d(ex
Date Submitted: 11/3/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW 1190701
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]