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HomeMy WebLinkAboutSW6191002_Supplemental Info Review_12/17/2019Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/17/2019 9:30:09 AM (Supplemental Submittal) Submit by Strickland, Shane 12/17/2019 12:23:17 PM (Supplemental Info Submittal) • The task was assigned to Strickland, Shane 12/17/2019 9:30 AM Submittal Dated: 12/17/2019 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 suDDly the Derrrit nunber for this Drolect. D# * Perait Nurrber SW6191002 Examples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx Facility Name:* Fort Bragg County: Cumberland Name: Steve Waldron Vft is subrritting the information? Email Address:* steven.waldron@loweengineers.com Please upload all files that need to be submited. dick the upload button or drag and drop files here to attach docurrent C-OOO.pdf 1.31 MB C-101.pdf 1.32MB CG101.pdf 869.54KB CG 102. pdf 1.1 MB CG104.pdf 1.1 MB CG105.pdf 815.45KB CG501.pdf 1.97MB CG512.pdf 2.48MB CG513.pdf 2.86MB CG514.pdf 2.69MB CG515.pdf 1.65MB CG516.pdf 6.11 MB CU201.pdf 1.16MB L-101.pdf 766.95KB Revised Hydrology Report.pdf 3.16MB 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 infornation cannot be clained as confidential: the narre and address of any pernit applicant or perrrittee, perrrit applications, permits, effluent data, information required by MODES application forms provided by the Director inclusive of all fours and attachments [Ref. 40 CFR 122.7(b) and (c)]. Describe the attachments: Revised hydrology report and plan sheets * 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:* Steve Waldron Signature: A- aA�� Date Submitted: 12/17/2019 Initial Review Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary. SW6191002 Who needs a V Central Office copy?* r Regional Office Central Office Reviewer:* Jim Farkas - eads\jjfarkas Select Reviewing Office* Raleigh Regional Office — 919-791-4200 Select RO Reviewer:* thad.valentine@ncdenr.gov