SW6191205_Supplemental Info Review_12/18/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/18/2019 12:12:19 PM (Supplemental Submittal)
Submit by Strickland, Shane 12/19/2019 11:56:49 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/18/2019 12:12 PM

Submittal Dated: 12/18/2019
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 urolect.
D# * Perrrit Nurrber
SW6191205
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* SOF Dining Facility Aberdeen
County: Hoke
Name: Greg Harnish
Vft is subrritting the inforrretion?
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
2019.11.27 stormwater management report.pdf
20.44MB
2019.12.10 Narrative for NC DEQ .pdf
336.3KB
2019.12.11 Civil Set.pdf
12.42MB
NC_McCain_20190808_TM_geo- reduced.pdf
8.71 MB
Signed Application.pdf
693.04KB
State SWM Transmittal Letter. pdf
124.03KB
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, inforrretion required by NODES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Civil construction plans, Narrative, Storm Water Management Report, Map, Transmittal 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Gregory Harnish
Signature:
Date Submitted: 12/18/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6191205
Who needs a V Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]