SW3190703_Supplemental Info Review_12/19/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/19/2019 12:53:08 PM (Supplemental Submittal)
Submit by Strickland, Shane 12/19/2019 1:56:56 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/19/2019 1:16 PM

Submittal Dated: 12/19/2019
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 N irrber
SW3190703
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Hemby Place
County: Union
Name: Dale Stewart
Vft is subrritting the inforrration?
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_12_19 CALC_BOOK.pdf 19.93MB
2019-12-
136.46MB
19_HEMBY NCDEQ_STORM_3RD_SUBMITTAL.pdf
2448.33 Geotechnical Report for Patterson
2.26MB
Property. pdf
Stormuvater Permit Response 2019-12-19.pdf 149.22KB
Summit Geotech Email.pdf 119.46KB
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 inforrretion cannot be claimed as confidential: the narre and address of any permt applicant or
peraittee, pernit applications, permits, effluent data, information required by NRJES application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Please see the attached 3rd Submittal for NCDEQ Stormwater Permit. Attached is a full set of engineering plans,
engineering calculations, our response regarding Goose Creek Infiltration Requirements, Summit Engineering's
Geotechnical Report, and email response from Summit Engineering. Please don't hesitate to contact me if you have
any questions.
* 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Robert Bell
Signature:
11 A&W--ffkZ
Date Submitted: 12/19/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3190703
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]