SW3191205_Supplemental Info Review_1/9/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/9/2020 11:47:53 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/9/2020 11:54:26 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/9/2020 11:48 AM

Submittal Dated: 1/9/2020
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# * Perrrit N irrber
SW3191205
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Windsong Subdivision
County: Union
Name: Tim Foley
Vft is subrritting the infornetion?
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
217053 - Windsong Subdivision-2019-12-23.pdf
29.48MB
217053-Calculation Book-R1-2019-09-27.pdf
10.61MB
SAW-2019-00553 (signed NWP-PJD).pdf
5.23MB
Deed.pdf
1.18MB
Wellspring Carolina, LLC - Report.pdf
323.73KB
O&M EZ 071414_1.1.pdf
78.73KB
PrintlFrame.pdf
206.68KB
SOILS.pdf
726.9KB
SuppEZ-2018-Version-2.1.1.pdf
385.21 KB
USGS - 7770551.pdf
2.96MB
WSWT.pdf
827.38KB
Deed Restrictions - Signed.pdf
1.44MB
Deed.pdf
1.18MB
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 infornetion cannot be claimed as confidential: the nave and address of any perrrit applicant or
perrrittee, perrrit applications, perrrits, 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:
Civil Site Plans, Stormwater Calculation Book, ACOE General Permit, Property Deed, Corporate Info, FRO -Signed
and Misc Eng Docs
* 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:* Timothy Dane Foley
Signature:
Date Submitted: 1/9/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3191205
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]