SW3201202_Supplemental Info Review_20201222

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/22/2020 5:28:46 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 12/29/2020 3:21:56 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 12/22/2020 5:29 PM

Submittal Dated: 12/22/2020
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 Nurrber
SW3201202
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Yadkin Regional Water Treatment Plant
County: Union
Name: Kelly Boone
Vft is subrritting the information?
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
Union Co Yadkin Regional WTP Geotechnical
28.63M6
Design Report.pdf
Union Co Yadkin Regional WTP Stormwater
11.77M6
Calculations.pdf
Union Co Yadkin Regional WTP Stormwater Permit
3.53M6
Application.pdf
Union Co Yadkin Regional WTP Stormwater Permit
1.21 MB
Cover Letter.pdf
Union Co Yadkin Regional WTP Stormwater Permit
12.66MB
Package.pdf
Union Co Yadkin Regional WTP Stormwater Permit
13.66M6
Plans.pdf
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 NR7ES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].

Describe the attachments:
Electronic files submitted for State Stormwater permit:
- Cover Letter
- Application Form
- Stormwater Permit Package (Narrative/Figures/Deed)
- Plans
- Calculations
- Geotechnical Report
* 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')
o 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:* Kelly Reiser Boone
Signature:
Date Submitted: 12/22/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3201202
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 12/29/2020