Tanglewood Business Park - 7/2/2018 3:32:01 PM

ww "Arpplernental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW4180601
1
V Central
Office
r Regional
Office
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Central Office Reviewer:
Corey Anen - eads\scanen
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
I D# SW4180601
Version: 1
Water Resources
ENVIRONMENTAL QUALITY
Facility Name: Tanglewood Business Park
County: Forsyth
Name: Austin Key
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Per request, all attached items are a part of the state stormwater submission. All items that were sent in the original
submission through FedEx are attached in pdf format. Please refer to the Transmittal 2018-06-6 NCDEQ.pdf for
transmittal letter for a list of all items submitted.
Please contact if you have questions.
Thanks,
Austin Key
Please upload all files that need to be submitted.

17-061 Permit Submission Set (05.17.18).pdf
16.68MB
17-061 Tanglewood Business Park Phase I - SWM
9.16MB
Study.pdf
17-061 Stormwater Permit Application - Signed.pdf
2.82MB
17-061 Deed Restrictions & Protective Covenances
824.41 KB
- Signed.pdf
17-061 Stormwater Fee $550 (Check Scan).pdf
543.07KB
17-061 O&M Agreemment - Signed.pdf
1.56MB
Supplemental EZ - Form (Signed & Sealed).pdf
1.2MB
Transmittal 2018-06-06 NCDEQ.pdf
445.84KB
Only pdf files are accepted.
By
checking
the
box
and
signing
box
below,
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: Austin Key
Signature:
K11kde;11W
Date Submitted: