SW3190806_Supplemental Info Review_9/11/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/11/2019 8:21:00 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/11/2019 8:32:23 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/11/2019 8:21 AM

Submittal Dated: 9/11/2019
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 supply the perrrit nunber for this project.
D# * FL-rrrit Narrber
SW3190806
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Courtyards at Emerald Lake
County: Union
Name: EPCON Communities Carolinas
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach docurrant
2019-08-27, CY at Emerald Lake, Final Stormwater
4.65MB
Report-As-Built-.pdf
As Built Designers Cert for General MDC - 1 .pdf
6.76MB
As -built Designers Cert for General MDC - 2 .pdf
5.56MB
As -built Permittee Certification .pdf
1.73MB
BMP Record Drawings Courtyards at Emerald
3.44MB
Lake.pdf
Check No. 2587 .pdf
429.54KB
Final Permit Submittal Checklist .pdf
1.93MB
Operation and Maintenance Agreement .pdf
3.34MB
Stormwater Permit Application Form .pdf
1.35MB
Supplement EZ Cover Page .pdf
2.77MB
Only pdf files are accepted.
Describe the attachments:
electronic copies of final stormwater permit documents sent to NCDEQ via FedEX
* V By checking the box and signing box below, I certify that:
o 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:* Benjamin Vanager
Signature:
Date Submitted: 9/11/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3190806
Who needs a d Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]