SWA000060_Supplemental Info Review_10/9/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/9/2019 6:19:51 PM (Supplemental Submittal)
Submit by Strickland, Shane 10/14/2019 10:23:04 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 10/9/2019 6:20 PM

Submittal Dated: 10/9/2019
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# * Perrrit Narrber
SWA000060
Examples: SWxxxxxxx, NO&xxxxx, or NCSxxxxxx
Facility Name:* Cameron Woods Subdvision, Phase II
County: Harnett
Name: John Fron
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 document
EandSCPermit, CameronW000ds, Phase Il.pdf
1.47MB
NCGO10000_Final_Permit_2019_04_01.pdf
10.74MB
(1) Cameron Woods - Cover.pdf
1.02MB
(2) Cameron Woods 02 Site Plan.pdf
1.05MB
(3)Cameron Woods 03 Western Pine Way.pdf
331.19KB
(4)Cameron Woods 04 Red Pine Ct.pdf
391.05KB
(5)Cameron Woods 05 Erosion.pdf
882.61 KB
(6) Cameron Woods 06 Details.pdf
1.13MB
(6a)Scanned .pdf
669.09KB
(6b)NCGO1-Ground Stabilization. pdf
122.52KB
(6c)NCG01-Self- Inspection. pdf
1.58MB
(7 )Cameron Woods - Details.pdf
560.16KB
USGS. pdf
451.06KB
SSW Fast Track ATC Form_20180210
494.22KB
FINAL_LOCKED.pdf
ownershipDeed.pdf
767.43KB
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 claimed as confidential: the narre and address of any permit applicant or
pernittee, perrrit applications, permits, effluent data, information required by LEES application forms provided by
the erector inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
* W By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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');
o 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:* Samir Bahho, PE
Signature:
,Vrc�? Sala
Date Submitted: 10/9/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SWA000060
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]