SW6191001_Supplemental Info Review_10/28/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/28/2019 9:39:09 AM (Supplemental Submittal)
Submit by Strickland, Shane 10/28/2019 9:48:40 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 10/28/2019 9:39 AM

Submittal Dated: 10/28/2019
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 nuntber for this project.
D# * Perrrit Ninber
SW6191001
Examples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Yard Storage Inc.
County: Harnett
Name: Lars Godwin
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Oick the upload button or drag and drop files here to attach document
1570 Wade Stephenson- Soil Test Report.pdf
492.02KB
1570 Wade Stephenson- USGS Topo Map.pdf
869.69KB
1570 Wade Stephenson -Soil Map.pdf
718.52KB
Articles of Incorporation Yard Storage.pdf
42.67KB
Drainage Design Narrative and Calculations. pdf
124.53KB
Eco-Rain ET-1505 Specifications. pdf
104.12KB
Property Deed Copy.pdf
141.85KB
Stormwaster Design Plan- Yard Storage Oct
499.24KB
2019.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, permts, effluent data, information required by NEE application forrrs provided by
the Director inclusive of all fours and attachrrents [Pef. 40 CFR 122.7(b) and (c)].
Describe the attachments:
pdf files
* 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:* Lars Godwin
Signature:
Date Submitted: 10/28/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6191001
Who needs a V Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]