SW6191002_Supplemental Info Review_10/30/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/30/2019 8:41:19 AM (Supplemental Submittal)
Submit by Strickland, Shane 10/31/2019 12:32:05 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 10/30/2019 8:41 AM

Submittal Dated: 10/30/2019
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# * Permit Namber
SW6191002
Examples: SWxxxxxxx, NOC;xxxxxx, or NCSxxxxxx
Facility Name:* Fort Bragg
County: Cumberland
Name: Jerry Oberholtzer
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
O&M AGREEMENT.pdf 398.67KB
PLANS. pdf 61.38MB
STAMPED HYDROLOGY REPORT.pdf 2.96MB
STORMWATER MANAGEMENT PERMIT
3.3MB
APPLICATION.pdf
SuppEZ-2018-Version-2.1.1 2019.pdf 1.68MB
SWM NARRATIVE.pdf 188.19KB
USGS Map.pdf 313.8KB
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 IIES application forms provided by
the Drector inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

The uploaded documents contain...
1) Full set of plans
2) Stamped & signed hydrology report
3) Stormwater management permit applications
4) Supplemental EZ forms
5) Stormwater management narrative
6) USGS map
7) Substitute O&M agreement.
* V 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');
• 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:* Jerry Oberholtzer
Signature:
Date Submitted: 10/30/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6191002
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]