SW6190701_Supplemental Info Review_11/6/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/6/2019 12:37:57 PM (Supplemental Submittal)
Submit by Strickland, Shane 11/6/2019 12:58:48 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 11/6/2019 12:38 PM

Submittal Dated: 11/6/2019
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# * Flarrrit Ninber
SW6190701
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* The Farms Subdivision
County: Cumberland
Name: Scott Brown, PE
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
tick the upload button or drag and drop files here to attach document
1360-DITCH CALCS.pdf 67.1 KB
1360-EC MATTING CALCS (FORCED N VALUE).pdf 232.36KB
Revised low density.pdf 192.43KB
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 clairred as confidential: the nacre and address of any perrrit applicant or
perrrittee, permit applications, permts, effluent data, information required by Wl� application forrrs provided by
the Director inclusive of all fours and attachnents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Revised forms per comments from Jim Farkas
* 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');
• 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:* Scott Brown
Signature:
Date Submitted: 11/6/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190701
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]