HomeMy WebLinkAboutSW6191004_Supplemental Info Review_11/7/2019Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/7/2019 7:11:35 AM (Supplemental Submittal)
Submit by Strickland, Shane 11/7/2019 10:28:47 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 11/7/2019 7:11 AM
Submittal Dated: 11/7/2019
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 pernit nunber for this project.
..............................................................................................................
D# * FL-rnit Nirrber
SW6191004
Examples: SVVxxxxxxx, NOGKxxxxx, or NCSxxxxxx
Facility Name:* Fort Bragg - SOTF
County: Cumberland
Name: Dan Saltsman
Who is subrritting the infornation?
Email Address:* dan.saltsman@stantec.com
Please upload all files that need to be submited.
nick the upload button or drag and drop files here to attach docurrent
_Multipurpose_Training_Facility_DEQ_Permit_Plan...
12.17MB
01_Soil Map - Multi -purpose_ training_fac.pdf
12.54MB
DPW O+M_Letter.pdf
55.82KB
NC_OverhiIIs_20160608_TM_geo_11x17.pdf
2.37MB
PN 95396_Multipurpose_ Train ing_Facility_SWM_a...
15.64MB
RD190121 Final Geotechnical Report, 2019-07-
4.72M6
11.pdf
SSW-SWU-101-Application-DEMLR-SPU Oct 2013-
598.71 KB
Multi.pdf
SuppEZ-2018-Version-2.1.1_working.pdf
249.44KB
trn_dlq_swm_letter _.pdf
114.11 KB
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 * NCTE The following information cannot be clairred as confidential: the narre and address of any pernit applicant or
permttee, pernit applications, pernits, effluent data, inforrration required by i IDB application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
* 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:* Daniel Saltsman
Signature:
Date Submitted: 11/7/2019
Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6191004
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:*
mike.lavvyer@ncdenr.gov