SW3191101_Supplemental Info Review_11/19/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/19/2019 8:43:21 AM (Supplemental Submittal)
Submit by Strickland, Shane 11/19/2019 11:48:15 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 11/19/2019 8:43 AM

Submittal Dated: 11/19/2019
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 suDDly the Derrrit nunber for this Drolect.
D# * Perait N irrber
SW3191101
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Cambridge Village MF
County: Lincoln
Name: Matthew Moore
Vft is subrritting the inforrretion?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
2019_10_15_12_58_5670554751_doc 94404.pdf
116.33KB
2019_10_15_12_58_5670554751_doc_703500.pdf
148.1KB
18-175, Cambridge Commons MF, Denver, NC,
4.85M6
Amended Geotechnical Report, 9-27-2019.pdf
(Executed) O+M Agreement.pdf
235.5KB
(Signed) Stormwater Management Ag_ pdf
543.16KB
USGS Map.pdf
250.44KB
Cambridge Village MF - Construction Documents.pdf
77.02MB
Cambridge Village Multifamily - Stormwater
13.84MB
Report.pdf
$505.00- NCDENR Check.pdf
53.16KB
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 inforrretion cannot be claimed as confidential: the narre and address of any perrrit applicant or
pernittee, pernit applications, permits, effluent data, information required by WCM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

Please see the uploaded documents for digital copies of the 1 st submission package.
* 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Matthew Moore
Signature:
Date Submitted: 11/19/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3191101
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]