SW6191101_Supplemental Info Review_11/20/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/20/2019 9:37:01 AM (Supplemental Submittal)
Submit by Strickland, Shane 11/20/2019 11:08:19 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 11/20/2019 9:37 AM

Submittal Dated: 11/20/2019
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 Nurrber
SW6191101
Samples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* SOF Combat Medic Training Facility PN
85958
County: Cumberland
Name: Jason Sesler
Vft is subnitting the inforrration?
Email Address:* [e-mail]
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach document
20191115_100%_final_stormwater plans.pdf
25.72MB
Combat Medic_IFC_Civil Calcs_20191115.pdf
3.67MB
copy of check.pdf
62.96KB
DPW O&M letter.pdf
816.49KB
RD190394 Geotechnical Report Final, 2019-09-
8.49MB
10.pdf
Storm,water Permit Application_signed.pdf
6.73MB
Supplement form signed.pdf
279.73KB
USGS MAP.pdf
3.63MB
trn_NCDEQ_received stamp.pdf
53.99KB
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 perrrit applicant or
pernittee, pernit applications, perrrits, 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:

Stormwater Permit application with required submittal items (plans, calculations, geotechnical report, stormwater
permit application, supplemental form, usgs map, Ft. Bragg DPW O&M letter, copy of check, and transmittal letter)
* 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:* Jason Sesler
Signature:
,T,-JsO14 Sesle►'
Date Submitted: 11/20/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6191101
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]