SW6191201_Supplemental Info Review_12/5/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/5/2019 10:38:00 AM (Supplemental Submittal)
Submit by Strickland, Shane 12/5/2019 10:41:51 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/5/2019 10:38 AM

Submittal Dated: 12/5/2019
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
SW6191201
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Lynn Ridge
County: Harnett
Name: Vft is subnitting the inforrration?
Email Address:* [e-mail]
Please upload all files that need to be submited.
dick the upload button or drag and drop files here to attach docurrent
Stormwater Permit Application Form.pdf
554.59KB
Deed Restrictions and Protective Covenants.pdf
110.01 KB
Low Density Supplement.pdf
310.91 KB
Stormwater Narrative.pdf
83.53KB
USGS Quad.pdf
700.63KB
Lynn Ridge Plans 11-20-2019.pdf
3.67MB
DB3744-574. pdf
191.7KB
DB3746-673. pdf
67.54KB
LLC Documentation.pdf
28.75KB
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
peraittee, pernit applications, permits, effluent data, information required by NRJES 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 Form
Deed Restrictions & Protective Covenants
Low Density Supplement Form
Stormwater Narrative
USGS Map
Plans w/calculations
Deeds
LLC Documentation
* W 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:* Peter E Nofleet Temple
Signature:
Date Submitted: 12/5/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6191201
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]