SW4070701_Supplemental Info Review_10/30/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/30/2019 3:19:01 PM (Supplemental Submittal)
Submit by Strickland, Shane 12/17/2019 12:50:34 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 10/30/2019 3:19 PM

Submittal Dated: 10/30/2019
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# * Perrrit Nurrber
SW4070701
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx
Facility Name:* Echota IV The Summit at Echota
County: Watauga
Name: Christine Brown
Vft is subrritting the information?
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
Echota IV Transmittal Letter.pdf
1001.71 KB
Echota IV SSW Application scanned.pdf
4.63MB
O&M Final scanned.pdf
(IAMB
Echota IV Supplement EZ scanned.pdf
2.17MB
Echota IV Deed.pdf
5.16MB
Echota IV Stormwater Management Plan
11.71 MB
Narr&CALCS. pdf
Planset_ECHOTA PHASE_IV REV-signed.pdf
10.9MB
Echota IV USGS Topo.pdf
1.55MB
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, perrrit 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:
Submittal items for State Stormwater Permit Modification. New Phase of Echota Development
* 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:* Christine Brown
Signature:
C?,1 IezcP ,W", ,kO 'm-W
Date Submitted: 10/30/2019

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4070701
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Select RO Reviewer:*
[e-mail]