NCG020858_Supplemental Info Review_12/12/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/12/2019 12:58:25 PM (Supplemental Submittal)
Submit by Strickland, Shane 12/17/2019 12:57:15 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/12/2019 12:58 PM

Submittal Dated: 12/12/2019
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# * Fbrnit Nurrber
NCG020858
Examples: SWxxxxxxx, NCa mxxx, or NCSxxxxxx
Facility Name:* Daurity Springs Quarry
County: Chatham
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
2019.09.25 - LTX Quarry Site Plan Update.pdf 1.66MB
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, 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:
The attachments are being submitted to update the NPDES permit for this project. The Mine permit is currently being
Modified and has been submitted to NCDEMLR for approval. Additional disharge locations were created with the
Modification and therefore the updated map has been attached.
* 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');
o 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:* MICHAEL BLAKLEY
Signature:
W-eAlwffla�
Date Submitted: 12/12/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
NCG020858
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Shane Strickland - eads\sstrickland9
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]