SW3190804_Supplemental Info Review_12/19/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/19/2019 9:35:47 AM (Supplemental Submittal)
Submit by Strickland, Shane 12/19/2019 1:12:27 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/19/2019 9:36 AM

Submittal Dated: 12/19/2019
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# * Perrrit N irrber
SW3190804
Earrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Pine Forest II
County: Iredell
Name: Corin Brown
Vft is subrritting the inforr ation?
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
2712- Pine Forest II Anita Johnson.pdf
364.4KB
2712 - Pine Forest II Deed.pdf
144.16KB
2712 - Pine Forest II Design Book Signed.pdf
17.26MB
2712- Pine Forest II No Notification Letter.pdf
142.33KB
2712 - Pine Forest II Plans Signed.pdf
60.56MB
2712 - Pine Forest II Soils Report.pdf
15.61 MB
2712 - Pine Forest II Stormvvater Management
2.77MB
Permit Application.pdf
2712 - Pine Forest II Supplemental-EZ Form.pdf
884.64KB
2712 - Pine Forest II Stormvvater Response to
103.99KB
Comments.pdf
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 infornation cannot be claimed as confidential: the nave and address of any perrrit applicant or
perrrittee, 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:

Includes;
Proof of position for signing official Anita Johnson
Deed for the property in question
Full set of signed and sealed stormwater and erosion control design calculations
No notification letter for wetlands
Signed and sealed full plan set
Full Soils Report including SHWT
Completed and Revised Stormwater Management Permit Application
Necessary Supplemental EZ Form
Response to First Submittal Comments
* 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:* Corin Elias Brown
Signature:
G0)14;f �htvww
Date Submitted: 12/19/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3190804
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]