SW3190803_Supplemental Info Review_12/31/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/31/2019 8:33:01 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/2/2020 9:56:44 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 12/31/2019 8:33 AM

Submittal Dated: 12/31/2019
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 N irrber
SW3190803
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Salem Leasing Corporation
County: Iredell
Name: MATTHEW GRANT
Vft is subrritting the inforrretion?
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
3538-03 Salem Leasing Delray Street Site Report of
1.98M6
Seasonal High Water Table.pdf
C30. pdf
846.68KB
C31. pdf
785.79KB
C32. pdf
809.36KB
C303132. pdf
2.36MB
Calculations.pdf
4.31 MB
JGA JamesFarkas-SalemLeasingCorp-123019.pdf
211.78KB
SSW-SWU-1 01 -Application- DEMLR-SPU Oct 2013-
600.07K6
112519.pdf
Supplement-EZ-1 23019. pdf
236.52KB
Wetland Report-101319.pdf
4.03MB
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 clairred as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by MODES application forrrs provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].

Describe the attachments:
Cover letter
Individual plan sheets
Combined plan sheets
Application
Supplement-EZ Form
Calculations
Wetlands report
Solis report
* 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:* MATTHEW GRANT
Signature:
� 4,ir1 , � 7, e-
Date Submitted: 12/31/2019

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3190803
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]