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HomeMy WebLinkAboutSW3190803_Supplemental Info Review_12/31/2019Action 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:* MATTG@JORDAN-GRANT.COM 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:* zahid.kahn@ncdenr.gov