SWA000064_Supplemental Info Review_1/2/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/2/2020 8:51:19 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/2/2020 11:06:39 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/2/2020 8:51 AM

Submittal Dated: 1/2/2020
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
SWA000064
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Roslin Farm West Section 5
County: Cumberland
Name: Kenneth Smith Jr.
Vft is subrritting the infornation?
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
Erosion Control Site Narrative 11-4-19.pdf
93.36KB
Storm Submittal 12-18-19.pdf
25.08MB
1.pdf
620.08KB
2 - Rev 12-12-19.pdf
8.17MB
3 - Rev 12-16-19.pdf
6.73MB
4.pdf
1.31 MB
5.pdf
2.5MB
6.pdf
2.16MB
7.pdf
2.13MB
8.pdf
1.7MB
9.pdf
2.32MB
10.pdf
1.88MB
11.pdf
1.41 MB
12.pdf
1.8MB
13.pdf
1.03MB
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 information cannot be claimed as confidential: the narre and address of any permit applicant or
perrrittee, perrrit applications, permits, effluent data, information required by MODES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
The PDF attachments are the entire submittal package that was originally mailed to NCDEQ around December 18th,
2019.
* 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:* Kenneth Smith Jr.
Signature:
Date Submitted: 1/2/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000064
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]