SW4191201_Supplemental Info Review_1/2/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/2/2020 11:02:51 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/2/2020 1:27:18 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/2/2020 11:03 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# * Fbrrrit Nurrber
SW4191201
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Lewisville Middle School
County: Forsyth
Name: Hannah Banks
Vft is subrritting the inforrration?
Email Address:* [e-mail]
Please upload all files that need to be submited.

aick the upload button or drag and drop files here to attach document
17-116 - High Density Permit Application_signed.pdf
1.95MB
17-116 - O&M EZ 071414_1.1 (4).pdf
38.75KB
17-116 - O&M signed.pdf
465.13KB
17-116 - QUAD.pdf
2.05MB
17-116 - SOILS.pdf
6.18MB
17-116 - SuppEZ-2018-Version-2.1.1 2.pdf
567.13KB
17-116 Additional Deeds.pdf
475.68KB
17-116 Deeds.pdf
533.56KB
17-116 Geotech Report.pdf
10.39MB
17-116 Transmittal.pdf
41.75KB
17-116-Stormwater Narrative.pdf
954.94KB
COO.00.pdf
1.19MB
C00.01. pdf
843.67KB
CO2.01.pdf
1.18MB
CO2.02. pdf
799.32 KB
CO2.03.pdf
1.16MB
CO2.04. pdf
1.01 MB
CO3.01.pdf
1.75MB
CO3.02. pdf
1.15MB
CO3.03. pdf
1.65MB
CO3.04. pdf
1.4MB
CO3.07. pdf
696.07KB
CO3.08. pdf
761.75KB
C06.01.pdf
1.68MB
C06.02. pdf
1.25MB
C06.03.pdf
1.69MB
C06.04. pdf
1.26MB
C07.04. pdf
915.11 KB
C07.05. pdf
966.36KB
C07.06. pdf
1.93MB
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 permt applicant or
peraittee, pernit applications, permits, effluent data, information required by NDS application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Describe the attachments:
1st Submittal Stormwater Permit
* P 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

o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Hannah Banks
Signature:
Date Submitted: 1/2/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4191201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Select RO Reviewer:*
[e-mail]