SW1200101_Supplemental Info Review_1/13/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/13/2020 10:58:34 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/14/2020 9:26:02 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/13/2020 10:58 AM

Submittal Dated: 1/13/2020
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
SW 1200101
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Conner Property
County: Burke
Name: Aaron Conner
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
Conner Propert Plan Set 12-30-19.pdf 15.3MB
NC Stormvvater Submittal Packet 12-30-19.pdf 7.75MB
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 clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, permt applications, pernits, effluent data, infornation required by MODES application forr s provided by
the Director inclusive of all fours and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
The attachments are the digital copies of the plans and submittal packet submitted to your office earlier by mail. Note
that signatures are not included in the submittal packet but you have those as part of the original mailing. If you need
anything else, feel free to contact me at any time.
Thanks,
David Ledford
704-530-7880
* 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:* J. David Ledford
Signature:
Date Submitted: 1/13/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW 1200101
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]