SW6200101_Supplemental Info Review_1/20/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/20/2020 8:20:21 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/21/2020 10:36:56 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/20/2020 8:20 AM

Submittal Dated: 1/20/2020
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# * Perait N irrber
SW6200101
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* SOF Civil Affairs TEMF
County: Cumberland
Name: Stephen Curry
Vft is subrritting the inforrretion?
Email Address:* [e-mail]
Please upload all files that need to be submited.
nick the upload button or drag and drop files here to attach docurrent
Civil Affairs Letter of
83KB
Approval_cumbe077exapMod.pdf
Civil Affairs —Certificate of Coverage.pdf
36.43KB
NCDEQ Pond_Supplement EZ Form Cover
342.85KB
Page_Stamped.pdf
NCDEQ-Tra nsmittal. pdf
92.82 KB
PN 69552 CIVIL AFFAIRS TEMF - REPORT
26.8MB
JAN2020. pdf
PN 69552 CIVIL AFFAIRS TEMF - SPECIFICATIONS
788.49KB
JAN2020. pdf
PN 69552 CIVIL AFFAIRS TEMF - STORMWATER
42.13MB
PLANS JAN2020.pdf
PN69552 CIVIL AFFAIRS TEMF - Storm\&ater
Management Permit Application
580.8KB
Form Signed_Scan.pdf
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:
Letter of Approval, Certificate of Coverage, Pond Supplement EZ Form (Stamped), NCDEQ Transmittal, Report,
Specifications, Plans, and NC Stormwater Management Permit Application Form (Signed)
* 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:* Stephen Curry
Signature:
Date Submitted: 1/20/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6200101
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]