SW3191105_Supplemental Info Review_1/21/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/21/2020 5:35:13 PM (Supplemental Submittal)
Submit by Strickland, Shane 1/22/2020 9:49:16 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/21/2020 5:35 PM

Submittal Dated: 1 /21 /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
SW3191105
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Millbridge Phase 7E
County: Union
Name: Connor Horn
Vft is subrritting the inforrretion?
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
Millbridge Phase 7E Calculations. pdf 8.08MB
Millbridge Phase 7E Revised Sheets.pdf 2.79MB
2020-01-21 T- Corey Anen., 2nd State SW
112.31 KB
Submittal.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 inforrretion cannot be clairred as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, permits, effluent data, infornation 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:
Attached are revised sheets only for Millbridge Phase 7E. Calculations have been updated are being submitted
digital only. Two (2) hard copies of the revised sheets are being submitted to NCDEQ via mail service as well.
* 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:* Connor Horn
Signature:
Date Submitted: 1/21/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3191105
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]