SW4191001_Supplemental Info Review_2/6/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/6/2020 11:49:58 AM (Supplemental Submittal)
Submit by Strickland, Shane 2/10/2020 9:56:23 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 2/6/2020 11:50 AM

Submittal Dated: 2/6/2020
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 urolect.
D# * Fbrrrit Nurrber
SW4191001
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSaxxxx
Facility Name:* Winding CReek Subdivision
County: Alamance
Name: Shawn C. Sidener
Vft is subrritting the inforrretion?
Email Address:* [e-mail]
Please upload all files that need to be submited.
dick the upload button or drag and drop files here to attach docurrent
17-002 Rev05 2020-02-05.pdf
16.82MB
Calcs - Ditches 2020-02-06.pdf
6.69MB
SWIM Permit Application Revised First Page.pdf
162.75KB
Low -Density Supplement.pdf
2.24MB
Winding Creek SD maps - initialed.pdf
3.73MB
Winding Creek SD Stream Determination Letter.pdf
523.68KB
5090_Winding Creek Subdivision
—Stream
2.11 MB
Determination_8.26.19. 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 perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
* 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');
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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Shawn C. Sidener
Signature:
50�Awd C :�A► r
Date Submitted: 2/6/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4191001
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Select RO Reviewer:*
[e-mail]