SW3190804_Supplemental Info Review_2/14/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/14/2020 7:39:20 AM (Supplemental Submittal)
Submit by Strickland, Shane 2/14/2020 10:20:25 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 2/14/2020 7:40 AM

Submittal Dated: 2/14/2020
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
SW3190804
Earrples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Pine Forest II
County: Iredell
Name: Corin Brown
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
2712 - Pine Forest II Design Book Revised 2-12-
104.7MB
20.pdf
2712 - Pine Forest II Full Plans Revised 2-12-20.pdf
60AMB
2712 - Pine Forest II Partial Plans (Only Revised
20.29MB
Sheets).pdf
2712 - Pine Forest II Signed Supplement EZ form.pdf
2.52MB
2712 - Pine Forest II Stage Storage Tables.pdf
1.26MB
2712 - Pine Forest II Storm Water Application Page
556.56KB
Revised 2-11-20.pdf
2712 - Pine Forest II Stormwater Response to
81.71 KB
Comments 2.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 infornation cannot be claimed as confidential: the nave and address of any perrrit applicant or
perrrittee, perrrit applications, perrrits, effluent data, information required by NRJES application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

Updates to application per comments by Jim Farkas issued on 2/10/20
* 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:* Corin Elias Brown
Signature:
Date Submitted: 2/14/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3190804
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]