SWA000065_Supplemental Info Review_2/21/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/21/2020 12:52:18 PM (Supplemental Submittal)
Submit by Strickland, Shane 2/26/2020 10:16:58 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 2/21/2020 12:52 PM

Submittal Dated: 2/21/2020
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# * Perrrit N irrber
SWA000065
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* My Storage Unit
County: Harnett
Name: SAMIR W BAHHO
Vft is subrritting the infornation?
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
(1)Gardner Mini Storage-Cover.pdf 291.8KB
(2)Gardner Mini Storage Site - 190912.pdf 598.49KB
(3)Gardner Mini Storage Erosion(DraftReCycle3) -
691.13K6
190912. pdf
FilledandsigneSSWFTATCForm.pdf 2.89MB
Stormwater ATC comments.pdf 529.37KB
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, pernits, effluent data, infornation required by NODES application forr s provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Attachments are changes to Permit No. SWA000065 including 2 revised sheets, revised ATC application and letter
addressing comments of DEQ, dated February 01, 2020
* 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:* Samir Bahho, PE
Signature:
L5 e�tXvAzA,�,r
Date Submitted: 2/21/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000065
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]