SW4070701_Supplemental Info Review_2/27/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/27/2020 5:36:13 PM (Supplemental Submittal)
Submit by Strickland, Shane 2/28/2020 9:41:04 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 2/27/2020 5:36 PM

Submittal Dated: 2/27/2020
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# * Perrrit Nurrber
SW4070701
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Echota IV
County: Watauga
Name: Christine Brown
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
Echota IV Response 3 package_2-27-2020.pdf 5.5MB
Echota IV G-001-signed.pdf 226.4KB
Echota IV C-103 Grading-signed.pdf 1.81 MB
Echota IV C-501 Details-signed.pdf 695.36KB
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, infornation required by NR7ES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Response 3 for additional information requested by Jim Farkas for review of the Echota IV State Stormwater Permit
SW4070701.
* 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:* Christine Brown
Signature:
C41,,c ,,-,ff" X,- e-'m-W
Date Submitted: 2/27/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4070701
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Select RO Reviewer:*
[e-mail]