SW4191201_Supplemental Info Review_3/26/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/26/2020 10:11:31 AM (Supplemental Submittal)
Submit by Strickland, Shane 3/26/2020 1:12:46 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 3/26/2020 10:11 AM

Submittal Dated: 3/26/2020
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# * Fbrrrit Nurrber
SW4191201
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Lewisville Middle School
County: Forsyth
Name: Hannah Banks
Vft is subrritting the information?
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
17-116 - Comment Responses.pdf 104.29KB
17-116 - Stormwater Narrative_3rd submittal.pdf 1.02MB
17-116 - SuppEZ_combined.pdf 1.7MB
CO3.03-REV1.pdf 1.7MB
C07.06-REV2.pdf 2MB
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 claimed as confidential: the narre 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:
Supplemental EZ Form
Stormwater Calcs
Revised plans
Comment Responses
* W By checking the box and signing box below, I certify that:
o 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:* Hannah Banks
Signature:
Date Submitted: 3/26/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4191201
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]