SW5200201_Supplemental Info Review_4/13/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/13/2020 3:58:46 PM (Supplemental Submittal)
Submit by Strickland, Shane 4/13/2020 6:52:30 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 4/13/2020 3:59 PM

Submittal Dated: 4/13/2020
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 Drciect.
D# * Perrrit Nurrber
SW5200201
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Lee Street Athletic Complex Improvements
County: Johnston
Name: Zak Shipman, PE
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
2020-04-07 Response to Comments.pdf 58.41 KB
Signed Low Density EZ Supplement.pdf 7.59MB
Signed O&M -For Submittal.pdf 157.09KB
2020-04-07 Lee Street Athletic Complex-NCDEQ
28.25MB
Stormwater 2nd Submittal .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 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:
Resubmittal information for the reference project. Our reviewer for the first submittal was Jim Farkas.
* 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:* Zak Shipman
Signature:
Date Submitted: 4/13/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5200201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]