SW3161201_Supplemental Info Review_5/5/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/5/2020 2:39:52 PM (Supplemental Submittal)
Submit by Strickland, Shane 5/6/2020 3:28:06 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 5/5/2020 2:39 PM

Submittal Dated: 5/5/2020
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 Nurrber
SW3161201
Ecarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Conservancy at Waxhaw Creek Phase 2
County: Union
Name: Richard L. Modlin, PE
Vft is subrritting the inforrration?
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 - Cover letter.pdf 312.58KB
2 - SW Permit Mod Application signed w-attach.pdf 876.82KB
3 - O&M Agreement signed.pdf 771.95KB
4 - Supplemental-EZ-2018-Version-2.pdf 580.54KB
5 - SWIM Calculations 04-25-20.pdf 2.22MB
6 - Conservancy Ph2 Rev SW Plans 20200425.pdf 7.27MB
7 - RESPONSES to- Addlnfo 4-7-20[1660].pdf 43.57KB
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 permt 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:
The attached revised documents are submitted in response to 'Request for Additional Information" dated April 07,
2020 for storm water permit modification SW3161201-MOD. These include signed application, O & M agreement,
Supplemental EZ form, calculations, plans and 'Responses to Review Comments."
Hardcopies of each of the documents have been shipped for delivery to NCDEMLR.

* 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:* Richard L. Modlin
Signature:
Date Submitted: 5/5/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3161201
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]