SWA000022_Supplemental Info Review_5/19/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/19/2020 6:38:27 AM (Supplemental Submittal)
Submit by Strickland, Shane 5/21/2020 6:34:42 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 5/19/2020 6:38 AM

Submittal Dated: 5/19/2020
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# * Perait N irrber
SWA000022
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Courtyards at Emerald Lake
County: Union
Name: Brian Rossi
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
Stormwater Permit Application Form -
_01
648.15K6
Signed.pdf
_02 Supplement EZ Cover Page - Signed.pdf
270.38KB
2020-05-06 Courtyards at Emerald Lake BMP
_03
5.03MB
As -built Record Drawings - Signed.pdf
2020-05-07 Courtyards at Emerald Lake As-
_04
12.61 MB
built Stormwater Report - Signed.pdf
_05 MDC Forms - East Pond - Signed.pdf
700.73KB
_06 MDC Forms - West Pond - Signed.pdf
576.01 KB
_07 Comment Response.pdf
1.49MB
Operations and Maintenance Agreement -
_08
313.03K6
Signed.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 information cannot be clairred as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by MODES application forrrs provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].

Describe the attachments:
Final resubmittal addressing all comments for the development stormwater close out and record drawing approvals.
* 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');
o 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:* Brian Richard Rossi
Signature:
fc��'arTc�c'
Date Submitted: 5/19/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000022
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]