SW4200501_Supplemental Info Review_5/28/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/28/2020 2:28:55 PM (Supplemental Submittal)
Submit by Strickland, Shane 5/29/2020 10:06:35 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 5/28/2020 2:29 PM

Submittal Dated: 5/28/2020
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 - Wetland Sizing Calculation.pdf
19.91 KB
17-116 - Wetland Stage Storage.pdf
10.41 KB
2020-05-27 Stormwater 5th submittal Comments.pdf
103.25KB
2020-05-28-Signed Supplemental.pdf
238.3KB
C00.00 COVER SHEET.pdf
1.21 MB
CO3.08 POST CONSTRUCTION BUA.pdf
1.1 MB
C07.04 WET POND DETAIL.pdf
940.73KB
C07.05 WETLAND DETAIL.pdf
1012.57KB
C07.06 WETLAND PLANTING DETAIL.pdf
1.99MB
Signed Application.pdf
612.82KB
Signed O&M Manual.pdf
2.65MB
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
pernittee, perrrit applications, perrrits, effluent data, information required by WCM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

THE ATTACHMENTS REFLECT REVISIONS TO THE PREVIOUS SUBMITTAL.
* W 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* HANNAH BANKS
Signature:
W c �1V.ev
Date Submitted: 5/28/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4200501
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]