SW4200501_Supplemental Info Review_20200602

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/2/2020 12:06:30 PM (Supplemental Submittal)
Submit by Strickland, Shane 6/3/2020 12:33:53 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 6/2/2020 12:06 PM

Submittal Dated: 6/2/2020
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 N irrber
SW4200501
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Lewisville Middle School
County: Forsyth
Name: Hannah Banks
Vft is subrritting the infornation?
Email Address:* [e-mail]
Please upload all files that need to be submited.

aick the upload button or drag and drop files here to attach document
17-116 Transmittal.pdf
34.89KB
COO.00.pdf
1.22MB
CO2.01.pdf
1.27MB
CO2.02. pdf
897.69KB
CO2.03. pdf
897.9KB
CO2.04. pdf
1.1 MB
CO3.01. pdf
1.91 MB
CO3.02. pdf
1.33MB
CO3.03. pdf
1.85MB
CO3.04.pdf
1.6MB
CO3.07. pdf
801.48KB
CO3.08.pdf
1.17MB
C07.04. pdf
949.11 KB
C07.05.pdf
1022.6KB
C07.06. pdf
2.01 MB
Comment Responses.pdf
110.55KB
Email for Impervious.pdf
146.8KB
Signed O&M Manual.pdf
462.1 KB
Signed Stormwater Narrative_6th submittal.pdf
958.87KB
Signed Supplement-EZ.pdf
295.37KB
Signed SW Application.pdf
554.97KB
Survey.pdf
818.56KB
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 infornation cannot be claimed as confidential: the nave and address of any perrrit applicant or
pernittee, pernit applications, permits, effluent data, information required by WCM application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Describe the attachments:
documents for re -review
* 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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Hannah Banks
Signature:
Date Submitted: 6/2/2020

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]