NCS000330_Supplemental Info Review_20200825

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/25/2020 10:29:28 AM (Supplemental Submittal)
Submit by Gwinn, Matt 8/25/2020 12:44:00 PM (Supplemental Info Submittal)
• The task was assigned to Gwinn, Matt 8/25/2020 10:29 AM

Submittal Dated: 8/25/2020
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 urolect.
D# * Perrrit Nurrber
NCS000330
Exarrples: SWxxxxxxx, NCacxxxxx, or NCSxxxxxx
Facility Name:* ATI Specialty Materials -Monroe Plant
County: Union
Name: Tyler Mercer
Vft is subrritting the infornation?
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
2020-08 MNR Year 2 Period 2 (Sample 3)-Sampling
1.2MB
Results.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 perrrit applicant or
perrrittee, perrrit applications, pernits, effluent data, infornation required by MODES application forr s provided by
the Director inclusive of all fours and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
August 2020. Year 2-Period 2 Sample 3 Data
* V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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)
o 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
o I intend to electronically sign and submit the Supplemental Information form."

Full Name:* Gregory Tyler Mercer
Signature:
Date Submitted: 08/25/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
NCS000330
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Matt GWnn - eads\mbgWnn
Review Date * 08/25/2020