SW3200801_Supplemental Info Review_20200911

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/11/2020 11:52:47 AM (Supplemental Submittal)
Submit by Gwinn, Matt 9/14/2020 2:10:03 PM (Supplemental Info Submittal)
• The task was assigned to Gwinn, Matt 9/11/2020 11:52 AM

Submittal Dated: 9/11/2020
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# * Fbrrrit Nurrber
SW3200801
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Furr Commercial Building
County: Cabarrus
Name: Jonathan Carter
Vft is subrritting the inforrretion?
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
2019-08-14-EC- Drain -Ca lc-Furr.pdf
743.38KB
2020-08-14-Furr-pIans.pdf
16.9MB
2020-09-11-Response Letter to NCDENR.pdf
186.58KB
Application- revised. pdf
607.29KB
EZ form.pdf
164.27KB
O&M Agreement.pdf
112.27KB
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 clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Drainage Calculations
Construction Plans
Response to Comments
Application -revised
EZ form
O&M Agreement

* 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:* Jonathan Carter
Signature:
!a,7;& / / , tit
Date Submitted: 09/11/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW3200801
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 09/14/2020