SW4200601_Supplemental Info Review_20200911

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/11/2020 4:08:58 PM (Supplemental Submittal)
Submit by Gwinn, Matt 9/14/2020 2:12:01 PM (Supplemental Info Submittal)
• The task was assigned to Gwinn, Matt 9/11/2020 4:08 PM

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# * Perrrit N irrber
SW4200601
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* SOUTHWICK SOLAR, LLC
County: Alamance
Name: Ethan Liner
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
12052-Southwick Solar LLC-NCDEQ SW Revisions-
11.38MB
Ca Ics-2020-09-11. 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 attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Stormwater and Erosion Control Calculations
* 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:* Ethan Liner
Signature:
FT{ A- *I L1Af
Date Submitted: 09/11/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4200601
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 09/14/2020