SW4200902_Supplemental Info Review_20200930

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/30/2020 9:39:50 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/30/2020 1:35:57 PM (Supplemental Info Submittal)
. The task was assigned to McCoy, Suzanne 9/30/2020 9:39 AM

Submittal Dated: 9/30/2020
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
SW4200902
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Miller's Reserve
County: Forsyth
Name: Lee Bryant
Vft is subrritting the inforr ation?
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
20200930090211772.
pdf
77.08KB
20200930090256895.
pdf
559.92 KB
20200930090340323.
pdf
254.39KB
20200930090406328.
pdf
102.19KB
20200930090454114.
pdf
23.6KB
20200930090506076.
pdf
80.62 KB
20200930090523904.
pdf
205.09KB
20200930090547385.
pdf
680.34KB
20200930090624035.
pdf
1.57MB
20200930090643264.
pdf
424.97KB
miller's reserve vvet detention pond.pdf
3.09MB
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
perrrittee, 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:

Full Stormwater Management Permit Package and plans
* 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Lee Bryant
Signature:
Date Submitted: 09/30/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4200902
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 09/30/2020