SWA000022_Supplemental Info Review_20201001

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/1/2020 1:58:57 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 10/2/2020 2:08:31 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 10/1/2020 1:59 PM

Submittal Dated: 10/1/2020
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# * Perait N irrber
SWA000022
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Courtyards at Emerald Lake
County: Union
Name: Brian R Rossi
Vft is subrritting the inforrration?
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
_00 Final Permit Submittal Checklist.pdf
1.93MB
Stormwater Permit Application Form -
_01
647.49K6
Signed.pdf
_02 Supplemental EZ Form - Signed.pdf
270.01 KB
03 As -Built Permittee Certification Checklist -
189.11 KB
Signed.pdf
Certificate of Incumbency, ELD, RK & MD, 8-4-
_04
243.47KB
20.pdf
2020-09-21 Courtyards at Emerald Lake BMP
_05
5.1 MB
As -built Record Drawings - Signed.pdf
2020-09-21 Courtyards at Emerald Lake As-
_06
7.11 MB
built Stormwater Report.pdf
_07 MDC Forms - East Pond - Signed.pdf
699.18KB
_08 MDC Forms - West Pond - Signed.pdf
572.91 KB
Geotech 2013-11-27 Lawyers Rd
_09
460.25KB
Subsurface.pdf
_10 Courtyards at Emerald Lake Recorded Plats.pdf
11.74MB
_11 Fountain Information.pdf
1014.62KB
_12 Recored O&M Agreement. pdf
339.21 KB
_13 Check. pdf
110.57KB
_14 Comment Response Letter.pdf
91.62KB
Courtyards at Emerald Lake Plant List CWS
_15
212.82K6
Certification. pdf
2020-09-23 LOT DEMLR.pdf
93.35KB
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 claimed as confidential: the nave and address of any permt applicant or
perrrittee, pernit applications, perrrits, 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:
Final submittal for the fast track as -built submittal package. Hard copies mailed to NCDEQ and arrived on 9/24/2020.
* 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');
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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Brian R Rossi
Signature:

Date Submitted: 10/01/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000022
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 10/02/2020