SW1200501_Supplemental Info Review_20201009

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/9/2020 1:59:40 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 10/12/2020 1:08:35 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 10/9/2020 1:59 PM

Submittal Dated: 10/9/2020
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
SW1200501
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Fairview Elementary School
County: Buncombe
Name: Nathan Sawyer
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
jf17aug20 Response Letter.pdf 429.08KB
O&M EZ - signed.pdf 438.74KB
Stormwater Application - signed.pdf 1.29MB
SuppEZ sealed.pdf 218.98KB
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:
Per the email sent from Jim Farkas on 10/2/20, the signed O&M, Supplement-EZ, Application, and response to
comments letter have been provided.
* 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');
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:* Nathan Sawyer
Signature:
Z vi 5,owler
Date Submitted: 10/09/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW1200501
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 10/12/2020