SWA000080_Supplemental Info Review_20201023

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/23/2020 9:56:00 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 10/29/2020 1:16:17 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 10/23/2020 9:56 AM

Submittal Dated: 10/23/2020
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
SWA000080
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Hills Machinery & Lease Building
County: Henderson
Name: Tyson Griswold, P.E.
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
HEC-052720-R10-S. pdf 11.08MB
DEQ Combined Report Stormvvater and Erosion.pdf 3.42MB
Hills Machinery & Lease O&M Plan_000005.pdf 866.21 KB
Hills Machinery & Lease O&M
1.65MB
Agreement 000004.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 infornation cannot be claimed as confidential: the nave and address of any perrrit applicant or
perrrittee, perrrit applications, perrrits, effluent data, information required by NRDM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Please note the original Fast Track Application was mailed in and not scanned at the time.
Included are:
plans and specifications
Engineer's Report
O&M Agreement
O&M Plan

* 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:* Tyson Griswold
Signature:
awl (�Flteyalotal
Date Submitted: 10/23/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000080
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 10/29/2020