SW5200602_Supplemental Info Review_20201106

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/6/2020 3:11:45 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 11/6/2020 3:14:11 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 11/6/2020 3:11 PM

Submittal Dated: 11/6/2020
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 Nurrber
SW5200602
Exarrples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Wake Electric
County: Franklin
Name: Jeff Rice
Vft is subrritting the inforrretion?
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
02 2020 1105 NCDEQ Stormwater Permit-
536.93KB
signed_upload.pdf
04_SuppEZ-2018-Version-2.1.1-Wake
403.37K6
all_upload.pdf
0513_ storage-table-upload.pdf 108.69KB
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 inforrretion cannot be claimed as confidential: the narre and address of any permt applicant or
peraittee, pernit applications, perrrits, effluent data, information required by NRJES application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
application/form update
* 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:* Jeffrey A. Rice
Signature:
Date Submitted: 11/06/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5200602
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 11/06/2020