SWA000081_Supplemental Info Review_20201116

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/16/2020 10:18:51 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 11/17/2020 1:46:32 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 11/16/2020 10:21 AM

Submittal Dated: 11/16/2020
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
SWA000081
Ecarrples: Swxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Horsepasture River Wastewater Treatment
Plant & Collection System Improvements
County: Jackson
Name: Natalie Croom
Mo is subaitting the inforrration?
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 document
15.00391-Letter of Transmittal -Storm Submittal.pdf 136.61 KB
NCDEQ Storm Fast Track Application - Signed.pdf 2.33MB
USGS Map.pdf 78.33MB
15.00391 Stormwater Report - Sealed.pdf 31.76MB
15.00391-Civil Set - Full.pdf 28.32MB
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 pernit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forrrs provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Attached are all of the documents that vve sent to the Raleigh office on November 3, 2020 for a Stormwater Fast
Track Permit. The attached letter of transmittal lists everything attached.
* 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)
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:* Natalie Croom
Signature:
Date Submitted: 11/16/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000081
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 11/17/2020