SW3201201_Supplemental Info Review_20201208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/8/2020 5:15:39 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 12/9/2020 10:47:18 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 12/8/2020 5:16 PM

Submittal Dated: 12/8/2020
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 Drciect.
D# * Perrrit Nurrber
SW3201201
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Union County Sheriff's Office
County: Union
Name: Alexander Rhode
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
9314 - Engineering Report.pdf 100.44MB
9314-SuppEZ.pdf 1.18MB
9314-UCSO NCDEQ Package.pdf 102.63MB
14031 - Union County Sheriff Expansion - GEO.PDF 6.1 MB
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 clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, infornation required by NR7ES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Attached are signed plan, engineering calculations, geotech report, and Supplemental EZ form for Union County
Sheriffs Office.
* 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:* Alexander Rhode
Signature:
�094& MA4
Date Submitted: 12/08/2020

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3201201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 12/09/2020