SW4201201_Supplemental Info Review_20210122

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/22/2021 11:04:24 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 1/22/2021 12:25:41 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 1/22/2021 11:04 AM

Submittal Dated: 1/22/2021
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 urolect.
D# * Perrrit Nurrber
SW4201201
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Coldwater SFR
County: Forsyth
Name: Richard Ringler
Vft is subrritting the information?
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
Coldwater 78 PSA (Redacted).pdf
3.35MB
Deed Restriction.pdf
105.53KB
Ditch Stability Analysis - ECMDS 7.0 (002).pdf
98.02KB
O&M Agreement.pdf
116.06KB
Pages from (2021.01.12) - Coldwater CD Set
8.7M6
NCDEQ Resubmittal.pdf
Response Letter.pdf
213.87KB
SuppEZ-2020-Version-2.1.3.pdf
95.13KB
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 inforrration cannot be clairred as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forms provided by
the Director inclusive of all forms and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Plans and forms
* 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');
o 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:* Richard Ringler
Signature:
Date Submitted: 01/22/2021

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4201201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 01/22/2021