SWA000090_Supplemental Info Review_20210126

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/26/2021 1:28:08 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 1/27/2021 3:38:53 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 1/26/2021 1:29 PM

Submittal Dated: 1/26/2021
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 Drolect.
D# * Perait N irrber
SWA000090
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Tovvnhomes at Brookshire
County: Watauga
Name: W. Jesse Hanlin
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
20054 Docusign Permit Set 2021-01-18.pdf 8.82MB
20054 DOCUSIGN Storm-ESC Report 2021 -01 - 3.52MB
18.pdf
Fast Track Stormwater Signed and Sealed.pdf 428.81 KB
NC_Boone_20190803_TM_geo. pdf 81.15MB
2095-675 Subject Property.pdf 109.08KB
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 MODES application forrrs provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
• Fast Track Application
• Copy of DB 2095 PG 675
• ESC/Stormvater Calculations Report
• USGS 7.5 Min Map with project coordinates
• Civil Design Plans
* 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:* William Jesse Hanlin
Signature:
Date Submitted: 01/26/2021

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000090
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 01/27/2021