SW6201102_Supplemental Info Review_20210202

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2021 8:38:26 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 2/3/2021 7:45:31 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 2/2/2021 8:38 AM

Submittal Dated: 2/2/2021
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 urciect.
D# * Perait Nurrber
SW6201102
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Yarborough Express with Gas PX 0001-20
County: Cumberland
Name: Mike Broyhill
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
Ft_ Brag g_DEQ_Plan_sheets.pdf 15.74MB
Ft_Bragg_SSW-SWU-101-Application.pdf 184.53KB
Ft_ Bragg_Supplement_sealed.pdf 325.22KB
Ft_Bragg_SW_calcs.pdf 5.54MB
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 pernit applicant or
perrrittee, perrrit applications, permits, effluent data, infornation required by NR7ES application forrrs provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Revised Stormwater Plans, Application, Supplement and Calculations in response to comments issued 12-21-20 for
this project located on Ft. Bragg.
* 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:* Michael R Broyhill
Signature:
rr/ fr�titf
Date Submitted: 02/02/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6201102
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 02/03/2021