SW5210201_Supplemental Info Review_20210209

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/9/2021 7:46:06 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 2/9/2021 7:51:39 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 2/9/2021 7:46 AM

Submittal Dated: 2/9/2021
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 Drciect.
D# * Perrrit Nurrber
SW5210201
Ecarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Essex Townes and Essex Village
County: Franklin
Name: Jon Eakins, PE
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
DRAFT - SSW-DeedRestric-HDResid-2015061 1 -
127.95KB
DEMLR-SW.pdf
SUPPLEMENT EZ - ALL PAGES.pdf
394.5KB
2021-01-08 - ESSEX VILLAGE-ESSEX TOWNES -
3.22MB
STORMWATER MANAGEMENT REPORT.pdf
USGS - FRANKLINTON.pdf
1.17MB
REAL_ESTATE_Bk2146_Pg723.pdf
134KB
2021-01-26 - ESSEX TOWNES COMBINED
43.03MB
DRAWINGS.pdf
2021-01-26 - ESSEX VILLAGE COMBINED
38.6MB
PLANS. pdf
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 claimed as confidential: the narre and address of any perrrit applicant or
pernittee, perrrit applications, perrrits, effluent data, information required by WCM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

submittal made on January 28
* 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Jonathan Eakins
Signature:
[7 OWCYlZ,r
r l &Wlf
Date Submitted: 02/09/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5210201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 02/09/2021