SW6210203_Supplemental Info Review_20210215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/15/2021 12:21:56 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 2/16/2021 7:12:27 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 2/15/2021 12:22 PM

Submittal Dated: 2/15/2021
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 Nurrber
SW6210203
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* James A. Leach Aquatic and Recreation
Center
County: Hoke
Name: Kevin Lindsay
ftio is subaitting the inforrration?
Email Address:* [e-mail]
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach document
1st Storm Sub Plans 2-12-21.pdf 6.73MB
Hoke Aquatic Storm Sub Package 2-11-21.pdf 9.92MB
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 claimed as confidential: the narre and address of any perrrit applicant or
pernittee, pernit applications, perrrits, effluent data, inforrration 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:
Stormwater Management Permit Application packet. Includes items list in the application's submittal requirements.
Plans include cover, site, grading, and stormwater sheets.
* W 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:* Kevin Lindsay
Signature:
VIV LirV&A-Y
Date Submitted: 02/15/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6210203
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 02/16/2021