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HomeMy WebLinkAboutSW3201001_Supplemental Info Review_20210217Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/17/2021 7:35:14 AM (Supplemental Submittal) Submit by McCoy, Suzanne 2/17/2021 7:49:49 AM (Supplemental Info Submittal) • The task was assigned to McCoy, Suzanne 2/17/2021 7:35 AM Submittal Dated: 2/17/2021 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# * Perait Nurrber SW3201001 Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx Facility Name:* Dollar General - Granite Quarry County: Rowan Name: Jennifer Edwards Vft is subrritting the inforrretion? Email Address:* jennifer@brec.biz Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach docurrent DG_GRANITE_QUARRY.pdf 15.16MB 1357-189 General Warranty Deed.pdf 118.7KB O & M_Granite Quarry.pdf 70.19KB SIGNED_SuppEZ-2018-Version-2.1.1_02152021.pdf 414.02KB STORMWATER_CALCS_02152021.pdf 2.88MB USGS_CROPPED.pdf 2.35MB 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, permt applications, permits, effluent data, inforrretion 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: Plans, deed, O&M, Updated Supplemental, Stormwater Calcs with soils report, USGS map with coordinates. * 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:* Jennifer Edwards Signature: Date Submitted: 02/17/2021 Initial Review Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary. SW3201001 Who needs a W Central Office copy?* r Regional Office Central Office Reviewer:* Corey Anen - eads\scanen Review Date * 02/17/2021