SW6210204_Supplemental Info Review_20210224

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/24/2021 10:12:23 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 2/26/2021 7:25:23 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 2/24/2021 10:13 AM

Submittal Dated: 2/24/2021
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# * Perrrit Nurrber
SW6210204
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* NCNG Raeford POV & MOV Expansion
County: Hoke
Name: Jake Lewis
Vft is subrritting the inforrration?
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
NCNG RAEFORD POV & MOV EXPANSION.pdf 23.45MB
STORMWATER NARRATIVE BOOKLET.pdf 22.46MB
2020-11-20 NCDEQ STORMWATER Transmittal.pdf 166.02KB
SSW-SWU-101-Application-DEMLR-SPU Oct 2013
644.23KB
SIGNED.pdf
Check.pdf 64.04KB
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 perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Attached are the electronic copies of the stormvvater submittal documents for NCNG Raeford MOV & POV Expansion.
* V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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:* Jacob Dean Lewis
Signature:
czw A�W�/
Date Submitted: 02/24/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6210204
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 02/26/2021