SW5210302_Supplemental Info Review_20210316

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/16/2021 11:57:06 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 3/16/2021 12:37:34 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 3/16/2021 11:58 AM

Submittal Dated: 3/16/2021
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# * Perrrit Nurrber
SW5210302
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx
Facility Name:* Green Hill Subdivision Phase 1
County: Franklin
Name: Jon Frazier
Vft is subrritting the inforrretion?
Email Address:* [e-mail]
Please upload all files that need to be submited.
dick the upload button or drag and drop files here to attach docurrent
Green Hill Construction
49.41 MB
Plans_IFP_Rev2_24x36_2021-02-22_sealed. pdf
Green Hill Subdivision_Stormwater Management
7.54MB
Report_2021-02-23.pdf
Green Hill Ph 1_Stormyvater Management Permit
582.82KB
Application_Signed.pdf
Green Hill Ph 1—Deed Restrictions_Signed.pdf 145.32KB
Green HIII Drive Deed.pdf 258.66KB
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 inforrration 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:
Construction plans, stormwater report, application, deed restrictions, and deed
* 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');
o 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:* Jon Frazier
Signature:
Date Submitted: 03/16/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5210302
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 03/16/2021