SW5210303_Supplemental Info Review_20210318

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/18/2021 12:26:11 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 3/18/2021 12:46:04 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 3/18/2021 12:26 PM

Submittal Dated: 3/18/2021
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# * Perrrit Nurrber
SW5210303
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Burlington Park Apartments - Phase 1
County: Franklin
Name: Ross Godwin
Vft is subrritting the information?
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
Burlington Park-Phase1_3-9-21.pdf
11.33MB
Deed.pdf
96.91<13
LLC.pdf
74.95KB
O&M Agreement - signed.pdf
304.83KB
Stormvvater Application - signed.pdf
590.47KB
Calculations.pdf
5.93MB
Supplement Form.pdf
294.7KB
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
perrrittee, perrrit applications, perrrits, effluent data, information required by NRJES application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
The attachments are all the documents that were mailed to the stormwater office. Civil drawings, stormwater
application, supplement form, O&M agreement, stormwater calculations, deed and the LLC.
* 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:* Ross Godwin
Signature:
Date Submitted: 03/18/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5210303
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 03/18/2021