SW3210101_Supplemental Info Review_20210324

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/24/2021 1:20:18 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 3/25/2021 8:36:48 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 3/24/2021 1:21 PM

Submittal Dated: 3/24/2021
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 Drolect.
D# * Perait Nurrber
SW3210101
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx
Facility Name:* The Glenns
County: Union
Name: Michael Duval
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
100- The Glenns Construction Drawings.pdf
32.81 MB
200- Storm Drainage Report.pdf
8.5MB
300- The Glenns SIA Report.pdf
15.28MB
400- RTC to 1st Comments. pdf
449.5KB
500-Revised SW Application.pdf
587.73KB
600- LLC Docs.pdf
35.33KB
700-The Glenns AGREEMENT Landowner -Builder
185.75K6
agreement —BC Land Farming-True_11821.pdf
900-2022.62 Geotechnical Report for Glencroft
2.35M6
Phase 2.pdf
1000-2022.62 Summary Letter for ESHWT
1.93MB
Determination for Glencroft Phase 2.pdf
800- Signed EZ Form.pdf
244.08KB
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 permt applicant or
pernittee, pernit applications, permits, effluent data, information 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:
Construction Set
Storm Drainage Report
SIA Report
RTC letter
Revised SW Application
LLC Docs
Landowner Builder Agreement
Signed EZ Form
Geotechnical Report
Summary Letter
* 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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Michael Duval
Signature:
Date Submitted: 03/24/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3210101
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 03/25/2021