SWA000099_Supplemental Info Review_20210407

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/7/2021 10:32:19 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 4/7/2021 10:36:17 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 4/7/2021 10:32 AM

Submittal Dated: 4/7/2021
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 N irrber
SWA000099
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Old Charlotte Arrow Disposal
County: Cabarrus
Name: Samantha Tonog
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
200658.000 1. SSW Fast Track ATC Application.pdf
950.32KB
200658.000 2. Stormwater Calculations Report.pdf
3.25MB
200658.000 NC Sec of State Results.pdf
65.91 KB
200658.000 Property Deed.pdf
74.7KB
200658.000 Transmittal Water Quality.pdf
153.56KB
200658.000 USGS Topo Map.pdf
9.06MB
200658 Full Set Arrow Disposal_Sealed.pdf
22.76MB
Only pdf files are accepted.
Please alert us to any confidential information contained in the uploaded documents.
Uploads contain r NO
Confidential f: YES
Information * NOTE The following information cannot be claimed as confidential: the name and address of any perrrit applicant or
perrrittee, perrrit applications, permits, 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:
Attachments are to supplement the application for the storm -water system design for the Old Charlotte Arrow
Disposal project.
* 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:* Samantha Tonog
Signature:
IZWCA,ell W',v
Date Submitted: 04/07/2021

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000099
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 04/07/2021