SW4210401_Supplemental Info Review_20210426

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/26/2021 2:01:27 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 4/27/2021 8:31:35 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 4/26/2021 2:01 PM

Submittal Dated: 4/26/2021
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# * Fbrnit Nurrber
SW4210401
Examples: Sftxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Brown Apartments
County: Watauga
Name: Justin Church
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
BROWN APARTMENTS.pdf
7.78MB
CROPPED_USGS.pdf
2.15MB
DB_1907_846.pdf
131.66KB
SOILS_REPORT.pdf
1.89MB
STORMWATER_CALCS_SAND_FILTER UNDERG...
646.5KB
SIGNED_O&M. pdf
531.57KB
SIGNED_STORMWATER APP.pdf
1.99MB
SSW-SuppEZ-20170329-DEMLR-
391.54KB
SW UG_04152021.pdf
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
pernittee, pernit 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:
Full Stormwater submittal package, plans, app, calcs, O&M, Supplemental, USGS map, Soils Report, 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');
• 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:* Justin Church
Signature:
Date Submitted: 04/26/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW4210401
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 04/27/2021