SW5210201_Supplemental Info Review_20210510

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/10/2021 4:16:04 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 5/12/2021 8:25:00 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 5/10/2021 4:18 PM

Submittal Dated: 5/10/2021
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 Drciect.
D# * Perrrit Nurrber
SW5210201
Earrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Essex Townes and Essex Village
County: Franklin
Name: Jon Eakins
Vft is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
nick the upload button or drag and drop files here to attach docurrent
2021-05-10 - Transmittal - NCDENR - Stormwater
75.56KB
Permit.pdf
2021-05-10 - SIGNED -NOTARIZED STORMWATER
634.98KB
PERMIT APPLICATION. pdf
2021-05-10 - SIGNED -NOTARIZED DEED
1.73MB
RESTRICTION FORM.pdf
2021-05-07 - ESSEX VILLAGE-ESSEX TOWNES -
6.5MB
STORMWATER MANAGEMENT REPORT.pdf
2021-05-10 - Responses to Request for Additional
206.26K6
Information.pdf
2021-05-06 - ESSEXTOWNES COMBINED
45.93MB
CONSTRUCTION DRAWINGS.pdf
2021-05-06 - ESSEXVILLAGE COMBINED
40.06MB
CONSTRUCTION DRAWINGS.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 information cannot be claimed as confidential: the narre and address of any permit applicant or
perrrittee, perrrit applications, permits, effluent data, information required by MODES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Updated plans, permit form, deed restriction form, and calculations per request for additional information dated
3/4/21
* 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:* Jonathan Eakins
Signature:
,70- d,477,14- J F-4�4nIS
Date Submitted: 05/10/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW5210201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 05/12/2021