SW3210501_Supplemental Info Review_20210511

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/11/2021 12:40:05 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 5/12/2021 8:27:04 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 5/11/2021 12:41 PM

Submittal Dated: 5/11/2021
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
SW3210501
Earrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Cresswind Phase 3
County: Union
Name: Matthew S Kiker
Vft is subrritting the inforrretion?
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
20-0143 Cresswind.docx.pdf
1.55MB
2409.02 Geotechnical Report for Cresswind.pdf
5.32MB
2409.02 Summary Letter for ESHWT Determination
4.71 MB
for Cresswind.pdf
27842.0003 - O&M Agreement - Signed.pdf
988.29KB
27842.0003 - SW Management Report - Sealed
12.67MB
2021-04-06. pdf
27842.003 - USGS TOPO MAP.pdf
547.38KB
20210222_14563102579_1 _Hyd rolog ic_Soi I_G rou ...
576.95KB
Cover Letter - Phase 3.pdf
52.47KB
Parcel 06009008 Deed - Book 7792 Page 0727.pdf
370.27KB
Parcel 06009008 Deed - Book 7792 Page 0735.pdf
288.77KB
Parcel 06027007 Deed - Book 7792 Page 0710.pdf
381.98KB
Parcel 06027007 Deed - Book 7792 Page 0719.pdf
304.05KB
Phase 3 - SWU-101-Application - Signed.pdf
294.61 KB
SAW-2019-01154 (signed NWP).pdf
3.02MB
SSW -Deed Restrictions - Phase 3 - Signed.pdf
790.16KB
SuppEZ-2020-Version-2.1.3. - flattened.pdf
286.47KB
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 permt applicant or
pernittee, pernit applications, permits, effluent data, information required by NHS application forms provided by
the Director inclusive of all forrrs and attachments [Pef. 40 CFR 122.7(b) and (c)].
Describe the attachments:
* W 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Matthew Kiker
Signature:
�f.Il�iIE,Yf � t
Date Submitted: 05/11/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW3210501
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Review Date * 05/12/2021