SW1210502_Supplemental Info Review_20210519

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/19/2021 8:34:07 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 5/19/2021 1:14:34 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 5/19/2021 8:34 AM

Submittal Dated: 5/19/2021
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# * Ferait N irrber
SW 1210502
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Project AV
County: Henderson
Name: Leon Bakely
Vft is subrritting the inforrration?
Email Address:* [e-mail]
Please upload all files that need to be submited.

Oickthe upload button or drag and drop files here to attach document
C-APP-1 90780-SWUl 01 -2021-02-09.pdf
564.27KB
C-DOC-1901780-ALM Asheville NCSOS
118.89KB
Documentation-2019-10-25. pdf
C-DOC-1901780-BayFilter_AsBuiltCert-2021-05-
127.51 KB
12.pdf
C-DOC- 1 901780-GeneralMDCAsBuiltCert-2021-
239.6KB
05-12.pdf
C-DOC- 1 901780-InfiltrationAsBuiltCert-2021-05-
142.37K6
12.pdf
C-DOC-1901780-O&M-EZ-2021-02-09-SIGNED.pdf
572.26KB
C-DOC- 1 901780-PermitteeCertAsBuiltCert-2021-
152.68KB
05-07.pdf
C-DOC-1901780-Supplemental EZ-2021-05-12.pdf
394.8KB
C-DOC-FAST TRACK FINAL PERMIT Submittal
195.29KB
Requirements-2021-05-14.pdf
C-PLN-1 901780-SCM As -built Plans-2021-05-14.pdf
34.51MB
C-RPT-1901780-Project Narrative-2021-05-14.pdf
318.12KB
C-RPT-1901780-STORMWATER REPORT-2021-
32.51 MB
05-14.pdf
S-DOC-1901780-Access & Maintenance Easement-
403.28KB
2021-04-13.pdf
S-DOC-1901780-Cagdene Recorded Deed-2020-
255.24K6
01-14.pdf
S-DOC-1901780-Recorded Grading and
495.23K6
Construction Easement-2020-05-05.pdf
S-DOC-1901780-Tiltin B Recorded Deed-2020-05-
167.77KB
05.pdf
S-PLN- 1 901780-Recorded Plat w Easement-2021-
239.25KB
05-06.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 pernit applicant or
perrrittee, pernit applications, pernits, effluent data, information required by MODES application forms provided by
the Director inclusive of all fours and attachrrents [%f. 40 CFR 122.7(b) and (c)].
Describe the attachments:
* V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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)
o 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
o I intend to electronically sign and submit the Supplemental Information form."

Full Name:* Leon W. Bakely III
Signature:
LUA" W. P R
Date Submitted: 05/19/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW1210502
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 05/19/2021