SW5190301_Supplemental Information Review Form_20190429

Submittal Dated: 4/29/2019
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 supply the perrrit nunber for this project.
D# * FL-rrrit Narrber
SW5190301
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* NC Central University P3 - Chidley South
County: Durham
Name: Patrick Covil
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Oick the upload button or drag and drop files here to attach document
Chidley Drainage Report.pdf
6.33MB
Chidley NCDEQ Stormwater Permit Application
1.94MB
Form.pdf
Chidley NCDEQ Stormwater Permit Deed 5870_191-
88.53KB
194. pdf
Chidley NCDEQ Stormwater Permit NRCS Soils
1.39MB
Map.pdf
Chidley NCDEQ Stormwater Permit Quad Map.pdf
3.18MB
Chidley NCDEQ Stormwater Supplement Form.pdf
595.81 KB
Chidley OM Agreement Signed from NCCU.pdf
964.98KB
Chidley South CDs - Stormwater Permit.pdf
34.47MB
Chidley South SNAP Report.pdf
554.79KB
Chidley NCDEQ Stormwater Permit Application.pdf
15.97MB
Chidley NCDEQ Stormwater Permit - SHWT
1.99MB
Report.pdf
Only pdf files are accepted.
Describe the attachments:

Attached are the files requested by the 4/17/19 email from Mr. Anen, including the notarized O&M agreement and the
SNAP spreadsheet which were not included before. Other requested documents are uploaded separately and as
part of a large pdf file, with a scanned seal. The only changes to the report are to incorporate the two requested
documents. Please let me know if anything else is needed or if there are any questions.
Thanks
* V By checking the box and signing box below, I certify that:
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Patrick Lewis Covil
Signature: 1. �7
f �{b�
Date Submitted: 4/29/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW5190301
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]