SW3190701_Supplemental Info Upload_20190708

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/8/2019 2:41:17 PM (Supplemental Submittal)
Submit by Strickland, Shane 7/8/2019 3:25:58 PM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 7/8/2019 2:41 PM

Submittal Dated: 7/8/2019
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
SW3190701
Exarrples: SWxxxxxxx, NOCaaxxxx, or NOSxxxxxx
Facility Name:* Harwood Automotive
County: Cabarrus
Name: Mitchell S. Latham, PE
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
1. STORMWATER MANAGEMENT PERMIT
APPLICATION FORM.pdf
2. SAND FILTER OPERATION AND MAINTENANCE
AGREEMENT.PDF
3. PROJECT NARRATIVE.pdf
4. USGS.pdf
5. AERIAL OFFISTE.pdf
6. SAND FILTER CALCULATIONS. pdf
7. HARWOOD AUTOMOTIVE CIVIL PLANS.pdf
8. SOILS REPORT.pdf
9. COPY OF DEED 4300-190.pdf
10. NCSOS REPORT. pdf
11. ARTICLES OF INCORPORATION.pdf
Only pdf files are accepted.
Describe the attachments:
2.05MB
200.37KB
32.63KB
391.59KB
248.21 KB
432.36KB
5.94MB
261.24KB
139.02KB
35.79KB
144.17KB

Stormwater Management Permit Application Form
Sand Filter Operation and Maintenance Agreement
Project Narrative
USGS Map of Project Location
Offsite Aerial map
Sand Filter Design Calculations
Civil Plans
Soils Report
Copy of Current Deed
Secretary of State Documentation
* 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)
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:* Mitchell S. Latham, P.E.
Signature:
44,reNw L 5 L-.4rmA'k pa
Date Submitted: 7/8/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3190701
Who needs a d Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]