SW4191202_Supplemental Info Review_1/2/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/2/2020 8:24:39 AM (Supplemental Submittal)
Submit by Strickland, Shane 1/2/2020 10:44:54 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 1/2/2020 8:24 AM

Submittal Dated: 1/2/2020
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# * Fbrrrit Nurrber
SW4191202
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Matcor Metal Fabrication
County: Davidson
Name: L. Allan Hill
Vft is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.

cickthe upload button or drag and drop files here to attach document
17-042_C 1.0 INDEX pdf
1.59MB
17-042_C1.1 EX CONDITIONS.pdf
857.93KB
17-042_C1.2 OVERALL SITE.pdf
622.88KB
17-042_C1.3 SITE.pdf
1.01 MB
17-042_C1.4 GDEC.pdf
980.5KB
17-042_C1.5 EC PHASE 1A.pdf
1.3MB
17-042_C1.6 EC PHASE 1B.pdf
1.57MB
17-042_C1.7 EC PHASE 2pdf
1.5MB
17-042_C1.8 POND.pdf
1.13MB
17-042_C2.0 DETAILS.pdf
2.82MB
17-042_C2.1 ECDET.pdf
2.11MB
17-042_C2.2 ECDET.pdf
2.29MB
17-042_C3 Pre Dev Project Area.pdf
2.12MB
17-042_C4 Post Dev.pdf
2.42MB
17-042_C5 Exist BUA Treated.pdf
2.1 MB
17-042_C6 Prop BUA Bypass.pdf
2.33MB
2019-12-19 Transmittal Storm Permit to DEQ.pdf
174.88KB
Calcs and Narrative.pdf
559.61 KB
Deed.pdf
47.41 KB
Permit Application.pdf
175.15KB
Sec of State Info.pdf
14.14KB
SHWT Report.pdf
84.53KB
Soils Map Matcor Metal Fabrication.pdf
995.36KB
Suppliment Forms O & M.pdf
194.92KB
USGS Combined.pdf
3.54MB
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, perrrit applications, pernits, effluent data, information required by NODES application forms provided by
the Director inclusive of all fours and attachments [%f. 40 CFR 122.7(b) and (c)].
Describe the attachments:
Document for Stormwater Permit Application
Matcor Metal Fabrication Site Improvements. The attachments are as follows: Transmittal Letter, Stormwater Permit
Application, Supplement Forms and O & M Agreement, Calculations and Narrative, USGS Quad Map, Plans, SHWT
Report, Soils Map, Deed, Corporation Information.
* 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:* L. Allan Hill, PE

Signature:
Date Submitted: 1/2/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW4191202
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Select RO Reviewer:*
[e-mail]