SW3200402_Supplemental Info Review_4/29/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/29/2020 11:08:45 AM (Supplemental Submittal)
Submit by Strickland, Shane 4/30/2020 9:48:27 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 4/29/2020 11:08 AM

Submittal Dated: 4/29/2020
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 urolect.
D# * Fbrnit Nurrber
SW3200402
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSaxxxx
Facility Name:* 7201 Henry Furr Road
County: Cabarrus
Name: Jonathan Carter
Vft is subrritting the inforrretion?
Email Address:* jonathan.carter@bluestonelandmanagement.
com
Please upload all files that need to be submited.
C7ickthe upload button or drag and drop files here to attach document
USGS-map-F u rr. pdf
1.08MB
2020-04-11-Narrative. pdf
77.85KB
Furr-SW app.pdf
616.99KB
2020-02-08-7201 Henry Furr-revised.pdf
1.24MB
CUP Site Plan.pdf
199.29KB
Rezoning.pdf
7.11 MB
db 04283 pg 109.pdf
170.46KB
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 inforrration cannot be clairred as confidential: the narre and address of any pernit applicant or
perrrittee, pernit applications, permits, effluent data, inforrretion required by NR7ES application forrrs provided by
the Director inclusive of all forns and attachrrents [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
PDF files of the paperwork submitted including the application, site plan, usgs map, deed, rezoning plan, and
narrative.
* V 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:* Jonathan Carter
Signature:
Date Submitted: 4/29/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW3200402
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]