SW3200403_Supplemental Info Review_20200506

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/6/2020 9:52:32 AM (Supplemental Submittal)
Submit by Strickland, Shane 5/8/2020 11:07:02 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 5/6/2020 9:52 AM

Submittal Dated: 5/6/2020
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
SW3200403
Earrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Waxhaw Pump Station
County: Union
Name: Zachary Collins
Vft is subrritting the inforrretion?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
_197663 - Waxhaw- PC Stormwater Application-
32.46M6
April 2020_Compiled.pdf
197663 - Waxhaw GI, PS & FM-Stormwater
5.32M6
Drawings.pdf
Waxhaw PS - Deed and Access Easements. pdf 893.7KB
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 inforrretion cannot be claimed as confidential: the narre and address of any perrrit applicant or
perrrittee, perrrit applications, perrrits, effluent data, information required by NRJES application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:

• Stormwater Management Permit Application Form
• Stormwater Management Narrative
• USGS Topographical Quadrangle Map
• USGS Vicinity Map
• USGS Site Map
• Stormwater and Drainage Area Calculations
• Project Drawings
• Stormwater and Drainage Area Calculations
• New Built Upon Area Drawings
• Drainage Area Delineation Drawings
• Geotechnical Report
• NRCS County Soils Map
• Property Deed
* 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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Zachary Collins
Signature:
Date Submitted: 5/6/2020

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SW3200403
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]