SW6200802_Supplemental Info Review_20210115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/15/2021 2:30:46 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 1/15/2021 2:41:33 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 1/15/2021 2:31 PM

Submittal Dated: 1/15/2021
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# * Perrrit N irrber
SW6200802
Exarrples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Four Sierra Ranch
County: Cumberland
Name: Jeffrey Nobles
Vft is subrritting the infornetion?
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
2021-01-15 Four Sierra Ranch Resubmittal
2.36MB
Documents.pdf
SW6190802_Return_20200806.pdf 256.11 KB
2021-01-15 Four Sierra Ranch Storm
5.88MB
Calculations.pdf
2021-01-14 Four Sierra Ranch Construction
3.95MB
Drawings.pdf
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 infornetion cannot be claimed as confidential: the nave 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:
Property owner changed prior to final approval of previous submittal. submittal includes new application, documents
and drawings to address previous review comments as well as update with the current property owner information.
* 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');
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
• I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Jeffrey Nobles
Signature:
Date Submitted: 01/15/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6200802
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 01/15/2021