SWA000090_Supplemental Info Review_20210216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/16/2021 11:25:06 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 2/17/2021 7:48:17 AM (Supplemental Info Submittal)
p The correct project name is Townhomes at Brookshire Phase 2A.
• The task was assigned to McCoy, Suzanne 2/16/2021 11:25 AM

Submittal Dated: 2/16/2021
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# * Perait N irrber
SWA000090
Examples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* The Cottages at Hayes Mill
County: Henderson
Name: William Hanlin
Vft is subrritting the information?
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
20054 Docusign Rev3 Sheets 2021-02-16.pdf 4.23MB
20054 SSW Fast Track ATC Form Revised Sheet
124.88KB
2.pdf
Updated USGS Map - Reduced.pdf 14.5MB
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 clairred as confidential: the narre and address of any pernit applicant or
perrrittee, perrrit applications, permits, effluent data, infornation required by MODES application forrrs provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Describe the attachments:
1.) Revised sheet C.3 of the ATC Application
2.) Revised USGS 7.5 min map
3.) Revised plan sheets with project narrative describing future phases and showing 30' vegetative buffer
* 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:* William Hanlin
Signature:
Date Submitted: 02/16/2021

Initial Review
Updated ID#: WFORfANT. REV1RAERSH0LLDVMFY and revise here if necessary.
SWA000090
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 02/17/2021