SW6210201_Supplemental Info Review_20210416

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/16/2021 10:40:23 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 4/16/2021 11:29:38 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 4/16/2021 10:41 AM

Submittal Dated: 4/16/2021
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# * Perrrit Nurrber
SW6210201
Samples: SWxxxxxxx, NC Gxxxxxx, or NCSxxxxxx
Facility Name:* Ryan's Run
County: Hoke
Name: Lee Humphrey
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
LLC.pdf
313.56KB
Ryan's Run 4.16.21.pdf
7.99MB
Ryan's Run Pur Ryan's Run
208.07K6
Deed_Deed_20210126.pdf
Ryan's Run_Calculations.pdf
5.3MB
Ryans Run_SHWT Report.pdf
2.42MB
Ryan's Run_SW Plan.pdf
9.93MB
Signed Application.pdf
3.1 MB
Signed Deed Restrictions. pdf
1.03MB
Signed EZ Form.pdf
1.73MB
Signed O & M.pdf
1.76MB
USGS Map.pdf
397.63KB
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 perrrit applicant or
perrrittee, perrrit applications, permits, effluent data, inforrretion required by NR7ES application forms provided by
the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].

Describe the attachments:
Completely Redesigned Ryan's Run Storm -water package for your review minus the application fee.
* 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:* David Upchurch
Signature:
a4i;,l,4/,-/1"I"tcf
Date Submitted: 04/16/2021

Initial Review
Updated ID#: IWORfANT. RE\/1RAE 2SH0LLDVMFY and revise here if necessary.
SW6210201
Who needs a W Central Office
copy?* r Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Review Date * 04/16/2021