SW5190301_Supplemental Information Review Form_20190308

Submittal Dated: 3/8/2019
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 supply the perrrit nunber for this project.
D# * FL-rrrit Narrber
SW5190301
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* NC Central University P3 - Chidley South
County: Durham
Name: Patrick Covil
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
Chidley NCDEQ Stormwater Permit Application.pdf 14.7MB
Chidley Drainage Report.pdf 6.33MB
Only pdf files are accepted.
Describe the attachments:
The Chidley NCDEQ Stormwater Permit Application contains all documentation including copies of forms and large -
format exhibits. The Chidley Drainage Report contains the calculations for the stormwater collection system. The pdf
scan of the sheets has unfortunately had a data issue. I can seal and upload other drawings with the same data but
they will not be copies of the original submitted. Please let me know if I should do this.
Thanks and sorry for the inconvenience.
* R 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)
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Patrick L Covil

Signature:
ION L covq
Date Submitted: 3/8/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW5190301
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:
Corey Anen - eads\scanen
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]