SW3190506_Supplemental Info Upload_20190617

Submittal Dated: 6/17/2019
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
SW3190506
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Sealand Office
County: Cabarrus
Name: Frank Cantrell
Who is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Oick the upload button or drag and drop files here to attach document
401-404 Permit.pdf
143.68KB
501 NC 24 27 Plat map.pdf
174.06KB
2019-05-09 Sealand - Construction Documents.pdf
51.79MB
2019-05-09 Sealand SW.pdf
5.49MB
Approval of Water Quality Certification. pdf
143.34KB
Check.pdf
103.18KB
Deed.pdf
349.95KB
NCDENR Stormwater Application.pdf
144.8KB
Sealand Business_Registrat.pdf
80.99KB
Sealand O&M.pdf
77.42KB
USGS Map.pdf
15.74MB
Only pdf files are accepted.
Describe the attachments:
1st Storm Water submittal for Sealand Office
* W 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:* Frank Cantrell
Signature:
Date Submitted: 6/17/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3190506
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Shane Strickland - eads\sstrickland9
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]