Hair Solar - 12/15/2017 1:01:56 PM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW6171206
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW6171206
Version: 1
Facility Name: Hair Solar
County: Cumberland
Name: Paul Pascarosa
Vft is subrritting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Cover letter, attachments, and PCN applications. Since submitting this PCN app over a month ago, the project has
been placed on hold with Chad Turlington in the Fayetteville Office. Revisions pending.
Please upload all files that need to be submitted.
201712B.PCNsubmittal..pdf 7.06MB
Only pdf files are accepted.
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: Paul Pascarosa
Signature: