NC ACP - 1/19/2018 4:13:00 PM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SWG040095
Updated Version: 3
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SWG040095
Version: 3
Facility Name: NC ACP
County: Nash
Name: Scott Robinson
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Response Information to Request for Additional Information #2 dated December 20, 2017.
Please upload all files that need to be submitted.
PCSW RFAI#2 documents.pdf 30.87MB
Only pdf files are accepted.
V By checking the box and signing box below, I certify that:
Water Resources
ENVIRONMENTAL QUALITY
• 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
o I intend to electronically sign and submit the Supplemental Information form.
Full Name: Scott Robinson
Signature: