SW3180305_Supplemental Info Review_6/28/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/28/2019 2:01:48 PM (Supplemental Submittal)
Submit by Strickland, Shane 7/1/2019 9:26:09 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 6/28/2019 2:01 PM

Submittal Dated: 6/28/2019
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
SW3180305
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Mitchell Community College - Health
Sciences Building
County: Iredell
Name: Griselda Ruan
Who 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
REVISED-6028_SSW-SuppEZ-20170329-DEMLR
638.5KB
SW.pdf
REVISED-6028-MCC Calc Book_Storm.pdf 574.87KB
REVISED-6028- MCC- Plan Sheets.pdf 2.53MB
6028-MCC-Comment Response.pdf 766.84KB
Only pdf files are accepted.
Describe the attachments:
Attached are the revised sheets and a comments response page for reference.
* V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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:* Griselda Ruan

Signature:
pzf,,(04 wart.
Date Submitted: 6/28/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3180305
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]