Stormwater Management Facility - 4/25/2018 9:59:17 AM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW3140403
u
V Central
Office
r Regional
Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3140403
Version: 1
Facility Name: Stormwater Management Facility
County: Union
Name: Jon Aldridge
Who is subnitting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Designer certification of the constructed stormwater management facility onsite and supplemental
calculations/drawings
Please upload all files that need to be submitted.
SIGNED -Designer's Certification. pdf 47.82KB
2018-04-13 As -Built Certification Package -
21.96MB
Candella Subdivision.pdf
Only pdf files are accepted.
Water Resources
ENVIRONMENTAL QUALITY

fJ By
checking
the
box
and
signing
box
below,
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: Jonathan A. Aldridge
Signature:
%�uratfirr�r [V 6VIVe"4'r
Date Submitted: