Cumberland Contractor Yard - 5/1/2018 9:26:11 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#: SW6180202
Updated Version: 2
Who needs a copy?* 17 Central
Office
r Regional
Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW6180202
Version: 2
Facility Name: Cumberland Contractor Yard
County: Cumberland
Name: Scott Robinson
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Permit Application
O&M Agreement
Soils Report
Please upload all files that need to be submitted.
Stormwater Management Permit Application.pdf 1.54MB
20180501122538684.pdf 2.14MB
Soil - Ksat testing-GeoSystec-Cumberland Yard Site
1000.47KB
-3-30-18.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: Scott A. Robinson
Signature:
tS�r`( ;Yez w
Date Submitted: