NC0047384_Nutrient Report_20210127

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/27/2021 3:21:36 PM (Supplemental Submittal)
Submit by Bennett, Tilman B 5/17/2021 9:59:35 AM (Supplemental Info Submittal)
p Nutrient Report
• Bennett, Tilman B assigned the task to Bennett, Tilman B 5/17/2021 9:59 AM
• The task was assigned to Thedford, Wren, Bennett, Bradley 1/27/2021 3:21 PM

Initial Review Information
Updated ID#:* IWORTANf:FEVIBAERSl-IOLLDVERIFY and revise here ifnecessary.
NC0047384
How should this project be handled?*
r File r Discard
Information Submitted on 1/27/2021
Submitter Information
Name: Alicia Goots
Vft is subrritting the infornation?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental
information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted
electronically through the eDMR system and should not be submitted here. Division staff will reviewall
uploaded documents and will only maintain required information. Documents such as laboratory reports are not required
to be submitted and will not be maintained in the system.
Project Information:
Rease SUDDly the Dernit number for this
Existing ID#* PerrritNunber
NC0047384
Examples: NOKxxxxxx or NO&xxxxx
Facility Name:* TZ Osborne Wastewater Treatment Facility
County: Guilford
Please upload all files that need to be
submited. *
dick the upload button or drag and drop files here to attach docurrent
2020 Nutrient Report DECeDMR.pdf 651.48KB
Only pdf files are accepted.
Comments about the attachments:
2020 Nutrient Report submittal for NC 0047384
* V By checking the box and signing box below, I certify that:
o 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: Alicia Goots
Signature:
Date Submitted: 01/27/2021

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