20150646 Ver 1_More Info Recieved_20170613

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 6/13/2017 2:48:14 PM (Supplemental Submital)
Accept by Carpenter,Kristi 6/19/2017 10:03:10 AM (DOT project)
• Strickland, Bev reassigned the task to Carpenter,Kristi 6/19/2017 8:42 AM
• Strickland, Bev reassigned the task to Strickland, Bev 6/19/2017 8:36 AM
• The task was assigned to Carpenter,Kristi 6/13/2017 2:48 PM

Water Resources
ENVIRONMENTAL OUALITY
Staff Review:
What type of project is this?
C' Ebsting Project
f Pre-Application Information
Updated ID#: 20150646
Updated Version: 1
Reviewers Email Address:
*
Donna. [e-mail]
Submitted Information:
Is this a public transportation
p roje ct?
l•' Yes
C' No
Existing Project Information:
ID# 20150646
CA/�A�/CU� N.�rrt�er (exarrple 20150001)
Version: 1
Project Name: University Pointe Blvd Extenstion
TI P#:
County: Mecklenburg
Name: Erin Shanaberger
Who is subrritting the inforrration?
Email Address: [e-mail]
Describe the These attachments describe a permit modification discussed with Mr. Alan Johnson
attachments: after field review. Additional mitigation requirements in the amount of 95 SMUs are
described in the attached letter and revised PCN. Additional plan sheets are also
included in addition to the original PCN and approval.
Please upload all files that need to be submited.

culvert x-sections.pdf 7.09MB
2017-06-13 UPB_ ATF permit modification.pdf 164.87KB
2017-06-09 UPB_ ATF PCN revision.pdf 538.22KB
119451_401 Submittal_Signed_29Jun2015.pdf 44.19MB
119451_401 CertApproval_27Aug2015.pdf 1.53MB
Only pdf files are accepted.
r% 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 AcY')
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions AcY');
o 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.
Signature:
f�,rli. J��If��G�r,�