NCG100241_Supplemental Info Review_20170809

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/9/2017 9:57:26 AM (Supplemental Submital)
Approve by Alexander, Laura 8/9/2017 3:45:27 PM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 8/9/2017 9:57 AM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: NCGl00241
Updated Version: 1
Who needs a copy?* V Central Office
rJ Regional Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
f Existing Project
r Pre -Application Information
Facility Name: Sandhills Pick -N -Pull
County: Cumberland
Name: Marc Vanover
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Sandhills Pick -N -Pull site plan
Please upload all files that need to be submitted.
SHPNP site plan.pdf
Only pdf files are accepted.
V By checking the box and signing box below, I certify that:
9.37MB
Water Resources
ENVIRONMENTAL QUALITY
• 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: Marc Vanover
Signature: