NCG140455_Supplemental Info Review_8/15/2017

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/15/2017 3:46:28 PM (Supplemental Submital)
Approve by Alexander, Laura 8/16/2017 9:19:55 AM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 8/15/2017 3:46 PM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: NCG14045
Updated Version: 1
Who needs a copy?* V Central Office
rJ Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
f Existing Project
r Pre -Application Information
Facility Name: Stevenson -Weir Charlotte Plant
County: Mecklenburg
Name: Dwight Kurtz PE
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Site Plan
Please upload all files that need to be submitted.
CHARLOTTE SWPPP PLAN.pdf 2.53MB
Only pdf files are accepted.
G7 By checking the box and signing box below, I certify that:
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: Dwight Stephen Kurtz
Signature: