20171022 Ver 1_More Info Received_20170911

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 9/11/2017 3:35:58 PM (Supplemental Submital)
Accept by Montalvo, Sheri A 9/13/2017 12:47:16 PM (DOT - E�asting Project)
• Carpenter,Kristi reassigned the task to Montalvo, Sheri A 9/13/2017 12:44 PM
• The task was assigned to Carpenter,Kristi 9/11/2017 3:36 PM

Staff Review:
Submittal Type
l' New Project
C' Pre-Application Submittal
C�' More Information Response
Water Resources
ENVIRONMENTAL OUALITY
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre-Application Submittal - Please check the pre-application submittal if you just want feedback on your submittal and do
not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
ID#*
20171022
Reviewer List:*
Version*
1
Sue Homewood:eads\slhomewood
Select Reviewing Office:*
Winston-Salem Regional Office - [phone]
Project Submittal Interim Form
subrritted: 9/11/2017
Project Contact Information:
Name
Email Address
Carson Dellinger
Who is subrritting the inforrration?
[e-mail]
Project Information:
Existing ID#:*
20171022
Existing Version:*
1
Project Name: Blue Ridge EMC's Rutherwood Substation
Is this a public transportation project?
l' Yes
6' No
County(ies)*
Watauga
Describe the attachments:
Agent Authorization Forms

Please upload all files that need to be submited.
AA UCS_BREMC_Form 9-11-2017.pdf 30.47KB
AA UCS_ERoC_Form 9-11-2017.pdf 210.45KB
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 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 form.
Signature:
�

Sept. 11, 2017