Dollar General - Salisbury - 9/14/2017 1:49:39 PM

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/14/2017 1:49:39 PM (Supplemental Submital)
Approve by Alexander, Laura 9/14/2017 2:25:10 PM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 9/14/2017 1:49 PM

PMW"`­WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3170901
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
f E)asting Project
r Pre -Application Information
Facility Name: Dollar General - Salisbury
County: Rowan
Name: Jennifer Edwards
Vft is subrritting the inforrratim?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Civil plans, Deeds, O&m agreement, Supplemental form, Stormwater Calcs, USGS map, Soils report, stormwater
application
Please upload all files that need to be submitted
SIGNED_DG_SALISBURY.pdf
6.49MB
STORMWATER—CALCS—SAND—FILTER—REVISED.pdf
2.46MB
SIGNED_O&M.pdf
486.97KB
SIGNED—STATE—STORMWATER.pdf
2.65MB
SIGNED_SUPPLEMENTAL_FORM.pdf
405.44KB
TERAMORE—Warranty Deeds (Recorded).pdf
1.11MB
EAS -16-414 Salisbury, NC Geotechnical Report 20170307.pdf
4.39MB
CROPPED—USGS.pdf
1.52MB
Only pdr files are accepted.

PF By checking the box and signing box below, I certify that:
• 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: Jennifer Edwards
Signature: