State Employees' Credit Union - Granite Quarry - 11/9/2017 11:23:47 AM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: sw3171101
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:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# sw3171101
Version: 1
Facility Name: State Employees' Credit Union - Granite
Quarry
County:
Name: Who is subrritting the inforrration?
Email Address: [e-mail]
K, r-Ia Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Transmittal, Stormwater Application, Property Deeds, Supporting Calculations, and Engineering Plans
Please upload all files that need to be submitted.
21538 Drawings 2017-10-09.pdf 10.28MB
21538 Supporting Calcs 2017-10-09.pdf 28.61 MB
NCDEQ Submittal Docs 2017-10-31.pdf 1.36MB
Only pdr files are accepted.
rJ 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
o I intend to electronically sign and submit the Supplemental Information form.
Full Name: Benjamin R. Munn
Signature: