Atlantic Coast Pipeline Project - Fayetteville Region - 11/9/2017 11:24:37 AM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: SWG040096
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SWG040096
Version: 1
Facility Name: Atlantic Coast Pipeline Project - Fayetteville
Region
County:
Name: Robert Hare
Who is subrritting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
SWG04 General Stormwater Management Permit package for the built -upon areas of the Atlantic Coast Pipeline
project within the Fayetteville Region.
Please upload all files that need to be submitted.
^ACP SWG040096 General Permit Application Fayetteville 10-20
52.15MB
17_v1.pdf
Only pdf files are accepted.
V 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: Tiffini Smith
Signature: �� 2OU&