Union Athletic Club - 1/15/2018 9:58:50 AM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3180101
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 PROJECT INFORMATION
Existing Project Information:
ID# SW3180101
Version: 1
Facility Name: Union Athletic Club
County: Union
Name: Jon Aldridge
Vft is subrritting the information?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Stormwater management permit application form, Supplement forms, Stormwater Impact Analysis, Construction
Drawings, Property Deed
Please upload all files that need to be submitted.
2017-12-29 Stormwater Impact Analysis.pdf
14.78MB
2017-12-29 Construction Drawing Set.pdf
38.03MB
3 -Low Density Supplement.pdf
304KB
1-Stormwater Permit Application. pdf
569.69KB
10 -Property Deed. pdf
472.84KB
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
• I intend to electronically sign and submit the Supplemental Information form.
Full Name: Jonathan Aldridge
Signature: