Makson - 12/12/2017 3:13:20 PM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3171203
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# 000000000
Version: 1
Facility Name: Makson
County: Rowan
Name: Jennifer Edwards
Vft is submitting the inforrratim?
Email Address: [e-mail]
Describe the attachments:
Full Stormwater package Submittal
Please upload all files that need to be submitted.
MAKSON_STORMWATER_PACKAGE. pdf
Only pd files are accepted.
V By checking the box and signing box below, I certify that:
15.43MB
Water Resources
ENVIRONMENTAL QUALITY
• 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: Jennifer Edwards
Signature: r�