Williamston Subdivision - 2/12/2018 1:45:27 PM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3171104
Updated Version: 2
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# SW3171104
Version: 2
Facility Name: Williamston Subdivision
County: Union
Name: Kevin Herring PE
Vft is subrritting the information?
Email Address: [e-mail]
Describe the attachments:
Updated application without signature page, per Chonticha McDaniel.
Please upload all files that need to be submitted.
Williamston_Rev SSW-SWU-101-Application without signature
page_021218.pdf
Only pdr files are accepted.
PF By checking the box and signing box below, I certify that
1.42MB
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
I intend to electronically sign and submit the Supplemental Information form.
Full Name: Kevin Herring
Signature: