NCG020330_Staff Review Form_2/15/2018

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upplemental Information Upload Fon
Staff Review:
Updated ID#: NCG020330
Updated Version: 1
Who needs a copy?* r Central Office
rJ Regional Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# NCG020330
Version: 1
Facility Name: 3M Pittsboro Mine
County: Chatham
Name: Christopher Wu
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
The attached letter describes proposed facility layout changes at 3M's Pittsboro Mine.
Please upload all files that need to be submitted.
Signed letter_ECT.pdf 37.7MB
Only pdf files are accepted.
V By checking the box and signing box below, I certify that:
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: Christopher Wu
Signature:
wee