NCG160227_Supplemental Info Review Form (2)_20180220

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upplemental Information Upload Fon
Staff Review:
Updated ID#: NCG160227
Updated Version: 2
Who needs a copy?* r Central Office
rJ Regional Office
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# NCG160227
Version: 2
Facility Name: Carolina Sunrock - Prospect Hill Facility
County: Caswell
Name: Jonathan Murphrey
Who is subrritting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Figure 1: Site Location (shows the facility location on a USGS Quad)
Figure 2: Site and Surrounding Area (show the facility property, plus the topography and water -bodies in the general
vicinity)
Figure 3: Site Layout (shows layout/details of all facility structures and stormwater control features)
Figure 4: Locations of Impervious Surfaces (outlines areas of the site which are impervious to rainfall)
Figure 5: Stormwater Drainage Basins and Flow Directions (details stormwater drainage basins and flow directions at
the facility property)
Please upload all files that need to be submitted.
Figure 1.pdf 2AMB
Figures 2 through 5.pdf 3.01 MB
Only pdr files are accepted.

PF 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 D. Murphrey
Signature:
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