Kontane - 3/21/2018 8:26:29 AM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW3180304
1
V Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3180304
Version: 1
Facility Name: Kontane
County: Iredell
Name: Daniel Shabeldeen
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Attached are the files included in the initial submittal for the referenced project.
Please upload all files that need to be submitted.
Water Resources
ENVIRONMENTAL QUALITY

USGS Map.pdf
5.64MB
17-320-8 State.pdf
3.11 MB
Deed.pdf
3.21 MB
Kontane 100Yr Model Rpt.pdf
1.87MB
Kontane Geotechnical Report.pdf
2.42MB
Kontane SOS.pdf
164.12KB
Ltr Patterson Kontane.pdf
606.89KB
NCDEQ Phil Calcs.pdf
710.6KB
O&M Manual - Signed.pdf
2.25MB
SW Application - Signed.pdf
3.25MB
SW-SuppEZ Kontane - Signed.pdf
1.31 MB
Tables A & B Impervious Areas.pdf
221.99KB
Only pdf 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:
Signature:
Date Submitted:
Daniel Shabeldeen