Mitchell Community College - Health Sciences Building - 3/23/2018 11:29:01 AM

PMW"`-WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3180305
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:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3180305
Version: 1
Facility Name: Mitchell Community College - Health
Sciences Building
County: Iredell
Name: Griselda Ruan
Who is subrritting the information?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
I have attached the plan set, calculations book, corresponding forms and application. Let me know if you have any
questions. Thank you.
Please upload all files that need to be submitted.
6028-MCC-CD.pdf
46.08MB
6028 -MCC Calc Book_Storm.pdf
11.2MB
6028—SSW-SuppEZ-20170329-DEMLR-SW.pdf
514.93KB
6028 -Sand Filter Operation -Maintenance Agmt.pdf
758.42KB
6028—SSW-SWU-101-Application-DEMLR-SPU Oct 2013.pdf
1.83MB
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
o I intend to electronically sign and submit the Supplemental Information form.
Full Name: Griselda Ruan
Signature:
Date Submitted: