NCG020932_Supplemental Information Upload Form_20180625

WW "Arpplemental Information Upload Fo
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
NCG020932
1
V Central
Office
r Regional
Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Alaina Morman - eads\amorman1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# NCG020932
Version: 1
Facility Name: Barnhill Contracting Company
County: Edgecombe
Name: Brent Caudle
Who is subnitting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
The attached plan sheet is on a 1:100 scale. The previously submitted plan sheet was on a 1:200 scale.
Please upload all files that need to be submitted.
DAIRY FARM - EXCAVATION AREA.pdf 7.12MB
Only pdf files are accepted.

PF By
checking
the
box
and
signing
box
below,
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: Brent Caudle
Signature:
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Date Submitted: