BAKER ROOFING - 7/10/2018 2:39:47 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
sw1180601
1
V Central
Office
r Regional
Office
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# sw1180601
Version: 1
Facility Name: BAKER ROOFING
County: Henderson
Name: JARED DERIDDER
Vft is subrritting the inforrratim?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Engineering plans and calculations for the proposed stormwater management of Baker Roofing in Mills River, NC
Please upload all files that need to be submitted
18135 -Baker Roofing-Stormwater Calcs Package -6-
12.91 MB
27-18.pdf
18135 -Baker Roofing-Stormwater Mgmt Plan Set -6
1.97MB
27-18 (signed).pdf
Only pdr files are accepted

fJ 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: JARED L DERIDDER
Signature:
JPcA1ifk
Date Submitted: