ACP Cumberland Contractor Yard (CY10a) - 7/19/2018 5:23:05 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SWG040102
u
r Central
Office
rJ Regional
Office
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Washington Regional Office — 252-946-6481
Central Office Reviewer:
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[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SWG040102
Version: 1
Facility Name: ACP Cumberland Contractor Yard (CY10a)
County: Cumberland
Name: Scott Robinson
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Revised ACP Cumberland Contractor Yard (CY10a) Permit Application
Please upload all files that need to be submitted.
SIGNED - ACP CY10A Resubmittal Package
30.87MB
07192018.pdf
Only pdr files are accepted.
Water Resources
ENVIRONMENTAL QUALITY

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: Scott A Robinson
Signature:
tS�r`( ;Yez w
Date Submitted: