ACP Cumberland Contractor Yare - 7/31/2018 1:19:59 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW6180702
1
V Central
Office
r Regional
Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW6180702
Version: 1
Facility Name: ACP Cumberland Contractor Yare
County: Cumberland
Name: Scott Robinson
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
CY10a PCSW 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 Robinson
Signature:
Date Submitted: