Kewaunee Warehouse Expansion - 9/20/2018 4:57:13 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW3180905
1
V Central
Office
r Regional
Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Corey Anen - eads\scanen
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3180905
Version: 1
Facility Name: Kewaunee Warehouse Expansion
County: Iredell
Name: P. Scott Bell, PE
Who is subnitting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
pdf file of narrative, calculations, associated reference maps and application for revisions to an existing facility in
Statesville (Iredell Cc)
Please upload all files that need to be submitted.
2016-090 SWMR.pdf 10.41 MB
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: P. Scott Bell
Signature:
Date Submitted: