Bryant Street Medical Office - 9/24/2018 9:51:39 AM

Water Resources
' ENVIRONMENTAL QUALITY
Staff Review:
Updated ID#: SW3180902
Updated Version: 1
Who needs a copy?* 17 Central
Office
rJ Regional
Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
I D# SW3180902
Version: 1
Facility Name: Bryant Street Medical Office
County: Iredell
Name: Sean Coldren
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Bryant St Medical Office plans, deed, and storm calculations
Please upload all files that need to be submitted.
7070.0518 - Bryant Street Medical Office
12.39MB
BuildingFlat.pdf
BK 2540 PG 1403-1405.pdf 289.15KB
SWM Calculations.pdf 2.02MB
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: Sean Coldren
Signature:
Date Submitted: