Brightwater Science and Technology Campus Phase 2A - 11/7/2018 3:04:03 PM

Submittal Dated: 11/7/2018
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Existing Project Information:
Rease supply the perrrit nunber for this project.
D# * Flerrrit Ninber
SW6181006
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Brightwater Science and Technology
Campus Phase 2A
County: Harnett
Name: Kenneth Jesneck
Who is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Application.pdf 1 AMB
Construction Drawings 10-15-18.pdf 43.45MB
O&M Manual.pdf 1.91 MB
Stormwater Management Plan Supporting
972.31 KB
Calculations Report.pdf
Wet Basin Supplemental Form.pdf 136.03KB
Only pdf files are accepted.
Describe the attachments:
Attachments include the application, Construction plans, O&M Manual, and supporting calculations.
* W By checking the box and signing box below, I 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:* Kenneth L. Jesneck
Signature:
r
Date Submitted: 11/7/2018

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6181006
Who needs a V Central Office
copy?* rJ Regional Office
Central Office Reviewer:
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]