Orchard Tie Substation - 11/13/2018 10:44:40 PM

Submittal Dated: 11/13/2018
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# * FL-rrrit Narrber
SW3180801
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Orchard Tie Substation
County: Catawba
Name: Will Deichert
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
17757514-CR001-002 NC State Stormwater
74.49MB
Permit_Rev_B. pdf
Operation and Maintenance Agreement.pdf
1.71 MB
Revised Drawings.pdf
12.82MB
stormwater permit application 11-5-18.pdf
470.95KB
Supplement-EZ Form.pdf
1.22MB
Transmission of Signature
—Permits —Letter
44.77KB
Authority_2017_Rockingham Count.._ (002).pdf
Only pdf files are accepted.
Describe the attachments:
Stormwater Permit Application
Revised Stormwater Plan
Operation and Maintenance Agreement
Revised Drawings
Supplement-EZ Form
Letter documenting signature authority
* V By checking the box and signing box below, I certify that:
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* William E. Deichert
Signature:
Date Submitted: 11/13/2018

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3180801
Who needs a V Central Office
copy?* rJ Regional Office
Central Office Reviewer:
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]