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HomeMy WebLinkAboutNCG160233_Supplemental Info Review_3/25/2019Submittal Dated: 3/25/2019 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 NCG160233 Ecarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx Facility Name:* Carolina Sunrock - Butner Asphalt Facility County: Granville Name: Jonathan Murphrey (Piedmont Geologic) Who is subrritting the information? Email Address:* jmurphrey@piedmontgeologic.com Please upload all files that need to be submited. Oick the upload button or drag and drop files here to attach document Figure 2 - Site Map (revised 022519).pdf 5.84MB Figure 4 - Stormwater Drainage Basins and Flow 7.46MB Directions (revised 022519).pdf Only pdf files are accepted. Describe the attachments: Per Shane Strickland's request, Figure 2 (Site Map) and Figure 4 (Stormwater Drainage Basins and Flow Directions), for the Carolina Sunrock — Butner Asphalt facility are attached. * 7 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:* Jonathan D. Murphrey Signature: Date Submitted: 3/25/2019 Initial Review Updated ID#: IWORfANT: FEVEAERSHOLLDVERIFY and revise here if necessary. NCG160233 Who needs a d Central Office copy?* F Regional Office Central Office Reviewer:* Bethany Georgoulias - eads\bagorgoulias Select Reviewing Office* Raleigh Regional Office — 919-791-4200 Select RO Reviewer:* thad.valentine@ncdenr.gov