NCG140470_Supplemental Info Review_3/25/2019

Submittal 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
NCG140470
Ecarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Carolina Sunrock - Kittrell Asphalt and
Concrete Facilities
County: Vance
Name: Jonathan Murphrey
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
Figure 2 - Site Map with Floodplain.pdf 5.47MB
Figure 4 - Stormwater Drainage Basins and Flow
7.08MB
Directions.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 — Kittrell Asphalt and Concrete facilities are attached.
* V 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");
o 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.
NCG140470
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:*
[e-mail]