SW3190301_Supplemental Upload Review Form_4/11/2019

Submittal Dated: 4/11/2019
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
SW3190301
Exarrples: SWxxxxxxx, NOCaaxxxx, or NOSxxxxxx
Facility Name:* 801 Apprentice Academy
County: Union
Name: Jeff Edney
Who is subrritting 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
18219-1090 NCDEQ Stormwater narrative 3 21
64.85KB
19.pdf
18-237, Apprentice Academy, Monroe, NC,
4.84MB
Geotechnical Report.pdf
18219 - SWM Report.pdf
19.53MB
Apprentice Academy High School Site Plans.pdf
40.47MB
Deed.pdf
150.2KB
NC Certificate of Organization. pdf
79.17KB
Signed Application.pdf
581.05KB
Topographic Map.pdf
3.25MB
Only pdf files are accepted.
Describe the attachments:
PDF files of files documents submitted for the Stormwater Management permit.
* 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)
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Jeff Edney
Signature:
M
Date Submitted: 4/11/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW3190301
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Select RO Reviewer:*
[e-mail]