NCG020795_Supplemental Info Review_20190620 (2)

Submittal Dated: 6/20/2019
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
NCG020795
Ecanples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Schoolhouse
County: Mitchell
Name: Jeff Ferguson
Who is subrritting the information?
Email Address:* Jeff. [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
SPS 2019-03-01
2.31 MB
Annual_DMR_stormwater_su mmary_2018. pdf
Only pdf files are accepted.
Describe the attachments:
Schoolhouse 2018 DMR Summary
* 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)
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:* Jeffrey Ferguson
Signature:

Date Submitted: 6/20/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
NCG020795
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Shane Strickland - eads\sstrickland9
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]