SW1190701_Supplemental Info Review_7/18/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/18/2019 9:58:01 AM (Supplemental Submittal)
Submit by Strickland, Shane 7/18/2019 11:43:32 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 7/18/2019 9:58 AM

Submittal Dated: 7/18/2019
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# * Permit Namber
SW 1190701
Ecanples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* The Riveter
County: Henderson
Name: Dana Bolden
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Oick the upload button or drag and drop files here to attach document
Riveter Deed -
729.85KB
2019_04_15_09_18_4226866978_627884.pdf
The Riveter - Low Density Sotemwater Narative.pdf 98.59KB
The Riveter_19.07.02.pdf 14.7MB
The Riveter - SSW-SWU-1 01 -Application-Signed.pdf 12.42MB
Only pdf files are accepted.
Describe the attachments:
Plans, application form, narrative, deed & low density supplement
* W By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
o 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:* Dana J. Bolden

Signature:
w" ev�6
Date Submitted: 7/18/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW 1190701
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]