SW1190704_Supplemental Info Review_8/12/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/12/2019 11:17:21 AM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/12/2019 1:58:46 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/12/2019 11:17 AM

Submittal Dated: 8/12/2019
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 nurrber for this project.
D# * Fern -it Narrber
SW1190704
Examples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* French Broad River Pumping Station
County: Henderson
Name: Zachary Collins
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
COH French Broad River - Compiled Submission
40.09MB
Docs. pdf
COH French Broad River - Drawings for Stormwater
3.97MB
Application.pdf
Only pdf files are accepted.
Describe the attachments:
Attached are two PDF's, containing electronic copies of the documents submitted including the Full Size plans.
* 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:* Zachary Collins

Signature:
Date Submitted: 8/12/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW 1190704
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]