SW5190701_Supplemental Info Upload_20190826

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/26/2019 7:28:23 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/27/2019 7:43:55 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/26/2019 7:28 PM

Submittal Dated: 8/26/2019
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
SW5190701
Exarrples: SWxxxxxxx, NOCaaxxxx, or NOSxxxxxx
Facility Name:* Siler School Square
County: Chatham
Name: Chad E Abbott
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
0 - TRANSMITTAL.pdf
472.75KB
A - Revised Sheets C1.6 & C2.8.pdf
4.5MB
B - 2019-08-23 Response to Review#1
423.38KB
Comments.pdf
C - Revised Application Pages 1 to4.pdf
709.67KB
D - 2019-08-14 Signed O&M Agreement.pdf
1.21 MB
E - 2019-08-26 Revised Calc Package.pdf
4.51 MB
Only pdf files are accepted.
Describe the attachments:
Revisions to comments from the first review, transmittal uploaded and attachments listed and labeled in alphabetical
order.
* 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)
• 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');
• 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:* Chad Everett Abbott
Signature:
Date Submitted: 8/26/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW5190701
Who needs a d Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]