NCG140475_Supplemental Info Review_9/6/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/6/2019 1:26:48 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/6/2019 3:23:24 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/6/2019 1:26 PM

Submittal Dated: 9/6/2019
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
NCG140475
Ecanples: SWxxxxxxx, NO&xxxxx, or NOSxxxxxx
Facility Name:* DPD Team Concrete - Jacksonville
County: Onslow
Name: jim frei
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
NCG14-NOI-20171026-DEMLR- SW. pdf
1.01 MB
DPD CONCRETE JACKSONVILLE SWPPP (2009)
230.71 KB
11.pdf
DPD CONCRETE JACKSONVILLE SWPPP (2009)
86.21 KB
12.pdf
JACKSONVILLE Map 2.pdf
121.36KB
KELLUM LOOP INDUSTRIAL PARK FINAL PLAT.pdf
231.17KB
Response to Online Form Submittal - 153 Finley
38.75KB
Lane.pdf
Stormwater Management Permit SW8121203 1.pdf
286.91 KB
Only pdf files are accepted.
Describe the attachments:
NOI for NCG14000- and required attachments.
* 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');

• 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:* jimfrei
Signature:
Date Submitted: 9/6/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
NCG140475
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Shane Strickland - eads\sstrickland9
Select Reviewing Office*
Wilmington Regional Office — 910-796-7215
Select RO Reviewer:*
[e-mail]