NC0003425_Outfall 12B_20191114

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/14/2019 5:32:58 PM (Supplemental Submittal)
Submit by Bennett, Bradley 1/15/2020 7:42:17 AM (Supplemental Info Submittal)
* Outfall 12B - not in BIMS
• Bennett, Bradley assigned the task to Bennett, Bradley 1/15/2020 7:41 AM
• The task was assigned to Thedford, Wren, Bennett, Bradley 11/14/2019 5:33 PM

Initial Review Information
Updated ID#:* IWORTANf:FEVIBAERSl-IOLLDVERFYand revise here ifnecessary.
NC0003425
How should this project be handled?*
r File r Discard
Information Submitted on 11/14/2019
Submitter Information
Name: Robert Howard
Who is subrritting the inforrretion?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental
information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted
electronically through the eDMR system and should not be submitted here. Division staff will reviewall
uploaded documents and will only maintain required information. Documents such as laboratory reports are not required
to be submitted and will not be maintained in the system.
Project Information:
Rease SUDDly the Dernit nun ber for this
Existing ID#* PerrritNurrber
NC0003425
Exarrples: NOKxxxxxx or NO&xxxxx
Facility Name:* Roxboro Steam Electic Plant
County: Person
Please upload all files that need to be
submited. *
dick the upload button or drag and drop files here to attach docurrent
Roxboro Steam Plant NC0003425 Outfall 12B
34.18KB
October 2019.pdf
Only pdf files are accepted.
Comments about the attachments:
Please find attached outfall 12B for NPDES permit number NC0003425, Roxboro Steam Electric Plant. If you have
any question contact Robert Howard at 336-503-2875. Thanks
* V 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: Robert Howard
Signature:
rrl 4% "t K2 Ird!I $
Date Submitted: 11/14/2019