Waxhaw Wine - 12/22/2017 11:07:09 AM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW3171204
1
V Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3171204
Version: 1
Facility Name: Waxhaw Wine
County: Union
Name: Lauren Thomas
Vft is submitting the information?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
This submittal includes the stormwater management permit application and all required attachments including:
Supplemental form, O&M agreement, project summary, USGS map, calculations, plans, soils map & deed. Please
contact me at 704.334.3303x105 if you need any more information. Thank you!
Please upload all files that need to be submitted

1. SWMP App. pdf
590.8KB
3. O&M. pdf
293.61 KB
3. Supplemental Form.pdf
252.43KB
5. Summary.pdf
46.64KB
6. USGS Map.pdf
92.89MB
7. 2017_12_05 Waxhaw Wine 1 st Submittal Calcs.pdf
8MB
8. 2017_12_05 Waxhaw Wine 1 st Submittal Plans.pdf
30.99MB
9. Soil Map.pdf
544.03KB
10. Deed.pdf
123.46KB
Only pdf files are accepted.
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: Lauren Thomas
Signature:
Lags 14 Apw