Duncan Industrial Park - 6/8/2018 10:13:41 AM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW5180401
3
V Central
Office
r Regional
Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Corey Anen - eads\scanen
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW5180401
Version: 3
Facility Name: Duncan Industrial Park
County: Harnett
Name: Carlos Bagley
Who is subnitting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Please upload all files that need to be submitted
Duncan Industrial Concrete Plant 6-8-18.pdf
11.54MB
OM Agreement Signed.pdf
2.9MB
Stormwater Calcs.pdf
23.95MB
Supplemental EZ.pdf
2.16MB
SSW-SWU-101-Application-DEMLR-SPU Oct
5.29MB
2013.pdf
Only pdf files are accepted.
Water Resources
ENVIRONMENTAL QUALITY

PF By
checking
the
box
and
signing
box
below,
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: Carlos Bagley
Signature:
Date Submitted: