Brightwater Science and Technology Center - 3/7/2019 2:08:39 PM

Submittal Dated: 3/7/2019
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
SW6181006
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Brightwater Science and Technology Center
County: Harnett
Name: Kenneth Jesneck
Who is subnitting the inforrration?
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 docurrant
Erosion Control Supporting Calcs 10-2018.pdf 1.75MB
Only pdf files are accepted.
Describe the attachments:
The attached document has the design calculations for the riprap dissipater pad for the SCM device. Please note
that NCDEQ Land Quality has approved the S&EC plan for this project.
* 7 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:* Kenneth Jesneck
Signature:

Date Submitted: 3/7/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6181006
Who needs a V Central Office
copy?* r- Regional Office
Central Office Reviewer:
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]