SW1190501_Supplemental Info Review_7/11/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/11/2019 5:37:53 PM (Supplemental Submittal)
Submit by Strickland, Shane 7/12/2019 10:22:43 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 7/11/2019 5:37 PM

Submittal Dated: 7/11/2019
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# * Permit Namber
SW 1190501
Ecanples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* NORTH BUNCOMBE MIDDLE SCHOOL
County: Buncombe
Name: TRAVIS MAXWELL
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
tick the upload button or drag and drop files here to attach document
NORTH BUNCOMBE MIDDLE SCHOOL.pdf 5.46MB
Only pdf files are accepted.
Describe the attachments:
If previous submission date is not today, please disregard. Additional materials to come
* P By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Travis Maxwell
Signature:
Date Submitted: 7/11/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW 1190501
Who needs a d Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]