SW6180801_Supplemental Info Review_8/14/2018

Water Resources
ENVIRONMENTAL QUALITY
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:
If it is an existing project, please supply the .
I D# * SW Fbrrrit @amber
SW6180801
9 digits - example SWxxxxxxx
Version:* 1
Facility Name:* Kathryn's Retreat Subdivision
County: Harnett
Name: Edward Loeffler
Who is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
cickthe upload button or drag and drop files here to attach docurrent
O&M EZ 071414_1 - signed.pdf
332.24KB
SSW -Deed Restric-HDResid-20150611-DEMLR-SW
157.76KB
- signed.pdf
SSW-SuppEZ-20170329-DEMLR-SW - signed.pdf
266.8KB
SSW-SWU-101-Application-DEMLR - signed.pdf
554.4KB
Current Deed.pdf
72.82KB
07-20-2018 Stormwater & EC Narrative.pdf
12.59MB
2018-07-30 Kathryn's Retreat.pdf
42.27MB
Only pdr files are accepted.
Describe the attachments:
Attachments include: Application, Deed Restrictions & Protective Covenants, O&M Agreement, Supplement-EZ Form,
Current Property Deed, Stormwater & EC Narrative (includes maps and soils report), Site Plans.
* PF By
checking
the
box
and
signing
box
below,
certify
that:
o 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
o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Edward Loeffler
Signature:*
Date Submitted: