Harkey Creek Subdivision - 8/23/2017 9:22:52 AM

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/23/2017 9:22:52 AM (Supplemental Submital)
Approve by Alexander, Laura 8/23/2017 12:00:32 PM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 8/23/2017 9:22 AM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3170702
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
f Existing Project
r Pre -Application Information
Facility Name: Harkey Creek Subdivision
County: Union
Name: Jeff Schmitt
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Revised subdivision plans.
Please upload all files that need to be submitted.
0416-Sset-82217.pdf
Only pdf files are accepted.
V By checking the box and signing box below, I certify that:
24.18MB
Water Resources
ENVIRONMENTAL QUALITY
• 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: Jeffrey P Schmitt
Signature: