V.E. & Lydia Owens Recreational Park - 2/19/2018 5:56:34 PM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: SW5180201
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW5180201
Version: 1
Facility Name: V.E. & Lydia Owens Recreational Park
County: Franklin
Name: James L. Eason Jr.
Vft is submitting the inforrration?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
As requested, the digital copies of all hard copy documents submitted for review have been uploaded. Please let us
know if you need anything further.
Please upload all files that need to be submitted.
2018-02-02 Owens Park CDs - Combined.pdf
46.8MB
2018-01-31 - Owens Park SIA.pdf
26.93MB
Owens Park Deed.pdf
136.76KB
Owens Park LD Supp.pdf
327.06KB
Owens Park O&M.pdf
260.75KB
Owens Park-SWU-101-Application.pdf
597.13KB
Only pdr files are accepted.

PF 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: James Louis Eason Jr.
Signature: