SW6190102_Supplemental Information Upload Form_20190206

Submittal Dated: 2/6/2019
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
SW6190102
Exarrples: SWxxxxxxx, NOQaxxxx, or NOSxxxxxx
Facility Name:* FB-SOF Special Tactics Facility, Phase 3 PN
76514
County: Hoke
Name: Mike Mayer
Who is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Bioretention Supplement Forms.pdf
946.16KB
check.pdf
87.41 KB
hoke001 exapMod.pdf
77.12KB
In Lieu of O&M Letter signed 05022018.pdf
247.88KB
NCDEQ-Transmittal.pdf
110.98KB
PN 76514 SOF SPECIAL TACTICS FACILITY PHASE
1.6MB
3 - SPECIFICATIONS.pdf
PN 76514 SOF SPECIAL TACTICS FACILITY PHASE
129.44MB
3 - STORMWATER PLANS Half Size.pdf
PN 76514 SOF SPECIAL TACTICS FACILITY PHASE
27.05MB
3 - STORMWATER REPORT.pdf
Stormwater Application.pdf
2.47MB
Only pdf files are accepted.
Describe the attachments:
Attached please find a digital copy of all of the files sent in with the application. Please do not hesitate to contact me
if further information or clarification is required.
* W By checking the box and signing box below, I 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:* F Michael Mayer
Signature:
"K�, ,,/"W, , t
Date Submitted: 2/6/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190102
Who needs a V Central Office
copy?* rJ Regional Office
Central Office Reviewer:
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]