FB-SOF Special Tactics Facility Phase 3 - 3/29/2019 1:43:28 PM

Submittal Dated: 3/29/2019
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, NOCaaxxxx, or NOSxxxxxx
Facility Name:* FB-SOF Special Tactics Facility Phase 3
County: Hoke
Name: Mike Mayer
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
SW6190102 FB-SOF Special Tactics Facility Phase
17.54MB
3 PN 76514.pdf
Only pdf files are accepted.
Describe the attachments:
Revised CG101, CG110-115, CG508, LP101 and LP110-115 as requested.
* W 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');
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:* F Michael Mayer
Signature:

Date Submitted: 3/29/2019

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