20210921 Ver 1_Summary_20210720

DocuSign
Certificate Of Completion
Envelope Id: 85B77FC8D072457F81B829A5CFFF97C5
Subject: Please DocuSign: 20210921_WatkinsRd_Morrisville_Appeal Letter_72021.pdf
Source Envelope:
Document Pages: 8 Signatures: 1
Certificate Pages: 1 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:
Shelton Sullivan
217 W. Jones Street
Raleigh, NC 27699
[e-mail]
IP Address: 149.168.204.10
Record Tracking
Status: Original
7/20/2021 3:21:17 PM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Holder: Shelton Sullivan
[e-mail]
Pool: StateLocal
Pool: North Carolina Department of Environmental
Quality
Location: DocuSign
Location: DocuSign
Signer Events
Signature
Timestamp
Paul Wojoski ,—DocuSigned by:
[e-mail] ""e 100fra"
�949D91BA53EFaeo...
North Carolina Department of Environmental Quality
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signature Adoption: Pre -selected Style
Using IP Address: 149.168.204.10
Sent: 7/20/2021 3:34:43 PM
Viewed: 7/21/2021 1:17:25 PM
Signed: 7/21/2021 1:17:33 PM
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Security Checked
7/20/2021 3:34:43 PM
7/21/2021 1:17:25 PM
7/21/2021 1:17:33 PM
7/21/2021 1:17:33 PM
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