SW3170802_Supplemental Upload Form_20170808

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/8/2017 2:32:00 PM (Supplemental Submital)
Approve by Alexander, Laura 8/8/2017 2:45:33 PM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 8/8/2017 2:32 PM

PMW"`­WW "A
upplemental Information Upload Fon
Staff Review:
Updated ID#: SW3170802
Updated Version: 1
Where is the project being reviewed?*
r Central Office r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Annette Lucas - eads\amlucas1
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
r Existing Project
r Pre -Application Information
Facility Name: Wedd ington- Matthews Road Subdivision
County: Union
Name: Ronnie Rovillos
Who is submitting the information?
Email Address: [e-mail]
Describe the attachments:
Please upload all files that need to be submitted.
Weddington Subd Civil_2017-07-05.pdf 35.69MB
Only pdr files are accepted.
rJ By checking the box and signing box below, I certify that:
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: Ronnie Rovillos
Signature: