Oak Hill Assisted Living - 9/25/2017 11:46:46 AM

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/25/2017 11:46:45 AM (Supplemental Submital)
Approve by Alexander, Laura 9/25/2017 12:36:02 PM (Supplemental Info Submittal)
• The task was assigned to Alexander, Laura 9/25/2017 11:46 AM

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upplemental Information Upload Fon
Staff Review:
Updated ID#: SW6170901
Updated Version:
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
Submitted Information:
What type of project is this?
f Existing Project
r Pre -Application Information
Facility Name: Oak Hill Assisted Living
County: Harnett
Name: Blair Pittman
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Site Plans - Oak Hill Living Center; Angier NC
Please upload all files that need to be submitted.
01_CO.O.PDF
02_C0.1. PDF
03_C1.O.PDF
05_C2.0. PDF
06_C2.1. PDF
07_C3.0.PDF
08_C3.1.PDF
11_C7.0.PDF
Only pdr files are accepted.
PF By checking the box and signing box below, I certify that
449.9KB
516.8KB
687.42KB
542.6KB
537.45KB
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393.99KB
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: Blair Pittman
Signature: