SW3170802_Supplemental Upload Form_20171013

ww "Arpplernental Information Upload Fon
Staff Review:
Updated ID#: SW3170802
Updated Version: 1
Who needs a copy?* 17 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?
f• Existing Project
r Pre -Application Information
Existing Project Information:
ID#
Version: 1
Facility Name: Weddington Glen Subdivision
County: Union
Name: Anthony Brent Cowan
Who is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Please upload all files that need to be submitted.
Weddington Glen Calc_2017-09-26.pdf 4.78MB
Weddington Glen Subd-Civil_2017-09-20.pdf 34.64MB
Weddington Glen Subd-Utility_2017-09-20.pdf 5.43MB
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
o I intend to electronically sign and submit the Supplemental Information form.
Full Name: Anthony Brent Cowan
Signature: