Broxton Soccer Complex - 12/12/2017 4:52:42 PM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
sw3171003
2
V Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
D# sw3171003
Version: 2
Facility Name: Broxton Soccer Complex
County: Union
Name: Brent Cowan
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Please upload all files that need to be submitted
FC Carolinas Soccer Complex 2017-12-04.pdf
26.54MB
Broxton Civil Design Calculations-120417.pdf
6.81 MB
16240 -SSW -Su ppEZ-COVER PAG E. pdf
216.51 KB
16240-SSW-SWU-1 01 -Application. pdf
627.08KB
16240 -BMP 1-OMA-WetDetention.pdf
147.39KB
Only pdf files are accepted.
V By checking the box and signing box below, I certify that
o I have given true, accurate, and complete information on this form;
Water Resources
ENVIRONMENTAL QUALITY

• 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:
r