AMREP New Facility - 2/20/2018 6:14:23 AM

WW "Arpplemental Information Upload Fon
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW3180201
1
V Central Office
r Regional Office
Select Reviewing Office*
Mooresville Regional Office — 704-663-1699
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW3180201
Version: 1
Facility Name: AMREP New Facility
County: Rowan
Name: Sam King, Jr.
Vft is subrritting the information?
Email Address: [e-mail]
Describe the attachments:
SSW -101 -Application Form
SSW -Supp lement EZ Form
Operation & Maintenance Agreement
Stormwater Calculations
Subsurface Report
Soils Report
Subject property deed, DB 1290 Page 738
NC Secretery of State SOSID 1575915
Engineering Plans
Please upload all files that need to be submitted.
Water Resources
ENVIRONMENTAL QUALITY

SW 3180201_SSW-101-Application
Form. pdf
641.18KB
SW 3180201_SSW-SuppEZ-20170329-DEMLR-SW.pdf
505.96KB
SW 3180201_0&M
EZ 071414_1.1.pdf
280.78KB
SW 3180201_AMREP
Stormwater Calculations _2-6-18.pdf
1.69MB
SW 318020111761
-A Summit Corporate Center - GEO Report.pdf
3.05MB
SW 3180201_20161222_06335606315_74_Soil_Report.pdf
894.25KB
SW 3180201_DEED
BOOK 1290 PAGE 738_Subject Property.pdf
383.08KB
SW 3180201_NC
Secretery of State SOSID 1575915.pdf
108.27KB
SW 3180201_16049_AMREP_SWMP
Plan Set_2-6-18.pdf
2.31 MB
Only pdf files are
accepted.
V By checking the box and signing box below, I certify that
• 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: Samuel Lentz King, Jr.
Signature:
a S'�vrara!tx may, C'�-