SW4180201_Supplemental Upload Form - 3/6/2018 10:59:08 AM_20180306

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upplemental Information Upload Fon
Staff Review:
Updated ID#: SW4180201
Updated Version: 1
Who needs a copy?* 17 Central Office
r Regional Office
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Central Office Reviewer:
Robert Patterson - eads\rdpatterson
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# SW4180201
Version: 1
Facility Name: Applegate Sotel Community
County: Forsyth
Name: Brian Duncan
Who is submitting the information?
Email Address: [e-mail]
Water Resources
ENVIRONMENTAL QUALITY
Describe the attachments:
Please see digital copy of all hard copy items submitted.
Please let me know if you have any questions.
Please upload all files that need to be submitted.
001 Combined Storm and EC Calculations-01-31-18.pdf
56.86MB
Authorized Agent Document.pdf
135.28KB
DEMLR Application. pdf
716.94KB
General Warranty Deed.pdf
48.01 KB
LLC Articles of Incorporation. pdf
51.89KB
SCM Supplement and OM.pdf
2.18MB
2018-02-19 - Construction Drawings.pdf
24.04MB
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
o I intend to electronically sign and submit the Supplemental Information form.
Full Name: Brian G. Duncan
Signature: �]
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