20180560 Ver 1_401 Application_20180418

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/20/2018 5:00:26 PM (Message Start Event)
Accept by Montalvo, Sheri A 4/24/2018 10:39:28 AM (NON -DOT Project)
* Payment has already been made
The task was assigned to Montalvo, Sheri A. The due date is: April 25, 2018 5:00 PM
4/20/2018 5:00 PM

Staff Review
ID#* Version* 1
20180560
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Paul Wojoski:EADS\pawojoski
Select Reviewing Office:* Central Office - [phone]
Submittal Type:*
401 Application
Does this project require a request for payment to be sent?*
r
Yes
r
No

Project Submittal Dated 4/20/2018
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type:* r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: Jennifer Burdette
Who is subrritting the information?
Email Address:* [e-mail]
Project Information
....................................................................................................................................................................................................................................................................................
Project Name:* Honeycutt Farm South Residential Subdivision
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes' No r Unknown
County (ies)*
Wake
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
00_MIH-16010_Honeycu tt
18.8MB
South_PCN_CompletePkg.pdf
MIH- Honeycutt E Kristensen MI Homes Agent
323.97KB
Auth.pdf
Only pdf or Igm files are accepted.
Describe the attachments:
A digital copy of the application including the received stamp has been uploaded. Also provided is an updated
agent authorization form. A personnel change at M/I Home required changing the POC for application. The
new AA matches the application. Thanks
* rJ By checking the box and signing box below, I certify that:

o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
o 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');
o 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 online form."
Signature:
0/e��!rr t. r -eta'-'r" e
Submittal Date: