The Reserve at Hickory Commons - 8/31/2018 10:21:33 AM

Water Resources
ENVIRONMENTAL QUALITY
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
sw4180701
1
17 Central
Office
r Regional
Office
Select Reviewing Office*
Winston-Salem Regional Office — 336-776-
9800
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
ID# sw4180701
Version: 1
Facility Name: The Reserve at Hickory Commons
County: Forsyth
Name: Gupton & Webb, P.A.
Vft is subnitting the infornaticn?
Email Address: [e-mail]
Describe the attachments:
Couple of files I overlooked
Please upload all files that need to be submitted.
Storm Water Manual 1-2-2017.pdf 30.85MB
Storm Water Permit_Signed.pdf 24.78MB
Only pdf files are accepted.

PF By
checking
the
box
and
signing
box
below,
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: Bryon S. Hobson
Signature:
Date Submitted: