Toby's Place Subdivision - 5/9/2019 11:51:07 AM

Submittal Dated: 5/9/2019
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.
Existing Project Information:
Rease supply the perrrit nunber for this project.
D# * FL-rrrit Narrber
SW6190502
Exarrples: SWxxxxxxx, NOCaaxxxx, or NOSxxxxxx
Facility Name:* Toby's Place Subdivision
County: Cumberland
Name: Scott Brown, PE
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach document
1483 PERMITTING.pdf
18.14MB
1483 101-Application. pdf
221.2KB
1483 DeedRestric.pdf
15.85KB
1483 LowDen-Supp.pdf
159.66KB
1483 North Road Ditch #2.pdf
149.02KB
1483 Outlet Ditch #3.pdf
108.58KB
1483 South Road Ditch #1.pdf
108.76KB
1483 Stormwater Narrative.pdf
233.65KB
DB10441-388. pdf
59.12KB
NC SOS. pdf
59.63KB
Only pdf files are accepted.
Describe the attachments:
* V By checking the box and signing box below, I certify that:
o 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")
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");

• 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:* Scott Brown
Signature:
Date Submitted: 5/9/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190502
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Corey Anen - eads\scanen
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]