Hoke County Cooperative Extension Office Building - 5/23/2019 4:14:47 PM

Submittal Dated: 5/23/2019
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
SW6190504
Exarrples: SWxxxxxxx, NOQaxxxx, or NOSxxxxxx
Facility Name:* Hoke County Cooperative Extension Office
Building
County: Hoke
Name: Leland Adams for Blair Pittman, PE
Who is subrritting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Geotech Soils Report.pdf
7.93MB
Operations & Maintenance Agreement.pdf
515.05KB
Post-dev Drainage Area Map.pdf
591.14KB
Pre-dev Drainage Area Map.pdf
448.85KB
Soils Map.pdf
895.73KB
Stormwater Permit Application.pdf
2.72MB
Stormwater Report.pdf
7.77MB
USGS Map Raeford Quadrangle.pdf
24.2MB
STORMWATER PLANS.pdf
5.31MB
Only pdf files are accepted.
Describe the attachments:
Plans, SW Permit Application, SW Report, Post and Pre Dev Maps broken out from report, O&M Agreement broken
out from report, USGS Map, Soils Map, Geotech Soils Report
* R 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)
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:* Leland Adams
Signature:
i66,4b4kj
Date Submitted: 5/23/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190504
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]