SW6190601_Supplemental Info Review_6/19/2019

Submittal Dated: 6/19/2019
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
SW6190601
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Barrington 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
1482-PERMITTING (SIGNED & SEALED).pdf
6.83MB
1482-Quad.pdf
2.05MB
1482-SEC STATE.pdf
182.42KB
DB 10508-01.pdf
117.07KB
1482-SSW-Deed Restric-LDResid-2015061 1 -
15.99KB
DEMLR-SW.pdf
1482-SSW-Permit-LowDen-Su pp-20090210
160.65KB
DEMLR-SPU (8).pdf
1482-SSW-SWU-101-Application-DEMLR-SPU Oct
220.41 KB
2013.pdf
1482-Stormvuater Narrative.pdf
233.81 KB
O&M EZ 071414_1.1.pdf
13.32KB
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")

• 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:* Scott Brown
Signature:
Date Submitted: 6/19/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190601
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]