SW5190501_Supplemental Info Upload_20190716

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/16/2019 4:13:48 PM (Supplemental Submittal)
Submit by Strickland, Shane 7/18/2019 11:34:46 AM (Supplemental Info Submittal)
• The task was assigned to Strickland, Shane 7/16/2019 4:13 PM

Submittal Dated: 7/16/2019
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
SW5190501
Exarrples: SWxxxxxxx, NOQaxxxx, or NOSxxxxxx
Facility Name:* Chatham Charter School - Recreation Fields
Expansion
County: Chatham
Name: Christine Brown
Who is subrritting the inforrration?
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
NCDEO Transmittal Letter Chatham Sch SW
67.08KB
Response_16July2019.pdf
SSW-SWU- 10 1 -Application Chatham School
2.89MB
REVISED 07-15-2019.pdf
SuppEZ-2018-Form 2.1.2 REVISED July 16,
43.13KB
2019.pdf
18.01703 Plan Set -PARCEL PROJ AREA MAP REV
310.01 KB
C105.pdf
18.01703 Plan C-102.pdf 1.02MB
Only pdf files are accepted.
Describe the attachments:
Please see attached revised per your comments dated June 21, 2019
* V By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
o 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');
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 Supplemental Information form."
Full Name:* Christine Brown
Signature:
Date Submitted: 7/16/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW5190501
Who needs a d Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Raleigh Regional Office — 919-791-4200
Select RO Reviewer:*
[e-mail]