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HomeMy WebLinkAboutSW6190601_Supplemental Info Review_7/23/2019Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 7/23/2019 7:02:35 AM (Supplemental Submittal) Submit by Strickland, Shane 7/23/2019 10:02:49 AM (Supplemental Info Submittal) • The task was assigned to Strickland, Shane 7/23/2019 7:02 AM Submittal Dated: 7/23/2019 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 SW6190601 Exarrples: SWxxxxxxx, NOCaaxxxx, or NOSxxxxxx Facility Name:* Barrington Place Subdivision County: Cumberland Name: Scott Brown, PE Who is submitting the information? Email Address:* sbrown@4dsitesolutions.com Please upload all files that need to be submited. Oick the upload button or drag and drop files here to attach document 1482-DESIGN-C3.0 GRADING.pdf 998.69KB 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; 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:* Scott Brown Signature: Date Submitted: 7/23/2019 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:* mike.lavvyer@ncdenr.gov