SW6190701_Supplemental Info Review_8/1/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/1/2019 4:30:51 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/5/2019 8:36:48 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/1/2019 4:30 PM

Submittal Dated: 8/1/2019
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
SW6190701
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* The Farms 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
1360-PERMITTING (SIGN & SEAL).pdf
19.99MB
1360-SOS. pdf
190.47KB
DB 10080-367.pdf
234.55KB
DB 10394-133.pdf
204.63KB
1360-Stormvuater Narrative.pdf
233.71 KB
O&M EZ 0714141.1 (1).pdf
13.33KB
SSW-DeedRestric-LDResid.pdf
16.12KB
SSW-Permit-LowDen-Supp.pdf
160.57KB
SSW-SWU-1 01 -Application. pdf
220.75KB
1360-DITCH CALCS.pdf
63.92KB
1360-EC MATTING CALCS.pdf
356.96KB
1360-PIPE CALCS.pdf
54.13KB
Pipe outlet.pdf
18.77KB
Storm Drainage.pdf
22.6KB
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)
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');
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:
l-ww
Date Submitted: 8/1/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190701
Who needs a V Central Office
copy?* r- Regional Office
Central Office Reviewer:*
Jim Farkas - eads\jjfarkas
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Select RO Reviewer:*
[e-mail]