SW6190801_Supplemental Info Review_9/3/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/3/2019 1:39:52 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/4/2019 8:48:06 AM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/3/2019 1:40 PM

Submittal Dated: 9/3/2019
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
SW6190801
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* McMillan Farm
County: Cumberland
Name: Scott Brown, PE
Who is submitting the information?
Email Address:* [e-mail]
Please upload all files that need to be submited.
Oick the upload button or drag and drop files here to attach document
1285-PERMITTING (SIGN & SEAL).pdf
31.97MB
1285-Deed restrictions. pdf
15.48KB
1285-Low density supplement.pdf
160.52KB
1285-NC SOS.pdf
55.05KB
1285-Quad.pdf
1.86MB
1285-Stormwater Narrative.pdf
234.13KB
1285-SWU 101 storm application.pdf
222.16KB
DB 10168-245.pdf
117.2KB
1285- O&M agreement.pdf
13.47KB
Only pdf files are accepted.
Describe the attachments:
Document that correspond with the storm water submittal.
* W 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)
• 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: 9/3/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190801
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]