SW6190802_Supplemental Info Review_9/9/2019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/9/2019 3:08:25 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 9/9/2019 3:35:33 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 9/9/2019 3:08 PM

Submittal Dated: 9/9/2019
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
SW6190802
Exarrples: SWxxxxxxx, NOC;axxxx, or NCSxxxxxx
Facility Name:* Four Sierra Ranch
County: Cumberland
Name: Jeffrey Nobles
Who is subrritting 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
2019-08-27 Storm Calcs.pdf 591.23KB
2019-06-25 Four Sierra Ranch Civil Plans.pdf 3.89MB
Only pdf files are accepted.
Describe the attachments:
Construction Documents
Stormwater Calculations
Application, Supplements, etc.
* 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)
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:* Jeffrey A Nobles

Signature:
Date Submitted: 9/9/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
SW6190802
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]