Creekwood Farms - 5/14/2018 2:30:02 PM

Water Resources
ENVIRONMENTAL QUALITY
Staff Review:
Updated ID#:
Updated Version:
Who needs a copy?*
SW6180402
1
17 Central
Office
r Regional
Office
Select Reviewing Office*
Fayetteville Regional Office — 910-433-3300
Central Office Reviewer:
Rick Riddle - eads\rlriddle1
Select RO Reviewer:*
[e-mail]
SUBMITTED PROJECT INFORMATION
Existing Project Information:
I D# SW6180402
Version: 1
Facility Name: Creekwood Farms
County: Cumberland
Name: Jeffrey Nobles
Vft is subrritting the inforrration?
Email Address: [e-mail]
Describe the attachments:
Exhibit B, Drainage Areas Map
Please upload all files that need to be submitted.
2018-05-14 Drainage Area Exhibit Map.pdf 235.92KB
Only pdf files are accepted.

fJ By
checking
the
box
and
signing
box
below,
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
• I intend to electronically sign and submit the Supplemental Information form.
Full Name: Jeffrey Nobles
Signature:
cTy 6&Wk,
Date Submitted: