20200859 Ver 1_Yadkin_Preliminary ORM_20200622_20200629

Preliminary ORM Data Entry Fields for New Actions

ACTION ID #: SAW- Begin Date (Date Received):

Prepare file folder Assign Action ID Number in ORM

1. Project Name [PCN Form A2a]:

2. Work Type: Private Institutional Government Commercial

3. Project Description / Purpose [PCN Form B3d and B3e]:

4. Property Owner / Applicant [PCN Form A3 or A4]:

5. Agent / Consultant [PNC Form A5 – or ORM Consultant ID Number]:

6. Related Action ID Number(s) [PCN Form B5b]:

7. Project Location – Coordinates, Street Address, and/or Location Description [PCN Form B1b]:

8. Project Location – Tax Parcel ID [PCN Form B1a]:

9. Project Location – County [PCN Form A2b]:

10. Project Location – Nearest Municipality or Town [PCN Form A2c]:

11. Project Information – Nearest Waterbody [PCN Form B2a]:

12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]:

Authorization: Section 10 Section 404 Section 10 and 404

Regulatory Action Type:

Standard Permit Pre-Application Request
Nationwide Permit # Unauthorized Activity
Regional General Permit # Compliance
Jurisdictional Determination Request No Permit Required

Revised 20150602