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HomeMy WebLinkAbout20220068 Ver 1_401 Application_20220112Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID# * 20220068 Version* 1 Is this project a public transportation project?* Yes No Reviewer List: * Doug Perez:eads\djperez Select Reviewing Office: * Mooresville Regional Office - (704) 663-1699 Submittal Type:* 401 Application Does this project require a request for payment to be sent?* Yes No How much is owed?* $240.00 $570.00 Project Submittal Form 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. Project Type: * For the Record Only (Courtesy Copy) New Project Modification/New Project with Existing ID More Information Response Other Agency Comments Pre -Application Submittal Re-Issuance\Renewal Request Stream or Buffer Appeal Project Contact Information Name: Zan Price Who is submitting the information? Email Address: zan@jenningsenv.com Project Information Project Name: Knob Creek and Pounding Mill Creek Restoration Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown County (ies) Cleveland Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document PCN_Pounding Mill_Knob Creek —Cleveland 388.77KB Co_Signed.pdf Agent Authorization Form_Signed.pdf 617.3KB Knob Creek Pounding Mill_Supplemental Info.pdf 31.25KB Existing Condition Photographs.pdf 839.68KB StreamStats Knob Cr.pdf 314.53KB StreamStats Pounding Mill Cr.pdf 429.5KB StreamStats UT Pounding Mill Cr.pdf 171.89KB 4313_POUNDING_MILL_CREEK_PRELIM_DRA... 6MB Soil Map_Knob Cr Pounding Mill.pdf 761.18KB Only pdf or kmz files are accepted. Describe the attachments or comments: Please send payment request information to zan@jenningsenv.com. See attached PCN and supporting information. Sign and Submit By checking the box and signing box below, I certify that: • I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief. • I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time. • I agree that submission of this online 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 online form. Signature: z�a5qeer Submittal Date: Is filled in automatically.