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Home My WebLink About2200563 Ver 1_Other Agency Documents_20220506 sy STAT Staff Review Form NORTH CAROLINA Envlronm¢ntcl Qvoray Updated September 4,2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 1 2200563 Is this project a public transportation project?* Yes No Is this a DOT Yes No project?* Reviewer List:* Donna Hood:eads\drhood Select Reviewing Office:* Mooresville Regional Office-(704)663-1699 Does this project require a request for payment to be sent?* Yes No 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 Pre-Filing Meeting Date Request was submitted on: Is this supplemental information that needs to be sent to the Corps?* Yes No Please choose the commenting agency.* DCM Comments DCM Permit DFM Comments USFWS Comments WRC Comments Other Project Contact Information Name: Dave McHenry Who is submitting the information? Email Address: david.mchenry@ncwildlife.org Project Information Existing ID#: Existing Version: 2200563 1 20170001(no dashes) 1 Project Name: Brawley School Road Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown TIP#: WBS#: R-3833C 34554.1.3 (Applies to DOT projects only) County(ies) Iredell Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document R-3833C_DWR 20220563_Brawley School Road 284.3KB Application_NCWRC Comments.pdf Only pdf or kmz files are accepted. Describe the attachments or comments: Please accept the attached comments.This is a second attempt at upload as it looks like I forgot to attach them to prior submittal. Thanks Dave 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: Submittal Date: Is filled in automatically.