20191337 Ver 4_Modifications_20230824

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version* 4
20191337
Is this project a public transportation project?* Yes
No
Is this a DOT Yes No
project? *
Reviewer List: * Dave Wanucha:dave.wanucha
Select Reviewing Office: * Winston-Salem Regional Office - [phone]
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:
1 /10/2022
Project Contact Information
Name: Erin Cheely
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20191337 3
20170001(no dashes) 1
Project Name: 1-5507 - Interstate 485 improvements from 1-77 to US 74 (Independence Blvd)
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
Is this project connected with ARPA funding?
Yes No
TIP#: WBS#:
1-5507 43609.3.2
(Applies to DOT projects only)
County (ies)
Mecklenburg
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
1-5507 Modification Mecklenburg August 24 2023.pdf 11.31 MB
Only pdf or kmz files are accepted.

Describe the attachments or
comments:
See attached cover letter and revised permit drawings for details of this permit modification request. Revisions
resulting in changes to permitted impacts are proposed at six impact sites.
As of August 24, 2023, IPaC identifies Carolina heelsplitter, Atlantic pigtoe, Michaux's sumac, Schweinitz's
sunflower, and smooth coneflower within the project area, and tricolored bat is listed as Proposed.
The biological conclusions for all listed species remains No Effect. In -water work at the named stream
crossings is complete. Any potential habitat for the listed plants has already been impacted. With regard to the
proposed tricolored bat, there are no major structure removals and trees have already been cleared, so no
further impacts to potential habitat are anticipated.
There have been no changes to Archaeology and Historic Properties since the previously issued permits. This
project pre -dated current tribal coordination procedures, so tribal coordination documentation is also included in
the attachment. No responses were received.
NCDOT is hereby requesting a modification of the RGP 50.
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:
e , � Clee�
Submittal Date: 8/24/2023
Is filled in automatically.