20160511 Ver 2_More Info Received_20180329

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/29/2018 11:27:52 AM (Supplemental Submital)
Accept by Montalvo, Sheri A 3/29/2018 12:11:21 PM (NON -DOT - Existing Project)
• The task was assigned to Montalvo, Sheri A 3/29/2018 11:30 AM

itial Review of Submittal
Staff Review:
ID#* Version
20160511 2
Reviewer List: * Andrew Moore:eads\awmoore3
Select Reviewing Office:* Asheville Regional Office - [phone]
Submittal Type:* 401 Application
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes r No r Unknown
Does this project r Yes
require a request r No
for payment to be
sent?*
How much is r $240.00
owed?* r $570.00
Project Submittal Interim Form
submitted: 3/29/2018
Submittal Type: r New Project
r Pre -Application Submittal
f More Information Response
Project Contact Information:
...........................
Name: Chris Tinklenberg
Mo is subnit ing the information?
Email Address: [e-mail]
Project Information:
Project Name: Hendersonville Publix
Is this a public transportation project?*
f Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes r No r Unknown
Water Resources
ENVIRONMENTAL QUALITY

County (ies)*
Henderson
Describe the attachments:
PCN amendment including modifications to the original permitted impacts. Submittal includes PCN, roadway
plans, culvert profile and CSR. Additionally, I've included the stormwater approval and plans.
Please upload all files that need to be submited.
0-HENDE_DWR#20160511PCN Amend_20180329.pdf 7.73MB
20170725_SWPlanApproval wPlans.pdf 85.56MB
Only pdf or Ime files are accepted.
W By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this 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 form.
Signature: f�