20201434 Ver 1_401 Application_20201223

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#*
20201434
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Stephanie Goss: eads\szgoss
Select Reviewing Office:* Raleigh Regional Office - [phone]
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
owed? * r $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: * r
For the Record Only (Courtesy Copy)
r
New Project
r
Modification/New Project with Existing ID
r
More Information Response
r
Other Agency Comments
r
Pre -Application Submittal
r
Re-Issuance\Renewal Request
r
Stream or Buffer Appeal
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not
be able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in
accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project
proponent shall request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section
121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was
submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the form.
Attach documentation of Pre -Filing Meeting Request here:
20201434 Ver 1_PreFiling Meeting Not Required Email_20201108.pdf
Date for Meeting Request 10/8/2020
ID# 20201434 Version 1
Project Contact Information
Name: Linda Diebolt
Who is subrritting the inforrration?
Email Address: [e-mail]
Project Information
384.74KB
Existing ID #: Existing Version:
20201434 1
20170001(no dashes) 1
Project Name: 210 Wastewater Treatment Facility Effluent Force Main
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)

Johnston
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach document
Only pdf or krm files are accepted.
Describe the attachments
or comments:
Sign and Submit
V 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:
k t a olC
Submittal Date: Is filled in autonatically.

Strickland, Bev
From: [e-mail]
Sent: Sunday, November 8, 2020 12:00 AM
To: [e-mail]
Cc: Goss, Stephanie
Subject: Pre -Filing Meeting is not needed for 4 MGD WWTF Upgrade, Force Main, and
Discharge Project - 20201434 Ver 1
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for 4 MGD
WWTF Upgrade, Force Main, and Discharge Project that you submitted on 10/8/2020 3:42 PM. The ID number
for that project is 20201434, Version 1.
It has been decided that no meeting is needed for this project.
Project file link: https:Hedocs.deq.nc.gov/WaterResources/Browse.aspx?dbid=0&startid=1316570
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.