20201653 Ver 1_Olive Branch Road PCN_20210115

Proj ect Submittal In terim Form
Updated September 4, 2020
Please note: fields mark ed with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Proje ct Type :*
Is this supple me ntal information that ne e ds to be se nt to the Corps?*
Name :
Email Addre ss:*
Existing ID #:*Existing Ve rsion:*
Proje ct Name :*
Is this a public transportation proje ct?*
Is the proje ct locate d within a NC DCM Are a of Env ironme ntal Conce rn (AEC)?*
County (ie s)*
Ple ase upload all file s that ne e d to be submite d.
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
Yes No
Project Contact Information
Troy Beasley
Who is submitting the inf ormation?
[e-mail]
Project Information
20201653
20170001 (no dashes)
1
1
1001 Olive Branch Road Subdivision
Yes
No
Yes No Unknown
Wake
De scribe the attachme nts or add comme nts:
*
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 :
Click the upload button or drag and drop f iles here to attach document
1001 Olive Branch_NWP 39
PCN_Complete_final_2021-01-15.pdf
18.68MB
Only pdf or kmz f iles are accepted.
Original PCN submitted on 2021-01-15
By checking the box and signing box below, I certify that:
Is f illed in automatically once submitted.