20180839 Ver 2_Modification Request_20210317

Staff Review Form
Updated September 4, 2020
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
6* Yes r No
ID#* Version* 2
20180839
Is this project a public transportation project?*
Is this a DOT
project?*
Reviewer List:*
Yes r No
Select Reviewing Office:*
Yes
r No
Garcy Ward:eads\gpward
Washington Regional Office - [phone]
Does this project require a request for payment to be sent?*
Yes
r
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 Information
Pre -Filing meeting request information is not needed for this project.
Project Contact Information
Name: NCDOT
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #:
20180839
20170001 (no dashes)
Existing Version:
2
1
Project Name: R-5014-Widening of SR1217 from dead end to US158
Is this a public transportation project?
a Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
a Yes r No r Unknown
TIP#: WBS#:
R-5014 41162.1.1
(Applies to DOT projects only)
County (ies)
Dare
Please upload all files that need to be submited.
Gick the upload button or drag and drop files here to attach docurrent
R-5014revised sites.pdf 23.69MB
Only pdf or knz files are accepted.
Describe the attachments
or comments:

USACE Action ID SAW-2018-01570
The previously issued GP 31 has expired. This application is to request the issuance of a GP 50 for the
project.
Additionally, several permit drawings have been revised. Previously, culverts were proposed to be extended
at Sites 2, 9 and 12. Further examination discovered the pipes were at such a deteriorated state that they
needed to be replaced. This resulted in an additional 176 linear feet (If) (181 If total) of permanent channel
impact. Of this, 126 If is due to bank/shoreline stabilization. Temporary channel impacts increased 56 If (61 If
total). Permanent SW impacts decreased 0.02 ac and temporary SW impacts increased 0.03 ac.
A change in the size of riprap was made at sites 8, 16 and 18 and listed as rock plating. This was done to
ensure slope stability during adverse weather. Impacts did not change at these sites.
No additional mitigation is proposed for the changes in impacts.
The status of federally protected species remains unchanged. All species received a biological conclusion of
No Effect except for the Northern long-eared bat (NLEB). The NLEB has a biological conclusion of May Affect,
Likely to Adversely Affect and is addressed by the updated Programmatic Biological Opinion. Updated
surveys were conducted for the bald eagle this project will have no effect on the species.
For other aspects of the project including utility impacts please reference previously issued permits at:
https://xfer. services. ncdot.gov/pdea/Permissued/R-
5014%20Genera l%20CAMA%20Da re%20November%2030, %202018. pdf
Sign and Submit
fJ 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 autorratically.