20130118 Ver 1_401 Application_20130213

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Corps actn D
DWQ proj no.
Form Versi n 1.4 ENR
Raleigh Regional umce —
Pre - Construction Notification (PCN) Form
A. Applicant information 0 1 3 0 1 18
1. Processing
1a. Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑ Section 10 Permit
1b. Specify NatiDrrMde Permit (NWP) number., or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification – Regular ❑ Non -404 Juflsdietloml General Permit
❑ 401 Water Quality Certification – Express ❑ Pjpgrian SuftrAuVwnzathn
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑ Feb
For the record only for Corps Permit:
❑ Yes ❑ No
if. is payment into a mitigation- bang or in lieu fee program 'proposed for
mitigation of impacts? if so, attach the acceptance letter tom rf9tigati6n bank'
or in-lieu fee program.
❑ -Yes ❑ fita
10. Is the project located in arty of NC's twenty coastal +noun . Ifyesiansweirlih
below.
❑Yes []'No
1h. is the project located within a k t)CM Area of Environmental ConoeM (A )'?
❑ Yes ❑ No
z Project WO on
,2a. Name of project
2b. County
2c. Nearest muri4paiity.j tow, ef
2d. Subdivision name:: �q
2e. NCDOT only, T.I.P. or state project no:
& Owner fn%uri agar
3a. Name(s) on Recorded Deed
"3b. Deed Book and Page No.
0 I Z
3e. Responsible Party (for LLC if
applicable):
3d. Street address
40 M
3e. City, state. zlfr:
'
3f Te rornen :
d Z r . M &IA q a 2 PO – t ;
3g. Fax no.:
3h. Ernail address:
{ �.�' A , 1 Ia in a
In
Page 1 of 10
PCN Form – Version 1.4 January 2009

t ApO #n ii do t (if dif wiht tiom OW46 -r},
4a _ its
�A ❑ Ottt> sue:
4b. Name;
4W
,,z 6--p d� e G"'tN d elp1410
5a. Alat w,)
ausutess name
56 Sfitei addiess:
5d. City, `slate, zip:.
;5e: Tileg#tomoo_
tf, P�no'. :•
56._ EinsA Wdreiks.
Page 2of10

;a.^ Prot inforamuon and Prior Project History,
4, ',��rope:'ty' Identi�%ation
=a P*cspettc{ =dent c ctct ttt3.�,t �'i�i t X 4� 0 7
' bs Site coordinates (in if� 4egrees1:
40* piste '
'�,' ';i�itr�se Heaters;
'Name of niiiest body ofwater to lm*ed om eel-
-2b. water Quality Classification of nearest recemnq water.
3., ;Pn*ct Description 4 i °fin r 2
Desefte the exfsting c 6nditions or the site aril #w7genezal lmd ise in site vi' j+ of the proled -k 1te &e of this g�
s3pplipattt.n: C cg OAS zc a4 g4, a in %1Aaj OF -sseaa rMe'Cir W!YW/A/
3b. List the total estimated acreage of all existing wetlands on the property: , 0, Ac-
3o. List the total estirrrated linear t cif s6! existing streams (ptermittent and pemniai) on-the pnoper ; (9
xpialn ttte purpose of the6i1i3j8t f3
the �.'.�ifG f���oa E:. -'iGn z 744t:e�`:Y ""•'."a" '^�"a�i � r�'-�°+ i'� 1i �a c~5 l 'v` G.S°- ,�' .^%'iri`�7
�1:%� �✓6i Dpi'' 2; G' � � cf � G-r' �'�EIA?4i'� ` ✓'v ^ -C -. tC' Cv` 1� L�! � .O�l ,fit 0'j7 , �� � d'C'• �ALUS� �'� l�l�"�R ,y^'�.✓
4. Jurisdictional Detrerrninations
�. 41f8Y� jusi&tlis t S WeZand DT Steam detsMnW1vm iii the
Corps or &Ate been requested or obtained for this property t
pro rncludin all riur hases in lirezeri+ertts:
❑ Yes 13 W ❑ unl newm
4b. if the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c. If yes. who delineated the iurfsonai a?
Narne (f lmov"): e r
RgeiConsuitant Comply��'i�r�•a,�
Other: Me Jxp'— �,'
4d. if yes. list titre dates oftl e- Corps ttrisdii tan t diilir ta#ons* Stage cletefrircirra*s and attach docximen .
- - _ .. _ _ _ _
5. �jeclr#�StRIry�GB f r r �v d en a��¢ it
Sa. Have permits or certifications beers requested or obtained idr
t PMT #io�� a#PfW p ? � the fit?
� Yas ❑ �o ❑
. if yes, explain in Beta aceorrling to `f�elp #i3e� instruciohs.azeMs
C� 1`T(� iii PO,C' ?�'¢•O �,g �� ®� S -iN E> 41 f -F .
S. '1"utnre Pteget�t lPtarrs /� 1
'8a. is this a phased frrojet
❑ Yes U No
6b. If yes. eVlam.`
`iPa�e 3 cis tit
PCN Forms — Version-1A Jsti*y 2009
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C. Proposed Impacts Inventory
1. Impacts Summary
ta. Which sections were completed below for your project (check all brat apply):
❑ Wetlands ❑ Streams — tributaries of "Buffers: ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feel)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
S2 -
Choose one
-
S3 -
Choose one
S4 -
Choose one
-
S5 -
Choose one
S6 -
Choose one
-
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
if pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
0 Yes 0 No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer imp_ acts ifor -bW4),
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. if any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in MT16 protected Bailor ?,
JZ Neuse Q Tar - Pamlico 0 Catawba 0 Randleman 0 Other.
6b.
'Wfer impact:
number—
pexrKrautent (Pj ar
Temporary
6c. - - - - -- -- -
Reason for impact
` - -
6d. -- - -
+Stream name
-
6e.
Iguffee
'mitigations'
required'?
6f.
Zane f
:impact
{sgcdare
feet )
6g. -
.zone 1,
impact
{squat$
f
61 P -
q
Yes/No
B2 -
Yes/No
B3 -
Yesfito
64 -
Yes/No
B5 -
Yes/No
86 -
Yes/No
6h. Total Buffer Impacts:
6i: CommeMsi of '4PP4 re-* tie N p►«c d a s a r u! !rte l.✓.�P�Av
Page 5 of 10

D. Impact Justification and Mitigation
i. Avcrittance And mirdlnbmton
1 a. Specifically describe measures taken to avoid or minimize tha proposed impacts in designing project. - Au r '.s ,sox
Fie OM HOW&z) c.,�*14' XP f P'�'' . i F�l� ra 5� � *> C A N e a r?4e A ae' JIPRF.Q Z Ai IYA- I
1b. Specficaily describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Walters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
Q Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Cons t to if !tsin a O ' dort Sank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete If Making a Payment to In4leu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Suffer "E*on Ptabe lW9Wat9d RkmW Bu Rues) - r ttii t! 6y;DWQ
_ . Will tfte Orders resu m are impact in A'profe ed npai i it- huffer'ft*' � -i Ites;
-.. _ _ _
[� Yes No
rir cntieri?
6b. If y # identity the' square feet of fmpaif to each zone of the rigariaxt btFtier thai equtres mitiga�an:.Catottiate the,
-
'ouf!t of "gad qo required. -
Zone
tl*0 i tCitOn ad'
•76W, impact
ttfli�itipCt�s i�ettirired i�itigat{on
,,(sqe fee
{square be
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. total buffer mitigation requfrd:
6g. if buffer roit"igatton i requl d, disttrss hat type of mitigation is pig posed (e.g., 9aYmerit to Oiiwfe rnitigatid hank, -
perrrmdee res�to riparian buffer restvt4at n. payment into an-approved'k4wfee firm.`
6h.Cotrtmeriis-
rage 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. i0i#Fu�e I�#owr �� w u �d a R mar
oa
S
la, Does Does tie project Inc hide or is it attlaaeV to Wotected dp&Un trams t4wW i
❑ Yes
❑ NO
within one of the NC RINdan Buffer Prateaton Ruies?
ZD. if year tRten is a d'tffusi floe P* i;iituded? f f no, ixpiain whj .
❑ Yes
❑ No
2. Storrmaater Mana emend Plan
2a. What is the overall percent imperviousness of this project?
%
2b. Does this project require a Stormwater Management Plan?
❑ Yes
No
2c. If this project DOES NOT require a Stormtfvater Management Plant, explain why.-
2d. If this project DUES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stomrrwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local gqvemmerWs Jurisdiction is this project?
Q Phase II
3b. Which of the following locally- implemented stormwrater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
Q Other.
3c. Has the approved Stormwater Management Plan with proof of approval been
[]Yes
❑ No
attached?
4. DWQ Stonnwater Progreun Review
❑Coastal counties
❑HQW
4a. Which of the €oi state am
lowmarg plemented storrrnvater management programs apply
❑pRyy
(aleck all that apply):
❑Session Law
2006 -246
❑Other.
4b. Has the approved Stormwater Management Plan with prof of approval been
❑ Yes
❑ No
attached?
S. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes
❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes
❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/statefocal) funds or the
Yes
No
use of public (federallstate) land?
1b. If you answered "yes' to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑Yes
ONO
(North Carolina) Environmental Policy Act (NEPAFSEPA)?
1c. if you answered `yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
Oyes
ONO
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. is the site h violation of UWQ Wetiand Rules (15: 'NCAC 21-1.0, fsoWod
Wetland Rules (15A NCAC 2H .1300). DWQ Surface'JIMer or Weiland Sbauxard
❑ Yes
[M No
or Riparian Suffer Rules (16A'NGAC 2B .%W)7
2b. is this an after -the -foci pe mit appllc koO
01'es
I�%
2c. if you answered "yes" to one or both of the above questions, provide an eVlanation of the vio4ti on(s):
3. Cumulative impacts (DWQ Requirement)
3a. NO this project (based on past and reasonably anticipated future lir+pacts) result in
E]Yes
kNo
,additional development, which couuid Impact nearby downstream water quality?
3b. If you answered `yes' to the above, submit a qualitative or quantitative curfiAtive impact analysis in acccrxlance witli the:
most recent i VVQ po"acy. if )tots "s vared ono,° provide a shmt naneve #esroijkon.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed proles or available capacity of the subject fhaility.
)&JUABY T,�roa 8y -7Vw.0 e0" 64tiy sgs>aM,
Page 9 of 10
PCN Form —Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
yes
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? Q Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
Yes [No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodpiain?
❑ Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
.1-00A s c3,Re, AI,*A/
iAppficant/Ageri#'s Pitrttied, name
m -
�
'APrcarr Agent'stgriatuie`
J(Agwrs signature is valid only if an auftriza(ions
'letter from the amficant is rovided.
s' .0/9
;Dale;
Page 10 of 10

To: North Carolina Department of Environment & Natural Resources,
Division of Water Resources
Date: 2/5/2013
This is to authorize lames C. Brennan to act as our agent, in any maters pertaining
to the construction of our screened porch and deck, at our residence, 405
Hickorywood Blvd., Cary, NC, 27519
Sincerely,
�y/�cr�s�1�
Michelle R. Nolet
Joseph E. Nolet

rL_f;,G0D
L lfttl S�+M.E rco
..• -- LINU kOT SJA.EtED
E dP EXISIMMO ISO" P+PE
1 P 5 f 1424 04 of St I
F P.
IS' TYPE
u
.ls
bl .M
Z4i
�r
EIP
HICKORY WOOD BOULE VARO
,{. 11 t.i. w., ptl t:... - .] M J3 4, ,f3bb , 1. •,

5 - , '
c4w wow &tlw,
JAN 17 2013
kC,
C Y
M`�!
w JAN

7IFFM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, PE
Governor Director
February 1, 2013
Jim Brennan
Via entail
6
John E. Skvarla, III
Secretary
Subject: Surface Water Determination Letter
NBRRO# 13 -002
Wake County
The Raleigh Regional Office of the NC Division of Water Quality /Surface Water Protection Section conducted a
site visit at the subject property and is providing the below - listed determination pursuant to your request for a formal
surface water determination:
BASIN:
® Neuse (15A NCAC 2B .0233) ❑ Tar - Pamlico (15A NCAC 2B .0259)
❑ Ephemeral /Intermittent/Perennial Determination ❑ Isolated Wetland Determination
Project Name: 405 Mckorywood Blvd Cary
Location/Directions: Subject property is a private residence located at the project address
Subject Stream: UT to Turkey Creek
Date of Determination: February 1, 2013
—& P = Ephemeral/[ntermitteWPerennial
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water Quality.
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWQ or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and/or adjacent owners) is notified of this letter. A request for a determination by the
JV'aaaYllllf
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Intemet www.noNftrquality.org 1628 Mail Service Center Raleigh, NC 27699 -1628 FAX [phone]
An Equal Opportunity /AffanaWe Adon Employer— 50% RecydedNO% Post Consumer Paper
Feature
E/UP*
Not
Subject
I Subject
I
Start@
I
Stop@
I
Stream
I Form Pts.
Soil
sunrpv
US—G--S—]
To o
A
I
I
I X J
Throughout
1
1 23.0
1 X
X
—& P = Ephemeral/[ntermitteWPerennial
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water Quality.
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWQ or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and/or adjacent owners) is notified of this letter. A request for a determination by the
JV'aaaYllllf
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Intemet www.noNftrquality.org 1628 Mail Service Center Raleigh, NC 27699 -1628 FAX [phone]
An Equal Opportunity /AffanaWe Adon Employer— 50% RecydedNO% Post Consumer Paper

405 Hickorywood Blvd Cary
Wake County
February 1, 2013
Page 2 of 2
Director shall be referred to the Director in writing c/o Karen Higgins, DWQ Wetlands/401 Unit, 1650 Mail Service
Center, Raleigh NC 27699 -1650.
If you dispute the Director's determination you may file a petition for an administrative hearing. You must file the
petition with the Office of Administrative Hearings within sixty (60) days of the receipt of this notice of decision. A
petition is considered filed when it is received in the Office of Administrative Hearings during normal office hours.
The Office of Administrative Hearings accepts filings Monday through Friday between the hours of 8:00 am and 5:00
pm, except for official state holidays. To request a hearing, send the original and one (1) copy of the petition to the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699 -6714. The petition may also be
faxed to the attention of the Office of Administrative Hearings at (919) 733 -3478, provided the original and one (1)
copy of the document is received by the Office of Administrative Hearings within five (5) days following the date of
the fax transmission. A copy of the petition must also be served to the Department of Natural Resources, c/o Mary
Penny Thompson, General Counsel, 1601 Mail Service Center, Raleigh, NC 27699 -1601.
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal within sixty (60)
days.
The owner /future owners should notify the Division of Water Quality (including any other Local, State, and Federal
Agencies) of this decision concerning any future correspondences regarding the subject property (stated above). This
project may require a Section 404 /401 Permit for the proposed activity. Any inquiries should be directed to the
Division of Water Quality (Central Office) at (919)-807 -6301, and the US Army Corp of Engineers (Raleigh
Regulatory Field Office) at (919)-544-4884.
Respectfully,
Martin Richm d
Environmental Specialist
cc: RRO /SWP File Copy

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o DWQ project no.
Form Version 1.4 January 2009
Pm-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the C;WT ❑ Sermon 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality ceatificaR — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ 4, ___
1 e. Is this notification solely for the record For the record only for DWQ For the neoord only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes ❑ No ❑ Yes ❑ No
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129. NCDOT only, T.I.P. or state project no:
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Page 1 of 10
PCN Form — Version 1.4 January 2009