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HomeMy WebLinkAbout20211026 Ver 1_401 Application_20210623 DWR Division of Water Resources Pre-Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) June 1,2021 Ver4.1 Initial Review Has this project met the requirements for acceptance in to the review process?* 6 Yes ✓ No Is this project a public transportation project?* R Yes r No Change only if needed. BIMS#Assigned* Version#* 20211026 1 Is a payment required for this project?* ✓ No payment required 6 Fee received Reviewing Office* ✓ Fee needed-send electronic notification Washington Regional Office-(252)946-6481 Select Project Reviewer* Garcy Ward:eads\gpward Information for Initial Review la.Name of project: R-2511-US 17 Widening from North of NC 171 to Existing Multi-lanes South of Williamston 1a.Who is the Primary Contact?* Paul Williams lb.Primary Contact Email:* 1c.Primary Contact Phone:* pcwilliams2@ncdot.gov (252)482-1861 Date Submitted 6/23/2021 Nearest Body of Water UT to Old Ford Swamp,UT to Latham Creek,Gum Swamp,UT to Smithwick Creek,Jacks Swamp Basin Roanoke;Tar-Pamlico Water Classification UT to Old Ford Swamp(C,Sw,NSW),UT's to Latham Creek(C,Sw,NSW),Gum Swamp(C,Sw, NSW),UT's to Smithwick Creek(C),Jacks Swamp(C) Site Coordinates Latitude: Longitude: 35.68976 -77.080023 A. Processing Information County(or Counties)where the project is located: Beaufort Martin Is this a NCDMS Project ✓ Yes r No Is this project a public transportation project?* 6 Yes r No Is this a NCDOT Project?* 6 Yes r No (NCDOT only)T.I.P.or state project number: R-2511 WBS#(7) 35494.1.1 Pre-Filing Meeting Information Is this a courtesy copy notification?* ✓ Yes r No ID# Version Pre-fling Meeting or Request Date 10/17/2018 Attach documentation of Pre-Filing Meeting Request here: Click the upload button or drag and drop ties here to attach docurrent R-2511 4C Minutes.pdf 91.65KB Pie type rust be FCF 1a.Type(s)of approval sought from the Corps: fJ Section 404 Permit(wetlands,streams and waters,Clean Water Act) I—Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act) Has this PCN previously been submitted?* C Yes r No lb.What type(s)of permit(s)do you wish to seek authorization? fJ Nationwide Permit(NWP) fJ Regional General Permit(RGP) I—Standard(IP) 1c.Has the NWP or GP number been verified by the Corps? ✓ Yes CNo Nationwide Permit(NWP)Number: 57-Electric Utility Line and Telecommunications Activities—(frequently used) Nationwide Permit(NWP)Number: 58-Utility Line Activities for Water and Other Substances(frequently used) NWP Numbers(for multiple NWPS): Regional General Permit(RGP)Number: 198200031-NCDOT Bridges,Widening Projects 2015 RGP Numbers(for multiple RGPS): ld.Type(s)of approval sought from the DWR: I7 401 Water Quality Certification-Regular r 401 Water Quality Certification-Express I—Non-404 Jurisdictional General Permit 17 Riparian Buffer Authorization I— Individual 401 Water Quality Certification le.Is this notification solely for the record because written approval is not required? * For the record only for DWR 401 Certification: r Yes r No For the record only for Corps Permit: r Yes r No If.Is this an after-the-fact permit application?* CYes rNo 1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? ( Yes r No 1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? ✓ Yes C No Ih.Is the project located in any of NC's twenty coastal counties? ( Yes r No 1i.Is the project located within a NC DCM Area of Environmental Concern(AEC)? r Yes r No r Unknown 1j.Is the project located in a designated trout watershed? C Yes r No B. Applicant Information 1d.Who is applying for the permit? IJ Owner r Applicant(other than owner) le.Is there an Agent/Consultant for this project?* r Yes r No 2.Owner Information 2a.Name(s)on recorded deed: NCDOT Right-of-way US Highway 17 2b.Deed book and page no.: 2c.Contact Person: Paul Williams 2d.Address Street Address 113 Airport Dr. Address Line 2 City State/Province/Region Edenton NC Postal/Zip Code Country 27932 USA 2e.Telephone Number: 2f.Fax Number: (252)482-1861 (252)482-8722 2g.Email Address:* pcwil l is ms2 @ncdot.g ov C. Project Information and Prior Project History L) 1. Project Information lb.Subdivision name: (if apprcpriate) 1c.Nearest municipality I town: Williamston 2. Project Identification 2a.Property Identification Number: 2b.Property size: 2c.Project Address Street Address US 17,intersection of NC 171 and US 17 in the community of Old Ford in Beaufort County,North Carolina and runs north for approximately 11 miles to Mill Inn Road near the town of Williamston in Martin County,North Carolina Address Line 2 city Slate/Bovine/Region Fbstal/Zip Code Country 3.Surface Waters 3a.Name of the nearest body of water to proposed project:* UT to Old Ford Swamp,UT to Latham Creek,Gum Swamp,UT to Smithwick Creek,Jacks Swamp 3b.Water Resources Classification of nearest receiving water:* UT to Old Ford Swamp(C,Sw,NSW),UT's to Latham Creek(C,Sw,NSW),Gum Swamp(C,Sw, NSW),UT's to Smithwick Creek(C),Jacks Swamp(C) 3c. What river basin(s)is your project located in?* Roanoke Tar-Pamlico 3d.Please provide the 12-digit HUC in which the project is located. 030201030506,030101070401,030101070402 4. Project Description and History 4a.Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:* The land use in the area is primarily agriculture and silviculture with rural residential housing.basting US 17 is a two-lane roadway with 12 foot wide travel lanes and 11-foot grass shoulders.Existing 2-lane bridge over Gum Swamp. 4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?* ✓ Yes r No 6 Unknown 4f.List the total estimated acreage of all existing wetlands on the property: 14.85 4g.List the total estimated linear feet of all existing streams on the property: 5230 4h.Explain the purpose of the proposed project:* Widening US 17 to a multi-lane facility from the the existing multi-lanes north of NC 171 to the existing multi-lanes south of Williamston in Beaufort and Martin Counties.The proposed project is approximately 10.6 miles long.The purpose of the project is to alleviate congestion and improve the level of service along US 17,and in doing so,improve safety to the route. 4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:* The project involves widening the existing roadway from 2 lanes to 4 with a raised median.The project also includes replacing the bridge at Gum Swamp with dual bridges,as well as multiple culverts throughout the project.Standard road building equipment,such as trucks,cranes,and bulldozers will be used.Project with require the relocation of power, telecommunication,and water lines by directional bore or overhead realignments. 5.Jurisdictional Determinations 5a.Have the wetlands or streams been delineated on the property or proposed impact areas?* ✓ Yes r No r Unknown Comments: 5b.If the Corps made a jurisdictional determination,what type of determination was made?* ✓ Preliminary r Approved r Not Verified r Unknown r N/A Corps AID Number: SAW-2004-11082 5c.If 5a is yes,who delineated the jurisdictional areas? Name(if known): John Merritt,Hal Bain Agency/Consultant Company: Other: 5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR 6. Future Project Plans 6a.Is this a phased project?* ✓ Yes C. No Are any other NWP(s),regional general permit(s),or individual permits(s)used,or intended to be used,to authorize any part of the proposed project or related activity? D. Proposed Impacts Inventory 1. Impacts Summary la.Where are the impacts associated with your project?(check all that apply): I7 Wetlands 17 Streams-tributaries 17 Buffers 17 Open Waters r Pond Construction 2.Wetland Impacts 2a.Site#*(?) 2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name* 2e.Forested* 2f.Type of 2g.Impact Jurisdicition*(?) area* 1-Mech. Culvert installation P Bottomland Hardwood Forest WA Yes Corps 0.004 Clearing (acres) 1- Utility Relocation T Bottomland Hardwood Forest WA Yes Corps 0.014 Handclearing (acres) 2-Perm.Fill Roadway Fill and P Pine Flat WB Yes Corps 0.264 Culvert Installation (acres) 2-Temp.Fill Roadway Construction T Pine Flat WB Yes Corps 0.011 (acres) 2-Mech. Roadway Construction P Pine Flat WB Yes Corps 0.051 Clearing (acres) 5-Perm.Fill Roadway Fill and Bridge P Riverine Swamp Forest WC Yes Corps 1.003 Construction (acres) 5-Temp.Fill Roadway and Bridge T Riverine Swamp Forest WC Yes Corps 0.038 Construction (acres) 5-Mech. Roadway and Bridge T Riverine Swamp Forest WC Yes Corps 0.269 Clearing Construction (acres) 5- Utility Relocation T Riverine Swamp Forest WC Yes Corps 0.834 Handclearing (acres) 6-Perm.Fill Roadway Fill P Pine Flat WD Yes Corps 0.022 (acres) 6-Temp.Fill Roadway Construction T Pine Flat WD Yes Corps 0.002 (acres) 6-Mech. Roadway Construction P Pine Flat WD Yes Corps 0.013 Clearing (acres) 7-Perm.Fill Roadway Fill and P Bottomland Hardwood Forest WE Yes Corps 0.112 Culvert Installation (acres) 7-Mech. Roadway Construction P Bottomland Hardwood Forest WE Yes Corps 0.026 Clearing (acres) 7- Utility Relocation T Bottomland Hardwood Forest WE Yes Corps 0.132 Handclearing (acres) 8-Perm.Fill Culvert installation P Riverine Swamp Forest WF Yes Corps 1.097 (acres) 8-Excavation Culvert installation and P Riverine Swamp Forest WF Yes Corps 0.062 stream relocation (acres) 8-Mech. Roadway Construction P Riverine Swamp Forest WF Yes Corps 0.317 Clearing (acres) 8- Utility Relocation T Riverine Swamp Forest WF Yes Corps 0.759 Handclearing (acres) 9-Perm.Fill Culvert installation P Riverine Swamp Forest WG Yes Corps 0.638 (acres) 9-Temp.Fill Culvert installation and T Riverine Swamp Forest WG Yes Corps 0.031 dewatering (acres) 9-Excavation Ditch relocation P Riverine Swamp Forest WG Yes Corps 0.012 (acres) 9-Mech. Roadway Construction P Riverine Swamp Forest WG Yes Corps 0.149 Clearing (acres) 9- Utility Relocation T Riverine Swamp Forest WG Yes Corps 0.223 Handclearing (acres) 12-Temp.Fill Pond Dewatering T Bottomland Hardwood Forest WH Yes Corps 0.008 (acres) 12- Utility Relocation T Bottomland Hardwood Forest WH Yes Corps 0.027 Handclearing (acres) 14-Perm.Fill Stormwater P Riverine Swamp Forest WI Yes Corps 0.006 (acres) 14-Temp.Fill Stormwater T Riverine Swamp Forest WI Yes Corps 0.048 (acres) 14-Mech. !Roadway Construction P Riverine Swamp Forest WI Yes Corps 0.076 Clearing (acres) 2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact 2.396 3.852 2g.Total Wetland Impact 6.248 2i.Comments: See the permit summary impact table located within the attached Wetland and Stream Permit Drawings.Project results in 3.14 acres of permanent fill, 0.14 acre of temporary fill,0.07 acres of excavation,0.91 acre of mechanized clearing,and 2.84 acres of hand clearing(Utilities)in jurisdictional wetlands. 3. Stream Impacts 3a.Reason for impact(?) 3b.Impact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width* 3h.Impact (?) Jurisdiction* length* S1 Site 1-Culvert installation Permanent Culvert UT to Old Ford Swamp Perennial Corps 3 79 Average(feet) (linear feet) S2 Site 1-Culvert installation Temporary Dewatering UT to Old Ford Swamp Perennial Corps 3 20 Average(feet) (linear feet) S3 Site 2-Culvert installation Permanent Culvert UT to Latham Creek Perennial Corps 4 351 Average(feet) (linear feet) S4 Site 2-Culvert installation Temporary Dewatering UT to Latham Creek Perennial Corps 4 13 Average(feet) (linear feet) S5 Site 3-Culvert installation Permanent Culvert UT to Latham Creek Perennial Corps 4 284 Average(feet) (linear feet) S6 Site 3-Culvert installation Temporary Dewatering UT to Latham Creek Perennial Corps 4 38 Average(feet) (linear feet) S7 Site 4-Culvert installation Permanent Culvert UT to Latham Creek Intermittent Corps 9 129 Average(feet) (linear feet) S8 Site 4-Culvert installation Temporary Dewatering UT to Latham Creek Intermittent Corps 9 10 Average(feet) (linear feet) sg Site 5-Bridge installation Permanent Bank Stabilization Gum Swamp Perennial Corps 15 7 Average(feet) (linear feet) S10 Site 5-Bridge installation Temporary Other Gum Swamp Perennial Corps 15 155 Average(feet) (linear feet) S11 Site 7-Culvert installation Permanent Culvert UT to Smithwick Creek Perennial Corps 5 128 Average(feet) (linear feet) 812 Site 7-Culvert installation Temporary Dewatering UT to Smithwick Creek Perennial Corps 5 20 Average(feet) (linear feet) S13 Site 8-Culvert installation Permanent Culvert Jacks Swamp Perennial Corps 12 286 Average(feet) (linear feet) S14 Site 8-Culvert installation Temporary Dewatering Jacks Swamp Perennial Corps 12 9 Average(feet) (linear feet) S15 Site 9-Culvert installation Permanent Culvert UT to Smithwick Creek Perennial Corps 4 227 Average(feet) (linear feet) S16 Site 9-Culvert installation Temporary Dewatering UT to Smithwick Creek Perennial Corps 4 36 Average(feet) (linear feet) S17 Site 10-Culvert installation Permanent Culvert UT to Smithwick Creek Intermittent Corps 8 129 Average(feet) (linear feet) 618 Site 10-Culvert installation Temporary Dewatering UT to Smithwick Creek Intermittent Corps 8 13 Average(feet) (linear feet) s19 Site 11-Culvert installation Permanent Culvert UT to Smithwick Creek Perennial Corps 3 512 Average(feet) (linear feet) S20 Site 11-Culvert installation Permanent Dewatering UT to Smithwick Creek Perennial Corps 3 42 Average(feet) (linear feet) S21 Site 12-Culvert installation Permanent Culvert UT to Smithwick Creek Perennial Corps 3 40 Average(feet) (linear feet) 322 Site 12-Culvert installation Temporary Dewatering UT to Smithwick Creek Perennial Corps 3 10 Average(feet) (linear feet) S23 Site 13-Culvert installation Permanent Culvert UT to Smithwick Creek Perennial Corps 5 169 Average(feet) (linear feet) S24 Site 13-Culvert installation Temporary Dewatering UT to Smithwick Creek Intermittent Corps 5 20 Average(feet) (linear feet) 3i.Total jurisdictional ditch impact in square feet: 0 3i.Total permanent stream impacts: 3i.Total temporary stream impacts: 2,383 344 3i.Total stream and ditch impacts: 2727 3j.Comments: See the permit summary impact table located within the attached Wetland and Stream Permit Drawings.Project results in 2341 linear feet of permanent and 385 linear feet of temporary impacts to jurisdictional streams. 4.Open Water Impacts 4a. Site# 4a1.Impact Reason 4b.Impact type 4c.Name of waterbody 4d.Activity type 4e.Waterbodytype 4f.Impact area 12 Roadway fill P Pond PA Fill Pond 0.50 4g.Total temporary open water Impacts: 4g.Total permanent open water impacts: 0.00 0.50 4g.Total open water impacts: 0.50 4h.Comments: See the permit summary impact table located within the attached Wetland and Stream Permit Drawings. 6. Buffer Impacts(for DWR) 6a.Project is in which protect basin(s)? Deck all that apply. r Neuse 17 Tar-Pamlico I-Catawba I- Randleman I-Goose Creek I-Jordan Lake [Other 6b.Impact Type 6c.Per or Temp 6d.Stream name 6e.Buffer mitigation required? 6f.Zone 1 impact 6g.Zone 2 impact Site 1-Culvert installation P UT to Old Ford Swamp 1 No 5,529 4,527 Site 1-Utility relocations P UT to Old Ford Swamp No 2,621 1,545 Site 2-Culvert installation P UT to Latham Creek Yes 16,327 10,878 Site 3-Culvert installation P UT to Latham Creek Yes 14,972 8,618 Site 4-Culvert installation P UT to Latham Creek Yes 8,377 5,662 Site 4-Utility relocations P UT to Latham Creek Yes 1,376 874 Site 5-Bridge construction P Gum Swamp Yes 8,230 5,181 Site 5-Utility relocations P Gum Swamp Yes 4,500 3,387 6h. Total buffer impacts: Zone 1 Zone 2 Total Temporary impacts: 0.00 0.00 Zone 1 Zone 2 Total Permanent impacts: 61,932.00 40,672.00 Zone 1 Zone 2 Total combined buffer impacts: 61,932.00 40,672.00 6i.Comments: See the permit summary impact table located within the attached Buffer Permit Drawings. E. Impact Justification and Mitigation U 1.Avoidance and Minimization 1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project: Avoidance and Minimization has been addressed through the Merger Process.Proposed fill slopes in wetlands have been set at 3:1 or less,to reduce the impact foot print.Bridge construction will not result in interior bents in the stream.Waterline relocations will be bored from high ground to high ground.Hand clearing for overhead utilities has been minimized,but construction corridors will be wider that 40'in some areas due to prosmity to roadway construction clearing. lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques: The project will follow NCDOT guidelines and BMP's for culvert installation and we will implement an erosion control plan,prior to any land disturbing activities. 2. Compensatory Mitigation for Impacts to Waters of the U.S.or Waters of the State 2a.Does the project require Compensatory Mitigation for impacts to Waters of the U.S.or Waters of the State? 6' Yes rNo 2c.If yes,mitigation is required by(check all that apply): 17 DWR fJ Corps 2d.If yes,which mitigation option(s)will be used for this project? n Mitigation bank 17 Payment to in-lieu fee r Permittee Responsible program Mitigation 4. Complete if Making a Payment to In-lieu Fee Program 4a.Approval letter from in-lieu fee program is attached. ( Yes ( No 4b.Stream mitigation requested: (linear feet) 4c.If using stream mitigation,what is the stream temperature: 2083 warm 4d.Buffer mitigation requested(DWR only): 4e.Riparian wetland mitigation requested: (square feet) (acres) 88,382 3.771 4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested: (acres) (acres) 0.350 0 4h.Comments Approval letter will be submitted when received from DMS. 6. Buffer mitigation(State Regulated Riparian Buffer Rules)-required by DWR 6a.Will the project result in an impact within a protected riparian buffer that requires buffer mitigation?If yes,you must fill out this entire form-please contact DWR for more information. ( Yes rNo 6b.If yes,then identify the square feet of impact. 6c.Reason for impact 6d.Total impact Multiplier 6e.Required mitigation (square feet) (square feet) Zone 1 Roadway construction and utility relocations 53,782 3 161,346 Zone 2 Roadway construction and utility relocations 34,600 1.5 51,900 6f.Total buffer mitigation required 213246 6g.If buffer mitigation is required,is payment to a mitigation bank or NC Division of Mitigation Services proposed? ( Yes r No 6j.Comments: See the permit summary impact table located within the attached Buffer Permit Drawings. F. Stormwater Management and Diffuse Flow Plan (required by DWR) 1. Diffuse Flow Plan la.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules? ( Yes rNo What type of SCM are you providing? n Level Spreader (7 Vegetated Conveyance(lower SHWT) n Wetland Swale(higher SHWT) n Other SCM that removes minimum 30%nitrogen r Proposed project will not create concentrated stormwater flow through the buffer 2.Stormwater Management Plan 2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?* ( Yes r No Comments: G. Supplementary Information 1. Environmental Documentation 1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?* ✓ Yes (' No lb.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(North Carolina) Environmental Policy Act(NEPA/SEPA)?* ✓ Yes f No 1c.If you answered"yes"to the above,has the document review been finalized by the State Clearing House?* ✓ Yes (' No 2.Violations(DWR Requirement) 2a.Is the site in violation of DWR Water Quality Certification Rules(15ANCAC 2H.0500),Isolated Wetland Rules(15A NCAC 2H.1300),or DWR Surface Water or Wetland Standards or Riparian Buffer Rules(15A NCAC 2B.0200)?* (' Yes rNo 3. Cumulative Impacts(DWR Requirement) 3a.Will this project result in additional development,which could impact nearby downstream water quality?* (' Yes r No 3b.If you answered"no,"provide a short narrative description. NEPA Documentation 4.Sewage Disposal(DWR Requirement) 4a.Is sewage disposal required by DWR for this project?* C Yes r No C N/A 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 (' No 5c.If yes,indicate the USFWS Field Office you have contacted. Raleigh 5d.Is another Federal agency involved?* C Yes r No C Unknown 5e.Is this a DOT project located within Division's 1-8? r Yes C No 51.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? NEPA Documentation and field surveys completed July and September 2017.Surveys are currently being updated. 6. Essential Fish Habitat(Corps Requirement) 6a.Will this project occur in or near an area designated as an Essential Fish Habitat?* (' Yes r No 6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?* Essential Fish Habitat Mapper 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?* ✓ Yes (' No 7b.What data sources did you use to determine whether your site would impact historic or archeological resources?* NEPA Documentation,Historic Architectural Resources Survey Report dated March 2011,Assessment of Effects dated March 2018 8. Flood Zone Designation(Corps Requirement) 8a.Will this project occur in a FEMA-designated 100-yearfloodplain?* R Yes r No 8b.If yes,explain how project meets FEMA requirements: NCDOT Hydraulics Unite coordination with FEMA 8c.What source(s)did you use to make the floodplain determination?* FEMA Maps Miscellaneous Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one file when possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred. Click the upload button or drag and drop files here to attach document R-2511_HYD_SMPv2.08_(20210609)(Apr 2018).pdf 323.97KB R2511_Permit Drawings_20210609.pdf 17MB R2511_Permit Drawings_BUFFER_20210609.pdf 2.85MB R2511_Utility Permit Drawings_20210617.pdf 8.33MB R2511_Utility Permit Draetngs_BUFFER_20210609.pdf 2.1MB R2511EffectsMarch2018.pdf 4.92MB SAW-2004-11082 NCDOT R-2511 PJD.pdf 259.81KB R-2511 4B Minutes.pdf 1.02MB R-2511 4C Minutes.pdf 91.65KB R2511_EA_reduced.pdf 40.72MB R2511_SFONSI.pdf 36.18MB He mist be FCF or KW Comments NEPA documentation,permit and buffer drawings,and other supporting documentation attached. Signature * 17 By checking the box and signing below,I certify that: • The project proponent hereby certifies that all information contained herein is true,accurate,and complete to the best of my knowledge and belief;and • 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 have given true,accurate,and complete information on this form; • I agree that submission of this PCN 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 PCN form. Full Name: Paul Collins Williams,Jr. Signature 'Cuu,,3�tw .r.rT Date 6/23/2021