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HomeMy WebLinkAbout20210927 Ver 1_Other Agency Submittal_20210928 Staff Review Form • NORFH CA.,i0:INA En vironmenfrr!QvoGry 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* 1 20210927 Is this project a public transportation project?* (' Yes r No Is this a DOT r Yes ( No project?* Reviewer List:* Garcy Ward:eads\gpward Select Reviewing Office:* Washington Regional Office-(252)946-6481 Does this project require a request for payment to be sent?* C' 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:* r For the Record Only(Courtesy Copy) r New Project r Modification/New Project with Existing ID ✓ More Information Response ✓ Other Agency Comments ✓ Pre-Application Submittal ✓ Re-Issuance\Renewal Request ✓ Stream or Buffer Appeal Is this supplemental information that needs to be sent to the Corps?* ✓ Yes 6* No Please choose the commenting agency.* ✓ DCM Comments r DCM Permit ✓ DFM Comments r USFWS Comments r WRC Comments r Other Project Contact Information ....................................................................................................................................... Name: Maria Dunn Who is submitting the information? Email Address: maria.dunn@ncwildlife.org Project Information ................ Existing ID#: Existing Version: 20210927 1 20170001(no dashes) 1 Project Name: MCAS- Project P134? Perimeter Security Compliance, Slocum Road Entry Control Facility Is this a public transportation project? ✓ Yes 6* No Is the project located within a NC DCM Area of Environmental Concern (AEC)? ✓ Yes r No r Unknown County(ies) Craven Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach docurrent USACE_SAW-2021-00067_MCAS Cherry 150.77KB Point_Slocum Road_NCWRC.pdf Only pdf or knz files are accepted. Describe the attachments or comments: 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: itathu Pita Submittal Date: Is filled in autorretically.