20211491 Ver 1_401 Application_20211012

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Staff Review • �r
NORTH CAROLINF
£nrlronmenrcl Q�eafrry
Updated September
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#* Version*
20211491
Is this project a public transportation project?* r Yes
r No
Is this a DOT r Yes r No
project?*
Reviewer List:* Garcy Ward:eads\gpward
Select Reviewing Office:* Washington Regional Office-[phone]
Does this project require a request for payment to be sent?
r
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
r More Information Response
r Other Agency Comments
r Pre-Application Submittal
r Re-Issuance\Renewal Request
r Stream or Buffer Appeal
Project Contact Information
Name: Paul Williams
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: Pasquotank Bridge 25 Replacement Project
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
TIP#: WBS#:
17BP.1.R.99
(Applies to DOT projects only)
County(ies)
Pasquotank
Please upload all files that need to be submited.
Oickthe upload button or drag and drop files here to attach document
NCWRC Email.pdf 33KB
CAMA Non-JD Email.pdf 43.32KB
Pasquotank_25_PermitDraWngs_2021-09-27.pdf 1.29MB
Pasquotank Bridge 25-Tribal Coordination Letter-
124.1 KB
Catawba.pdf
19-08-0015NoSurveyReq.pdf 2.51 MB
PA 19-08-0015 Pasquotank(NSR).pdf 6.44MB
Bridge 25 Study Area.pdf 1.36MB
Bridge_25_locmap.pdf 1.09MB
Pasquotank 25 Photo.pdf 2.35MB
Only pdf or krre files are accepted.

Describe the attachments
or comments:
Project would replace a 43' long X 28'wide 2 span bridge with a 55' long X 33'wide single span bridge on SR
1144 Foreman Bundy Road in Pasquotank County. Bridge crosses an unnamed canal to the Little River,
Stream Index 30-5-(1), Classification: C;Sw, in the Pasquotank River Basin. Project would perm. impact 39
linear feet of the stream and<0.01 acre of surface waters. No deck drains would be on the bridge.
Stormwater would be diverted to proposed grass swale for treatment prior to entering the stream.
Lat. 36.271115' Long.-76.318645'
Sign and Submit
......................................................... ...............................................................................................................................................................................................................................................................................................................................
W By checking the box and signing box below, I certifythat:
■ 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");
■ 1 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:
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Submittal Date: 10/12/2021
Is filled in autorratically.