20211579 Ver 1_Quick Sheet For Using the Supplemental Information Form_20211102

Carpenter,Kristi
From:Carpenter,Kristi
Sent:Tuesday, November 02, 2021 9:08 AM
To:Williams, Paul C
Subject:RE: 401 PCN Application Submittal - Hertford Bridge 97 Replacement Project
Attachments:Quick Sheet For Using the Supplemental Information Form For Modifications,
Revisions, or New Projects with Existing ID.pdf
Paul,
Just to follow up Project ID Number is 20211579 Version 1.
Attached is the Quick Sheet on how to use the Supplemental Information Form which gives just a snapshot of how the
form can be used in this situation and which agencies will receive a copy.
Thanks so much for following up with me to get this resolved.
I am also going to be requesting IT look into this situation.
Thanks,
Kristi Lynn

From: Williams, Paul C <[e-mail]>
Sent: Friday, October 22, 2021 2:21 PM
To: Carpenter,Kristi <[e-mail]>
Cc: Ward, Garcy <[e-mail]>
Subject: FW: 401 PCN Application Submittal - Hertford Bridge 97 Replacement Project

Kristi Lynn,

There are no utility impacts with this project and should not require an Individual Certification.

Thanks,

Paul C. Williams, Jr.
Division Environmental Officer
Division One
NC Department of Transportation

[phone] office
[phone] mobile
[phone] fax
[e-mail]

113 Airport Dr.
Suite 100
Edenton, NC 27932

1

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.

From: [e-mail] <[e-mail]>
Sent: Friday, October 22, 2021 2:12 PM
To: Williams, Paul C <[e-mail]>
Subject: 401 PCN Application Submittal - Hertford Bridge 97 Replacement Project

Your pre-construction notification application has been submitted to the North Carolina Division of Water
Resources - 401 Buffer Permitting Branch.
The time clock for the review process will not begin until after the initial review has been done and payment
received. If the application is incomplete a project manager will be contacting you to request more
information.
If you have any questions, or are experiencing any issues with the PCN online form, please contact Bev
Strickland at [e-mail].
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address,
as responses aren’t monitored.
2

Quick Sheet Using Supplemental Information Form for Transportation Permitting Branch to
submit Modifications/Revisions
The following link will always have the most updated form(s) available for use:
https://edocs.deg.nc.gov/Forms/form/new/80
The following form is a screen shot of the current form as of June 22, 2020 and shows the Modification/New Project
with Existing ID Form located at the link above.
Items to be filled out are marked by red numbers and correspond to the list below.
For any questions regarding this process please contact Kristi Lynn Carpenter at 919.707.8785 or
[e-mail].
1. Choose the Modification/New Project with Existing ID option.
2. For Submittal Type Choose Modifications.
3. Fill in your name and email under the Project Contact Information.
4. Fill in the existing Project ID#and current version number.
5. Fill in the project name with the actual descriptive name. Please do not use just a TIP or WBS Element number.
Choose yes that it is a Public Transportation Project. Choose the appropriate radio button for information on the
project being located within a NC DCM Area of Environmental Concern (AEC).
6. Choose the County. You can add additional counties if needed by clicking the Add another county option.
7. Upload any documents related to the modification/revision.
8. Use the Describe the attachments box to fill in any information you normally provide to describe the
modification. Please include the previous DWR Number when applicable.
9. Check the signature box and then Sign using the verification process.
10. Choose Submit to send immediately or Save as Draft to save a copy to amend before submitting.
Once you have submitted the form, it will be routed according to how you have completed the information. When using
the form per the instructions above,the steps below will all be true statements.
A copy of the form always goes to the Central Transportation Permitting Office to be verified and then linked into the
proper project folder inside of Laserfiche. The link provided when the application was originally received and assigned
will still be functional and contain all original documents and revised document(s). Once the document(s) is uploaded it
will be placed in the reviewers' queue so they will be on a deadline to take appropriate actions to review the project and
issue letters regarding their findings.The deadline can be subject to change from the original deadline depending on the
document(s) provided.
A copy of the form always goes to the Army Corps of Engineers concurrently.
A copy of the form will be sent to DCM if the Yes radio button has been chosen that the project is located within an AEC.
A copy of the form will be sent to the Wildlife Resources Commission if within a trout watershed based on county.

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SubmittalProject
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UpdaM June 20,21317
Pease note:fieUs marked 4tl a red asterisk*betow are required. You w9l not be able to submit the form until a.'.'
mandatory questions are ariswered.
Project Type; r, New Project s; New Project with Existing ID
( tare-Application Submittal ;_; More Information Response
Other Agency Comments ;_; Stream Or Buffer Appeal
For the Record Only{Courtesy Copy}
M2 Submittal Type:;'
v
Value is mgwreU.
New Project-Please check the new project type if you are trying to submit a new projectthat needs an official approval
decision.
Pre-Application Submittal-Please check the pre-application submittal R you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response-Please check this type'H you are responding to a request for information from staff and you
have and ID#and version for this response.
Other Agency Comments- Please check this if you are submitting comments on an existing project.
F3� Project Contact Infonnation
.............................................................................................................................................................................................................................................................................................................................
Name:
VWhD is submiting the kfamE ion?
Email Address:
Project Information
_..............................................................................................................................................................................................................................................................................................................................................................
nExisting ID#: Existing Version:
2GI740O9(nn dashes) I

n5 Project Name:;'
Is this a pu biic transportation project?
0 Yes
O No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
0 Yes 0 No 0 Unknown
F6� County(ies)*
Add another county
Please upload all files that need to be subrnited.
n v ok-Fe upload burton or d•ag and d•op files here to attach docu mend
Upload
On y pdf or Irriz files are acceated.
Describe the attachments or add comments;
F8�
O By checking the box and signing box below, I certify that
o I have given true, accurate,and complete information on this farm;
o I agree that submission of this form is a"transaction::subject to Chapter 66;Article 40 of the NC General Statutes(the
"Uniform ElectronicTransactionsAct')
agree to conduct this transaction by electronic means pursuant to Chapter 66:Artide 40 of the NC General Statutes
(the`Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature;AND
o I intend to electronically sign and submit the online farm."
Signature: ` Sign
Submittal Date:
Is filled in aummatically once submitted.
1p Save as Draft