20180957 Ver 2_401 Application_20211217

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version* 2
20180957
Is this project a public transportation project?* Yes
• No
Reviewer List: * Bev Strickland:eads\bjstrickland
Select Reviewing Office: * Winston-Salem Regional Office - [phone]
Does this project require a request for payment to be sent?*
Yes
No
How much is owed?* $240.00
$570.00

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: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Project Contact Information
Name: William Sullivan, PWS
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #:
SAW-2017-01430
20170001(no dashes)
Existing Version:
1
1
Project Name: Greensboro Downtown Greenway Phase 4 and College Branch Stream Restoration
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
TIP#:
County (ies)
Guilford
WBS#:
(Applies to DOT projects only)

Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
01_DTGW_Modification_CoverLetter.pdf
123.09KB
02_Signed_AAForm_DTGW. pdf
67.66KB
03a_DGP4_CollegeBranchEnhancement.pdf
10.8MB
03b_DGP4_ConstructionDrawings.pdf
38.39MB
03c_DGP4_ErosionControls.pdf
24.3MB
03d_DGP4_Utilities.pdf
18.67MB
04a_DGP4_Stream_Permit_Package_MOD.pdf
21.75MB
04b_DGP4_Buffer_Permit_Package_MOD.pdf
23.12MB
05 C&B Buffer SOA - Greensboro Downtown
155.57KB
Greenway Project.pdf
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
On behalf of our client, the City of Greensboro, Kimley-Horn is requesting a modification to the previously
approved Section 404/401 Nationwide Permit (SAW-2017-01430) and Jordan Lake Watershed Riparian Buffer
Authorization (NCDWR #20180957) for the above referenced project in Guilford County. The project was
originally permitted in July 2018 under a NWP 3, NWP 14, and NWP 27. An approved 404 permit was issued
by Mr. David Bally of the USACE on August 6, 2018. An approved 401 permit was issued by Ms. Sue
Homewood of NCDWR on August 27, 2018.
Please see the attached cover letter for additional project information. To assist in your review of this
modification request, the following information has been included:
• Cover Letter and Narrative with updated impact tables
• Signed Agent Authorization Form
• Revised Plan Sheets
• Revised Permit Impact Drawings
• Mitigation Bank Statement of Availability
If there is any additional information you need to assist in the processing of this permit modification request,
please do not hesitate to contact me at [phone] or [e-mail].
Sign and Submit
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:
Submittal Date: Is filled in automatically.