The URL can be used to link to this page

Home My WebLink About20201589 Ver 1_Individual_20220112 o 0 vim. NORTH CARO.INA Staff Review Form Envlmnm¢ntrtl Qvofiry Updated September2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 1 20201589 Is this project a public transportation project?* Yes No Is this a DOT Yes No project?* Reviewer List:* Donna Hood:eads\drhood Select Reviewing Office:* Mooresville Regional Office-(704)663-1699 Submittal Type:* Individual Does this project require a request for payment to be sent?* Yes 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:* 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: David B Petty Who is submitting the information? Email Address: dpetty@tgsengineers.com Project Information Project Name: B-5845, Replacement of Bridge#25 on SR 2033(Oak Grove Road)over Buffalo Creek; NCDOT Division 12,Cleveland County, NC 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#: WBS#: B-5845 45798.1.1 (Applies to DOT projects only) County(ies) Cleveland Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document B-5845_Individual Permit Cover Letter 20211220.pdf 304.63KB B-5845_Eng_Form_4345_20120CT.pdf 115.45KB B-5845_Preliminary ORM Data Entry Fields for New 37.1 KB Actions[17604].pdf B-5845 DFHL Survey Addeddum 8-30-21.pdf 671.87KB B-5845 Historic NoSurvey 2021.pdf 1.25MB B-5845 No Historic Prop.pdf 2.02MB B5845 NRTR.pdf 5.66MB B-5845 Section 7 Consultation NLEB.pdf 122.85KB B-5845_OtherSpeciesSurvey.pdf 5.33MB B-5845_Permit Drawings_20211220.pdf 5.22MB B-5845_Section 106 Requirements_20210913.pdf 227.58KB STIP B-5845 NCWAM Forms.pdf 245.87KB STIP B-5845 NRTR Addendum 11-24-2021.pdf 1.99MB 21-09-14_PJD Form+FeatMap_B- 2.72MB 5845_OakGroveRd-Cleveland_16-10-27.pdf 2021.12.20 B-5845 MCDC Final.pdf 1.45MB Accept_SR 2033_Bridge 220025_Div 12.pdf 208.39KB B-5845 AR16-01-0066NoSurveyRevisitCorrected.pdf 2.48MB Only pdf or kmz files are accepted. Describe the attachments or comments: Please see attached cover letter dated 12/20/2021 which gives description and and lists all attachments. NCDOT representatives and their consultants met onsite with Ms. Donna Hood NCDWR and Mr. Eric Alsmeyer USACE on 12/17/2021. Please let me know if you need anything else. David Petty 770-310-1052 dpetty@tgsengineers.com 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.