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Home My WebLink About20211838 Ver 1_More Information Received_20220214 sy STAT Staff Review Form NORTH CAROLINA Envlronm¢ntcl Qvoray Updated September 4,2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 1 20211838 Is this project a public transportation project?* Yes No Is this a DOT 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?* 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 Is this supplemental information that needs to be sent to the Corps?* Yes No Project Contact Information Name: Paul Williams Who is submitting the information? Email Address: pcwilliams2@ncdot.gov Project Information Existing ID#: Existing Version: 20211838 1 20170001(no dashes) 1 Project Name: NCDOT-NC 125/SR 1142(R-4705) 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#: R-4705 38932.1.FD 1 (Applies to DOT projects only) .............................................................................................................................................................................................................................................................................................................................................. County(ies) Martin Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document R4705_PermitDrawings_20220121.pdf 17.1MB R-4705_HYD_SMPv2.08_(20220121)(Apr 2018).pdf 133.91KB R4705_PermitDrawings_BUFFER_20220121.pdf 2.95MB Only pdf or kmz files are accepted. Describe the attachments or comments: Revisions to the permit drawings.The initial submission did not include wetland impacts at Site 7.A culvert replacement at Site 7A was also omitted in the initial submission.These revisions increase the permanent fill in wetlands by 0.03 acres at Site 7 and increase permanent stream impacts by 44 linear feet and temp.stream impacts by 26 linear feet at Site 7A.All additional impacts are included on the revised impact summary on the permit attached permit drawings. 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: ,271244e.C-i've4ed,�..cr ,..( . Submittal Date: 02/14/2022 Is filled in automatically.