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Home My WebLink About20181598 Ver 7_401 Application_20220304 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* 7 20181598 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 Project Contact Information Name: Gordon Cashin Who is submitting the information? Email Address: gcashin@ncdot.gov Project Information ...................................................................................................................................................................................................................................................................................................................................................................................................... Existing ID#: Existing Version: 20181598 5 20170001(no dashes) 1 Project Name: Havelock Bypass, US 70 R-1015 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-1015 34360 (Applies to DOT projects only) ...................................................................................................................................... County(ies) Craven Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document R-1015 Individual Modification Craven March 4 4.42MB 2022.pdf Only pdf or kmz files are accepted. Describe the attachments or comments: See attached cover letter, DMS Mitigation Letter,and Revised 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: not4 C. 46 z4,6a,¢, I!! Submittal Date: 3/4/2022 Is filled in automatically.