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Project Submittal Interim Form
Updated September 4, 2020
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
Pre-Filing Meeting Date Request was submitted on:
Is this supplemental information that needs to be sent to the Corps?*
Yes No
Please choose the commenting agency.*
DCM Comments DCM Permit
DFM Comments USFWS Comments
WRC Comments Other
Project Contact Information
Name: Dave McHenry
Who is submitting the information?
Email Address:* [e-mail]
Project Information
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4/28/22, 12:58 PM Message Start Event I Laserfiche Forms
Existing ID#:*
20140762
20170001 (no dashes)
Existing Version:*
7
Project Name:* Request for Modification to Section 404 Individual Permit and Section 401 Water
Quality Certification for US 221 Widening from US 421 to US 221
Business/NC88, Watauga and Ashe Counties
Is this a public transportation project?*
Yes
No
Is this a DOT project?*
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
Yes No Unknown
TIP#: WBS#:
R-2915D 34518.1.FR6
(Applies to DOT projects only)
County (ies)*
Ashe
Watauga
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
R-2915D IP modification SAW 2012-008... 338.75KB
Only pdf or kmz files are accepted.
Describe the attachments or add comments:
Please accept the attached comments from the NCWRC on the subject IP modification request. Thanks
*
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.
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4/28/22, 12:58 PM Message Start Event I Laserfiche Forms
• 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 once submitted.
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