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Home My WebLink About20220623 Ver 1_401 Application_20220502Staff Review Form NORTH CAROLINA Ertrlmnmertlrtl Quality Updated September 4, 2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID# * 20220623 Version* 1 Is this project a public transportation project?* Reviewer List:* Select Reviewing Office: * Submittal Type:* Yes No Doug Perez:eads\djperez Mooresville Regional Office - (704) 663-1699 401 Application 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 Pre -Filing Meeting Date Request was submitted on: 2/21/2022 Project Contact Information Name: Kevin Thomas Who is submitting the information? Email Address: kthomas@cecinc.com Project Information Project Name: Upper Forney 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 County (ies) Lincoln Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document PCN_FillableForm_v4-3_04202022_UpperForney.pdf 379.81 KB DWR Pre -Filing Meeting Request.pdf 102.71KB 306602_FIG1_VICINITY_MAP.pdf 1.12MB 306602_FIG2_USGS_TOPO_MAP.pdf 1.83MB 306602_FIG3_AERIAL_MAP.pdf 1.15MB 306602_FIG4a_CURRENT_SOILS_MAP.pdf 1.28MB 306602_FIG4b_PUBLISHED_SOILS_MAP.pdf 1.23MB 306602_FIG5_WATERS_MAP.pdf 2.64MB 306602_FIG6_JD_MAP_11 x17.pdf 5.44MB 306602_S H PO_MAP. pdf 1.15MB 306602_StreamlmpactTable.pdf 102.55KB 306602-Upper Forney Stream Restoration-60% 43.86MB Design.pdf 306602-EC01-EPSC.pdf 3.35MB USFWS 2022a_Official Species List_ Asheville 194.67KB Ecological Services Field Office.pdf USFWS 2022b_Biological Assessment 2022-04- 588.81 KB 28.pdf Old Stumpy Preserve Baseline Documentation 2.18MB Report.pdf Signed Saint James Preserve Baseline 2.49MB Documentation Report.pdf Only pdf or kmz files are accepted. Describe the attachments or comments: Hello, please find the attachments for the Application Request Package for scheduling and review. Upon review of the attachments, please provide any comments via the Comment Response Matrix (CRM) for the administrative record. Thank you! (The comprehensive list of all project attachments is as follows:) - PCN Fillable Form v4.3 for Upper Forney Stream Restoration Project - DWR Pre -Filing Meeting Request Form - Figures 1-6: Vicinity Map, USGS Topographic Map, Aerial Map, NRCS Current Soils Map, NRCS Published Soils Map, NWI/NHD Map, & Pre -JD Features Map. - NC SHPO Map - Stream Impact Table - Upper Forney Stream Restoration 60% Design Plan Set - Upper Forney Stream Restoration 60% Design Erosion Prevention and Sediment Control Plans and Details - USFWS Official Species List Report - USFWS Biological Assessment Report - Old Stumpy Preserve Baseline Documentation Report - Saint James Preserve Baseline Documentation Report 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: d Submittal Date: Is filled in automatically.