20220972 Ver 1_401 Application_20220718

Staff Review Form
NORTH CAROLINA
Envlronm¢ntcl Qvofiry
Updated September 4, 2020
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#*
20220972
Version* 1
Is this project a public transportation project?*
Reviewer List:*
Select Reviewing Office: *
Submittal Type:*
Yes
• No
Paul Wojoski:EADS\pawojoski
Central Office - [phone]
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:
6/17/2022
Project Contact Information
Name:
Meagan Jolly
Who is submitting the information?
Email Address: [e-mail]
Project Information
Project Name: Ammons Property
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)
Wake
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
220715_Supplemental Information - ENG Form 4345
(Finalized) Ammons revl.pdf
Ammons Property - Buffer SOA 06-24-2022.pdf
Ammons Property - Wetland & Stream SOA 06-24-
2022.pdf
wetlands-waters.com Mail - 404_401 Application 30-
Day Pre -file Notification.pdf
2022.06.30.Ammons Impact Exhibit.pdf
220630_ENG Form 4345 Standard Permit
Application signed.pdf
Only pdf or kmz files are accepted.
322.6KB
571.11KB
543.29KB
183.23KB
3.22MB
221.36KB

Describe the attachments or
comments:
SAW-2022-00367 Ammons Property
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.