20211721 Ver 1_PRE_app_request_20220829

11/29/21, 1:25 PM
Submission Completed
Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:
Is this a transportation project?*
Matthew Martin
[e-mail]
NCDOT'Divison 7
U-4015A Proposed improvements to Gallimore Diary Road (SR 1556) from
NC 68 to Airpark Drive in Guilford County.
I=
Street Address
1584 YANCEYVILLE STREET
Address Line 2
City
GREENSBORO
Postal / Zip Code
27415
Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Individual Permit
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
Yes No
Please list all existing project ID's associated with this projects.*
SAW-2019-00840
State / Province / Region
NC
Country
USA
401 Water Quality Certification - Express
Modification
Do you know the name of the staff member you would like to request a meeting with?
Ryan Conchilla
Please give a brief project description below and include location information.*
The North Carolina Department of Transportation (NCDOT') proposes improvements to Gallimore Diary Road (SR 1556)
Prom NC 68 to Airpark Drive in Guilford County. This section of road is currently two to three lanes and will be widened to
five lanes. Draft permit drawings are attached.
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2

11 /29/21, 1:25 PM
Submission Completed
Please attach the documentation you would like to have the meeting about.
U-4015A-Pe;rmit.pdf 6.; 7MB
pdf only
I y digitally signing lbellow, II ceirtiity that II Ih ve read and understood that 1peir the IFedleir ll Clean Wtear Act Section
01 eirtiitiic tiion IRulle the following t tement :
This torirnn coirnnjpl ; es Hhe irequiireirneiI of Hhe IPire-Filing I ee iron IRegtjess in Hhe Clean i a/ air Act Section 401
ertiitiioatiiorn IRule.
II urndersWind lby signing tlhiis torirnn tllhat II oarninot sulbirnrniit irnrny applliioatiiorn un iill 30 Calendar days atteir tlhiis Ipire-filing
inneetiing irequ esL
II allso urndersWind tllhat ICDWIR its snot irequired to irespoind or agir int Hhe inneetiing irequesL
Youir IpirojeU's tlhniirty-day Clock started upoin ireceiijpa of Uhniis applliioatiiorn. You will ireceiive rnotiitiioatiiorn regarding irnnee iirnag
Ilooatiiorn and Hirnne iit a irnnee iirnag its necessary. You will ireceiive rnotiitiioatiiorn vu1hein Hhe tlhniirty-day Clock Imes expired, and you
can sulbirnniit an applliicaboin.
Signature*
Submittal Date 11/29/2021
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2