20220805 Ver 3_Pre-filing meeting request_20220913

Project Submittal Interim Form
NORTH CAROLINA
fnvrronmentul duality
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)
O New Project
O Modification/New Project with Existing ID
O More Information Response
O Other Agency Comments
O Pre -Application Submittal
O Re-Issuance\Renewal Request
") Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
4/19/2022
Project Contact Information
Name: Daniel Zurlo
Who is submitting the information?
Email Address:*
[e-mail]
Project Information
Project Name: *
Poplar Glen Stormwater Improvements
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)*
l
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Project Location.pdf 2.66MB
Only pdf or kmz files are accepted.
Describe the attachments or add comments:
Please consider this the pre -filing meeting request for the Poplar Glen Stormwater improvements project. A
PCN pursuant to NWP 13 is forthcoming.

* ) 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 once submitted.