20200859 Ver 3_401 Application_20230127

DWR
Oivlslan of Water Resources
la. Name of project:
Yadkin Regional Water Supply Project
la. Who is the Primary Contact?
Eric Mularski
1 b. Primary Contact Email:
[e-mail]
Site Coordinates
Latitude:
35.14193
A. Processing Information
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Longitude:
-80.35764
lc. Primary Contact Phone:
[phone]
Pre -Filing Meeting Date Request was submitted on:
12/27/2022
County (or Counties) where the project is located:
Stanly
Union
Nearest Body of Water
Is this a NCDMS Project*
0 Yes ® No
Is this project a public transportation project?
Yes ® No
la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
0 No
Please provide the date of the previous submission.*
6/29/2020
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
❑ 401 Water Quality Certification - Express
❑ Riparian Buffer Authorization

le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: 0 Yes ® No
For the record only for Corps Permit: 0 Yes O No
1f. Is this an after -the -fact permit application?
Yes • No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
• Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes • No
1j. Is the project located in a designated trout watershed?
u Yes a No
B. Applicant Information
1d. Who is applying for the permit?
Owner e Applicant (other than owner)
1 e. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Union County — Union County; Stanly County — Town of Norwood; permanent and temporary
easements will be owned by Union County and Town of Norwood (Stanly County). Additional adjacent
property owner information are detailed on attached impact drawings.
2b. Deed book and page no.:
2c. Contact Person:
Union County (POC) John Shutak, PE
2d. Address
Street Address
500 N. Main Street
Address Line 2
Suite 500
City State / Province / Region
Monroe NC
Postal /Zip Code Country
28112 USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
John Shutak, PE
3b. Business Name:
Union County
3c. Address
Street Address
500 N. Main Street
Address Line 2
Suite 500
City State / Province / Region
Monroe NC
Postal /Zip Code Country
28112 USA
3d. Telephone Number: 3e. Fax Number:
[phone]

3f. Email Address:
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Eric Mularski
4b. Business Name:
HDR
4c. Address
Street Address
440 S. Church Street
Address Line 2
Suite 1200
City State / Province / Region
Charlotte NC
Postal /Zip Code Country
28202 NC
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality/town:
Linear —Monroe, New Salem, Oakboro, Norwood
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
City
Postal /Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Included in Table D3 in original PCN submittal
3b. Water Resources Classification of nearest receiving water: *
Included in Table D3 in original PCN submittal
3d. Please provide the 12-digit HUC in which the project is located.
030401040203; 030401050405; 030401050406; 030401050503; 030401050506; 030401050507;
030401050702; 030401050705; 030401050707; 030401050708
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
4. Project Description and History
2b. Property size:
1875
State / Province / Region
Country
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The Study Area consists of single family residences, commercial, parks, schools, churches, agricultural fields, planted pines, roadside rights -of -way, and forested areas.
Reminder - this submittal is for an 404/401 permit extension request for a previously authorized permit.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
O Yes O No O Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
2.767

4g. List the total estimated linear feet of all existing streams on the property:
6719
4h. Explain the purpose of the proposed project:*
See attached 404/401 approvals and extension request.
The purpose and need for the newYadkin Regional Water Supply Pipelines (YRWSP) are to provide a long-term water supply to Union County's Yadkin River Basin Service Area. The
project includes the withdrawal of water from Lake Tillery, in Stanly County, for transfer to a new water treatment plant in Union County for treatment and distribution.
Existing Infrastructure
Union County (County) has seen significant growth over the past two decades and is expected to continue to have steady growth and development into the foreseeable future. In response
to this growth, the County has worked diligently to meet the increasing demands for public water supply and other services. Further, the County has completed an extensive water supply
planning effort, and has identified opportunities to provide a long-term, sustainable water supply solution for its citizens and community. The purpose and need for the YRWSP is to provide
a long-term water supply to Union County, Norwood, and surrounding areas and was fully detailed and studied in the YRWSP Environmental Impact Statement (EIS) (HDR 2015).
Environmental Background
In 2015, Union County completed an EIS regarding the YRWSP and Interbasin Transfer (IBT) Certificate for developing a long-term water supply for Union County. Union County obtained
a Record of Decision for this EIS on April 12, 2016 and subsequently received a Final Determination from the North Carolina Environmental Management Commission to grant an IBT
Certificate for the YRWSP on May 11, 2017.
In accordance with Duke Energy Lake Services' Conveyance Permit Application Part V, an application for this project was prepared for FERC review and approval to be used by FERC to
grant authorization to Duke Energy (i.e., licensee of the Yadkin -Pee Dee Project) to permit a non -project use of the project boundary (i.e., water withdrawal from Lake Tillery).
Proposed Infrastructure
The proposed design meets the project's purpose and need of delivering a safe, sustainable water supply to meet current and future water demands, as well as the associated
environmental impacts, mitigation measures, technical feasibility, and financial impacts. The project consists of construction of all the elements needed for the 42-inch and 54-inch
diameter raw water transmission pipelines, water treatment plant, and 36-inch diameter finished water distribution pipeline. All proposed pipes will be made of steel.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
See attached 404/401 approvals and extension request.
The Project will consist of a rawwater transmission pipeline (RVVTP), a water treatment plant (VVTP), and a finished water distribution pipeline (FVVDP). The RVVTP will consist of
approximately 24.9 miles of 42-inch pipeline that will be pumped to the Hydraulic Control Structure, at approximately STA 1314+00. From there it will be gravity fed through a 54-inch
pipeline to the water treatment plant approximately 5.1 miles away. The 36-inch FVVDP will then continue from the VVTP in a westerly direction to the terminus near the intersection of N.
Rocky River Road and Secrest Shortcut Rd approximately 10 miles away.
The Project is proposed to be installed within permanent easements to be purchased by Union County Public Works. Temporary easements necessary for construction of the proposed
pipeline will be acquired to provide equipment staging areas, and material storage areas and access to permanent easement areas during construction. The permanent easement width for
the RVVTP is 60 feet in most areas. The RTWP construction corridor width and permanent, maintained easement width are both proposed to be larger than the easement widths
recommended by the North Carolina Division of Water Resources (NCDVVR). The construction corridor width is proposed to be larger because of the size of pipe and associated
excavation, the need for temporary stream crossings and the size of equipment required for pipe installation. The RVVTP permanent easement width is proposed to be larger because a
second, parallel raw water pipeline is expected to be required in the future to meet projected future water demands. Acquisition of the larger RVVTP 60-foot permanent easements allows
the burden of the complex, lengthy and expensive real estate process to be reduced for both Union County and property owners. The permanent easement for the FVVDP is 25 feet wide
with a temporary construction easement width of 15 feet.
Installation of the Project will require temporary and permanent impacts to streams, wetlands and open waters. Temporary impacts are associated with temporary construction access and
installation of the raw water pipeline and associated infrastructure such as blow -off valves and relief valves. Permanent impacts to open waters are associated with moving the existing
dam to a location outside the permanent easement and filling to create uplands within open water OW 1 C.
All stream and wetland crossings are proposed to be constructed using open -cut installation methods. Open cut installation methods are proposed because the large diameter of pipe
which limits the use of trenchless technologies (e.g., horizontal directional drilling) to smaller pipes or longer installations. The use of open -cut installation methods also reduces the risk of
damage to surface waters associated with the release of drilling fluid used in horizontal directional drilling. Where the proposed raw water pipeline is installed within roadway
embankments, a jack -and -bore auger machine will be used to install a steel casing and raw water pipeline within the embankment.
Dewatering to install the Project below the streambed will allow the contractor to work in dry conditions and minimize downstream sedimentation. Temporary vehicle stream crossings will
utilize the design noted in Detail C-35-0704/D3. The use of a temporary impervious dike and bypass pumping system shall be employed for smaller streams and a temporary impervious
coffer dam flow diversion system shall be employed for larger streams. Excavated material will be temporarily stockpiled adjacent to the dewatered construction area and be replaced
following pipe installation. Dewatering of streams using an impervious dike and bypass pumping system shall last no longer than 24 hours. Dewatering systems will be completely
removed, and pre -construction contours will be restored, as soon as possible after pipe installation is complete.
Streams impacted by temporary construction activities will be restored to pre -construction contours as soon as possible after construction activity in each stream is complete. Stream
banks that are disturbed as part of the proposed pipelines installation will be stabilized with erosion control matting, straw mulch, temporary cover seed, and a permanent native seed mix.
Erosion control matting that includes plastic twine or mesh shall not be used on stream banks. Live stakes shall be used within temporary construction easements and within permanent
easements where they can be installed at least 20 feet away from the proposed pipe centerline.
Wetlands impacted by temporary construction activities will be restored to pre -construction contours as soon as possible after construction activity in each wetland is complete. During
excavation, topsoil will be removed separately and re -deposited on top of backfill material. Anti -seep collars will be installed downstream of wetland crossings and every 150 feet up the
gradient until the pipe exits the wetland. A temporary cover seed mix and a native wetland seed mix will be applied to all wetland areas impacted during construction. Straw mulch will be
applied over seed mixes to temporarily control erosion and provide conditions conducive to seed establishment.
Temporary erosion and sediment control measures shall be installed to reduce sediment loss from disturbed areas. Temporary measures proposed for this site include silt fence, tree
protection fence, stabilized construction entrances/exits, erosion control matting, inlet and outlet protection measures, fiber filtration tubes, temporary stream crossings and temporary
seeding. Temporary and permanent vegetative cover for disturbed areas will consist of a native seed mix and temporary cover species as recommended by North Carolina Department of
Environmental Quality (NCDEQ) Land Quality and the Natural Resources Conservation Service. Erosion control measures, including temporary stream crossings, shall be removed once
the site is stable and construction access is no longer needed.
Construction equipment anticipated to be used includes wheeled backhoes and loaders, tracked excavators, bulldozers, dump trucks, flatbed trucks, compaction equipment, skid steer
loaders, dewatering pumps, hand tools and jack -and -bore auger machine.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
SAW-2019-01144
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved u Not Verified v Unknown N/A
Corps AID Number:
SAW-2019-01144
5c. If 5a is yes, who delineated the jurisdictional areas?
0 Unknown
Name (if known): multiple field staff

Agency/Consultant Company: HDR
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
PJD was submitted as part of the original 404/401 PCN.
6. Future Project Plans
6a. Is this a phased project?*
Yes O No
6b. If yes, explain.
The RVVTP is a phased portion of the Project to meet future projected water supply demands. A 36-inch pipeline will be installed parallel to the approximate 24.9 miles of 42-inch pipeline.
This 36-inch pipeline will be installed from the pump station on Lake Tillery to the hydraulic control structure at STA 1314+00. Based on future water demand projections the additional 36-
inch pipeline will be able to supply the VVTP with the additional raw water to meet the future demand. This in turn is the reason for the 60-foot wide maintained RVVTP easement from Lake
Tillery to STA 1314+00.
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
O Buffers
2a. Site #* (?)
2a1 Reason"(?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name*
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.000
2e. Comments:
See attached 404/401 approvals.
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.000
3a. Reason for impact* (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width*
3h. Impact
length*
S1
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
0
3j. Comments:
See attached 404/401 approval
4. Open Water Impacts
3i. Total temporary stream impacts:
0
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type
4e. Waterbody type
4f. Impact area
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.00
4g. Total open water impacts:
0.00

4h. Comments:
See attached 404/401 approval
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Included in the original PCN submittal package.
Complete avoidance of proposed impacts is only possible with the no -build alternative due to the length of the proposed raw water and finished water
pipelines, existing land uses within the Project Area and the number of streams, wetlands and open waters present in the North Carolina Piedmont. The
no -build alternative was not considered because it would not meet the project goal of providing Union County with a safe and reliable water supply. Prior
to and during design of the project, evaluations of streams, wetlands and open waters were performed by HDR to assess the presence of jurisdictional
waters within the proposed project corridor. A jurisdictional determination was made by the USACE to confirm locations of jurisdictional waters and
provide a basis for adjustments to the alignment of the proposed raw water and finished water pipelines. Multiple alignment adjustments were made to
avoid impacts to jurisdictional waters. The proposed alignment generally parallels existing roadways which are constructed on high ground, away from
water resources. Temporary access easements have been minimized because of the availability of access via existing roadways and driveways. No
permanent stream crossings are proposed. Unavoidable stream crossings have been designed at perpendicular angles (between 75 and 105 degrees)
to reduce impacts to streams and adjacent riparian areas.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Included in the original PCN submittal package.
Avoidance of impacts during construction may be possible if the contractor does not require use of the full extents of the proposed limits of disturbance.
Portions of streams, wetlands and open waters may be completely avoided if they are near the edge of the easement. Work within waters
of the U.S. will be minimized to the amount necessary to install the pipe and related structures (e.g., anti -seep collars) and restore pre-existing contours.
An impervious dike and bypass pumping system or impervious coffer dams will be installed to dewater work areas during construction to
allowthe contractor to work in dry conditions and minimize downstream sedimentation. Due to the size of the pipe and limitations of technology,
trenchless installation methods are not practicable for the majority of installation areas. However, a jack -and -bore augering techniques will be used to
install casing and raw water pipes below public roads due to the large size of the road embankments. No equipment refueling or maintenance activities
will occur adjacent to the jurisdictional areas. Equipment leaking fuel, hydraulic oil or other fluids will not be allowed to work within jurisdictional waters.
Leaks will be repaired as soon as possible after discovery of the leak. Best management practices for construction and sediment and erosion control will
be used during all construction activities and routinely inspected and maintained throughout the duration of the project. All non-turfgrass areas will be
stabilized using a native seed mix to stabilize disturbed soils and improve pollinator habitat within the proposed permanent easement area. Disturbed
stream banks will be returned to pre -construction contours and will be stabilized with erosion control matting and live stakes of native species as soon as
possible after construction activities. Disturbed wetland areas will be returned to pre -construction contours as soon as possible after construction
activities. Anti -seep collars will be installed on the pipe through wetland areas. A temporary cover seed mix and a native wetland seed mix will be applied
to all wetland areas impacted during construction. Straw mulch will be applied over seed mixes to temporarily control erosion and provide conditions
conducive to seed establishment.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
O Yes 0 No
4b. Stream mitigation requested: 4c. If using stream mitigation, what is the stream temperature:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4e. Riparian wetland mitigation requested:
(acres)
1.73
4f. Non -riparian wetland mitigation requested: 4g. Coastal (tidal) wetland mitigation requested:
(acres) (acres)
4h. Comments
Receipt for mitigation payment is attached.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No

If no, explain why:
The Project is not located within a watershed with protected riparian buffers.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
0 Yes 0 No
Comments:
Impervious surfaces related to the proposed Water Treatment Plan will require submittal of a Stormwater Plan to Union County's Stormwater Section. Little impervious will be introduced as
part of the construction and maintenance of the raw and finish water pipelines.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
• Yes No
1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
v Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes 0 No
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes , No ( N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes O No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes • No
• No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
vYes v No
5g. Does this project involve bridge maintenance or removal?
u Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
USFWS IPaC and Critical Habitat Mapper and NC Natural Heritage Program Data Explorer Reports. Coordination with the USFWS was conducted as
part of the original PCN.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes O No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Fisheries Essential Fish Habitat Mapper https://www.habitat.noaa.gov/protection/efh/efhmapper/
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Cultural Resources surveys were conducted as part of the Projects due diligence. Coordination with the USFWS was conducted as part of the original
PCN.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
Yes O No
8b. If yes, explain how project meets FEMA requirements:
The pipeline will be installed below grade and no aboveground appurtenances will be installed in designated floodplains. No change in base flood
elevations are anticipated due to the Project
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM Panels 3710542700J, 3710543700J, 3710544700J, 3710545700J, 3710546700J, 3710546800J, 3710547800J, 3710547900J,
3710548800J, 3710558000K, 3710558000K, 3710558200K, 3710558200K, 3710650200K, 3710650200K, 3710650300J, 3710651300K,3710652300K,
3710653300J, 3710654300J, 3710654400J, 3710655300J, 3710655400J, 3710656400J, and 3710657400K
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
NCDWR_401 _Approval. pdf
SAW-2018-01144 (signed NWP-MOD).pdf
20200818 401 Approval.pdf
20200827_401 _WaterQ ual ityCertification_Approval. pdf
Finished_Water_I mpact_Fig u res_20200529. pdf
SAW-2018-01144 (signed NWP).pdf
File must be PDF or KMZ
Comments
362.85KB
12.18MB
808.34KB
1019.1KB
23.32MB
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On behalf of Union County Public Works (Union County), HDR is submitting this Permit Extension Request for the approved Nationwide Permit 12 (NWP) Action ID No. SAW-2018-01144
(Permit) and Water Quality General Certification 4133 DVVR# 20-0859, associated with the proposed Yadkin River Water Supply Project (Project) located in Stanly and Union counties,
North Carolina. The Permit was issued under the 2017 NWP Cycle and in accordance with the current 2022 NVVPs, the Permit would remain authorized provided the Project is completed
within 12 months of the 2017 NWP expiration date (i.e., March 18, 2023). At this time, Union County is anticipating that Project construction will not be completed prior to March 18, 2023,
and therefore is formally requesting a Permit extension under the 2022 NWP Cycle and re -issued as Nationwide Permit 58 Utility Line Activities for Water and Other Substances and new
Water Quality General Certification 4276.
Signature
By checking the box and signing below, I certify that:
The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
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 have given true, accurate, and complete information on this form;
I agree that submission of this PCN 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 PCN form.
Full Name:*
Eric Mularski

Signature
eye Polack
Date
1/27/2023