20200544 Ver 3_401 Application_20230203

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version* 3
20200544
Is this project a public transportation project?* Yes
No
Is this a DOT Yes No
project?*
Reviewer List: * Rob Rid ings:eads\rgridings
Select Reviewing Office:* Central Office - [phone]
Does this project require a request for payment to be sent?*
Yes
No

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:
Project Contact Information
Name: Jason Dilday
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20200544 2
20170001(no dashes) 1
Project Name: Bridge 93 over Conoconnara Swamp on NC561
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
TIP#: WBS#:
B-5662 45617.1.2
(Applies to DOT projects only)
County (ies)
Halifax

Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
B-5662 Modification Nationwide Halifax May 13
8.16MB
2020.pdf
B-5662 Nationwide Halifax April 23 2020.pdf
15.32MB
B-5662 Nationwide Halifax May 7 2020.pdf
7.9MB
B-5662 Nationwide Modification Halifax May 27
10MB
2020.pdf
B-5662 Revised Nationwide Halifax April 29 2020.pdf
6MB
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
Reverification of this project is requested as the previously issued Nationwide Permit will expire and
construction, while underway, is not anticipated to be complete by the expiration.
The previously issued 404 and 401 Permits (Permit Package) and Application Package are attached.
There have been no changes to design or impacts since the previously issued permits and the plans
submitted with the original application package remain accurate and valid.
Section 7
Under the updated guidance from USFWS, a query of the project area in IPaC shows no potential for federally
protected species
Archaeology and Historic Properties
There have been no changes to Archaeology and Historic Properties since the previously issued permits.
Tribal Coordination
The project was coordinated with the federally -listed tribes prior to previous permit issuance and the list of
federally listed tribes has not changed for this county.
NCDOT is hereby requesting reverification under Nationwide Permit 23.
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: 2/3/2023
Is filled in automatically.