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Home My WebLink About20220012 Ver 2_401 Application_20230323Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 2 20220012 Is this project a public transportation project?* Yes No Is this a DOT Yes No project? * Reviewer List: * Rob Ridings: rob. ridings@ncdenr.gov Select Reviewing Office: * Central Office - (919) 707-9000 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: Chad Coggins Who is submitting the information? Email Address: tccoggins@ncdot.gov Project Information Existing ID #: Existing Version: 20220012 1 20170001(no dashes) 1 Project Name: Roundabout at NC 42 and NC 96 Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown Is this project connected with ARPA funding? Yes No TIP#: WBS#: W-5704S 4850.1.19 (Applies to DOT projects only) County (ies) Johnston Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document 20220012-BU F.docx. pdf 604.28KB 20220012-401.docx.pdf 706.53KB 220216 NWP14 W-5704S NC42 NC96 335.84K6 Roundabout_Johnston_Div4.pdf 220104_Pe rm itD rawi n g s_W-5704S_N C42_N C96 2.04M6 Roundabout_Johnston_Div4.pdf W-5704S_Permit Package Buffer_20211207.pdf 1022.5KB Only pdf or kmz files are accepted. Describe the attachments or comments: I dropped ball on this a little bit. I need this back early May if I can. Thanks Chad 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: 3/23/2023 Is filled in automatically.