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Home My WebLink About20230894 Ver 1_401 Application_20230620Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* 20230894 Version* 1 Is this project a public transportation project?* Yes No Reviewer List: * Seren Homer: Seren.Homer Select Reviewing Office: * Winston-Salem Regional Office - (336) 776-9800 Submittal Type: * 401 Application Does this project require a request for payment to be sent? Yes No How much is owed?* $240.00 $570.00 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: 4/26/2023 Project Contact Information Name: Jennings Environmental, PLLC, David Brown Who is submitting the information? Email Address: david@jenningsenv.com Project Information Project Name: SCC Watershed Site 4: Big Elkin Creek - City Park 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 County (ies) Surry Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document 401 Pre -filing Request.pdf 1.01MB 1117_SITE_4_FRONT_STREET_CITY_PARK_PR... 6.27MB IPaC_ Info.pdf 579.71KB Parcel 3350.pdf 563.85KB SCC Watershed Site 4 Big Elkin Creek -City Park 628.73KB PCN.pdf Signed Agent Authorization. pdf 132.51 KB Site Photos & Figures.pdf 5.48MB Soil Survey.pdf 368.31 KB StreamStats Big Elkin 36.3 sgmi.pdf 516.28KB NWP 13 Non -notification Email to Corps.pdf 1.02MB Only pdf or kmz files are accepted. Describe the attachments or comments: 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: D��ow1�l Submittal Date: 6/20/2023 Is filled in automatically.