Project Submittal Interim Form (003) Mod#1.pdf

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:
2/1 /2022
Project Contact Information
Name: Jesse Degnan
Who is submitting the information?
Email Address: * [e-mail]
Project Information
Existing ID #: * Existing Version:*
20220207 1
20170001(no dashes) 1
Project Name:* Coleman Dr
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) *
Mecklenburg
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Coleman Dr Proposed Impacts Exhibit.pdf 687.98KB
Only pdf or kmz files are accepted.

Describe the attachments or add comments:
A conversation was held with Mr. Alan Johnson on 10/28/2022, during which the following minor modification
were discussed: the City of Charlotte requested a road realignment after the original issuance of the 401 WQC.
Proposed permanent wetland impacts have changed from 0.001 acre to 0.01 acre and are only occurring within
the existing sewer line right-of-way. Proposed intermittent stream impacts have changed from 257 linear feet to
157 linear feet of permanent impact and 63 linear feet of temporary impact.
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.. *
,7�so Pzow 4'iJ
Submittal Date: Is filled in automatically once submitted.