Project Submittal Interim Form (1)

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)
j New Project
Q Modification/New Project with Existing ID
Q More Information Response
Q Other Agency Comments
Q Pre -Application Submittal
Q Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
Is this supplemental information that needs to be sent to the Corps?*
Q Yes No
Project Contact Information
Name: Michael W Burkhard
Who is submitting the information?
Email Address:* [e-mail]
Project Information
Existing ID #: * Existing Version:*
20231272 1
20170001 (no dashes) 1
Project Name: * Lamascus Minor Buffer Variance
Is this a public transportation project?*
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
Yes ) No rn Unknown
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and
Aquatic Weed Fund or involve the distribution or transmission of energy or fuel, including natural gas, diesel,
petroleum, or electricity?*
Yes No
Is this project connected with ARPA funding?*
Yes No
County (ies)*
Iredell
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Dogtown Buffer SOA - Lamascus Minor Buffer
170.79 KB
Variance.pdf
Mitigation Calculations. pdf 188.5KB
Survey. pdf 1.02 M B
Only pdf or kmz files are accepted.
Describe the attachments or add comments:
Dogtown Mitigation Credits SOP
Mitigation Credits calculations .... Note the calculations are less than what Dogtown has available.
Updated survey showing the developments storm drainage system being relocated to the 10-foot drainage and
utility easement and impacts to Zone 1 and Zone 2
Please let me know if you have any questions.
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: *
Adoel l &j4hald
Submittal Date: