20211043 Ver 2_Modifications_20240228

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version* 2
20211043
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 a public transportation project?* Yes No
Is this a DOT Yes No
project? *
Reviewer List: * Ryan Conchilla: ryan.conchiIla
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
Project Contact Information
...............................................................
Name: Jason Dilday
Who is submitting the information?
Email Address: [e-mail]
Project Information
................................
Existing ID #: Existing Version:
20211043 1
20170001(no dashes) 1
Project Name: R-5709. Widening of NC 211 in Moore & Hoke Counties
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#:
R-5709 50205.1.1
(Applies to DOT projects only)
County (ies)
Moore
Hoke
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
R-5709 Revised Permit Drawings 02282024p.pdf 9.02MB
Only pdf or kmz files are accepted.

Describe the attachments or
comments:
SAW-2018-02283
Several minor revisions have been made to permitted impact totals, which are summarized below.
Site 2: Hand clearing increased to reflect the accurate amount at this site.
Site 15: Permanent stream impacts decreased and temporary stream impacts were eliminated resulting from
removal of the energy dissipater pad. Due to concerns from property owners along Arthur Lane about frequent
flood events, a portion of the drainage previously proposed to outlet to SJ will now be directed to a newly
installed nearby rip -rip ditch after exiting an energy dissipater pad.
Site 15A: Hand clearing added due to new site downslope of a new rip -rap ditch.
Site 17: Temporary fill in wetlands was deleted, erroneously entered in original submittal.
Site 21: Permanent fill in wetlands and hand clearing decreased resulting from the removal of the bulb -out.
Totals: Updated per above changes as well as rounding.
Additional details have been added to the detail sheets (Permit Drawings 2-7)
The review date is 3/26/24. If possible, the Department requests the revisions be approved as an in -field
modification to allow inclusion in the contract.
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:
e�dew 0k*l Zrre
Submittal Date: 2/28/2024
Is filled in automatically.