20240435 Ver 1_More Info Received_20240326

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version*
20240435
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
Reviewer List: * Rebecca Chandler:rebecca.chandler
Select Reviewing Office: * Winston-Salem Regional 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: Jeff Harbour
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20240435 1
20170001(no dashes) 1
Project Name: Calebs Creek
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)
Forsyth
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Calebs Creek_impact_mitigation_tables.pdf 117.89KB
calebs PCN revised wetland table.pdf 32.46KB
Caleb's Creek Mar2024 acceptance DMS.pdf 235.26KB
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
Updated wetland impact table and mitigation SOA to include with prior permit application package.
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: 3/26/2024
Is filled in automatically.