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Home My WebLink About20211410 Ver 2_401 Application_20240924Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 2 20211410 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 - (919) 707-9000 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: Jerry Parker Who is submitting the information? Email Address: japarker3@ncdot.gov Project Information ............................ Existing ID M Existing Version: 20211410 1 20170001(no dashes) 1 Project Name: Bridge #280 on South Scales Street 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#: 17BP.7.R.141 (Applies to DOT projects only) County (ies) Rockingham Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document Only pdf or kmz files are accepted. Describe the attachments or comments: All proposed work is the same as requested on the original application. Documents submitted with the original application are to be used for this re -issuance. The USACE # is SAW-2019-01206 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: 9 V, Submittal Date: 9/24/2024 Is filled in automatically.