20180358 Ver 1_401 Application_20180318

DWR
Division of water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
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.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https:lledocs.deq.nc.govMaterResources101edocl6247041PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Cabarrus
Is this project a public transportation project?*(?)
f Yes f• No
1a. Type(s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
r% Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Number Other:
List all NW numbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
W 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
*
1d. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
C Yes O No
O Yes O No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
V so, attach the acceptance letter from rr tigation bank or in -lieu fee program
r Yes F No
1f. Is the project located in any of NC's twenty coastal counties?*
r Yes r No

1h. Is the project located in a designated trout watershed?*
f Yes r No
Link to trout information: http://v wv.saw.usace.army.mil/Missions/Regulatory-Permit-Prograni/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Michael Foess
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
[phone]
1d. Who is applying for the permit?
V Owner r Applicant (other than owner) V Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Dependable Development, Inc
2b. Deed book and page no.:
Book: 12102 Page: 0001
2c. Responsible party:
(for Corporations)
Michael Foess
2d. Address
Street Address
2649 Breckonridge Centre Drive
Address Line 2
Suite 104
City
Monroe
Fbstal / Zip Code
28110
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Gregg Antemann
4b. Business Name:
(if applicable)
Carolina Wetland Services, Inc
4c. Address
State / Province / Region
NC
Country
USA

Street Address
550 E Westinghouse Blvd.
Address Line 2
City
State/ Province/ legion
Charlotte
NC
Postal / Zip Code
Country
28273
USA
4d. Telephone Number:
[phone]
(xxx)xxx-xxxx
4e. Fax Number:
(XXX)XXX-XXXX Email Address:*
[e-mail]
Agent Authorization Letter*
Reese provide the Agent Authorization Letter if you are submitting this docurrent.
Haven at RR Agent authorization form.pdf 280.41 KB
RLETYP=MJST BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Haven at Rocky River
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
City of Concord
1d. Driving directions*
If it is a new project and can not easily be found in a CFS rrapping system Reese provide directions.
From the City of Concord head southeast on US -601 S toward Flowes Store Rd, turn right onto Flowes Store Rd follow 2.6 -miles, property
will be on the left hand side of the road.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
55375877960000
2b. Property size:
(in acres)
71 ac.
2c. Project Address
Street Address
6301 Flowes Store Rd
Address Line 2
City
Concord
Postal / Zip Code
28025
State / Province / Region
NC
Country
USA

2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.33027 -80.55771
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Rocky River
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The project property is undeveloped and dominated by mixed pine -hardwood forest (Figure 4). A sewerline
easement exists in the southwestern portion of the property currently serving off-site properties. Several historic
forested roads provide access within the property. The following water resources are located on the property
(Figure 8, JD Report): one unnamed USGS dashed blueline tributary to Rocky River (Stream A); one intermittent
tributary (Stream B); one forested wetland (Wetland AA); one isolated wetland (Wetland BB); one isolated water
(Pond A). Surrounding properties are a mix of undeveloped, agricultural, and single-family residential.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
aick the upload button or drag and drop files here to attach docurrent
Haven at Rocky River USGS Map.pdf
File type rrust be pdf
271.61 KB
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Qickthe upload button or drag and drop files here to attach docunent
Haven at Rocky River Soils Map.pdf 584.06KB
File type mast be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.021 ac. (0.008 ac. adjacent, 0.013 ac. isolated)
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
2,207 If perennial stream
4f. Explain the purpose of the proposed project:*
The purpose of the project is to develop 26.07 of 69.72 acres of the property into a single-family residential
development. The project will provide residential housing within the City of Concord to meet the growth and
demand in the area of Cabarrus County that is experiencing significant population growth due to its proximity to
Charlotte.
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:*

The Haven at Rocky River project proposes unavoidable impacts to jurisdictional waters of the U.S. under
Nationwide Permit (NWP) No. 29 with the construction of a new subdivision road within the property boundary and
one sewer line crossing. A proposed 72" RCP culvert is proposed to be installed on Stream A, an unnamed
tributary to Rocky River for the construction of a new subdivision road. New culvert installation will result in
temporary and permanent stream impacts. The proposed 140' x 72" RCP is being sited at a location along UT -
Rocky River where the bank width is 8 -ft with a mix of bedrock and rocky substrate (see Photo Sheet). The culvert
design will support aquatic life movement within the stream channel by countersinking the culvert 1 -foot below
streambed elevation (see Culvert Profile). In addition, the culvert diameter will match the stream channel
dimensions which will help to maintain bankfull flows, as well as, low flows without altering flow regimes. Inlet and
outlet protection is unnecessary with the culvert installation due to the bedrock and rocky substrate conditions
within the streambed which will prevent headcutting or destabilization of the channel. Precast concrete headwalls
will be installed on the upper and lower ends of the culvert. Waste water collection for the new subdivision will be
piped offsite and will tie into an existing sewer line on the north side of Stream A. One single and complete sewer
line crossing is proposed to be trenched beneath Stream A for the new sewer connection. Waste water will be
treated at the Rocky River Regional Wastewater Treatment Plant (RRRWWTP).
Stream Impacts:
S1 - A total of 142 If of permanent stream impact associated with culvert installation in Stream A. Culvert will be
located within a straight portion of stream channel, so minimal additional impacts due to meandering of the
channel will occur.
S2 - 8 If of temporary stream impacts associated with de -watering activities during culvert installation in Stream A.
De -watering activity will likely include or be like a pump around operation using sandbags, pump, and hose (see
Dewatering Detail). All temporary fill will be removed from the stream channel following culvert installation.
S3 - 12 If of temporary stream impacts associated with open cut trenching for an encased 8" DIP sewer line.
Temporary impacts include de -watering and trenching in stream bed for line installation. Following culvert
installation disturbed stream banks will be regraded to match pre-existing height and grade, stream channel will
match pre-existing grade and elevation, and disturbed riparian areas will be seeded with temporary erosion control
mix and native riparian seed mix (see Typical Stream Bank Stabilization).
Wetland Impacts:
W1 - 0.01 -acre of permanent filling of an Isolated non -404 wetland for site development (Wetland BB).
Open Water Impacts:
01 - 0.03 -acre of permanent filling of a Isolated pond for site development (Pond A).
4h. Please upload project drawings for the proposed project.
aick the upload button or drag and drop files here to attach docunent
Preferred Alternative-02-13-18.pdf 14.08MB
File type crust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas? *
r Yes r No r" Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
f Preliminary r Approved r Unknown r N/A
Corps AID Number:
Exarrple: SAW -2017-99999
SAW -2017-02462
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Sean Martin delineated the site on 11-14-17
CWS, Inc.

5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
U.S. Army Corps of Engineers completed a JD field verification on January 4, 2018 by Cathy Janiczak from the Charlotte Field Office. All
features were verbally approved in the field. No written JD verification has been received since the field visit. One additional stream form was
completed in the field to classify a non -jurisdictional channel below Stream B (SCP2 non -JD). The data form (soils section) for Wetland BB
was revised based on the field visit (DP-2_rev_1-4-18).
5dl. Jurisdictional determination upload
Cickthe upload button or drag and drop files here to attach docurrent
2017-0531_AJDRequest_ The HavenatRockyRiver_112717.pdf 5.89MB
File type rrust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?
f Yes f• No f Unknown
7. Future Project Plans
7a. Is this a phased project?*
f Yes C No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activity? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
IJ Wetlands rJ Streams -tributaries r- Buffers
rJ Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site # - Reason for impact* 2b. Impact type * 2c. Type of wetland * 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
W1 -site development P
Ivhp label (e.g. Fbad Crossing 1 - Calvert, Permanent (P) or
dewatering, etc) Temporary (1)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.010
2g. Total Wetland Impact
0.010
Isolated Wetlands BB Yes DWR 0.010
(404, 10) or DAR (401, (acres)
other)
2h. Comments:
Wetland BB is not a waters of the U.S. due to being isolated with no connection to downstream waters.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites
impacted.

3a. Reason for 3b.lmpact
impact* type*
S1 S1 - Road crossing P
Map label (e.g. Road Crossing 1) Permanent (P) or
Temporary (T)
3c. Type of impact*3d. Stream name*
Culvert A
3e. Stream 3f. Type of
Type* Jurisdiction*
Perennial Both
Perennial (F6R� or
intermittent (INT)
S2 S2 - Pump Around T Dewatering A
Perennial Both
Map label (e.g. Road Crossing 1) P?rmanent (P) or
Perennial (Fff� or
Temporary (T)
interntent (INT)
S3 S3 - Sewer Line T Excavation A
Perennial Both
Map label (e.g. Finad Crossing 1) Permanent (P) or
Perennial (FEF� or
Temporary ((Tj
intermittent (INT)
'* All Perennial or Intermittent streams must be verified by DWR or delegated local
government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
142
3i. Total temporarystream impacts:
20
3i. Total stream and tributary impacts:
162
3j. Comments:
3g. Stream 3h. Impact s Ife4
width * length*
8 142 1
Average (feet) (linear feet)
1
3
6
8 8 6
Average (feet) (linear feet) 4
8 12 9
Average (feet) (linear feet) 6
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then individually list
all open water impacts below.
4a. Site # - Reason for 4b. Impact type * 4c. Name of waterbody* 4d. Activity type * 4e. Waterbody type *4f. Impact
impact* area
01 -site development P Pond A Fill Isolated 0.03
Nbp label (e.g. Fbad Crossing 1) Permanent (F') or (if applicable) (acres)
Temporary (T)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.03
4g. Total open water impacts:
0.03
4h. Comments:
Pond A is not a waters of the U.S. due to being isolated with no connection to downstream waters.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*

To avoid and minimize adverse effects to jurisdictional waters of the U.S. to the maximum extent practicable, three
design alternatives were considered. These alternatives include the a no build alternative, the 2-13-18 alternative,
and the 10-3-17 alternative. For the no build alternative, the property has been purchased by Dependable
Development, Inc. for the purpose of developing the site as a single family residential subdivision to meet the
growing demand of for housing in the region. A no build option would not meet the intended goals and purpose of
the project, therefore this alternative was eliminated from consideration. The 10-3-17 alternative portrays a
permanent stormwater BIVIP located atop two jurisdictional waters of the U.S. Because BMP's cannot be
constructed in waters of the U.S., this alternative was eliminated from consideration and revised to create the
preferred alternative. The 2-13-18 alternative (preferred alternative) minimizes impacts to waters of the U.S. to the
maximum extent practicable by avoiding impacts to Stream B and Wetland AA. Although a culvert is proposed
resulting in fill impacts to Stream A, this impact is unavoidable due to the requirement of having two points of
egress and ingress to the property. Surrounding land uses and lack of connection to surrounding roads
necessitates the road crossing on Stream A with its connection to Flowes Store Road. Culvert siting criteria
proposes to place the new pipe within a relatively narrow section of channel to minimize culvert diameter. Culvert
siting criteria proposes a location within a stream section dominated by bedrock and rocky material substrate, thus
eliminating the need for riprap outfall protection.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The proposed culvert will be countersunk 1 -foot below streambed elevation to assist with aquatic organism
movement within the stream system. Use of headwalls on the culvert ends reduces the pipe length and associated
stream impacts. Proper sediment and erosion control measures will be employed as part of site development to
minimize disturbance of downstream waters. Construction activities and proposed impacts to on-site waters of the
U.S. will comply with all conditions of Nationwide Permits No. 29 and Water Quality Certification No. 4139. All work
in waters of the U.S. will be constructed in the dry (see Dewatering Detail). All disturbed riparian areas shall be
graded to pre-existing conditions and seeded with temporary erosion control mix and riparian seed mixes. Straw
will be used to cover seed mixes to encourage seed germination. Disturbed stream banks will be stabilized with
biodegradable coir matting (see Typical Stream Bank Stabilization Detail).
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
f Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Permanent stream impacts total 140 linear feet, which is below the 150 linear foot mitigation threshold. Impacts to isolated waters (not waters
of the U.S.) are below 0.5 -acre mitigation threshold.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
— Recent changes to the stormwater rules have required updates to this section .""
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
r Yes r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The Haven at Rocky River is not located within one of the NC Riparian Buffer Protection watersheds. The Haven at Rocky River is being
developed with an approved stormwater management permit through the City of Concord Phase II NPDES program. Storm related runoff will
be treated by on-site stormwater BMP's for water quality. Treated stormwater will be discharged from on-site BMP's to upland buffers by
diffuse flow.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
f Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
f Yes
r No

To look up low density requirement click here 15A NCAC 02H.1003(2)
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -
approved local government stormwater program?*
r Yes
f No
Hnt: projects that have vested rights, exemptions, or grandfathering from state or locally irrplemented storrrwater prograrrs or projects that satisfy state or locally -implemented storrrwater programs
through use of coni unity irr lieu prograrrs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
IJ Local Government
F State
Local Government Stormwater Programs*
V Phase II
F NSW
r- USMP
r- Water Supply
Please identify which local government stormwater program you are using.*
City of Concord implements a stormwater management program that includes the site runoff control program.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
f Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B.0200)?*
f Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
f Yes r No
3b. If you answered "no," provide a short narrative description.
The Haven at Rocky River is a single and complete project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the
proposed project. If the wastewater will be treated at a treatment plant, list the capacity available at that plant.

Waste water from the proposed residential subdivision will be piped to an existing sewer line connection to the
Rocky River Regional Wastewater Treatment Plant (RRRWWTP). RRRWWTP is a two stage 26.5 MGD biological
wastewater treatment facility that is owned and operated by the Water and Sewer Authority of Cabarrus County
(WSACC). The WSACC shall not issue a permit for a sewer project which would increase the flow or change the
characteristics of waste to a treatment works or sewer system unless the local program has received a written
determination from the Division that, pursuant to G.S. 143-215.67(a), the treatment works or sewer system is
adequate to receive the waste.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
r Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30.17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
r Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?*
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
USFWS - Endangered Species, Threatened Species,Federal Species of Concern, and Candidate Species,
Cabarrus County, North Carolina. https://www.fws.gov/raleigh/species/cntylist/cabarrus.htmi
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Habitat Protection I Habitat Conservation - Essential Fish Habitat Mapper
https://www.habitat.noaa.gov/protection/efh/efhmapper/
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Office Historic Properties Map
7c. Historic or Prehistoric Information Upload

Click the upload button or drag and drop files here to attach docunent
SHPO consultation letter.pdf 985.71 KB
Rle crust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
INC Flood Risk Information System - http://fris.nc.gov/FRIS/Home.aspx?ST=NC
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach document
Rejected Alternative 10-3-17.pdf
12.21 MB
Haven_ProtectedSpeciesReport.pdf
1.52MB
Haven at Rocky River JD Report.pdf
3.41 MB
Haven at Rocky River Impact Maps.pdf
7.81 MB
DP2-BB_rev_1-4-18.pdf
93.85KB
SCP2 non-jd.pdf
32.34KB
Typical Stream Bank Stabilization. pdf
70.41 KB
Dewatering Detail.pdf
134.32KB
Haven at RR Agent authorization form.pdf
280.41 KB
HavenatRR_PhotoPage. pdf
1.04MB
Culvert Profile.pdf
21.08KB
Haven at Rocky River ORM Form.pdf
42.4KB
File rrust be FDF or [9VZ
Signature
rJ By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN 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 INC 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 PCN form.
Full Name:*
Gregg Antemann
Signature
Initial Review
Is this project a public transportation project?*(?)
f Yes r No
Change only if needed.

Has this project met the requirements for acceptance in to the review process?*
G Yes
f No
BIMS # Assigned*
20180358
Version#*
Reviewing Office*
Mooresville Regional Office - [phone]
Select Project Reviewer*
Alan Johnson:eads\adjohnson1
Is a payment required for this project?*
f No payment required
f Fee received
F Fee needed - send electronic notification
What amout is owed?*
* $240.00
f• $570.00