20180756 Ver 1_401 Application_20180604

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 6/1/2018 1:02:34 PM (Message Start Event)
Accept by Carpenter,Kristi 6/4/2018 2:26:16 PM (DOT project)
. The task was assigned to Carpenter,Kristi. The due date is: June 6, 2018 5:00 PM 6/1/2018 1:03 PM

Water Resources
ENVIRONMENTAL �UPLITV
Staff Review
i�#*
20180756
Version* �
Is this project a public transportation project? * �' Yes
�' No
Is this a DOT C' Yes C•' No
project?*
Reviewer List:* Donna Hood:eads\drhood
Select Reviewing Office:*
Submittal Type:*
401 Application
Mooresville Regional Office - [phone]
Does this project require a request for payment to be sent? *
r
Yes
C'
No
How much is �' $240.00
owed?* C•' $570.00

Project Submittal Dated 6/1/2018
*
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all
mandatory questions are ans�red.
Project Type:* �' New Project
C' Pre-Application Submittal
C' More Information Response
r Other Agency Comments
l' For the Record Only (Courtesy Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre-Application Submittal - Please check the pre-application submittal if you just want feedback on your submittal and
do not have the e�ectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an ebsting project.
Project Contact Information
Name: Chris Tinklenberg, PWS
V�ho is subrritting the irrforrration?
Email Address:* [e-mail]
Project Information
Project Name:* Statesville Greenway (TIP# EB-5818)
Is this a public transportation project? *
C•' Yes
C' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
C' Ye�' No l' Unknown
TI P#: WBS#:
EB-5818 (Applies to DOT projects only)
County (ies) *
Iredell
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach docurrent
00_Statesville_Greenway Complete.pdf 13.99MB
07_2018-04-24_Statesville-Greenway-Final -
26.2MB
Revised.pdf
Only pdf or Ivre files are accepted.
Describe the attachments:

Statesville Greenway PCN with supporting documentation
Statesville Greenway full-size plan set
This project includes DOT funding, however it is a City of Statesville project. Through agency coordination, it
was determined that Catherine Janiczak will review for the Corps and Donna Hood will review for DWR.
* fJ By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions AcY')
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions AcY');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the online form."
Signature:
�'�Cd �[II�CIL��'-I
Submittal Date: