20140957 Ver 2_Drilling Fluid Additives - Contentnea Creek_20180820

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/20/2018 4:30:09 PM (Message Start Event)
Accept by Montalvo, Sheri A 8/21/2018 11:49:43 AM (NON -DOT - Existing Project)
The task was assigned to Montalvo, Sheri A. The due date is: August 23, 2018 5:00 PM
8/20/2018 4:30 PM

Staff Review
ID#* Version* 2
20140957
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Karen Higgins:eads\kahiggins
Select Reviewing Office:* Central Office - [phone]
Submittal Type:*
Application Attachments
Does this project require a request for payment to be sent?
r
Yes
r
No

Project Submittal Dated 8/20/2018
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: r New Project
r Pre -Application Submittal
F More Information Response
r Other Agency Comments
r 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 expectation 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 existing project.
Project Contact Information
Name: Todd Reid
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20140957 v2
20170001 (no dashes)
Project Name: Atlantic Coast Pipeline
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yesr No r Unknown
County (ies)
Wilson
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Only pdf or IaYe files are accepted.
Describe the attachments:
Documentation of the composition and properties of drilling fluids and additives (SDS) for the ACP
Contentnea Creek HDD crossing submitted by ACP General Contractor Spring Ridge Constructors (SRC),
and Subcontractor Southeast Directional Drilling (SEDD).
rJ 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 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');
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:
Submittal Date: