HomeMy WebLinkAbout20150751 Ver 2_More Information Received_20191112Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#* Version* 2
20150751
Is this project a public transportation project?* r Yes
r No
Is this a DOT r Yes r No
project?*
Reviewer List:* Garcy Ward: eads\gpward
Select Reviewing Office:* Washington Regional Office - (252) 946-6481
Submittal Type:*
Modifications
Does this project require a request for payment to be sent?*
r
Yes
r
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: r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
r Stream or Buffer Appeal
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.
Is this supplemental information that needs to be sent to the Corps?*
r Yes r No
Project Contact Information
Name: Paul Williams
Vft is subaitting the inforrration?
Email Address: pcw411iams2@ncdot.gov
Project Information
Existing ID #: Existing Version:
20150751 2
20170001(no dashes)
Project Name: Bridge 36 Replacement in Hyde County
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
TIP#: WBS#:
17BP.1. R.63
(Applies to DOT projects only)
County (ies)
Hyde
Please upload all files that need to be submited.
Oickthe upload button or drag and drop files here to attach document
_SF470036_PERMIT DRAWINGS_2019.11.05.pdf 10.72MB
Only pdt or Iv17 files are accepted.
Describe the attachments:
The project plans have been revised to correct the cross section on Sheet X 3 at Sta. 12+78.81. The impact
quantities in the tables on Sheets 6 & 7 have been slightly revised. Revised drawings are attached. Revisions
have also been submitted to DCM for the CAMA permit modification.
P By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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');
• 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:
Ci7?1111! f ^ %/�Y/ram.;. 1-1/-,.
Submittal Date: 11/12/2019
Is filled in autorratically.