20080737 Ver 10_401 Application_20180919

Water Resources
ENVIRONMENTAL OUALITY
�'
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 ansv�red.
Project Type:* �' New Project
C' Pre-Application Submittal
C' More Information Response
�' Other Agency Comments
C' For the Record Only (Courtesy Copy)
Submittal Type:*
Modifications
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 e�sting project.
Project Contact I nformation
Name
Email Address:*
Kristi Lynn Carpenter for Tyler Stanton
Who is subrritting the inforrration?
[e-mail]
Project I nformation
Project Name:* Fayetteville Outer Loop (X 0002 B&C, U-2519 AA, AB, BA, BB, CA, CB, DA&E)
Is this a public transportation project?*
C' Yes
l' No
Is this a DOT project?*
C' Yes
C' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
l' YesC' No C•' Unknown
TI P#: WBS#:
U-2519AA AB 34817.3.13
(Applies to DOT projects only)
County(ies)*

Cumberland
Please upload all files that need to be submited.
qick the upload button or drag and drop files here to attach docurrent
Only pdF or Ivre files are accepted.
Describe the attachments:
Originally submitted via email and modification request manually entered into Laserfiche folder.
* �I7 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:
*
::�fr�:tr':�/�rrr[ ri%a��rtr�i
Submittal Date: