20191549 Ver 1_More Information Received_20200102

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#* Version* 1
20191549
Is this project a public transportation project?* r Yes
r No
Is this a DOT r Yes r No
project?*
Reviewer List:*
Select Reviewing Office:*
Submittal Type:*
More Info Received
Joanne Steen h u is:eads\jhsteen h u is
Wilmington Regional Office - [phone]
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: Anneliese Westphal
Vft is subaitting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20191549 1
20170001(no dashes)
Project Name: TIP U-5788 US 17 Business and Wall St. / Shallotte Ave. Intersection
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#:
U-5788 44360.1.1
(Applies to DOT projects only)
County (ies)
Brunswick
Please upload all files that need to be submited.

Oickthe upload button or drag and drop files here to attach document
U-5788_Permit Drawings_20200102.pdf 1.15MB
Only pdt or kr17 files are accepted.
Describe the attachments:
The E-PCN for this project was submitted on 11/12/2019. The attachment provided in this supplemental
information submittal is a set of revised permit drawings. These revised drawings remove a curb cut for the
expansion of Heroes Way, which was originally shown on the title sheet (Sheet 1 of 6). Also, the
corresponding cross section sheet has been revised (Sheet 4 of 6).
Final construction plans have not yet been completed, but will be submitted to the agencies when they are
received from the designer. There are no changes expected at the permitted site, "Site 1."
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:
rfl+,hC�iidG Gd�l
Submittal Date: Is filled in automatically.