20191758 Ver 1_More Information Received_20200309

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#* Version* 1
20191758
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 - [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
New Project w Existing ID
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
VUio is subaitting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20191758 1
20170001(no dashes)
Project Name: Bridge 71 Replacement Project in Martin 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.86
(Applies to DOT projects only)
County (ies)
Martin
Please upload all files that need to be submited.

click the upload button or drag and drop files here to attach document
1713P.1.R.86_Permit Drawings_Buffer_20190918.pdf 771.27KB
17BP.1.R.86_Permit Draw4ngs_20190918.pdf 1.17MB
Only pdf or krre files are accepted.
Describe the attachments:
Permit drawings previously submitted were not the final drawings. The final permit drawings are uploaded on
this submittal.
Sign and Submit
V 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');
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
• I intend to electronically sign and submit the online form."
Signature:
[Y�iRfsSll_Jr��Kd 1{�.��r7AYJ. ('/7.
Submittal Date: 03/09/2020
Is filled in autorratically.