HomeMy WebLinkAbout20200469 Ver 1_More Information Received_20200420Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#* Version* 1
20200469
Is this project a public transportation project?* r Yes
r No
Is this a DOT r Yes r No
project?*
Reviewer List:* Joanne Steen h u is:eads\jhsteenhu is
Select Reviewing Office:* Wilmington Regional Office - (910) 796-7215
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: Chris Rivenbark
VUio is subrritting the inforrration?
Email Address: civenbark@ncdot.gov
Project Information
Existing ID #: Existing Version:
20200469 1
20170001(no dashes)
Project Name: B-5639 Duplin 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#:
B-5639
County (ies)
Duplin
WBS#:
45594.1.1
(Applies to DOT projects only)
Please upload all files that need to be submited.
Oickthe upload button or drag and drop files here to attach document
B-5639_Final_CE_checklist_signed.pdf 4.13MB
B-5639 DMS Acceptance.pdf 470.58KB
B-5639_Permit Package Wetland_20200415.pdf 5.72MB
B-5639 Reforestation detail.pdf 862.09KB
RE_ [External] B 5639 NW 23 request.pdf 4.08MB
Only pdt or Iv17 files are accepted.
Describe the attachments:
(1) CE document
(2) DMS acceptance letter
(3) Revised permit drawings
(4) Reforestation plan sheet
(5) USACE's 4/9/20 email and NCDOT's 4/17/20 reply
Sign and Submit
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:
h44 e. 4&wsh,1fl
Submittal Date: 4/20/2020
Is filled in autorratically.