20200757 Ver 1_401 Application_20200610

SYnF.
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
(-- Yes C No
ID#* 2020 Version*
0757
Is this project a public transportation project?* Yes
C No
Is this a DOT project?* r• Yes r No
Reviewer List:* Joanne Steen h u is:eads\jhsteen h u is
Select Reviewing Office:* Wilmington Regional Office - (910) 796-
7215
Submittal Type:* 401 Application
Does this project require a request for payment to be sent?*
C Yes
(-- 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.
Project Contact Information
Name:
Email Address:
Project Information
Project Name:
Is this a public transportation project?
Sean Farrell
VUio is subaitting the infornation?
[e-mail]
Onslow County SR 1501 Sand Ridge Road Burial
Waiver Request
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#: DF16
403.2
0670
12
(Applies to
DOT projects
only)
County (ies)
Onslow
Please upload all files that need to be submited. oickthe upload button ordrag and drop files here toattach
docurrent
BurialWaiverRequest_SR
2.62M6
1501. pdf
Only pdf or lm7 files are accepted.

Describe the attachments: Burial Waiver Request Package
Sign and Submit
W 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
o I intend to electronically sign and submit the online form."
Signature:
Submittal Date:
06/10/2020
Is filled in automatically.