20200812 Ver 1_Modifications_20200722

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#* Version* 1
20200812
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\jhsteen h u is
Select Reviewing Office:* Wilmington Regional Office - [phone]
Submittal Type:* Modifications
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
owed? * r $570.00

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 Existing ID
r Pre -Application Submittal r More Information Response
r Other Agency Comments r Stream or Buffer Appeal
r For the Record Only (Courtesy
Copy)
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: Courtney Spears
Who is submitting the inforrnation?
Email Address: [e-mail]
Project Information
Existing ID #:
20200812
20170001(no dashes)
Existing Version:
1
1
Project Name: Birch Street Improvement Project Camp Lejeune
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#:
County (ies)
Onslow
WBS#:
(Applies to DOT projects only)
Please upload all files that need to be submited.

aick the upload button or drag and drop files here to attach document
All pipe profiles.pdf
1.97MB
All Site Plans.pdf
3.8MB
All Sites 11x17.pdf
6.88MB
CC503 EROSION AND SEDIMENT CONTROL
1.2MB
DETAILS.pdf
Wetland Impact Table.pdf
61.71 KB
PCN Application Form Section C Edits.pdf
140.53KB
PCN Application Form Section D Edits.pdf
119.6KB
Only pdf or krre files are accepted.
Describe the attachments
or comments:
Updated sections C and D of PCN form, wetland impact table, and all site plans. Added pipe profiles.
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');
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:
5Gfaf irL ,A"
Submittal Date: Is filled in automatically.