HomeMy WebLinkAbout20191251 Ver 4_More Information Received_20200930 Staff Review Form •
NORFH CA.,i0:INA
En vironmenfrr!QvoGry
Updated September 4,2020
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
6* Yes r No
ID#* Version* 4
20191251
Is this project a public transportation project?* (' Yes
r No
Is this a DOT ( Yes C No
project?*
Reviewer List:* Garcy Ward:eads\gpward
Select Reviewing Office:* Washington Regional Office-(252)946-6481
Does this project require a request for payment to be sent?*
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 For the Record Only(Courtesy Copy)
r New Project
r Modification/New Project with Existing ID
✓ More Information Response
✓ Other Agency Comments
r Pre-Application Submittal
✓ Re-Issuance\Renewal Request
✓ Stream or Buffer Appeal
Is this supplemental information that needs to be sent to the Corps?*
r Yes ( No
Project Contact Information
Name: Paul Williams
Who is submitting the inforrration?
Email Address: pcwilliams2@ncdot.gov
Project Information
Existing ID#: Existing Version:
20191251 3
20170001(no dashes) 1
Project Name: Ocracoke NC 12 Dune Repair-Hurricane Dorian
Is this a public transportation project?
(' Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
TIP#: WBS#:
16901.1048010
(Applies to DOT projects only)
County(ies)
Hyde
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Calendar Invite 11-2019.pdf 99.48KB
Only pa or krrz files are accepted.
Describe the attachments
or comments:
To meet the NCDWR requirement for the Pre-Filing Meeting Request,the onsite Outlook Calendar Invite for
11-2019 is attached.
Sign and Submit
I� By checking the box and signing box below, I certify that:
o I have given true,accurate, and complete information on this form;
o 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")
o 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
o I intend to electronically sign and submit the online form."
Signature:
cT} C.�'Irecr1lYlr�m ,rf.
Submittal Date: Is filled in autorretically.