20201554 Ver 1_More Information Received_20201103

Staff Review Form •
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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* 1
20201554
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-[phone]
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?*
Yes r No
Project Contact Information
Name: Steve trowell
Mc)is submitting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID#: Existing Version:
20201554 1
20170001(no dashes) 1
Project Name: Pipe replacement SR 1160 Thirty Foot Canal Washington County
Is this a public transportation project?
(' Yes
✓ No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
✓ Yes r No r Unknown
TIP#: WBS#:
1.209411
(Applies to DOT projects only)
County(ies)
Washington
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Topo SR 1160 Thirty Foot Canal Road Pipe
1.23MB
Replacement Washington County.pdf
Project Submittal Interim Form SR 1160 Thirty Foot
55.14KB
Canal Washington Co.pdf
Only pdf or krre files are accepted.

Describe the attachments
or comments:
This is a modification of an existing courtesy notification (Project No.20201554)that NCDOT will be replacing
culvert pipes in a jurisdictional area in Washington County under Nationwide Permit 3 conditions. Location is
on a UT to Thirty Foot canal, Stream Index no.29-34-40-9, in the Pasquotank River Basin.
Existing(2)24"x 60'CAP and RCP will be replaced by(1)48"x 60'CAP at N 35.838585,W-76.377941.The
inlet and outlet ends will be stabilized with granite riprap. New impact area is 80ft2.
Sign and Submit
.......................................................................................................................................................................................................................................................................................................................................................................................................
117 By checking the box and signing box below, I certify that:
• I,the project proponent, hereby certifies that all information contained herein is true,accurate, and complete to
the best of my knowledge and belief.
• I,the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
• I agree that submission of this online 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:
Submittal Date: Is filled in autorretically.