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HomeMy WebLinkAbout20211800 Ver 2_Modifications_20220502 sy STAT Staff Review Form NORTH CAROLINA Envlronm¢ntcl Qvoray Updated September 4,2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID#* Version* 2 20211800 Is this project a public transportation project?* Yes No Is this a DOT Yes No project?* Reviewer List:* Hannah Sprinkle:eads\hhsprinkle Select Reviewing Office:* Wilmington Regional Office-(910)796-7215 Does this project require a request for payment to be sent?* 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:* For the Record Only(Courtesy Copy) New Project Modification/New Project with Existing ID More Information Response Other Agency Comments Pre-Application Submittal Re-Issuance\Renewal Request Stream or Buffer Appeal Pre-Filing Meeting Date Request was submitted on: Project Contact Information .................................................................................................................................. Name: Mason Herndon Who is submitting the information? Email Address: tmherndon@ncdot.gov Project Information ................................ Project Name: Brunswick Bridge No.202 Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown TIP#: WBS#: B-5540(formerly) 17BP.3.R.81 (Applies to DOT projects only) County(ies) Brunswick Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document 17BP.3.R.81_Permit Drawings_20220429.pdf 6.93MB Only pdf or kmz files are accepted. Describe the attachments or comments: Please see revised permit drawings dated April 29,2022.This project has previously been submitted on 12/13/21 as a courtesy notification and approved.The DWR project number is 20211800 and the USACE No. is 2015-00956.There are no changes in impacts with this submittal.This submittal is for record only.The attached revised permit drawings address an error where bank stabilization,that had been removed from the project,was still shown and labeled on the profile views.Also,the rock embankment on the cross sections have been revised to accurately depict the current detail standards to match the final plans. Sign and Submit 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 automatically.