20170353 Ver 1_Bridge 133 Yancey cover sheet_20170328

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name: Bridge 990145, SR 1146 Cane Branch Road
2. Name of Property Owner/Applicant: NC DOT
3. Name of ConsultandAgent:
•Agent authorization needs to be attached.
4. Related/Previous Action ID number(s):
5. Site Address: N/A
6. Subdivision Name:
7. City: Huntdale
8. County: Yancev
9. Lat: 35.90550 Long: -82.23317 (Decimal Degrees Please )
10. Quadrangle Name: Micaville
11. Waterway: Cane Branch
12. Watershed: French Broad River
13. Requested Action:
X Nadonwide Permit # 14
General Pemilt #
_ Jurisdictional Determination Request
Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepaze File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords: