20171169 Ver 1_Bridge 100332 Buncombe Corps Cover Sheet_20170912

Corps Submittal Cover Sheet

Please provide the following info:

1. Project Name: Bridge 100332, SR 1140____________
2. Name of Property Owner/Applicant: NC DOT__ _
3. Name of Consultant/Agent: _________________
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s):
5. Site Address: ____ _________________ ____
6. Subdivision Name: _______________________
7. City: Candler_ _______________________ _
8. County: Buncombe_______________________
9. Lat: _35.53870_______Long: _-82.72571_____(Decimal Degrees Please )
10. Quadrangle Name: Enka__________ ____
11. Waterway: UT to Hominy Creek _________
12. Watershed: French Broad _____________
13. Requested Action:
_X_ Nationwide Permit # __14__
__ General Permit # _
___ Jurisdictional Determination Request
___ Pre-Application Request

------------------------------------------------------------------------------------------------------------------

The following information will be completed by Corps office:

AID: ______________________________

_____ Prepare File Folder _____ Assign number in ORM _______________ Begin Date

Authorization: ____ Section 10 ____ Section 404

Project Description/ Nature of Activity/ Project Purpose:
________________________________________________________________________________________
Site/Waters Name: ________________________________________________________________________
Keywords: ______________________________________________________________________________