20171170 Ver 1_401 Application_20171025

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Strickland, Bev 10/25/2017 2:44:27 PM (Supplemental Submital)
Accept by Strickland, Bev 10/25/2017 2:47:30 PM (DOT project)
• Strickland, Bev reassigned the task to Strickland, Bev 10/25/2017 2:45 PM
• The task was assigned to Carpenter,Kristi 10/25/2017 2:44 PM

Water Resources
ENVIRONMENTAL OUALITY
Staff Review:
Submittal Type: C•' New Project
C' Pre-Application Submittal
C' More Information Response
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre-Application Submittal - Please check the pre-application submittal if you just want feedback on your submittal and do
not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
ID#*
20171170
Version*
1
Is this project in a CAMAAEC area?* �' Yes
�' No
Reviewer List:*
Select Reviewing Office:*
Garcy Ward:eads\gpward
Washington Regional Office - [phone]
Project Submittal Interim Form
subrritted: 10/25/2017
Project Contact Information:
Name: Beverly Strickland
Who is subrritting the inforrration?
Email Address: [e-mail]
Project Information:
Project Name: Beaufort Bridge 30
Is this a public transportation project?
C' Yes
l' No
TI P#:
WBS#: (Applies to
DOT projects
only)

County(ies)*
Beaufort
Describe the attachments:
Please upload all files that need to be submited.
Agent_Consultant Authorization Letter - 10_25_2017.pdf
B-5620_DMF_WRC Comments - 10_25_2017.pdf
Build Maps - 10_25_2017.pdf
Historic_Prehistoric Information - 10_25_2017 (2).pdf
Historic_Prehistoric Information - 10_25_2017.pdf
Impact Information - 10_25_2017 (2).pdf
Impact Information - 10_25_2017.pdf
Mitigation Plan - 10_25_2017.pdf
PCN Form Submission - 10_25_2017.pdf
Soil Survey - 10_25_2017.pdf
SW Diffuse Flow Plan - 10_25_2017.pdf
SW Plan - 10_25_2017.pdf
USGS Map - 10_25_2017.pdf
Only pdf files are accepted.
r% By checking the box and signing box below, I certify that:
241.42KB
1.4MB
2.45MB
8.46MB
1.78MB
110.28KB
2.45MB
129.99KB
5.01 MB
537.23KB
304.92KB
304.92KB
497.33KB
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 AcY')
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 AcY');
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 form.
Signature: