20171371 Ver 1_B-4777 Madison Corps Cover Sheet - 10/27/2017_20171027

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name:_B-4777, Brid�es 8 and 9, NC 251
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: N/A
6. Subdivision Name:
7. City: Marshall
8. County: Madison
9. Lat: _35.77643 Long: i 82.64754 (Decimal Degrees Please )
10. Quadrangle Name: Marshall
11. Waterway: Iv River
12. Watershed: French Broad River
13. Requested Action:
X Nationwide Permit # 3
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: