20180395 Ver 1_401 Application_20180319

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 3/19/2018 8:46:08 AM (Supplemental Submital)
Accept by Carpenter,Kristi 3/19/2018 12:52:26 PM (DOT project)
• The task was assigned to Carpenter,Kristi 3/19/2018 8:46 AM

Water Resources
ENVIRONMENTAL OUALITY
Staff Review:
ID#* Version *
20180395 1
Reviewer List:* Garcy Ward:eads\gpward
Select Reviewing Office:* Washington Regional Office -[phone]
Submittal Type:* 401 Application
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
l' Yes r No �' Unknown
Does this project �' Yes
require a request (' No
for payment to be
sent?*
Project Submittal Interim Form
subrritted: 3/19/2018
Submittal Type: �' New Project
C' Pre-Application Submittal
C' More Information Response
Project Contact Information:
Name: Paul Williams
Who is subrritting the irrforrretion?
Email Address: [e-mail]
Project Information:
Project Name: Courtesy Notification - Tyrrell NC 94 - Pipe
Replacement
Is this a public transportation project?*
C' Yes
l' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
l' Yes �' No C' Unknown
TI P#:
WBS#: 1 B.108911
(Applies to DOT projects only)

County(ies)*
Tyrrell
Describe the attachments:
This is a courtesy notification that NCDOT will be replacing dual pipes in a jurisdictional area in Pasquotank
County under Nationwide Permit 3 conditions. Location is on a UT to Alligator River, Stream Index No. 30-16-
(7), Pasquotank River Basin. Location is within the Gum Neck Drainage District.
Existing (2) 60" X 70' CMP's will be replaced by a 10'9" X 6' 10" X 53'5" ASPPA w/ headwalls at N 35.7331 ° W
76.1754°.
Please upload all files that need to be submited.
Topo.pdf 1.05MB
NCDOT TYRELL CO 13465 NC 94 AT HUNTER RD COLUMBIA NC.pdf 178.21 KB
Only pdF or larn files are accepted.
r7 By checking the box and signing box below, I certify that:
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:
:'f%r�rt! �rxr..• f'l,tr�rrr�.rsf.

FULLY WELDED ALUMINUM ALUMINUM STIFFENING RIB BOLTED TO
FULLY WELDED ALUMINUM
ALUMINUM STIFFENING RIB BOLTED TO
END VIEW- OUTLET HEADWALL
D.4TE: SHFFT
FEB 28, 2018
NOT TO SCALE

PROPOSED ELEVATIONS
EP OUT= 100.00
EP IN= 99.00
TOP HW OUT= 98.33
TOP HW IN= 97.49
TOP ALSP P.A.= 93.83
INV STREAM= 88.00
INV ALSP P.A.= 87.00
FLOW
��
FIRM:
DATE�. SHFFT
FEB 28, 20"18
NOT TO SCALE

Pipe Replacement on NC 94
near Gum Neck
Tyrrell County Quad Name Fairfield NW
SR-1102
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