HomeMy WebLinkAbout20141200 Ver 4_401 Application_20180405Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 4/5/2018 11:37:25 AM (Supplemental Submital)
Accept by Carpenter,Kristi 4/5/2018 4:49:09 PM (DOT project)
. The task was assigned to Carpenter,Kristi 4/5/2018 11:37 AM
Water Resources
ENVIRONMENTAL OUALITY
Staff Review:
i�#*
20141200
Reviewer List:*
Version *
4
Dave Wanucha:eads\djwanucha
Select Reviewing Office:* Winston-Salem Regional Office -(336) 776-9800
Submittal Type:* 401 Application
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
l' YesC' No C•' Unknown
Does this project �' Yes
require a request (' No
for payment to be
sent?*
Project Submittal Interim Form
subrritted: 4/5/2018
Submittal Type: �' New Project
C' Pre-Application Submittal
C' More Information Response
Project Contact Information:
Name: Kristi Lynn Carpenter
Who is subrritting the irrforrration?
Email Address: kristilynn.carpenter@ncdenr.gov
Project Information:
Project Name: R-2603 Mod Wilkes
Is this a public transportation project?*
l•' Yes
C' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
f Yesf' No C•' Unknown
TIP#: R-2603
WBS#: 34518.1.2
(Applies to DOT projects only)
County(ies)*
Wilkes
Describe the attachments:
Please upload all files that need to be submited.
R-2603 Mod Wilkes April 3 2018 email.pdf 80.18KB
Only pdF or Ivre files are accepted.
I� 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:
r�ir:ltr .�l�rl�'!� irc.r�rf:'
1
Carpenter,Kristi
From:Mellor, Colin
Sent:Tuesday, April 03, 2018 2:03 PM
To:Steve Kichefski
Cc:Al-Dhalimy, Nadia A; Al-Ghandour, Majed N; Barclay, Carl A;
Chapman, Amy; Hanks, Brian; Carpenter,Kristi; Chambers, Marla J;
NCDOT Service Account - Roadway Design; Lauffer, Matthew S;
Pettyjohn, Michael A; Slaughter, Johnathan H; Staley, Mark K;
Wanucha, Dave; Harmon, Beth; marella_buncick@fws.gov; Cheely,
Erin K; Dagnino, Carla S
Subject:Permit Modification Application for R-2603 Wilkes County
Follow Up Flag:Follow up
Flag Status:Flagged
A permit modification application for R‐2603 has been prepared. The electronic copy
can be viewed/downloaded at
https://connect.ncdot.gov/resources/Environmental/
Colin Mellor
Group Leader – Environmental Coordination & Permitting
Environmental Analysis Unit
North Carolina Department of Transportation
919 707 6139 office
cmellor@ncdot.gov
1020 Birch Ridge Drive
Raleigh, NC, 27610
1598 Mail Service Center
Raleigh, NC 27699-1598
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
_____________________________________________________________
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third
parties.