20181099 Ver 1_401 Application_20180808

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 8/7/2018 6:25:40 PM (Message Start Event)
Accept by Carpenter,Kristi 8/8/2018 3:38:20 PM (DOT project)
. The task was assigned to Carpenter,Kristi. The due date is: August 10, 2018 5:00 PM
8/7/2018 6:26 PM

Staff Review
i�#*
20181099
Version* �
Is this project a public transportation project? *
Is this a DOT F Yes f No
project?*
Reviewer List:*
Select Reviewing Office:*
Submittal Type:*
401 Application
C•' Yes
�' No
Rob Ridings:eads\rgridings
Central Office - [phone]
Does this project require a request for payment to be sent? *
r
Yes
r•
No
Water Resources
ENVIRONMENTAL �UPLITV

Project Submittal Dated 8/7/2018
*
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all
mandatory questions are ans�red.
Project Type: �' New Project
C' Pre-Application Submittal
C' More Information Response
r Other Agency Comments
l•' For the Record Only (Courtesy Copy)
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 e�ectation 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.
Other Agency Comments - Please check this if you are submitting comments on an ebsting project.
Project Contact Information
Name: Heather Montague
Who is subrritting the irrforrration?
Email Address: [e-mail]
Project Information
Project Name: SR 1108 (Lee Bradsher Road)
Is this a public transportation project?
�' Yes
�' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
C' Ye�' No l' Unknown
TI P#: WBS#:
(Applies to DOT projects only)
County (ies)
Person
Please upload all files that need to be submited.
Qick the upload button or drag and drop files here to attach docurrent
PERMITS_SR1108 Lee Bradsher_Person.pdf 2.77MB
Only pdf or krre files are accepted.
Describe the attachments:

We like for you to know where we are v�rorking even when we are using non-reporting permits. Attached is one
RMIP site for Person County.For maintenance sites such as this one, NCDOT Division 5 has a procedure in
place to provide our construction crews/Contractor with print outs of the general conditions e�laining the
intent to operate under a non-reporting permit as long as all applicable conditions are met. Oversight from
both the Division Environmental Staff and Roadside Environmental Field Operations Unit will ensure
compliance with the permit conditions are met and that standard BMPs and EC plans are followed.
As mentioned previously, Division 5 is in the process of replacing small pipes by batches based on routes
upcoming for resurfacing. This is called the Road Maintenance Improvement Program (RMIP). Counties are
developing pipe replacement lists by Fiscal Year(s). We are performing environmental screenings and then
field verifying each of these sites. We are making sure there are no cultural resource issues, no protected
species issues, nor any HQW crossings that would trigger written permits. Note for the most part, we are
replacing pipes in place with the same size and length pipes. However where warranted we may upsize one
pipe size (i.e. 18" to a 24") and may add a 4ft pipe segment only where shoulders need to be improved for
safety. Temporary dewatering and/or pump around would be necessary if flow is present. We are not pushing
out fill slopes, so no wetland impacts will result. Additionally, no trees will be cut and we are staying within our
ewsting transportation facility, so there will be no triggers for buffer authorizations and this is why vve aren't
reporting any NLEB habitat in the construction footprint. Rip rap armoring underlined with geotextile will be
used around the pipe ends for long term stability.
fJ 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 online form."
Signature:
f�A7}f��- i�t{ �i0rJ7".� 6v�
Submittal Date: