20181134 Ver 1_More Info Received_20190114

Pipe Replacements on SR 1148
North Gregory Road
Currituck County Quad Name Lambs Corner
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Pipe 1
.• Existing 72" X 48" X 36' CMPA
Proposed (2) 66" X 51" X 40' CAPA's
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Water Resources
ENVIRONMENTAL �UPLITV
Staff Review
Does this application have all the attachments needed to accept it into the review process?
C' Yes C' No

Project Submittal Form
*
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: Paul Williams
Who is subrritting the irrforrration?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20181134 1
20170001(no dashes)
Project Name: Courtesy Notification - Currituck SR 1148 North Gregory Road - Pipe Replacement
Is this a public transportation project?
�' Yes
�' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
C' Yes�' No �' Unknown
TI P#: WBS#:
1 B.202711
(Applies to DOT projects only)
County (ies)
Currituck
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach docurrent
North Gregory Rd (Currituck Co.) Topo.pdf 1.07MB
Only pdf or lare files are accepted.
Describe the attachments:

Proposed pipe sizes for Pipe 1 has been modified to (2) 66" X 51" X40' CAPA's. The revised attached
document reflects the modification.
�J 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:
. sl�r�r/[ �/;u " %f/�ff iTlNci . f �/J.
Submittal Date: