20190908 Ver 1_More Information Received_20190814

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID# * Version
20190908
Is this project a public transportation project?* r Yes
r No
Is this a DOT r Yes r No
project?*
Reviewer List:*
Select Reviewing Office:*
Submittal Type:*
Application Attachments
Amy Chapman: eads\aschapman
Central Office - [phone]
Does this project require a request for payment to be sent?*
r
Yes
r
No

Project Submittal Form
Please note: fields marked m4th a red asterisk below are required. You vid// not be able to submit the form until all
mandatory questions are ansmred.
Project Type: r New Project
* Pre -Application Submittal
* More Information Response
* Other Agency Comments
r For the Record Only (Courtesy Copy)
r Stream or Buffer Appeal
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 expectation that your submittal WIl 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 existing project.
Is this supplemental information that needs to be sent to the Corps?
r Yes r No
Project Contact Information
Name: Marla Chambers
Who is subrritting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID #:
Existing Version:
20190908
1
20170001 (no dashes)
Project Name:
Haywood County Bridge 276
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r
Unknown
TIP#:
WlBS#:
17BP.14.R.176
(Applies to DOT projects only)
County (ies)
Haywood
Please upload all files that need to be submited.

aick the upload button or drag and drop f iles here to attach docun-ent
HayBrg276srl 104BurnettC2019-08.pdf 86.69KB
Only pdf or lq-nz files are accepted.
Describe the attachments:
Comments, including trout moratorium.
V By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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 Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
• 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:
Submittal Date: Is filled in autorratically.