20191174 Ver 1_401 Application (Original Submission)_20190904

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#* Version* 1
20191174
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:*
401 Application
Joanne Steenhuis:eads\jhsteenhuis
Wilmington Regional Office - [phone]
Does this project require a request for payment to be sent? *
r
Yes
c:
No

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: r New Project
r Pre -Application Submittal
r More Information Response
r 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 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 existing project.
Project Contact Information
Name: James J Rerko, PWS
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: 15406.1026112 Bridge 260061 over Cross Creek along 1-95BUS / US 301
Is this a public transportation project?
r• Yes
r' No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
C Yes (-- No r' Unknown
TIP#: WBS#:
15406.1026112
(Applies to DOT projects only)
County (ies)
Cumberland
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
D00090419-09042019094103. pdf 781.55KB
Only pdf or lqm files are accepted.
Describe the attachments:

Scour as the result of Hurricane Florence has eroded the earthen material under the bent pedestals along
Cross Creek. The necessary repair consists of installing rip -rap stone to protect the structure. In order to
access the work area, a Temporary Rock Causeway will be installed. The Rock Causeway will be underlaid
with Type #2 Geotextile fabric with Class II Rip -rap and Crane Mats. Upon completion of the repair, all material
for the Rock Causeway will be removed and the Temporary Construction Access will be stabilized.
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
• I intend to electronically sign and submit the online form."
Signature:
Submittal Date: September 4, 2019
Is filled in actor atically.

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ENT No.2
PROJECT NO. 1064--1s26 11-
CUMBERLAND COUNTY
STATION: 25+55.00 -L-
51.1E v "I. W."A
DEPARTMENT OF TRANSPORTATION
MESW
GENERAL DRAWING
FOR BRIDGE OVER CROSS CREEK
ON I-95 BUS. LOOP & US 301
BETWEEN NC 24/210
AND SR 1728
S-2
DRAWN BY
CNECKEO BY