20210453 Ver 1_Meeting Request Review_20210225

4es�P .
DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
EnYlmnal2nlrtl Qua fay
ID#* 20210453 Version* 1
Regional Office* Winston-Salem Regional Office-[phone]
Reviewer List* Dave Wanucha
Pre-Filing Meeting Request submitted 2/25/2021
.........................................................................................................................................................................................................................................................................................................................................................................................................................................................
Contact Name* Amy Euliss
Contact Email Address* [e-mail]
Project Name* R-5768
Project Owner* NCDOT Division 9
Project County* Stokes
Owner Address: Street Address
375 Silas Creek Parkway
Address Line 2
City State/Rovince/Region
Winston Salem NC
Fbstal/Zip Code Country
27127 USA
Is this a transportation project?* r Yes r No
Type(s)of approval sought from the DWR:
rJ 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
• Individual Permit r- Modification
r- Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Dave Wanucha
Please give a brief project description below.*
The preapplication request is to notify you of the upcoming permit
application request for R-5768 in Stokes County.This is an intersection
relocation project of US311, NC 65 at Sr 1928 in Walnut Cove.
Please give a couple of dates you are available for a meeting.

Please attach the documentation you would like to have the meeting about.
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
. I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
. I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty-day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty-day clock has expired,and you can submit an
application.
Signature
Submittal Date 2/25/2021
Reviewer Meeting Request Decision
Has a meeting been scheduled?* r Yes r No