20210714 Ver 1_Pre-Filing Meeting Request_20210408

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210714
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 4/8/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Charlie Washburn - Marine Construction LLC
[e-mail]
Kirkland - Hickory NC
Tim & Diane Kirkland
Catawba
Street Address
4325 30th St Ln NE
Address Line 2
City State / Rovince / Region
Hickory NC
Fbstal / Zip Code Country
28601 USA
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
fJ Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes a No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information. *
Place riprap on shoreline.
Please give a couple of dates you are available for a meeting.
4/12/2021

4/13/2021
4/14/2021
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
�frrz tfi. Vrelfrr tor
Submittal Date 4/8/2021