20220654 Ver 1_Pre Filing Meeting Documents_20211210

DWR Pre-Filing Meeting Request Form
Contact Name *
Contact Email Address *
Project Owner *
Project Name *
Project County *
Owner Address:*
Is this a transportation project?*
Type(s) of approval sought from the DWR:
Does this project have an existing project ID#?*
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.*
Signature *
Kim Williams - Land Management Group
[e-mail]
Perry Management Inc.
San Juan Circle
Carteret
City
Kinston
State / Province / Region
NC
Postal / Zip Code
28501
Country
USA
Street Address
PO Drawer 1475
Address Line 2
Yes No
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Individual Permit Modification
Shoreline Stabilization
Yes No
Unknown
Potential residential development that will impact wetlands.
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:
x This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401
Certification Rule.
x I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
x 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.
Submittal Date 12/10/2021