20201196 Ver 1_Pre-Filing Meeting Request_20200921

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DWR Pre-Filing Meeting Request Form 4„„�.
NORTH CAROLINA
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ID#* 20201196 Version* 1
Regional Office* Winston-Salem Regional Office-[phone]
Reviewer List* Dave Wanucha
Pre-Filing Meeting Request submitted 9/21/2020
Contact Name* Amy Euliss
Contact Email Address* [e-mail]
Project Name* R-5737
Project Owner* NCDOT Division 9
Project County* Davidson
Owner Address: Street Address
Address Line 2
aty State/Rovince/Region
Fbstal/Zip Code Country
Is this a transportation project?* ( Yes C No
Type(s)of approval sought from the DWR:
IW 401 Water Quality I— 401 Water Quality
Certification-Regular Certification-Express
I— Individual Permit I— Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes 6' 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.*
Convert at Grade Intersection to an interchange. Old Greensboro
Road at US29/70.
Please give a couple of dates you are available for a meeting.
9/22/2020
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
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Submittal Date 9/21/2020
Reviewer Meeting Request Decision
......................................................................................................................................................................................................................................................................................................................................................................................................
Is a meeting Required?* C Yes a No