20201395 Ver 1_Pre-Filing Meeting Request_20201005

ID#* 20201395 Version* 1
Regional Office* Washington Regional Office - [phone]
Reviewer List* Robert Tankard
Pre -Filing Meeting Request submitted 10/5/2020
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Kelly Russell
[e-mail]
Thorne bulkhead/pier project
Barbara Thorne
Perquimans
Street Address
213 Kimrod Lane
Address Line 2
North Carolina
aty
Charlotte
Fbstal / Zip Code
28104
Is this a transportation project? * r Yes r No
Type(s) of approval sought from the DWR:
r- 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
W Individual Permit F Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
State / Frovince / Fegion
NC
Country
United States
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below. *
Residential property requesting a bulkhead replacement and a pier with a
boathouse and lift.
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 10/5/2020