20200226 Ver 2_BR-0126 DWR Pre-Filing Meeting Request Form - Version 2_20201130 (2)

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DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
Envinanmenml Quality
ID#* 20200226 Version* 2
Regional Office* Winston-Salem Regional Office-[phone]
Reviewer List* Dave Wanucha
Pre-Filing Meeting Request submitted 10/24/2020
Contact Name* Erin Cheely
Contact Email Address* [e-mail]
Project Name* BR-0126 Replacement of Bridge 667 on SR 1749 over Sparks Creek
Project Owner* NCDOT
Project County* Wilkes
Owner Address: Street Address
1000 Birch Rridge Drive
Address Line 2
City State/Province/legion
Raleigh NC
Fbstal/Zip Code Country
27610 USA
Is this a transportation project?* r• Yes r No
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?*
Yes ( No
Please list all existing project ID's associated with this projects.*
20200226
Do you know the name of the staff member you would like to request a meeting with?
no meeting requested
Please give a brief project description below.*
A permit modification is required that is likely to increase bank stabilization
impacts due to a drainage revision based on an adjacent landowner
concern.

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
/WAX( ram.-.
Submittal Date 10/24/2020
Reviewer Meeting Request Decision
Has a meeting been scheduled?* C Yes r No