20191547 Ver 2_Meeting Request Review_20210209

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DWR Pre-Filing Meeting Request Form
ID#* 20191547 Version* 2
Regional Office* Central Office-[phone]
Reviewer List* Rob Ridings
Pre-Filing Meeting Request submitted 2/9/2021
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Contact Name* Jason Dilday
Contact Email Address* [e-mail]
Project Name* Bridge 115 over Rocky Swamp on SR1601
Project Owner* NCDOT
Project County* Halifax
Owner Address: Street Address
1000 Birch Ridge Drive
Address Line 2
aty State/Frovince/Region
Raleigh NC
Rbstal/Zip Code Country
27610 USA
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
r- Individual Permit W Modification
r- Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Please list all existing project ID's associated with this projects.*
20191547
Do you know the name of the staff member you would like to request a meeting with?
Rob Ridings
Please give a brief project description below.*
This project has been permitted.This is a placeholder for potential future
modifications.

Please give a couple of dates you are available for a meeting.
Please attach the documentation you would like to have the meeting about.
pdr 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.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
1 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 2/9/2021
Reviewer Meeting Request Decision
...............................................................................................................................................................................
Has a meeting been scheduled?* () Yes G No