20210447 Ver 1_Meeting Request Review_20210219

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DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
Environmental Quafuy
ID#* 20210447 Version* 1
Regional Office* Winston-Salem Regional Office-[phone]
Reviewer List* Dave Wanucha
Pre-Filing Meeting Request submitted 2/19/2021
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Contact Name* Michael Turchy
Contact Email Address* [e-mail]
Project Name* B-5721
Project Owner* NCDOT
Project County* Rockingham
Owner Address: Street Address
1598 Mail Service Center
Address Line 2
Qty State/Bovine/Region
Raleigh NC
Fbstal/Zip Code Country
27699 US
Is this a transportation project?* r Yes r No
Type(s)of approval sought from the DWR:
i7 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit I— Modification
1 Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
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.*
B-5721 is the replacement of Bridge 124 on Dan Valley Road (SR 2177)
over Mayo River.
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 2/19/2021
Reviewer Meeting Request Decision
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Has a meeting been scheduled?* C Yes t: No