20210217 Ver 1_Pre-Filing Meeting Request_20210130

ID#* 20210217
Version* 1
Regional Office* Mooresville Regional Office - [phone]
Reviewer List* Alan Johnson
Pre -Filing Meeting Request submitted 1/30/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Beth Mosteller
[e-mail]
Srokose Campbell
Paul David Srokose & Christina M Campbell
Lincoln
Street Address
8016 Shipps Lane
Address Line 2
aty
Denver
Rbstal / Zip Code
28037
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 r- Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
State / Frovince / Region
North Carolina
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. *
place Class B rip rap along 207 ft following the contour of shoreline, 1
ft above full pond and 3 ft below full pond , lot number for property is
16&17&Adj
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.
• 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
�ar.14
Submittal Date 1/30/2021