20190228 Ver 2_Pre-Filing Attachment_20210301

ID#* 20180228 Version* 2
Regional Office* Winston-Salem Regional Office - [phone]
Reviewer List* Dave Wanucha
Pre -Filing Meeting Request submitted 2/25/2021
..................................................................................................................................................................................................................
Contact Name * Amy Euliss
Contact Email Address* [e-mail]
Project Name* 17BP.9.R.33
Project Owner* NCDOT Division 9
Project County* Davidson
Owner Address: Street Address
375 Silas Creek Parkway
Address Line 2
aty State / Frovince / Region
Winston Salem NC
Rbstal/Zip Code Country
27127 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.*
20190228
Do you know the name of the staff member you would like to request a meeting with?
Dave Wanucha
Please give a brief project description below.*
This notification is being submitted in case there is a permit
modification needed during construction. At this time, a meeting is not
needed.

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 2/25/2021