20210179 Ver 1_Pre-Filing Attachment_20210227

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
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ID#* 20210179 Version* 1
Regional Office* Raleigh Regional Office-[phone]
Reviewer List* Stephanie Goss
Pre-Filing Meeting Request submitted 1/27/2021
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Contact Name* Ryan Walker
Contact Email Address* [e-mail]
Project Name* 230 Choctaw Drive
Project Owner* Gary Hicken
Project County* Franklin
Owner Address: Street Address
1631 Mark Drive
Address Line 2
City State/Rovince/Region
Bridgewater NJ
Fbstal/Zip Code Country
08807 United States
Is this a transportation project?* r Yes (' No
Type(s)of approval sought from the DWR:
r- 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit r- Modification
rJ Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes (' No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
Boat house and sea wall
Please give a couple of dates you are available for a meeting.
1/27/2021

1/28/2021
Please attach the documentation you would like to have the meeting about.
Hicken application.pdf 4.82MB
Hicken approval Army Corp.pdf 2.08MB
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
r l4
Submittal Date 1/27/2021