20210378 Ver 1_Pre-Filing Meeting Request_20210215

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210378
Version *
1
Raleigh Regional Office - [phone]
Stephanie Goss
Pre -Filing Meeting Request submitted 2/15/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Is this a transportation project?*
Heather LaGamba
[e-mail]
Walker Funeral Home
Keith Allen & Ruth Williams
Chatham
Street Address
Mill House Rd
Address Line 2
City State / Rovince / Region
Chapel Hill NC
Fbstal / Zip Code Country
27516 United States
r Yes O' No
Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
r Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes 6' No
Do you know the name of the staff member you would like to request a meeting with?
Sue Homewood
Please give a brief project description below.*
The applicant does not request a meeting. The applicant may submit
a request for 401 WQC.
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 2/15/2021