20210435 Ver 1_Pre-Filing Meeting Request_20210224

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210435
Version *
1
Raleigh Regional Office - [phone]
Stephanie Goss
Pre -Filing Meeting Request submitted 2/24/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Dennis euliss
[e-mail]
655 Clearwater Ln, Semora
Euliss Properties,LLC
Person
Owner Address: Street Address
524 W. Elm St
Address Line 2
City State / Rovince / Region
Graham NC
Fbstal / Zip Code Country
27253 US
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 I— Modification
fJ 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?
Stephanie Goss
Please give a brief project description below.*
Install 250 linear ft of riff raff rock on shore line 12in below water line
18in above water line
Please give a couple of dates you are available for a meeting.

2/8/2021
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
OeororeV l<Pc6
Submittal Date 2/24/2021