20191245 Ver 2_Pre-Filing Meeting Request_20210310

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20191245
Version *
2
Mooresville Regional Office - [phone]
Donna Hood
Pre -Filing Meeting Request submitted 3/10/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Erin Cheely
[e-mail]
U-4714AB
NCDOT
Mecklenburg
Street Address
1598 Mail Service Center
Address Line 2
City State / Rovince / Region
Raleigh NC
Fbstal / Zip Code Country
27699 United States of America
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
I— Individual Permit fJ Modification
r Shoreline Stabilization
Does this project have an existing project ID#?*
6' Yes r No
Please list all existing project ID's associated with this projects.*
20191245
Do you know the name of the staff member you would like to request a meeting with?
No meeting is requested
Please give a brief project description below and include location information. *
1-485 and East John Street -Old Monroe Road (SR 1003) interchange
improvements

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
r,,f1: GY
Submittal Date 3/10/2021