20210570 Ver 1_Pre-Filing Meeting Request_20210316

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
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ID#* 20210570 Version* 1
Regional Office* Fayetteville Regional Office-[phone]
Reviewer List* Chad Turlington
Pre-Filing Meeting Request submitted 3/16/2021
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Contact Name* Perry Crooke
Contact Email Address* [e-mail]
Project Name* Crooke shoreline
Project Owner* Perry Crooke
Project County* Montgomery
Owner Address: Street Address
Lot 5 Cove Pt.
Address Line 2
City State/Rovince/Region
Mt. Gilead NC
Fbstal/Zip Code Country
27306 Montgomery
Is this a transportation project?* (' Yes r 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 r No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below and include location information.*
Remove trees from shoreline, slope and grade so we can add natural
boulders.
Please give a couple of dates you are available for a meeting.

3/22/2021
3/24/2021
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
Submittal Date 3/16/2021