20201506 Ver 2_Pre-Filing Meeting Request_20210405

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
EnYlmnal2nlrtl Qua fay
ID#* 20201506 Version* 2
Regional Office* Mooresville Regional Office-[phone]
Reviewer List* Donna Hood
Pre-Filing Meeting Request submitted 4/5/2021
.........................................................................................................................................................................................................................................................................................................................................................................................................................................................
Contact Name* Michael Turchy
Contact Email Address* [e-mail]
Project Name* B-4407
Project Owner* NCDOT
Project County* Anson
Owner Address: Street Address
1598 Mail Service Center
Address Line 2
City State/Rovince/Region
Raleigh NC
Fbstal/Zip Code Country
27699 US
Is this a transportation project?* r Yes r No
Type(s)of approval sought from the DWR:
rJ 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit rJ 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.*
2020150v.1
Do you know the name of the staff member you would like to request a meeting with?
Donna Hood/No meeting requested
Please give a brief project description below and include location information.*
This is an anticipated request in the event a permit modification is
required for the project. No meeting is requested.

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
f ofie
Submittal Date 4/5/2021