20210908 Ver 1_Pre-Filing Meeting Request_20210505

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210908
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 5/5/2021
Contact Name *
Contact Email Address*
Project Name * Adams Shoreline Project
Project Owner* Michael Adams
Project County* Catawba
Owner Address: Street Address
8422 Chick Dr
Address Line 2
City State / Rovince / Region
Catawba NC
Fbstal / Zip Code Country
28609 United States
Is this a transportation project?* r Yes (' No
Kim Jordan
[e-mail]
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?
Alan Johnson
Please give a brief project description below and include location information. *
Adding Class "B" Rip Rap to existing rip rap shoreline, approximately
95 LF
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
eterzer
Submittal Date 5/5/2021