20210904 Ver 1_Pre-Filing Meeting Request_20210505

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210904
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 5/5/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Robert A Cohen
[e-mail]
Cohen Residence 50
Robert Cohen
Stanly
Owner Address: Street Address
121 N Main Street
Address Line 2
City State / Rovince / Region
NORWOOD NC
Fbstal / Zip Code Country
28128 USA
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?
no
Please give a brief project description below and include location information. *
Build a new pier, boathouse and install class II Rip Rap
Edgewater on Lake Tillery Subdivision
224 Clearwater Court
Norwood NC 28128
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 5/5/2021

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