20210901 Ver 1_Pre-Filing Meeting Request_20210505

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210901
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 5/5/2021
Contact Name *
Contact Email Address*
Project Name * Hardison Shoreline
Project Owner* Doug & kelly Hardison
Project County* Gaston
Owner Address: Street Address
17099 Belle Isle Drive
Address Line 2
City State / Rovince / Region
Dumfries VA
Fbstal / Zip Code Country
22026 Prince William County
Is this a transportation project?* r 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 I— Modification
fJ Shoreline Stabilization
Kim Broome
[e-mail]
Does this project have an existing project ID#?*
r Yes 6' 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. *
Place rip rap along approx 150' of shoreline to aid in erosion control
located at 7034 Lakeside Point Dr in Belmont, NC
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