20210933 Ver 1_Pre-Filing Meeting Request_20210510

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210933
Version *
1
Raleigh Regional Office - [phone]
Stephanie Goss
Pre -Filing Meeting Request submitted 5/10/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Is this a transportation project?*
Adam Aycock
[e-mail]
Baileywick Road Property
John Mark Ward
Wake
Street Address
PO Box 17526
Address Line 2
City State / Rovince / Region
Raleigh NC
Fbstal / Zip Code Country
27619 United States
r Yes ( No
Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
r 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?
Please give a brief project description below and include location information. *
The project is to develop 3.63 acres into residential lots. The
property is located at 9709 and 9717 Baileywick Road in Raleigh, 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
APAAt
Submittal Date 5/10/2021

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