20210931 Ver 1_Pre-Filing Meeting Request_20210510

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office*
Reviewer List*
20210931
Version*
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 5/10/2021
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
TAMARA HAGER
HAGER@LAKEPERMIT. COM
LYERLY
RONALD E LYERLY
Iredell
Street Address
128 SUNSET VIEW LN
Address Line 2
City State / Province / Region
STATESVILLE NC
Ibstal / Zip Code Country
28677 US
Is this a transportation project?* r Yes F No
Type(s) of approval sought from the DWR:
17 401 Water Quality Certification - P 401 Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
17 Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Do you know the name of the staff member you would like to request a meeting with?
NONE
Please give a brief project description below and include location information. *
RIP RAP BARE ERODED AREAS FOR SHORELINE STABILIZATION
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
I�O,rL f LYfLY
Submittal Date 5/10/2021