20211506 Ver 1_Pre-Filing Meeting Information_20211017

Contact Name*
Doug Dorman
Contact Email Address*
[e-mail]
Project Owner*
Cynthia Davis, Doris Roberts
Project Name*
888 Searidge
Project County*
Currituck
Owner Address:*
Street Address
11934 NeW Bond Drive
Address Line 2
aty
Huntersville
Postal / Zip axle
28078
Is this a transportation project?*
C Yes c: No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes c: No
State / Province / Pegion
NC
Country
USA
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.*
Construction of a single family residence will impact 918 square feet
of Section 404 Wetlands.
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.
1 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 *
off"
Submittal Date 8/26/2021