20181598 Ver 6_Pre-Filing Meeting Request_20210922

DWR Pre -Filing Meeting Request Form
NORTH CAROLINA
Envlronm¢ntcl avofiry
ID#*
Regional Office*
Reviewer List*
20181598
Version*
6
Washington Regional Office - [phone]
Garcy Ward
Pre -Filing Meeting Request submitted 9/22/2021
Contact Name* Gordon Cashin
Contact Email Address* [e-mail]
Project Name* R-1015
Project Owner* NCDOT
Project County* Craven
Owner Address: Street Address
1000 Birch Ridge Lane
Address Line 2
City State / Province / Region
Raleigh NC
Postal / Zip Code Country
27610 USA
Is this a transportation project?* - Yes No
Type(s) of approval sought from the DWR:
401 Water Quality Certification - 401 Water Quality Certification -
Regular Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
Please list all existing project ID's associated with this projects.*
NCDWR Project No. 20181598 v.2, Certification No. WQC004178
Do you know the name of the staff member you would like to request a meeting with?
Garcy Ward
Please give a brief project description below and include location information.*
This project is under construction. It is expected that another
modification must be made to the certification due to utilities and other
changes to construction plans. No meeting is needed just now.

Please attach the documentation you would like to have the meeting about.
pdf only
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 9/22/2021