20170450 Ver 2_Pre-Filing Meeting Information_20211025

DWR Pre-Filing Meeting Request Form
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Contact Name* Jeffrey Wyatt
Contact Email Address* [e-mail]
Project Owner* NCDOT Division 12
Project Name* Various Bridge Replacement Projects for 2021
Project County* Cleveland
Owner Address:* Street Address
1710 E Marion St
Address Line 2
City State/R-ovince/Fbgion
Shelby NC
Rbstal/Zip Code Country
28151 USA
Is this a transportation project?* r Yes t' No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification- F 401 Water Quality Certification-
Regular Express
Individual Permit F Modification
F Shoreline Stabilization
Does this project have an existing project ID#?*
s Yes c No
Please list all existing project ID's associated with this projects.*
See spreadsheet
Do you know the name of the staff member you would like to request a meeting with?
Donna Hood
Please give a brief project description below.*
Bridge descriptions are on attached file.
Please give a couple of dates you are available for a meeting.
12/8/2020
11/30/2020
Please attach the documentation you would like to have the meeting about.
division bridge permit status.pdf 101.45KB
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*
011� �'
Submittal Date 10/20/2020