20210925 Ver 1_Pre-Filing Meeting Information_20211028

DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Ple ase list all e xisting proje ct ID's associate d with this proje cts.*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low and include location information.*
20210925 1
Winston-Salem Regional Office - [phone]
Dave Wanucha
Pre-Filing Me eting Reque st submitte d 5/4/2021
Della Moore
[e-mail]
Tabernacle Church Road Bridge Replacement
NCDOT
Guilford
City
Greensboro
State / Province / Region
NC
Postal / Zip Code
27415
Country
USA
Street Address
1584 Yanceyville Street
Address Line 2
P.O. Box 14996
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
17BP.7.R.138/TIP-SF 400584
Dave Wanucha
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
TIP project SF-400584 involves the replacement of the existing
NCDOT Bridge #400584 on SR 3412 (Tabernacle Church Road)
over Big Alamance Creek at Guilford County. Bridge #400584
consists of 3 @ 30' precast prestressed concrete channels with end
bents made of PPC cap and timber piles and interior bents made of
PPC cap and steel piles. The existing bridge is structurally deficient
and in need of replacement. Therefore, NCDOT proposes to
construct a new bridge within it's existing footprint.
Tabernacle Church Rd Permit Drawings (1).pdf 1.91MB
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.
5/4/2021