20211570 Ver 1_Meeting Request Review_20211026

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
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ID#* 20211570 Version* 1
Regional Office* Winston-Salem Regional Office-[phone]
Reviewer List* Dave Wanucha
Pre-Filing Meeting Request submitted 10/26/2021
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Contact Name* Kevin Hining NCDOT Div 11
Contact Email Address* [e-mail]
Project Name* Surry pipe 2266 replacement/17BP.11.C.4
Project Owner* NCDOT
Project County* Surry
Owner Address: Street Address
801 Statesville HWY
Address Line 2
City State/Province/Region
North Wilkesboro NC
Postal/Zip Code Country
28659 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
Do you know the name of the staff member you would like to request a meeting with?
Dave Wanucha
Please give a brief project description below and include location information.*
Pipe replacement on a UT of Lovills Creek(WS-IV). No other jurisdictional
impacts in the project area. Permit drawings and impact summary table is
attached, but is being revised,with fewer impacts than shown on the
attachment.

Please attach the documentation you would like to have the meeting about.
852266_Preliminary Permit Drawings and
888.61KB
impact summary.pdf
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 10/26/2021
Reviewer Meeting Request Decision
Is a meeting required or is there more info needed?*
Yes No
If more information is needed,please add comments for the email notification below.