20121086 Ver 1_Triage Comments_20121212

Triage Comment Sheet
DWQ#
Triage By:
Reviewer 1 qjk---�s Date:
Reviewer 2 Date: a ar l a-
Reviewer 3 Date:
Issue Pro' ' cll^ t a l l a,/ is
Reviewer 1 viewer 2 O Reviewer 3
Issue with Conditions
Reviewer 1
O , 5e Pv w ®n V � n —
ee5w A , 6wVr
� l�'1Gi "•�� "L• dam_ 1 --r i J
(�12
Cv: ll era ; ( d- c?5 K �T j
❑ Reviewer 2 / a�
❑ Reviewer 3
More Information
❑ Reviewer 1
Return Amlication
• ❑ Reviewer 1
❑ Reviewer 2
❑ Reviewer 2
❑ Reviewer 3
❑ Reviewer 3
PLEASE PRINT CLEARLY
n I-- v__ n_:_. e_.—lea —A C .111- 1-- A.. —.._ nm� A --

EXAMPLE AGENT AUTHORIZATION FORM
Property Legal Description:
Parcel ID: 1705611176
Lot No. (if applicable)
Plan No. (if applicable)
Street Address (if applicable):
2507 Kenmore Drive Raleigh, NC 27608
Property Owner:
Owner Name (print):
Calhoun Cunningham and Irenee Duncan
Property Owner's Address (if different than the above):
Owner Signature:
LyCg; Ls U �,1 l� U'�
DE 1 2 2012
The above registered property owners of the above property, do hereby authorize
Erin Sterling Lewis, AIA
Agent Name
In situ studio, Inc.
Agent Company Name (if applicable)
to act on my behalf and take all actions necessary for the application, processing, issuance and
acceptance of this permit, certification or authorization including all standard and special conditions
attached.
I hereby certify that the above information submitted on this form and application is true and accurate
to the best of my knowledge.
Authorized Agent Name/ Company: Erin,#eftg Lewis . In situ studio, Inc.
Authorized Agent Signature:
Date: 221111

Sullivan, Shelton
From:
Richmond, Martin
Sent:
Wednesday, December 12, 2012 8:35 AM
To:
Sullivan, Shelton
Subject:
RE: Kenmore
issue
Martin Richmond
NC Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive, Raleigh NC 27609
(919) 791 -4250
Email correspondence to and from this address is subject to the North Carolina Public Records law and may be disclosed
to third parties unless the content is exempt by statute orother regulation
From: Sullivan, Shelton
Sent: Tuesday, December 11, 2012 12:22 PM
To: Richmond, Martin
Subject: Kenmore
Martin,
Here is a copy of the Kenmore PCN if you would like to review it. I would like your comments and I will include with
mine and then give to Karen. Let me know if you have any questions and if you think all of our issues have been
addressed. All of this including the emails is in laserfiche.
Thanks
Shelton Sullivan
NCDENR I Division of Water Quality I Wetlands & Stormwater Branch
Wetlands, Buffers, Stormwater Compliance and Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699 -1617
Phone- [phone] Fax: [phone]
Email- shelton.suHivan @ncdenr.gov
Website: http : / /Rortal.nedenr.org/web /wq /ws
E -mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties
�� Please consider the environment before printing this email.