20080300 Ver 1_Initial Interest_20080212

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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESSPERMITTINC UNIT
October 1, 2006
/~ 'V`ersion 4
Applicant Name: 1-.. ~ . C.a3-}~~~crry Ue i ~S
Applicant Address: C-~D 5-even $a~~tSn~. ~~. p
O'0~ t~~~°Yl K~A~ C7Grnef~~~ r~~.~~- 1
Applicant's phone number; °l l - "T7 - O ~ $3 Fax number; glq~'773 ~ OI `I
Applicant's email address; I
Consultant Name (if applicable); ~p ~ ~ R f ~ou r L ~D ~ r1 u i t'o f1,1+'~e~ni'a.~ SPrvi c~' S S G .
Consultant address (if applicable); $ a y S ~} .P W ~na~ ~~
~a1Ei4~. N C. c~°I l010 _ _
Consultant's phone number: ~l ~~- a t a • l7 to d Fax number: q 1 °I- a t a- " 17D
Consultant's email address: ~ o,fbDu
Type of action requested under the Express Review Program (check all that apply}:
^ 401 Water Quality Certification
^ Isolated Wetland Permit
^ Riparian Buffer Approval
^ Riparian Buffer Minor Variance
^ Coastal General "Major" Variance
Stream Origin Determination
# of Determinations Requested
^ Intermittent/Perennial Determination
# of De#erminations Requested
^ Isolated Wetland Determination
linear feet or acres
^ Stormwater Management Plan (this fee is not additive when approval is combined with 401 Cert.}
# of Drainage Areas/Project Site
Name ofPraject: ~-• ~. Cas'~'~Cberry ~Pi'rs ~ro,~~~ County: , .~o~•rb~-ors.
Total project acreage: 3 ~ • ~ (acres) Total built out impei^vious area: ~~ .(acres)
Nearest Named stream + River Basin (from USGS topo map):
BuFlra~o L'rdtk eta ~esi r~
Please provide a brief description of this project (attach site plan if available):

~,..~. ,•
Please attach a map of site location using USGS 1:24,000 map and county soil survey.
Location of project site -please include reference to the county, nearest name town and highway number:
Proposed impacts:
N F}
Acres of 4041401 wetlands
Acres of isolated wetlands
Linear feet of streams
Linear feet of isolated streams
Square feet of protected stream buffers
Has consultant or applicant attended any DWQ-sponsored training sessions in the past rivo years? If so, please list
which ones. Yes; Perennial & Intermittent Stream Identification Aquatic Insect Collection Protocols Express Permit
Training (January 2004
~ov'~
Has any DWQ staff visited the site? µ~~ , if yes, please provide DWQ staff name,
date of visit:
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
and

Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
lV n
Is this project an After-the-fact application or has this project received a previous Notice of Violation from DWQ7
-~---
Does this project require approval of a Variance from the NC Environmental Management Commission? /~ D
Are you aware of any local controversy concerning this project? If so, please describe the controversy and any
measures that have been taken with respect to public involvement.
W e art ~o-{' a.wa~ o •F ~~
dPitJy Go-~CP~rt'
This form must be submitted via email (c/o 401expressCa~cmail.net), faxed (919-733-6893) or hand-delivered to the
Parkview Building, 2321 Crabtree Blvd. Suite 250, Raleigh, NC 27604. Applicants who are selected to participate in
the Express Review Program will be notified via fax within 2 days. Successful applicants will then be instructed
regarding detailed procedures for full application (Note: Subn:ittals of the revietiu packages on Friday after 12:00 pm
will be stamped as received on the next business day).
~~ r~c.~r•r' t 5 l., s ~ d ~ Ei ~' fn~e.yd Q ([ .

TopoZone -USGS Flowers (NC) Topo Map Page 1 of 1
http://www.topozone.con~/print.asp?lat=35.70438&lon=-78.36806&s=24&size=m&u=6&1... 1/30/2008
USGS Flowers (NC) Quadrangle Iq=~ i'~.`~°!
Projection is UTM Zone 17 NAD83 Datum ~;~ ~ , 537

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