20081839 Ver 1_Initial Interest_20081218

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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
February 8,2008
Version 5
Applicant Name: Tom Ellis,PE,Senior Engineer-Town of Cary
Applicant Address: Town Hall Campus,316 North Academy Street
Cary NC 27511
Applicant's phone number: [phone] Fax number: [phone]
Applicant's email address: [e-mail]
Consultant Name(if applicable): SunTemple Helgren—Wilbur Smith Associates
Consultant address (if applicable): 421 Fayetteville Street,suite 1303
Raleigh,NC 27601
Consultant's phone number: 919-573-4196 Fax number: 919-832-8798
Consultant's email address: [e-mail]
Type of action requested under the Express Review Program(check all that apply):
❑ 401 Water Quality Certification ® Stream Origin Determination
❑ Isolated Wetland Permit 1#of Determinations Requested
❑ Riparian Buffer Approval ❑ Intermittent/Perennial Determination
❑ Riparian Buffer Minor Variance # of Determinations Requested
❑ Coastal General "Major"Variance ❑ Non-404 Wetland Determination
#of Wetlands
Stormwater Management Plan(this fee is not additive when approval is combined with 401 Cert.)
#of Drainage Areas/Project Site
Name of Project: Jenks Carpenter Road Improvements County:Wake
Site Location(DM.MM)- Latitude:_35 47 12 N Longitude:_78 5121 W
Total project acreage: (acres) Total built out impervious area: (acres)
Nearest Named stream+River Basin (from USGS topo map): Turkey Creek, Neuse River Basin
Please provide a brief description of this project(attach site plan if available):
upgrade and improve Jenks Carpenter road by widening.
1

Please attach a map of site location using USGS 1:24,000 topographic map and County soil survey.
Location of project site-please include reference to the county,nearest named town and street name or highway number:
map attached
Proposed impacts: ? Acres of 404/401 wetlands
? Acres of non-404 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 two years? If so, please list which
ones. no
Has any DWQ staff visited the site?_no_, if yes,please provide DWQ staff name, and date
of visit:
Which other environmental permits from other agencies will be needed for this project?Please list the permits and issuing
agencies below:
Is there local government implementation of a State-mandated stormwater control program on your site?_no
(If yes,please state local government and implemented program(ex.Town of Wake Forest,NPDES Phase 2):
Does this project require approval under the SEPA or NEPA?_no
Is this project an After-the-fact application or has this project received a previous Notice of Violation from DWQ? no
Does this project require approval of a Variance from the NC Environmental Management Commission?
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.
no
This form must be submitted via email (c/o 401expressancmail.net), faxed (919-733-6893), or hand-delivered to:
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 email or fax. Successful applicants will then be instructed regarding detailed
procedures for full application (Note: Submittals of the review packages on Friday after 12:00 pm will be stamped as
received on the next business day).
Please contact Lia Myott or Joseph Gyamfi at 919-733-1786 if you have any questions regarding this form.
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