20061592 Ver 2_Initial Interest_20061114

X1/14/2006 13:03 2524384062
:.
POWER EQUIPy1~'NT LUS
P.O. BOX 1529
298 U5 NWY_ i58 8Y S$
HENDFRSON, N.C. 2 6
(252) 43b-4127 phon~
(?52) 438-40&2 fit
SEND r0
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Attendon
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POWER EQUIPMENT PLUS
PAGE 01
F~UC COVER SHEET
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^ t!-pent ^ Rep! ASAP ^ Please cormnsrrt ^ A/ease isvtew ^ For yiDUrlrt6orrMAU0l1
Tote! pages, h>cJu~q Cover"
COMMENTS

co. rNC.
NOU-14-2006 TUE 11:35 TEL:[phone] NAME:DWQ-WETLANDS P. 1

x/1412006 13:03 2524384062 POWER EQUIPMENT PLUS PAGE 02
INITL~, ~' ITT PA~TICIp'A'I7QN iTi Tld~ EXPRESS REVIEW PROGRAM
')CHE 4111 OVL'RSl'li~/EXPRE55 PERIV[ITT)<NG i]N1T
October 1, 2006 ~X p ~ to - 1 S g 2 Y 2
Version 4
Applicant Name: [~ ~ ~ ti C7r.,~S ~ rt., tt. -
Applicant Address: ~ v f
y .J •'11 L ~...7 b
Applicant's phase number: ,2..1s~ 5/~ ~ 9s.~D Fax number: ~--~~ - ~~~ ~~ ~~ ~ ~
Applicant's email address: ~ ~ n-. ~ ~'.4 c~ ~ e ~, I'~ r_ ,,: ~ ~ ~..., .~ _ G ~~ ~°+
Consultant Name (if applicable
Consultant address (if applicabl , ); __ _-_
Consultant's phone number:
Consultant's email address:
Type of aotioa requested under ~
^ 401. Water Quality Certifi~
^ Isolated Wetland Permit
© Riparian Buffer Approval
© Riparian Buffer Minor Va
[~ Coastal General "Major"
^ Stormwater Management
# of Fhainage ,~
Name of Project: ~ ~ h+ G
Total project acreage: / - ~
Nearenst Named str^eam + River
P?p1wr C.1/.t~
Please provide a brief des
~`~.G OG ~ ~~ ~
a roc ~-
Fax number:
Express Revi~wv Program (check all that apply): R E C E I V E D
on ~ Stream Origin Determination
# of Dcternainations Requested
intermittent!Perennisl fetermination
nee # of Determinations Requested
ianca ^ Isolated 11Vetland Ietermination
linear feet or acres
n (this fee is not additive when approval is combined with 40 i Cert}
s/Project Site
~v ~.,.~ ~ ~ ~y4_c~ u?~...~ GS ~ _ County: f ~~..LS .[. ~
_(acres) Total built aut imperviou.S area: -~ (acres)
(from vSG~ topo map):
,~ ... 4.., rs-.
of this project (attach sijjte plan if a/v~ailable):
e] ~ it ~' ~~ '` L~ Q L, ~ ' ~! 6 ../~ ~~ ~L+ ~ ,~ /1~f.
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NOV-14-2006 TUE 11:36 TEL:[phone] NAME:DWQ-WETLANDS P. 2

y1114/2006 13:03 2524384062 POWER EQUIPMENT PLUS PAGE 03
Please attach a map of site locat~an using USGS 1:24,000 map and county soil survey.
Location of project site -please nclude reference to the county, nearest name town and highway number:
Proposed impacts:
Has consultant or applicant
which ones. N` ~ _.
Has any DWQ staff visited the
date of visit
Which other environmental
issuing agencies below: ~
Acres of 404/401 wetlands
Acres of isolated wetlands
Linear feet of streams
Linear feet of isolated streams
Square feet of protected stream buffers
any DWQ~ponsored training sessions is the past two years? If so, please list
' /Vv , if yes, please provide UWQ staff Mme, and
from other agencies will be needed for this project? Please list the permits and
Does this project require
IU a
Is this project an After-the-fact
~o
Does this project require
Are you aware of any local
thnat`have been taken with i
~"~
under the State Enviroammental Policy Act or National Environmental Policy Act?
or has this project teceived a previous Notice of Violation from IaWQ?
of a Variance from the NC Environmental Management Contmission7 /f1v
versy concerning this project? )f so, please describe the controversy and any measures
to public involvement.
This form must be submitted vial email (c/o 401 ~ cmail.net~. faxed (919-733-b893) or hand-deiivered to the
Parkview Building, 2321. Crabtree Blvd. Suite 250, Raleigh, NC 27604. Applicams wlto are selected to participate in
the Express Review Program wail be notified via fax within 2 days. Successful applicants will then be instructed
regarding detailed procedures fo~full application (Note: Snbmfttals of the review paeka~,-es vn ~}iday after I,Z:00 pm
will be stamped ~s received nn t ,next business day),
Please contact Cynthia Van Dex VViele at 919-715-3x73 if you have arty questions regarding this form.
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NOU-14-2006 TUE 11:36 TEL:[phone] NAME:DWQ-WETLANDS P. 3