20070389 Ver 1_Initial Interest_20070306

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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
October 1, 2006
Version 4
Applicant Name: J. J. I.ee and J. D. Goldston, Julianna O. Wri ]gfl~ -Managing Partner
Applicant Address: c/o Julie Wright Real Estate, 6604 Six Forks Rd., Ralei NC 2615
Applicant's phone number. X919)847-5731 Fax number. 0870-9148
Applicant's email address: [e-mail]
Consultant Name (if applicable): Timothy Stall. Site Technologies, Inc.
Consultant address (if applicable): P.O. Box 1612.Oxford. NC 27565
Consultant's phone number. 919 693-2927 Fax number. 919 693-2927
Consultant's email address: tastall earthlink.net
Type of action requested under the Express Review Frograrn (check all that apply):
401 Water Quality Certification
^ Isolated Wetland Permit
^ Stream Origin Determination
# of Determinations Requested
Riparian Buffer Approval ^ Intermittent/Perennial Detenmination
^ Riparian Buffer Minor Variance # of Determinations Requested
^ Coastal General "Major" Variance ^ 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 of Project: Golden Forest Subdivision County: Granville
Total project acreage: 77.33 (acres) Total built out impervious area: 7.40 (acres)
Nearest Named stream + River Basin (from USGS topo map): UT > Ford Creek > Taz River~~(~W~'~A/1,((,,lGl7~
Please provide a brief description of this project (attach site plan if available):
The purpose of this Project is to install local subdivision roads in a new residential subdivision.
The roads will cross two separate perennial streams with steam impacts of 1471.f. and 1481.f. respectively. There
will also be seven level spreaders required.
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.
The project will be off of Flat Rock Road (S.R. 1629) in southern Granville County. Wilton is the closest
identifiable town .
Proposed impacts:
0.062
0.000
295
39 732
Acres of 404/401 wetlands
Acres of isolated wetlands
Linear feet of streams
Linear feet of isolated streams
Square feet of protected stream buffers
Has consuhant or applicant attended any DWQ-sponsored training sessions in the past two years? If so, please list
which ones. It's been > 2 vrs. DWO Express Permitting`
Has any DWQ staff visited the site?_Yes , if yes, please provide DWQ staff name, Eric Kulz and date of
visit: 9/6/06
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
USACE 404
Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
No
Is this project anAfter-the-fact application or has this project received a previous Notice of Violation from DWQ?
No
Dces this project require approval of a Variance from the NC Environmental Management Commission? No
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.
This form must be submitted via email (c/o 401 express(a~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: Submittals of the review packages on Friday after I2: 00 pm
will be stamped as received on the next business day).
Please contact Cynthia Van Der Wiele at 919-715-3473 if you have any questions regarding this form.

Name: WILTON Location: 036° 08' 13.7" N 078° 32' 26.4" W
Date: 3/6/2007 Caption: Golden Forest Subdivision
Scale: 1 inch equals 2000 feet s-' ~ O ~ r O ~ ~~
Copyright (C) 19917•, Maptech, Inc.

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