20081245 Ver 3_Initial Interest_20091204

Form Version 6.2
June 29, 2009
NCDENR
INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSIGHT/EXPRESS PERMITTING UNIT
A. Applicant Information
1. Processing
X 401 Water Quality Certification (List NW(s) or GP# verified by Corps: )
? Non-404 Jurisdictional Permit
X Riparian Buffer Authorization
1a. Type(s) of actions ? Riparian Buffer Minor Variance
requested: ? Coastal General "Major" Variance
(Check all that apply)
? Stream Determination: # Streams
? Non-404 Wetland Determination: # Wetlands
? Stormwater Management Plan Review (fee not additive if combined with 401):
# of Drainage Areas/Project Site
2. Project Information
2a. Name of project: Mingo Apartment
2b. County: Wake
2c. Latitude/Longitude: Lat: 780 31' 24.4" Long: 350 46' 20.5"
2d. River Basin: Neuse River Basin
2e. Tax PIN or Parcel ID: 1743176198
2f. Nearest Named Stream: Mingo Creek
2g. Water Quality Classification of Nearest Named Stream: FC; NSW
2h. Total project acreage (Stream or wetland determinations may omit this item): 9.5 (acres)
2i. Total Built Out Imperviousness (Stream or wetland determinations may omit this item): 6.4 %
2j. Provide a brief description of this project (attach a site plan): The project consists of several multi-family apartment
structures with paved drives and parking lot areas. Hodge Road will also be widened. The Hodge Road widening
requires the Wetland, Buffer, and Stream Impact.
2k. Provide directions from the nearest named town, including street names and/or highway numbers: From Raleigh,
take the new 64 by pass east towards Knightdale, Take the Hodge Road exit and turn left (north) on Hodge Road. Go
about %2 mile, the site is on the left at the intersection of Mingo Road and Hodge Road.
Please attach a map of the site location using USGS 1:24,000 topographic map and a copy of the latest bound
and published County soil survey with the project/site boundaries delineated. A site plan should also be included
for all projects other than stream and wetland determinations.
Initial Interest Form v6.2 Cont.
3. Applicant Information
3a. Applicant is: X Owner ? Agent ? Other:
3b. Name: Tim Morgan
3c. Business name (if applicable): Evergreen Construction Company
3d. Street address: 7706 Six Forks Road, Suite 202
3e. City, State, zip: Raleigh, NC 27615
3f. Telephone no.: [phone] 3g. Fax no.: [phone]
3h. Email address: [e-mail]
4. Agent/Consultant Information (if applicable)
4a. Contact Name: Stephen Colbert
4b. Company Name: Engineering & Environmental Science Company (E2S)
4c. Street address: 3008 Anderson Drive, Suite 102
4d. City, State, zip: Raleigh, NC 27609
4e. Telephone no.: [phone] 4f. Fax no.: [phone]
4g. Email address: [e-mail]
5. Proposed Impacts (include both temporary and permanent) [Determination requests may omit this item]
5a. Total 404/401 wetland impacts: 0.094 (acres) 5b. Total non-404/401 wetland impacts: (acres)
5c. Total 404 stream impacts: Intermittent: 95 (linear feet) Perennial: (linear feet)
5d. Total non-404 stream impacts: Intermittent: (linear feet) Perennial: (linear feet)
5e. Total riparian buffer impacts: Zone 1: (sq. feet) Zone 2: (sq. feet)
6. Project' History and Additional Information
6a. Has any DWQ staff visited the site? X Yes ? No
If yes, provide staff name: Lia Myott Gilleski and date of visit: 8/21/08
6b. Does this project require a Stormwater Management Plan (SMP)? X Yes ? No ? Unknown

6c. Who will be responsible for the review of the SMP? X Certified Local Gov't: Knightdale
? DWQ Stormwater Program
? DWQ 401/Express Review Unit
6d. Does this project require approval under SEPA or NEPA? ? Yes X No ? Unknown
6e. Is this project an after-the-fact application or has a DWQ notice of violation been issued? ? Yes X No
6f. Does this project include buffer impacts that are "prohibited" in the DWQ "Red Rule Book"? ? Yes X No
6g. If you are aware of any local controversy concerning this project, provide details in a cover letter. Describe the
controversy and any measures that have been taken with respect to public involvement.
This form must be submitted via email (c/o Lia.M.Gilleski(c)_ncdenr.gov), 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 Gilleski or Joseph Gyamfi at 919-733-1786 if you have any questions regarding this form.
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BAKER ENGBVEERING CONSULTANTS, INC. 1 R IWON
00 ? MWW VILLAGE APARTMENT'S
w?1B K NO-CAr01u1?a1? KNIGHTDALE, NC
O 7MJWO! (919)417-I