20052167 Ver 3_Initial Interest_20070327

INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
February 28, 2007 f'x p ~ S-~ i b 1 Y 3
Version 4
Applicant Name: Matthew Winslow YMEN
Applicant Address: - 416 US Highway North, Suite B
Youn sville, NC 27596 RECEIVED
Applicant's phone number: 919-556-9007 Fax number: _919-556-7855
Applicant's email address: matt-denmark nc.rr.com
Consultant Name (if applicable): Jay Keller
Consultant address (if applicable): 7921 Haymarket Lane; Raleigh, NC 27615
Consultant's phone number: (919 844-7437 Fax number: 919 844-7438
Consultant's email address: iay(a,kellerenvironmental.com
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 Determinations 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 of Project: Winston Ridge OS-2167 Highway 96 Widening Modification County: Franklin
Total project acreage: 1 acres) Total built out impervious area: N/A (acres)
Nearest Named stream + River Basin (from USGS topo map): UT to Horse Creek; Neuse River Basin
Please provide a brief description of this project (attach site plan if available):
NCDWQ authorized 961inear feet of stream impact, 0.085 acres of wetlands, 4,300 SF of Zone 1, and 3 050 SF of
Zone 2 Neuse River Riparian Buffers on July 14, 2006. 80 of the 96 linear feet of stream has been impacted on the
project site. The remaining 161inear feet of stream impact was allotted for the upstream culvert extension on NC
Hwy 96. NCDOT has informed us that a culvert extension is also required on the downstream end of highway
This proposed stream impact is approximately 201inear feet. We are requesting a modification to the previously
authorized 401 Certificate and Buffer Authorization to impact 201inear feet of stream for a total of 116 linear feet.

We are also requesting for additiona1950 SF of Neuse River Riparian Buffer Impacts in the highway widenin area.
The proposed extension of the box culvert on NC 96 for the purpose of widening NC 96 will conform with NCDOT
requirements. Please refer to the attached NC 96 Site Plan. The proposed impact area is on the northwest (tops side.
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:
Site is located at intersection of John Mitchell Rd. and NC 96 approximately '/2 mile west of US 1 (Capital Blvd.
Proposed impacts:
Acres of 404/401 wetlands
Acres of isolated wetlands
Linear feet of streams
Linear feet of isolated streams
950 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. April 18, 2006 Intermittent/Perennial Stream Determination Class
Has any DWQ staff visited the site? no , 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?
nn
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? 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 401express ,ncmail.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 12:00 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.
2