20081304 Ver 6_Initial Interest_20101202

D$- 13 0 4 V 4 Print Form
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
❑ 401 Water Quality Certification (List NW(s)or GP#verified by Corps: )
❑ Non-404 Jurisdictional Permit
❑ Riparian Buffer Authorization
1a. Type(s)of actions ❑ Riparian Buffer Minor Variance
requested: ❑ Coastal General"Major"Variance
(Check all that apply) Stream Determination: 1 #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: Treyburn Walking Trail Phase 3
2b. County: Durham
2c. Latitude/Longitude: Lat: 36*06'02" N Long: 78*50'05"W
2d. River Basin: Neuse River Basin
2e.Tax PIN or Parcel ID: PIN: 0845-03-84-4330, Parcel ID: 193018
2f. Nearest Named Stream: Tributary to the Eno River
2g.Water Quality Classification of Nearest Named Stream: S-IV; NSW,CA
2h. Total project acreage(Stream or wetland determinations may omit this item):Unknowr(acres)
2i.Total Built Out Imperviousness(Stream or wetland determinations may omit this item): Unknod
2j. Provide a brief description of this project(attach a site plan):
Please refer to original submittal packet DWQ EXP#08-13045.Soils and topography maps will be provided at the
scheduled field visit to assure clarity of image and location of existing streams.
2k. Provide directions from the nearest named town, including street names and/or highway numbers:
Please refer to original submittal packet DWQ EXP#08-1304v5
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: Terry Sanford Jr.
3c. Business name(if applicable): Treyburn Corporate Park, LLC
3d. Street address: 2200 W. Main Street, Suite 900
3e. City, State,zip: Durham, NC 27705
3f. Telephone no.: [phone] 3g. Fax no.: N/A
3h. Email address: N/A
4.Agent/Consultant Information(if applicable)
4a. Contact Name: Tracy Parrott
4b. Company Name: Summit Consulting- Engineering,Architecture and Surveying, PLLC
4c. Street address: 1000 Corporate Drive, Suite 101
4d. City, State,zip: Hillsborough, NC 27278
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: Unkn(W(acres) 5b.Total non-404/401 wetland impacts: Unkoy(acres)
5c. Total 404 stream impacts: Intermittent:Unkno (linear feet) Perennial:Unkown(linear feet)
5d. Total non-404 stream impacts: Intermittent:Unknogi(linear feet) Perennial:Unkno (linear feet)
5e. Total riparian buffer impacts: Zone 1: Unkrig(sq.feet) Zone 2:Unknoll(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 M. Gilleski and date of visit: July 20, 2010
6b. Does this project require a Stormwater Management Plan(SMP)? I ❑ Yes ❑ No 0 Unknown
❑ Certified Local Gov't:
6c. Who will be responsible for the review of the SMP? ❑ DWQ Stormwater Program
❑x DWQ 401/Express Review Unit
6d. Does this project require approval under SEPA or NEPA? I ❑ Yes ❑X No ❑ Unknown
F6e. 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 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(cDncdenr.Qov), 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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