20110387 Ver 1_Initial Interest_20110415

T Form Version 6.2 -KXA
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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: 39)
? Non-404 Jurisdictional Permit
® Riparian Buffer Authorization
1 a. 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: Rolesville High School
2b. County: Wake
2c. Latitude/Longitude: Lat: 35.9063 Long: -78.4463
2d. River Basin: Neuse River Basin
2e. Tax PIN or Parcel ID: 1768-55-3208
2f. Nearest Named Stream: UT to Harris Creek
2g. Water Quality Classification of Nearest Named Stream: C; NSW 27-26
2h. Total project acreage (Stream or wetland determinations may omit this item): ± 143 (acres)
2i. Total Built Out Imperviousness (Stream or wetland determinations may omit this item): 16.5 %
2j. Provide a brief description of this project (attach a site plan): This project is a planned institutional development that
includes a school building, parking, utilities, and recreational facilities such as ball fields, tennis courts and a track. The
project is proposing two sanitary sewer crossings and a pipe extension for the road widening of Rolesville Rd.
2k. Provide directions from the nearest named town, including street names and/or highway numbers: From downtown
Rolesville, take E. Young Street which turns into Rolesville Rd., the site will be in the southeast quadrant of Rolesville
Rd. and Quarry Rd. , approximately 1 mile southeast of Rolesville.
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: ? Owner ? Agent ® Other: Owner-however please send correspondence to both
owner and Agent.
3b. Name: Richard S. Fichera
3c. Business name (if applicable): Wake County Board of Education c/o Wake County Public School System
3d. Street address: 1551 Rock Quarry Rd
3e. City, State, zip: Raleigh, NC 27610
3f. Telephone no.: 919-856-8276 3g. Fax no.: 919-856-2911
3h. Email address: N/A
4. Agent/Consultant Information (if applicable)
4a. Contact Name: Bob Zarzecki
4b. Company Name: Soil & Environmental Consultants, PA
4c. Street address: 11010 Raven Ridge Road
4d. City, State, zip: Raleigh, NC 27617
4e. Telephone no.: 919-846-5900 4f. Fax no.: 919-846-9467
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: 0.03 (acres) 5b. Total non-404/401 wetland impacts: 0 (acres)
5c. Total 404 stream impacts: Intermittent: 0 (linear feet) Perennial: 36 (linear feet)
5d. Total non-404 stream impacts: Intermittent: 0 (linear feet) Perennial: 0 (linear feet)
5e. Total riparian buffer impacts: Zone 1: 1,887 (sq. feet) Zone 2: 2,156 (sq. feet)
6. Project History and Additional Information
6a. Has any DWQ staff visited the site? ® Yes ? No
If yes, provide staff name: Lauren Witherspoon and date of visit: 09127107
6b. Does this project require a Stormwater Management Plan (SMP)? ® Yes ? No ? Unknown

6c. Who will be responsible for the review of the SMP? ® Certified Local Gov't: Wake County
? DWQ Stormwater Program
? DWQ 401/Express Review Unit
6d. Does this project require approval under SEPA or NEPA? ? Yes ® No ? Unknown
6e. Is this project an after-the-fact application or has a DWQ notice of violation been issued? ? Yes ® 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(amcdenr.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.
2
10078.Wl
Project Manager:
AC
Scale:
1 " = 2,000'
Date:
01/17/OG
Map Tide:
U5GS Map
Quarry and Roleswlle Road
Site
Wake County, NC
Source: -
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Soil & Environmental Consultants, PA
11010 Raven Rfdpa Rd• ReleipK NC 27814
(819) 8464900 • [phone]
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Project Number: Map Tale:
10075-W I SOIL SURVEY Map
Project Manager; Quarry and Rolew le Road
AC Slte ? Son & Snvimnme>tal C.onsuttanie, PA
11010 Rmm RWV ft- RlidskIN NC 2M14
Scale: Wake County, NC (919) 848.M • (919) 546"7
I " = 1,320' Web Pape: www.BertEC.com
Date: Source:
0 1/ 1 7/06 Wake County Soil Survey
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