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Home My WebLink About20070016 Ver 1_Initial Interest_20070103INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT October 1, 2006 ~ X p O~ ~ D O ~ (~ /n~ n Version 4 ~l iv~C~ ~~!; T RECEIVED Applicant Name: Michael Crowley Applicant Address: 1906 South Main Street, Suite 122 Wake Forest, NC 27587 Applicant's phone number: 919-562-8860 Fax number: 919-562-8872 Applicant's email address: mike ,crowleyandassociates.net Consultant Name (if applicable): _ Jay Keller Consultant address (if applicable): 7921 Haymarket Lane; Ralei h, NC 27615 Consultant's phone number: (919) 844-7437 Fax number: 919 844-7438 Consultant's email address: '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 1 # of Determinations Requested ^ IntermittentlPerennial 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: Chestnut Street County: Wake Total project acreage: 4 acres) Total built out impervious area: 0 (acres) Nearest Named stream + River:Basin (from USGS topo map): UT to Richland Creek: Neuse River Basin Please provide a brief description of this project (attach site plan if available): Residential 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: Project is located on Chestnut Street in Wake Forest NC 1 Proposed impacts: 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 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? no Is this project an After-the-fact application or has this project received a previous Notice of Violation from DWQ? nn 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 401ex rp essna,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. f IPPIA`i �� ` � �� 1 •vim "AL C '` �' AD Page 1 of 1 ~ ~~ -7 YVd COUNTY AIVD THE WTY OF RALEIGH Gtn li ,/fr / ,1 ~=-'~ ,A5 ~r i~.,, v Paz .; ~~ I .,~ is ;_.4 _ `_., ~` \ Map c~eotr_~d or 12''18;2006 12:06-:"r I'^~' Copy-c,ht ?OOo City o` Rale~e~h, Wake County. p~ ~ ~s 1NAKE COtlIkTY Chestnut St. Soils ~ Parcei Number: 1841563E 1 ~r'l~,•F REID: ~ OWNERI: F ~ /~ .ADDR1: ~! ~,~ '~ anDR2: r / ~. ADDR3: r / ~ DEED BOOK: CeF ~\ k~ ~ DEED PAGE: DEED DATE: DEED ACRES: BLDG VAL: LAND VAL: BILLING CLASS: DESCRIPTION: P,4AP NAME: PIN NUM: ~t.l PIN EXT: CITY: ~'~~ PL.AN JURIS: ~ ,r~ ~ ~ -OWNSHIP: ~. j~ ~'"`-.,~ YEAR BUILT: 0104844 NANCE,ROBERT SUTHERLAND, KYLE PO BOX 1166 YOUNGSVILLE NC 27596-1166 12029 0874 6/27/2006 2.01 0 14070 INDIVIDUAL HERBERT S HOLDING LAN D 184111 1841563541 000 WAK WF WAKE FOREST 0 0 ,t/~ r Creeks and Rivers kSkr e!s ^ Lakes Parcels ® Soils Garporate Llmii Boundary ~ ~ ~ "'~ TYPE USE: vacant ~ `' "-~ ~` DESIGN STYLE: q- \ UNITS: 0 ~` {LAND CLASS: VACANT S~'. ~ ZONING: R-15 j ' F ~ OLD PARCEL NUMBER: 098-00000-0023 { F ~ ADDRESS ~, i rf r1 ST NUM: 0 . ~~ Ir STMISC: , A r, ,'{'~ `~.,~ ~ DIR PREFIX: W /1/ \. ST NAME: CHESTNUT r \ ~ ~ST TYPE: AVE \. "~~,!;IR SUFFIX: ® AN(7ER ^ AP€% i CARY ^ DUHIiAN ^ FUOUAYYARINA GARN€R IiQLLY SPRW GS KNN,HTQArF S MOR3it8Y1L.LE ~~ . 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