20070068 Ver 1_Initial Interest_20070108

1Vlitchell ~ vironmental, .P'.A.
F~ csi ile Transmittal
Date: Pa es includin cover a e
O 1-08-2007 6
To:
Dr. Cynthia Van Der Wiele M . Lia Myott
DWQ - 401 Wetlands Certif cati n Unit
Express Review Program
2321 Crabtree Boulevard
Suite 250 ~
Ralei , NC 27604
Faac Number: Phone Number:
733-6893 715-3473
From:
Scott Mitchell
Re:
Kingdom Hall on Trawick R ad Express Review Program Initial Interest
Form
Comments: ~
Dr. Van Der Wiele and ms. yo ,
Attached is an Initial Interest Fo for the Kingdom Hall on Trawick Road
site. Please don't hesitate to all e if you need any additional information.
Thanks.

~~ li
',~ o ~~a~~ p
JAN 8 2007
UE~R -1tiATER CiUALIY`f
V6~7tANQ.S ANi) STORMWATER BRfW(:H
602 East Academy Street, Suite lOS ~ Fuquay-Marina, North Carolina 27526
O~ce:919-557-4682 Fax.
i 919-557-4683 Mobile:[phone]

INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
October 1, 2006
Version 4
Applicant Name: Mark Johnson
Applicant Address: 6504 S arklin Brook Drive
Raleigh, NC 27616
Applicant's phone number: 919-878-0057 Fax number:
Applicant's email address: markwm'O1 no,rr.com
Consultant Name (if applicable): Mitchell Environmental PA
Consultant address (if applicable): 602 East Academ Street Suite 105
Fuquay-Varina, NC 27526
Consultant's phone number: 919-557-4682 Fax number: 919-557-4683
Consultant's email address: bsmenvironmental earthlink.net
Type of action requested under the Express Review Program (check all that apply):
^ 401 Water Quality Certification
^ Isolated Wetland Permit
~ Stream Origin Determination
1 # of Determinations Requested
^ Riparian Suffer Approval
^ Riparian Buffer Minor Variance
^ Coastal General "Major" Variance
^ 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: _ Kingdom Hall on Trawick Road County: Wake
Total project acreage: 4 (acres) Total built out impervious area: Unknown (acres)
Nearest Named stream + River Basin (from USGS topo map): Marsh Creek (Meuse River Basin)
Please provide a brief description of this project {attach site plan if available):
Applicant proposes to construct a new church on the site.
Please attach a map of site location using USGS 1:24,000 map and county soil survey.
1

Location of project site -please include reference to the county, nearest name town and highway number:
From interchange of I-440 Beltline and Highway 64 Business (near Wake Med Hospital) proceed east on
Hi~hway 64 Business to the intersection with Trawick Road. Turn left (north) onto Trawick Road and proceed north
approximately % mile to Bond Street. Turn leftswest) onto Bond Street and proceed approximately 1/10 mile to
intersection with Shonnie Drive. Feature in question is northeast of intersection of Bond Street and Shonnie Drive
Proposed impacts:
N/A
N/A
N/A
N/A
N/A
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. Yes -Stream Origin Refresher Course on April 18, 2006.
Has any DWQ staff visited the site? No , if yes, please provide DWQ staff name, N/A and
date of visit: N/A
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
A Section 404 Permit Verification may be required from the US Army Corps of Engineers
Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
No
Is this project anAfter-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 401expressna,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

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