20070861 Ver 1_Triage Check List_20070615

Triage Check List
Date: 06/15/2007
To: Mike Horan, Raleigh Regional Office
60-day Processing Time: 5/17/07
From: Cyndi Karoly Telephone: [phone]
Project Name: Selma Quarry
DWQ #: 07-0861
County: Johnston
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
^ Stream length impacted
^ Stream determination
^ Wetland determination and distance to blue-line surface waters on USFW topo maps
^ Minimization/avoidance issues
^ Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
^ Pond fill
^ Mitigation Ratios
^ Ditching
^ Are the stream and or wetland mitigation sites available and viable?
^ Check drawings for accuracy
^ Is the application consistent with pre-application meetings?
^ Cumulative impact concern
See Attached Questions
Comments:

Use this form instead of writing inside the folder
Triage Sheet for Issue/Send to Region Project
DWQ#
Triaged By:
Reviewer 1
Reviewer 2
Reviewer 3

I ~
c
. ~ v
Date: ~ D~
Date: ~~~~/ ° `
^ Issue Project (Reviewer 1)
~ Issue Project (Reviewer 2)
^ Issue with conditions (Reviewer 1)
Date:
^ Issue with conditions (Reviewer 2)
(~ Send to Regions (Reviewer 1)
,¢ SenAd_to Regions (Reviewer//2)
S:\Forms\Triage Issue Sheet.doc
~°~~~~
PLEASE PRINT CLEARLY