20071419 Ver 1_Initial Interest_20070817

AUG~-17-2007 11 :20 AM WILLIAM.PEpRCE.SUR~IEYIFJG 515 265 4354 P. 01
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Cynthia V~ t~ex Wielc ____ Bxunett4a '.l"aylor
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9'19-2E~9-9605 wrr)survey.cc~tr~

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Yt)I11i R(;l'IiZF:NCii NL'MAF:R;
13onnit~ .Ayscua ptc~ject
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:C71es3se find akttaC.~iect application fur "l:Xpress Review" ~( rnaps fnr ths~ f~rtajecC.
if yc)u haul: cluesti(~t1S, please Contact rna via fax or email,
'I'ha>GakK fc~,~ yaur helpll
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~IEIUF(-WATER QUA.LI7Y
WETt.APJ[kg /iNQ aT;?~!41'NA7ER 6RANCH
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7?C) BOX 842, 7~:~.flUI.ON, NC 7597
AUCa-17-2007 FRI 11:22 TEL:[phone] NAME:DWQ-WETLANDS P

AUG`-17-2997 11:29 AM WILLIAr'I.PEARCE.SUR1,'EYING '319 2G9 4354
07-
fN:i"I'TAL IN'I"F:It~ST IN PAR'TI('I.PATIQN IN THE :EX1'RFSS REVIL' )E'itC)GRAM
WITHIN THE 401 C)VERSITE/E~tPRESS I'ERM.IT7'INr, UNIT
October 1, ZOOfi
Version A
AFrplir,zint 'Marne:
Applicant Address:
P. 92
[~~~
,~
AppiicrtrtC':~ phcrn~ nurnbet`: / `-... '' ...~ r~"~' Fax numht,r:
Applicalnt's antrril address: _W..C.~~~ ~ ~_. ~,,; ~ ~(~/
-dew-•,~1...~.-.- ~.~L.~._._~ .__.~_._...~
C''i>nsultant Nttrne (il':tpplicable):
C'~~rrhultant adr~ress ~f'~a~lic~ble~:
C:'c~i~suttartt°s phone number:
fax number:
t:crt~srrltant`s ernarl adc ress:
°i'yiae oi'actiorr r~;quested Lander the 1:3xpress Review ArogratYt (chec:ic ail) that apply);
(~ 4()I 1rJatter ~;-uality Certification
^ tsolatad Wetlatrtct 1'ertnit
[~ Riparian [:3ttf'fcr Approval
R.iparitrn 13uf'i'cr Mirtnr Variance
[~~ Gottstal CierrWral "M~r,jor" VACIar1CC
c$"" Stream (arigin f7ctermination
# ctf' Dcterrrtittatiorts Ci~a:quested
^ Intermittent/Perennial l')et.arrninittictn
~E nf'17eterminatior:s Rec{uested
^ Isolated Weklancl Dat~rmirtfttiort
linear feces ctr acres
[~,~ ~tormwater Mnna~entent flan (this fee is not additive when atppravel is ccytttbined with ~Ut r;r'urt,)
_,..~,----_..._# afi)rainaSe Areas/Project Site
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Narrrc ctf p'rc>rert: .~,~~ ~....~~ (~uttnty: '- ~~ ,__.._..
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1"otrtl project t+crt.rr~e; L,,~~.,~,,~ _M.,,,(acres) T'otttl built out impervious area: _•~.,~,,ry._., ....___(ar~re~s)
Nearest Named stream + 1Zivcr Basin (from l1St;..iS topo rttt~p):
1
AUG-17-28D7 FRI 11:22 TEL:[phone] NAME:DWQ-WETLANDS P• 8
Please provide a~ lt:•ief description o1•this project (attach sitf: plan if available):

AUG•-17-2007 11:21 AM WILLIAM.PEARCE.SURb'EYING 919 259 4354 P•03
i'l~;ttsc ;,tttaCi1 .:t reap of sitN Iracatic~n using USGS I :24,000 map and county sail survey.
I..r.~crttion of project site -please irtclude reference to the county, nearest nante: tcrwn ancf highway number:
~.. ~
~_. ~
...
E'>rapasari impacts: Acres of 404/401 w~darlds
Acres of isolated wetltlnds
I..inear feet of streams
l..inear Feet of isolated stre~tlts
Square feet of'protccted 5ltrram buffers
i-Irts consultant or applicant attetlded any I)WQ-spilnsorcd training sessic-n5 in the past two years'? if sc~, phase
list which cores,
.O
-----.. -
,. ..
i~las any IaW(~ stal'Fvtsrtecf tho stte`l,_~--., if yes, please provide DWC7 staff' name, _, ,,,___.__.,_.._,,.,~.......
;ulil date of v'rait:
Which other environmcntaJ permits from other agencies wil! be needed for this prt~jtct'? Please list: the permits
and i4suing agorrcias be;Iow: r
C)oes this prc>jec:t rwriuitc approvrtl under the Stage Invirannletltal .Policy Act car Nationai k~nvironnl~ntal Policy
Act'? .,..~.~__ ,.~..
is this project an AFtcr-tha•f"act application or hers [his project reeeivecl a previous Notice caf Violation fi•crtn
C}oeS th/his project require nppt•oval of a Variance from the NC }?.nvircrrtmental Management Comr'rrissign`?
A. re you aware of any lcx:al controversy concerninb this project'? }f`so, please describo the controver:3y artd any
rneasurrs th;lt lr;tv~ been Cstken with respect to public involvement,

`Thin forth must be submitted via email (c/c> 4Q1 e~css `~nc~T~il:r~e~, f"axed (t)14-733-b8~3) or harld.~clelivered to
th© t'atrkview }3uildin~;, 2321 Crabtree 81vd. Suite ZSO, Raleigh, NC 27G04, Applicants wlro are sellectad t'n
}3ttrticipate in the F:.xpress Review Program well be notified via fax within 2 days, Successful tt.pplicants will
i:llcn he 'instructed regarding, detailed procedures for full application (Nate:.Suhmtitralr Cxf the rHView f~c~c^ka~~es r.-n
!•'ricCcrt~ rrftcrr 1?: ()() ~m >7~ill hc> .stamp~cl as r°eee~il~eel err Tyre rte~xt btrsirrt~,c.s dgvr~
i'Icasc; ctmtEtct (:,yntltist VA1} leer Wiele at ~)19~-715-:3473 ifyiru have any yut;sticm re~-ardin}!; this Farm.
AUG-17-2007 FRI 11:23 TEL:[phone] NAME:DWQ-WETLANDS P.

_?-2007 11:21 AM WILLIAM.PEARCE.SURti1'EYING 919 269 4354
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AUG-17-2887 FRI 11:23 TEL:[phone] NAME:DWQ-WETLANDS
P.04
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AUG-17-2007 FRI 11:24 TEL:[phone] NAME:DWQ-WETLANDS P. 5

i7-2007 11:22 AM WILLIAM.PEARCE.SURVEYIF4G 919 2159 4354 P.OG

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