20071471 Ver 1_Initial Interest_20070828

08/2812007 '14:30 3590428
INITIAL
~xp o1 - 1~`il
September 1, 200
Vereiort 3
Applicant Name:~,,.~,~ ~
Applicant Address: 13
Applicant`s phone number:
Fax number;
Applicant's email addrGSS:
Consultant Name (if ai
Consultant address (if
Consultant's phone numtaer
Fax number:
Consultant's email address:
Type of action requested ~
0 401 Water Quality
^ IsoFated wetland I
^ Riparian Buffer Ap
^ St~ormwat®r Manal
^ Mitigation Plan
Slre~n ^ VYatlai
Name of Project: ~`~
Total project acreage: _
Nearest named stream
Please provide ayy ,,brief c
f~~~~~
C. 4 ~.. v~'~v. IUC ~ '~ S~ C7 .... _.
LURK LANE
PAGE 01
~ IN PART1CiPAt10N IN THE EXPRESS REVIEW PROGRAM
THE ~Ib1 OVERSITE/EXPRESS PERMITTING UNIT
~O Po~
'- ~ 4+
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the Express Review Program (check all that apply):
icatian ^ Stream Origin Determinatiaon
~ of Determinations Requested
EI ~ Intermittent/Perennial Daterrnination
rat Plan ~ __ # of Detem~inatiarts Requested
^ tcnecx ar appropri~be)
~~ iSt~v1 ~ _.(~.,pd~County: ~~a ~+ v1 t t~ ~'+ _
(acres) _„TTotal built out impervious area: (acres)
USGS topo map):
tia,~ra of this project (attach site plan if avaikable):
1
AUG-28-2007 TUE 14:28 TEL:[phone] NAME:DWQ-WETLANDS P. 1

08/28/2007 14:30 3590428 CURK LANE
PAGE 02
Please attach a map of sire ion using l1St;5 1:24,000 map and county soil survey.
Location pf project ske - inG de r+eferenoe to the county, t n me town and highway number:
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~.

Prpp4sed impacts: ~ ~. ~
Acres of 4 wrathtnds;
Acres of iso ted wetlands:
Linear feet streams: ~ lfk~ ~ ~~-2.ri~r~.
Linear Beet isolated streams:
Square feet f protected stream buffers: ~ l ~',a aC.l'.4=
Has consultant or applicant ~ any pWQ-~ponsared training sessions +n the past two yeans? If sa,
please list which ones. `l I 6

Has any DWQ staff visited site? . r ~7 , if yes, pl~se provide DWQ staff name, ai
date of visit:
Which other environmental rmits from other agencies will be needed fiar this project? Please list the
permits and issuing agen ~ below: ~
~ ~ ~G
J ~ ~~

does this proje~ require ap val under the State Environmental Policy Act or National Environmental Policy
Acct?J
_.,.1~ ~1
is this project an After-the`
application or has this project reoeaved a previous Notice of Violation from
bW(~?
(V~
Does this project require ap val of a Variance from the NC Environmental Management Commisaion? ~,,,,~
Are you aware of any local ntrvversy concerning this project? if so, please desaibe the controversy and
any measures that have taken with re:speCt to public involvement.
~c~~t ~~ Owr ~~owt.G~ _

This form must tt! SuQmllted via it (da 4fltewrei _sSQ~nanail.net}, faaaed (91733-G893) or n6~nd-delivered to the P9-kview Budding,
CI`ebtfee t31vd., Ralefph, Pic 27 AppliCarlts NR1o an3 Selected to participate h the F.xprase RaMew Program t/ViM tae notified via grrt$fl c
wkhirt 2 days, St~asru{ apglitA wIN then be imtrut#1d regareirtp detailed prooedurtbe for fuU appGOation (Please Nate: 5upmittals of the n
packages On Friday otter 12:0o pm be stamped as reesived on the rlb+et business day},
Pbetse oorAact Cyrrthie Vert Der et gt X715.3473 ff you have any quoetfone regarding thk tgrrrt•
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2321
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AUG-28-2087 TUE 14:28 TEL:[phone] NAME:DWQ-WETLANDS P. 2

aa8f 28f 2007 14_30
3590428
CURVC LANE
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AUG-28-2007 TUE 14:30 TEL:[phone] NAME:DWQ-WETLANDS P. 4