20071963 Ver 1_Initial Interest_20071119

NOV-9-2'007 i~:?~i FROM:DbIn-1~lETLANC~S 9197?3E89~~ TO:-~654s?3 P:2~3
iINITTAL INT)EaREST IN 1PARTICTPATION TN THE E7i~RlESS REVIEVN PROGRAM
WITHIN THE 401 OVERSITEl1cXPItESS P1ERIVITTTING UNIT
Gictobe~r 1, 2006
Version 4
Applicant Narno: N ~fl (3 • F71 ~ ~n A
• Appl leant Address: a CD C, o ~ E!~%C? ~ `
__ ~.~.by 10~ ~.L'.' ~7s9r1
Applicant's phone number: o~.sv~ --a3o " ?.,L~Z.,, Fax number:
Appli.cant's email address: ,-
Consultant Name (if applicable): ~~ t) ~j k~ f/,t ` ~ _._ ---
Consultant address (if applicable): o? - ~7~-,,5~C>Gi'~"
?-,~ 2- - 3 '? ( -- ~ o o Z
Consultant's phone number: Fax number:
t
Consultant's email address: ~ . ~ -~, ((~~ ~.~ ~? ~•,,.~ ~j„r~-~; rv~ ,x c ~ ~~L`~ D ~ ~ ~ ~~(S
~=-'
Type ot'action requested. under the Express Review program (check all that apply):
^ 40l Water Quality Certification
^ ><solatcd Wetland Permit
{~ Riparian Buffer Approval
^ Riparian Buffer Minor Variance
^ Coastal General "Major°' Variance
110 V 1 ~ 2007
^ Stream Ori in Determinate DEAR ~ WATER ClUALITY
g Aph1ANL~3,~,~Q STORM.UATER 6RANCH
_ _ # of Determinations Requested
I=J intermittent/Perennia,t Determination
~# of Determinations Requested
^ Isolated Wetland Determination
linear feet or acres
^ Stormwatcr Management Plan (this fee is not additive when approval is combined with 401 Cert.)
# of Drainage Areas/Project Site
Name of Project: ~ ~ t ~O W R'~ o~, ~~Qiy ~``v ~ ~ County: i ~ Sn
Total praicct aercage: a ~ (acres) Total built out impervious area: (acres)
Nearest Named stre<1m + River Basin (from USGS topo map):
~~. ~ ~
1
2007-11-08 14:24 NORTH CAROLINA 9197336893 Page 2
Please p ede a brief description of this project (attach site plan if available):
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lCJ Cv.~- ~L U i(~ CJ D~- M.~' Il ~c~ ~ t;~TC'._ ~ c S ~

hIOV-c -2D07 14: cal FFOM: DWiR-WETLANDS '?1973360g3 TD: P?6541£33
.~
Please attach a. map of site location using USGS t :24,000 map and county soil survey.
Location of project site -please include reference to the county, nearest name town and highway number:
I~1; 11 a w R; I.~sL_i< S n~ C o '/Z yw~, ~>~ Ua Ic.°~~' c ~-
a '3 S ou `E'h cry -B fa'. ~__ `;__ tJ ~~.L ~
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
P:3~3
Hag consultant or applicant attended any bWQ-sponsored training sessions in the past two years? Tf so, please list
which ones. /~~
Has any DWQ staff'visited the site7~Ll , if yes, please provide DWQ staff name,
date of visit:
Which other environmental permits from other agencies will be needed for tb.is project? Please list the permits and
issuing agcncics~ jb~elow: /~ /~ n -~-
i~ ~
D
,~
and

Apes this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
~~
Ts dais project an After-the-fact application or has this project received a previous Notice of Violation from DWQ?
~~~t a~S
T)ocS this project require approval of a Variance from t~ie1+IC Lnvironmental Management Commission?
,tare you aware of any local controversy concerning this project? Tf so, please describe the controversy and any
measures that have been taken with respect to public involvement.
`~ <<
S ~t~r~,..c' ~`~
Thi,a form must be submitted via email (c/o 401e~press("~~ncm~il:~et,, faxed (91.9-733-68937 or hand-delivered to tho
Farkvi.ew Building, 2321 Crabtree Blvd. Suite 250, Raleigh, NC 27604. Applicants who arc selected to participate in
the Bxpress Rcvicw Pr©gram. will be notified via fax within 2 days. Successful applicants will then be instructed
regarding detailed procedures for full application (Note: Submittals of the revic~av packages vas Friday after 12. UtJ pnr
will $e stamped as received on the next business dayJ.
Plcasc contact Cynthia Van Der Wiele at 919-? 15-3473 if you have any questions regarding this form.
2
2007-11-08 14:24 NORTH CAROLINA 9197336893 Page 3

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LILES, JACK
PIN: 2762-15-1260.000 Owner:
Mailing Address 1:
HILTON
Mailing Address 2: 4242 NC 581 Mailing Address 3: City: BAILEY
Calculated
Zip Code: 278079204 State: NC 20.54120159
_ _ . Acreage:
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Deed Book: `, 01675
~ Deed Page: ~ 0515
House Number:
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Apartment
Street Name: OLD RALEIGH Street Type: RD
Number:
Direction: Sale Month: 06 Sale Year: 1998
Total Parcel Plat Book and
Sale Price: 0 27080
Value: Page:
Year Buitt: 1000 Zoning Code: AR Heated Area (sq 00000000
ft):
Legal Description 20.34AC OLD RALEIGH Legal Description
1:
20.34AC Use Code: 50
RD 2:
Qualified Sales: X Neighborhood: 00200
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11 /20/2007

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