20070070 Ver 4_Initial Interest_20071204

INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
Applicant Name:
Applicant Address
October 1, 2006 ~ kp p~. p O 1 O Y
Version 4
Jeff Crisp, P.E. Crowley, Crisp & Associates
Wake F
Applicant's phone number: [phone] Fax number: [phone]
Applicant's email address: icrisp(a~crowley-crisp.com
Consultant Name (if applicable): Elizabeth Scherrer /Ross Andrews EcoScience Corporation
Consultant address (if applicable): 1101 Ha nes Street Suite 101
Ralei h NC 27604
Consultant's phone number: 919-828-3433 Fax number: 919-828-3518
Consultant's email address: scherrer(a,ecosciencenc.com andrews(a ecosciencenc.com
Type of action requested under the Express Review Program (check all that apply):
^ 401 Water Quality Certification
^ Isolated Wetland Permit
^ Riparian Buffer Approval
^ Riparian Buffer Minor Variance
^ Coastal General "Major" Variance
X Stream Origin Determination
# of Determinations Requested
^ 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: Louisbur Plaza Sewer County: Franklin
Total project acreage: Linear corridor (6220 feet throu h multiple properties (acres) Total built out impervious
area: none (acres)
Nearest Named stream + River Basin (from USGS topo map): Wolfpen Branch, Tar Basin 03020101
Please provide a brief description of this project (attach site plan if available):
The project involves placing a sewer line parallel with the northern bank of Wolfpen Branch The
sewer will serve the ad'acent Louisbur Plaza.
1

Please attach a map of site location using USGS 1:24,000 map and county soil survey.
Location of project site -please include reference to the county, nearest name town and highway number:
The site is approximately a mile and half south of Louisburg in Franklin County between US 401 and
NC 39. The sewer corridor parallels the northern bank of Wolfpen Branch.
Proposed impacts: _ 0.69 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. No
Has any DWQ staff visited the site? No , if yes, please provide DWQ staff name,
and date of visit:
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
Clean Water Act Section 404 (USACE~
Sedimentation Pollution Control Act (NCDENR Land Quality Section)
Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
No
Is this project an After-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 401express(a,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 notifted 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.

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