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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
October 1, 2006
Version 4
Applicant Name: Lee Carroll
Applicant Address: 121 West Main Street, Garner NC 27529
Applicant's phone number: 772-8546 Fax number: 772-7973
Applicant's email address: N/A
Consultant Name (if applicable): John Hodges, Garner Revitalization Association
Consultant address (if applicable): 120 East Main Street, Garner NC 27529
Consultant's phone number: 773-4402 Mobile: 395-8307 Fax number: 662-5059
Consultant's email address: downtowngarner@nc.rr.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
1 # 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: Carroll Storm Drain Extension County: Wake
Total project acreage: 0.75 (acres) Total built out impervious area: 0.5 (acres)
Nearest Named stream + River Basin (from USGS topo map):
Unnamed tributary of Reedy Branch, Neuse River Basin
Please provide a brief description of this project (attach site plan if available):
Applicant wishes to extend a storm water drain 15-20 feet to allow access to rear of property.
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:
121 West Main Street, Garner NC 27529; Garner; Wake County
Hwy 70E to Hwy 50 to Main Street
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Proposed impacts: NA
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,
date of visit:
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
None know at this time
and
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.
No
This form must be submitted via email (c/o 401expressna ncmail.netZ 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 notified 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.
2
TopoZone -USGS Garner (NC) Topo Map
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UTM 17 716597E 3954096N (NAD83/WGS84)
USGS Garner (NC) Quadrangle M=-8.816
Projection is UTM Zone 17 NAD83 Datum G=1.398
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http://www.topozone.com/print.asp?lat=35.70702&lon=-78.60582&s=24&size=m&u=4&layer=D... 2/1 /2008
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