20080294 Ver 1_Initial Interest_20080213

INITIAL IN7'ER,1rS
WITHIN THE 401 OVERSI'I'E/EXPItESS PERMITTIRNG~W PROGRAM
UNIT
October 2, 2006
~^~- Yersioa 4
Applic~i~t Nan~c; ~.. L/ ,,~ ! (J~C _f~ ~- _ C
Applicant Address, ~-...~U„~ ~`r1~,_,C _.~. l~CK~ ~~
Applicant's phone number: ~_ ~ Jr 3 -- ~`/l1 ~ ~_ Fax number' .~Jr" .~ „ .~ ~ `3
Applicant's email address: .. L.S' ~ ~ [1 / C . ~Q ~ . ~U/~
Consultant Name (i:f applicable): ~ y ~ , to<< /, j,~'~~
Consultant address (if applicable): z ~.1, ~Gd ~ ~~-,.~-
TUtiI. ~,C 2~~ZG
Consultant's phone number: ~ ~~~ , ,~/4 i+ax number: / y`-- S.~ ,~j ~- ~~, (>~
Consultant's email address: ,OLS 3 ~~/ it/'~ , , ~' ~
Type of action requested under the Express Rtview Program (check all that apply}:
401 Water Quality Certification
Isolated Wetland Permit
Riparian Buffer Approval
Riparian Buffer Minor Variance
Coastal General "Major" Variance
Stream Ongtn beterrninatibn
~# of 1']eterminations Requested
IntetmittentlPerenniai Determination
# of Determinations Requested
Isolated Wetland Determination
linear feet or acres
Storrnwater Management Plan (this fee is not additive when approval is combined with 401 Cert.)
tl o£ D-r~a^inage Areas/Project Site
Itiame of Project: /,~1~ (J/~'l/~ ~'A~f/..~~ _ ~!`i ;~~(.~ CA U County: __ ._~~~
Total project acreage: "J~ r .(acres) Total built out impervious area: ___~. !~__~(acres)
Nearest Named stream + River Hasin (from USGS topo map):
11n At K ~ ~C' 21~~ /lf F_ ~tSlg' ~i vf_~ ~QSi~
Please provide a brief description of this project (attach site plan if available):
~RaT Fc~i 1 ~ A PRu~°os~~ ~f~~F,•=17,a ~.
FEB-13-2008 WED 14:26 TEL:[phone] NAME:DWQ-WETLANDS P. 1

Pl.:asc 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:
~~ v ~ A PC,t! ~4.. S LJ D ~~ /,~ ~~- n~~'~ aN ~"~~,.~y . JV. C: TAK`+~' ~k FFAt v
~~AA_~_._~•C'S~~ %NF~' ~~K ~'o /~.,-~ u,AKr~ ~a~.~rr ~wF~A~~.E'vA1
C~7d ~ F1' ?~ I~AG-[ t~ .~u Cif ~uA 4 s " G~.;(l~ nr ~M ~/~.~ L W A>~,,.~ ~d~r tiTY
:T~ ~,~. ~.~~ ~ o~'' ~-~r~"r ~A ~ ~ ~' y ~TIZ Arc. T/J 1~~ ~'~ra rv ~/`~ T c~~v
Proposc;d impacts: Acres of 404/401 wetlands
Acres of isolated wetlands
Linear feet of streams
Linear feat of isolated streams
Square feet of protected stream buffers
Has consultarii or applicant attended any DWQ-sponsored training sessions in the past two years? I£ so, please list
which ones. /l1 C1
Has any DW Q sta#>F visited the site?~ if yes, please provide DWQ sts<ff name, and
date of visit:
Which other environmen#al permits from other ageraeies will be needed foe this project? please list t}te permits and
issuing agencies below: r r,..~ d ~
r' I~L1.~ /~ ~l1 ~c3 n. 1
Does this pro'ecOt require approval ender the State Environmental Policy Act or National Environmental Policy Act?
is this project an After-the-fact application or bas this project received a previous Notice of Violation from DWQ?
~~
Dces this project require approval of a Variatrce from the NC Environmental Management Commission? IU ~
Are you aware of any local controversy canccrning this project? if so, please describe the controversy aad any
measures that have been taken with respect to Public involvement.
ttf .t
~~ ~ _.
This form must be submitted via email {c!o 40iexpressa~n~~, faxed (9I9-'1'33-6893) or hand-delivered to the
Parkview Building, 2321 Crabtree Blvd_ Suite 250, Ttaleigh, NC 27604. Applicatyis who are selected to participate ifl
the Express Review Program will be notified via fax within 2 days. Succcgsful spplic~ts will tbert be it-stntcted
regarding detailed procedures for full application (Note: Submittals of the review pacl~ges on Friday offer 12:00 pm
will be stamped as received orr the next buftaess dcryJ.
FEB-13-208 WED 14:27 TEL:[phone] NAME:DWQ-WETLANDS P. 2

Plcasc contact Cynthia Van Der Wiele at 919.715-3473 if you have any questions regarding this form.
FEB-13-2aD8 WED 14:27 TEL:[phone] NAME:DWQ-WETLANDS P. 3

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FEB-13-2808 WED 14:28 TEL:[phone] NAME:DWQ-WETLANDS P. 4

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