20080970 Ver 1_Initial Interest_20080613

Exp 09- og10
INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
October 1, 2006 (;:zl r=
Version n 4 4
a L? D
Applicant Name: .J®SF Py 5t9Mi t )E L JUN 1 I UP-
Applicant Address: /L12 S A Ty&A7?t Z AU 6 D€NR wnTE€ e04114
C,4 A Y 1\1,C 2 7 5/ 3 WETLANDS AND STQRMWATER BRANCH
Applicant's phone number: G' L717- 6 37- 2 qel Fax number:
Applicant's email address:
Consultant Name (if applicable): f4d )? A/7 q N SEA V ER '°? C 0 r.r T'q cY p c R So/?
Consultant address (if applicable): 2- / / 7 8 E C K y U 2, L, S. +?oL
jj R1-14 M q n/. C_ 2 75 0 3
C?41?-z/67
Consultant's phone number: 11111-477-0116 Fax number: 9/ 9 r 4P9 ` y 5 3 9
Consultant's email address:
Type of action requested under the Express Review Program (check all that apply):
? 401 Water Quality Certification
? Isolated Wetland Permit
Stream Origin Determination
J # of Determinations Requested
? Riparian Buffer Approval
? Riparian Buffer Minor Variance
? Coastal General "Major" Variance
? 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: AR' O ? OF JoScYN 5;q1u10 L V,4L5A County: DU F11RAd
Total project acreage: /Z O(Y69 (acres) Total built out impervious area: Q (acres)
Nearest Named stream + River Basin (from USGS topo map):
LiTTL-E /AVER
Please provide a brief description of this project (attach site plan if available):
(IN-06VELor6-D LAt4 D Pllcr06--O 3 L o r
Sv9 n_
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:
FlloM 0uo#,9Nt NaR iH oN U.5. So) (2exYURd 9.0) Ta Mf9sc to n0,,
r5. t2- 1002 ) , Ty,LN C,EF ? , P2 o c so re MAT'r",e-wS !z7 (s. 2 11b`a
7-u2)4 2i6H-r PgoPC&Ty IS R96vr ? ? /??!l? Ont LEFT- (13iG Gu7 oi?tr7z>
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
Has consultant or applicant attended any DWQ-sponsored training sessions in the past two years? If so, please list
which ones. N ()
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:
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?
Na
Does this project require approval of a Variance from the NC Environmental Management Commission? /V `7
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.
K
This form must be submitted via email (c/o 401expressgncmail.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 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.
Reports
City of Durham, NC
Tax Parcel Report
Page 2 of 3
I
Quick Information
PIN Number: 0826-01-06-4608
Acreage: 11.50900000
Deed Book: 004912
Plat Book: 24
Subdivision: N/A - NO SUBDIVISION
Owner Name: SAMUEL JOSEPH
Parcel ID: 188450
Land Use: VAC AG/ 10 ACRES OR >
Deed Page: 000930
Plat Page: 91
Site Address: 6807 MATTHEWS RD
Owner Address: 102 BATHGATE LN
CARY , NC, 27513
http://gisweb.durhamnc.gov/GoMaps/reports/report.cfm?CFID=2858&CFTOKEN=94695643 6/9/2008
0
r;
i
f

v'

,0
s
'l ? 3 I
I
I f
i
• -` t ti. 1
-1 "1
A.
w
r` - ??II ?f ? / ?u I
,685 (NORTHWEST DURHAM) 87
5256 111 SW
SCALE 1:24 000
1 0 1 MILE
1
1000 0 1000 2000 3000 4000 5000 6000 7000 FEET
1 .5 0 1 KILOMETER
?r?wlTns ?t? 1t\17G'RVAI in FFET

688 D URt
SOIL SURVEY OF DURHAM COUNTY
Soil Survey of Durham County, North Carolina
Portion of Page 10
Reports
Parcel Report:
Quick Information with 2005 Orthophoto
PIN Number: 0826-01-06-4608 Parcel ID: 188450
Acreage: 11.50900000 Land Use: VAC AG/ 10 ACRES OR >
Deed Book: 004912 Deed Page: 000930
Plat Book: 24 Plat Page: 91
Subdivision: N/A - NO SUBDIVISION Site Address: 6807 MATTHEWS RD
Owner Name: SAMUEL JOSEPH Owner Address: 102 BATHGATE LN
CARY , NC, 27513
Page I of 3
http://gisweb.durhamnc.gov/GoMaps/reports/report.cfm?CFID=2858&CFTOKEN=94695643 6/9/2008