20081082 Ver 1_Initial Interest_20080710

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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
February 8, 2008
Version 5
Applicant Name: Billy Adams
Applicant Address: 8615 Mt Pleasant Church Rd Willow Spring, NC 27592
Applicant's phone number: ( 919 ) 552 - 5700 Fax number: (919 )552 - 5944
Applicant's email address:
Consultant Name (if applicable): The Clark Group
Consultant address (if applicable): P.O. Box 10136
Wilmington, NC 28404
Consultant's phone number: _(910) 602-3900 Fax number: X910) 602-3975
Consultant's email address: gmitchellgclarkgroup.us
Type of action requested under the Express Review Program (check all that apply):
? 401 Water Quality Certification ® Stream Origin Determination
? Isolated Wetland Permit
? Riparian Buffer Approval
? Riparian Buffer Minor Variance
? Coastal General "Major" Variance
1# of Determinations Requested
? Intermittent/Perennial Determination
# of Determinations Requested
? Non-404 Wetland Determination
# of Wetlands
Stormwater Management Plan (this fee is not additive when approval is combined with 401 Cert.)
# of Drainage Areas/Project Site
Name of Project: Adams
County: Wake
Site Location (DM.MM) - Latitude: 35.553086 N Longitude: 78.678625 W
Total project acreage: 58.98+/- (acres)
Total built out impervious area: (acres)
Nearest Named stream + River Basin (from USGS topo map): Black Creek Neuse River Basin
Please provide a brief description of this project (attach site plan if available):
This site has a potential 404 wetland seam between two existing farm fields, where there is no existence
of a tributes as indicated on the Wake County soil survey and Angier Topographic Quadrangle. Based upon onsite
investigation we have discovered none and would like concurrence.

Please attach a map of site location using USGS 1:24,000 topographic map and County soil survey.
Location of project site - please include reference to the county, nearest named town and street name or highway number:
Project site is located at 2830 Carlie Adams Road in the Town of Willow Springy County of Wake State of
North Carolina.
Proposed impacts: N/A
Acres of 404/401 wetlands
Acres of non-404 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. Coastal Plain Consultant Works
ho
Has any DWQ staff visited the site? N/A , if yes, please provide DWQ staff name,
date of visit:
and
Which other environmental permits from other agencies will be needed for this project? Please list the permits and issuing
agencies below:
N/A
Is there local government implementation of a State-mandated stormwater control program on your site? N/A
(If yes, please state local government and implemented program (ex. Town of Wake Forest, NPDES Phase 2):
Does this project require approval under the SEPA or NEPA? N/A
Is this project an After-the-fact application or has this project received a previous Notice of Violation from DWQ?
N/A
Does this project require approval of a Variance from the NC Environmental Management Commission? N/A_
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.
N/A
This form must be submitted via email (c/o 401expressgncmail.net), faxed (919-733-6893), or hand-delivered to:
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 email or fax. 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 Lia Myott or Joseph Gyamfi at 919-733-1786 if you have any questions regarding this form
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