20081718 Ver 1_Initial Interest_20081118

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INITIAL INTEREST IN PAR'T'ICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSI'Z'E/EXPRESS PERMITTING UNIT
February 8, 2008
Version 5
Applicant Name: SPCA 1\
Applicant Address: 7 &4 •/ s.S L.ANCr - MACO0. Gtr. 3121()
d47,5'- 338- /520
Applicant's phone ntuntber: (-- Fax number L 77y- 66YS
Applicant's email address: G C , j R L'LL, Q ti//a k?W, CotV\? _
Consultant Name (if applicable):
Consultant address (if applicable):
C'onsultant's phone number:
Consultant's email address:
l ype of action requested under the Express Review Program (check all that apply):
? 401 Water Quality Certification ?C] Stream Origin D,-termination
? Isolated Wetland Permit of Determinations Requested
? Riparian Buffer Approval ? Intermittent/Perennial Determination
? Riparian Buffer Minor Variance # of Determinations Requested
? Coastal General "Major'" Variance ? Non-104 Wetlarnl Determination
# of Wetla ids
Stormwater Management Plan (this fee is not additive when approval is combined with 101 Cert.)
4 of Drainage Areas/Project Site
Name of Project: J?I/t,t.Lr4/SP>
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Site Location (D141.MM) - Latitude: __ 35 40 AZ
I`otal project acreage: ,Ce __ (acres)
---County: _, WA-V-Z% --- -
Longitude: 78 _ a _ 26 r 5 IN
Total built out impervious area: _ (acres)
Nearest Named stream A- River Basin (from USGS topo utap): d4t2 _ _Cf
Please provide a brief description of this project (attach site plan if available):
E>?APa?_ r t1'zt 4-6' CeM M C--2C r L-_ p wt°
Please attach a map of site location using USGS 1:24,000 topographic map and County soil survey.
1
H01I!-18-80063 TI IE 13:48 TEL:[phone] NAt•1E: DWQ-WETLANDS P. 1
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11/18, 2008 14:43 FAX [phone] JARCO
10 002
Location of project site - please include reference to the county, nearest named town and sheet name or highway number:
-129 _'0Nnc;5 SLam- p-_k_ej ?(>!#rDALC
Proposed impacts:
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Acres of 404/401 wetlan.is
Acres of non-404 wetlan Is
Linear feet of streams
Linear feet of isolated streams
Square feet of protected ?;tream buffers
Has consultant or applicant attended any DWQ-sponsored training sessions in the past two years? If so, please list which
ones.
Has any D\N'Q staff visited the site? ND , if yes, please provide DWQ statfnamc, and date
of visit:
WhielI other environmental pen-nits from other agencies will be needed for this project? Pl,.ase list the permits and issuing
agencies below:
[.r>?? _ I S7tit 2('a 1.??-- P(?n2 ??r? ? .r --t''v? -? et'`) 7?-
Is there local government implementation of a State-mandated stormwater control program on your site'? No _
(If yes, please state local government and implemented program (ex. Town of Wake Forest, NPDLS Phase 2):
Does this project require approval under the SEPA or NEPA? No
Is this project an After-tire-fact application or has this project received a previous Notice of Violation Irom DWQ?
_. No
Does this project require approval of a Variance from the NC Environmental Management Commission? No
Are you aware ol'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 firm must be submitted via email (c/o 40lex ressb!mail.net faxed (919-73>-6993) 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 them )e instructed regarding detailed
procedures for full application (A'ote: Submittals of the revien- packages on P'i-id(y after 12:00 pin will be stamped as
received on lite next business day).
Please contact Lin Myott or Joseph Gyamfi at 919-733-1786 if you have any questions regarding this form.
2
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