20090140 Ver 1_Initial Interest_20090212

o f. wa re,,, o _o
ad pc q Form Version 6
o Y January 28, 2009
INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
A. Applicant Information
1. Processing
? 401 Water Quality Certification (List NW(s) or GP# verified by Corps: )
? Non-404 Jurisdictional Permit
? Riparian Buffer Authorization
1 a. Type(s) of actions ? Riparian Buffer Minor Variance
requested: ? Coastal General "Major" Variance
(Check all that apply) ? Stream Determination: 1 # Streams
? Non-404 Wetland Determination: # Wetlands
? Stormwater Management Plan Review (fee not additive if combined with 401):
# of Drainage Areas/Project Site
2. Project Information
2a. Name of project: LUDDY PARK
2b. County: FRANKLIN
2c. Latitude/Longitude: Lat: N 360 01' 19.54" Long: W 78° 29' 06.21
2d. River Basin: NEUSE
2e. Tax PIN or parcel ID: PIN 1852-27-2303
2e. Nearest Named Stream: RICHLAND CREEK [from USGS Topographic Map]
2f. Water Quality Classification of Nearest Named Stream:
2g. Total project acreage: (acres) [Stream or Wetland determinations may omit this item]
2h. Total built out imperviousness: (%) [Stream or Wetland determinations may omit this item]
2i. Provide a brief description of this project (attach site plan):
10/03/2005 SITE VISIT WAS MADE BUT POND HAS SINCE BEEN REMOVED.
POND WAS REMOVED IN 2007
TOWN PARK STREAM IS LOCATED ON ADJOINING PROPERTY
2j. Provide directions from the nearest named town, including street names and/or or highway numbers:
TAKE US HWY 1 NORTH TO HOLDEN RD., FRANKLIN CO. YOUNGSVILLE, TURN RIGHT ONTO HOLDEN RD., GO
TO STOP LIGHT TURN RIGHT ONTO US HWY 1-A, GO 0.10 MILE, PARK IS ON RIGHT
Please attach a map of site location using USGS 1:24,000 topographic map and the latest bound and
published County soil survey with the project/site boundaries delineated. A site plan should also be
included for all projects other than stream and wetland determinations.

3. Applicant Information
3a. Applicant is: ?X Owner ? Agent ? Other, specify:
3b. Name: TOWN OF YOUNGSVILLE Car 4 c_ b I
3c. Business name (if applicable):
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2
3d. Street address: 118 NORTH CROSS STRE
3e. City, state, zip: YOUNGSVILLE, NORTH CAROLINA 27596
3f. Telephone no.: 919-556-5073 30 - ? 13 5 3g. Fax no.: 919-556-0995
3h. Email address: 57- [g -6 7.Ce
4. Agent/Consultant Information (if applicable)
4a. Contact Name: MICHAEL MOSS
4b.Company name: CAWTHORNE, MOSS & PANCIERA, PC
4c. Street address: 333 SOUTH WHITE STREET
4d. City, state, zip: WAKE FOREST, NORTH CAROLINA, 27587
4e. Telephone no.: 919-556-3148 4f. Fax no.: 919-554-1370
4g. Email address: [e-mail]
5. Proposed Impacts (include both temporary and permanent) [Determination requests may omit this section)
5a. Total 404/401 wetland impacts: (acres)
I

5b. Total non-404 wetland impacts:
1

(acres)
5c. Total 404 stream impacts: Intermittent: (linear feet) Perennial: (linear feet)
5d. Total non-404 stream impacts: Intermittent: (linear feet) Perennial: (linear feet)
5e. Total riparian buffer impacts: Zone 1: (square feet) Zone 2: (square feet)
6. Project History and Additional Information
6a. Has any DWQ staff visited the site? ?X Yes ? No
If yes, provide staff name: MICHAEL HORAN and date of visit: 10/03/2005
6b. Does this project require a Stormwater Management Plan? ? Yes ?X No ? Unknown

6c. Who will be responsible for the review of the
Stormwater Management Plan? ? Certified Local Government:

?DWQ Stormwater Program
? DWQ 401/Express Review Unit
6d. Does this project require approval under SEPA or NEPA? ? Yes ? No N/A
6e. Is this project an after-the-fact application or has a DWQ notice of violation been issued? ? Yes ?X No
6f. Does this project include buffer impacts that are "prohibited" in the DWQ 'Red Rule Book? ? Yes ?X No
6g. If you are aware of any local controversy concerning this project, provide details in a cover letter. Describe the
controversy and any measures that have been taken with respect to public involvement.
This form must be submitted via email c/o 401 express(a.ncmai1.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 Gilleski or Joseph Gyamfi at 919-733-1786 if you have any questions regarding this form.
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CO 2002 Del--e. 3-D TopoQuada ®. Data copyright of content owner. o - X00 ?0p "'t- -l N T
www.delorme com 0 w zo - a.7w

This soil survey was compiled by the U.S. Department of
Agriculture, Natural Resources Conservation Service.
Base maps are orthophotographs prepared by the U.S.
Dept of Interior, Geological Survey, from 1994 aerial
photography. Hydrography and culture information were
acquired from the Natural Resources Conservation Service.
North American Datum of 1983 (NAD83). GRS-80 Spheroid
1000-meter ticks: Universal Transverse Mercator, zone 17.
Coordinate grid ticks and land division data, if shown, are
approximately positioned. Digital data are available for
this quadrangle.
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OUADRANCLE LOCATION

UNITED STATES
DEPARTMENT OF AGRICULTURE
LT A TI 77I AT r T`otr TTTI.-r-o ,,/lxrc, rT x7 A rrr%x7 c, T-, nt 7Tr,T'
F ?"JAJ1 Michael F. Easley, Governor
?,-•w` fi' William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W, Klimek, P.E. Director
_ Colleen H.. Sullins, Deputy Director
AaerrreGx
C? ;, Division of Water Quality
44
?'?titr October 28, 2005
NBRRO#05-790
Couniy: Franklin
Faith filth Baptist Church
C'o Christopher Bari-oil
2=49 Holden Road
Youngsville, NC 27596
Attn: Mr,. Barron
BASIN:
Neuse River _ K Tar-Pamlico
()A NCAC 213 .0233) (15A NCAC 2B .0159) CamZal_ainta NOV
_ Buffer Determination X
Incident .4
Appeal Call
Project Name: Faith Baptist Church
Location/Directions: Located at 249 Holden Road Younssvillg, I
Subject Stream; UT to Richland Creep:
Date of Determination: 10/03/05
Feature ? Start Buffer -
GPS Points (if provided)
A
Pond

is
This on-site determination shall expire five (S)-years front the date o f this letter. Landowners or affected parties
that dispute a determination made by the DWQ or Delegated Local Authority that a surface water exist` and that
it is subject to the buffer rule may request a determination by the Director. A request for « determination by the
Director.shall be referred to the.Director In writing c% Cyndi Karoly , DWQ Wetlands/401 Unit, 2321 Crabtree
Blvd., Raleigh, AV 27604-2260. Individuals ilrat dispute a determination by the DWQ or Delegated l ocal
Authority that "exempts"a surface water frortr the buffer rule may ask for an ad judicatory hearing You must
act within 60 days of the daate that you receive this letter. Applicants are hereby notified that the 611 clay statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification In order to be certain that third
party appeals are made in a timely manner. To ask far a hearing, send a written petition, which conforms to
Chapter 1508 of Cite North Carolina General Statutes to tfte Office of Administrative Hearings, 6714 Mail
Service. Cetrier, Raleigh, 1's! C. 27699-6714. T Jrls determination r".s final and binding unAws you ask for a hearing
ivithin 60 days.
Raleigh Regional Office 1628 Mail Service Center :I:IJEh'tt
Water Quality Section Raleigh, NC 27699-1628
End Buffer i Stream ----r Appeal Locate-d4d !_Loctited on
Form Call ; on soil USGS
phone [phone] Customer Service
facsimile [phone] 1.877-623-6748