20061592 Ver 1_Initial Interest_20061004 (2)

131@4!2006 13:29
2524384062

pOVVER EQUIPMENT P4
P.G. 90X 1529
296 US HWl! 158 BYPAS
HENDERSON, N. C. 2753
(25?a 438-4121 phone
[phone] fax
GO. ING.
POWER EQUIPMENT PLUS
PAGE 01
F,AX COVER SHEET

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TotelpAg9s, NICltlCAifg COv9Y' _ `~ --
COMMENTS
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OCT-4-2006 WED 12:04 TEL:[phone] NAME:DWQ-WETLANDS P. 1

10104/2006 13:29 2524384062 POWER EQUIPMENT PLUS PAGE 02
OCT-4-2~6 08:6 FROM:DIdQ-bI~TLANDS 9197336893 T0:9125i?4384062 P'2~3
INITIAL
fipplir,.ant Name;^
Applicant Adtlress:
Appllcant'9 phone number;
Fax number:
Applicant's email address:
Cortsultent~hrame [ifapplicatfie~;
~ IN PARTICIPATIQN 1N THE ExPaE88 REVIEW PROCa~RAM
THE 401 OVER&iTF11"~PRESS PfF,RMiITTING UNIT
September 1, 2Qg4 ~ ^T ~ ~ w , `- ~ "
1/ersion 3

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L.r ~~, 1 '

Go et
evnsult^dnt address {if applicable): -
Donsultank's phone number.
f:ax number:
Don3ultant's email edklresS:
Type of csrtian requested under tti i`xprESS Review Program (check all that apply):
~] ~0? Water Qualify Certif 1Cn ~Strearri Origin Determinaton
^ Isolated Wetland Permit _ / # of Deterrriinatians Requested
^ Riparian Buffer Approval ^ IrrtermlttenUPerennlal Determination
L.1 Starmwater Management P an ~„ # of ttecarminations Requested
^ Mitigation plan
^ Strum ~ Worland ~ ulferg (check all apprripriate)
Name of Project: pl, rry,,
Total proj~3ct acreage: ~~~
NEar+r•st n2rrreti stream (front USf,3$
PleasE proU de a ~f description of
~[f1 D C~t~ . ~i o J
/c~..cs.~ ~;
a~ ~.~ d~ /~ ssc~~, ~.unty: Ya,~ ~.~.
acres} ~Tatat built out Impervious aria: (acres}
Apo map): o ~~-r ~ ~C.~
its p~ eGt (atta~h ske plan if available): ~_
~ _ y wc.,~ ~ g ~.~, per, cam" ~~~ s L.t.~.

1
OCT-4-2006 WED 12:04 TEL:[phone] NAME:DWQ-WETLANDS P. 2

10/0412006 13:29 252434062 POWER EQUIPMENT PLUS PAGE 03
DCT-4-2006 08:06 f-ROM:DWf~-WETLANDS 9A9~336693 TOa912524384962 F:3~3
Please attach a map of site locati n using USGS 1:24,000 map and county soil survey.
lacativn of project site - pease include reference to the courtly, nearest name town and highway number:
r
Proposed itlnpar s'~ CoG r
Acres of a©4 w rids;
acres of isolated tlands; _
1,inear feet of stye ms;
~ ~ -
linear feet of isal~ted streams;
Square feet of pfo#eGted stream buffers:
Nay consultant or applicant att
which vnss, _ /U`p
Nas any DWq staff visited the
date of VfSit
Which other environmental
issuing agencies below.
floes this project require approval
O
Is this project an ,gfter-the+fact apf
~~
any awt~sponsored training sessions in the past two years? ff sa, please fist
1UJ . it yss, plea®e provide DWQ stair name, and
from ether agencies will be needed far this project? Please list the permits and
~~ .~. ~;~
the State Environrnentai Policy Act or tVatit]nal Environmental Policy Act?
or has this projtact received a previous Notice of Yialatian from DWQ?
Does this project require approval s Yariartce from the NC Environmental Management Commission? /~°
I-1re you aware of any bowl oontrov IIrsy oonceming this protect? If so, please describe the controversy and any
measures that have been taken vii respect to public involvement,
Thig form must be subrnitte+d via email
Crabh~~ ijhrd„ Raleigh, NC 27604. aPF
ufithin 2 days. &uccgasful applicantswi~ll
PAdc2Q~ on >=ridsy after 12'00 pm.rilr bq
407 n faxed (919.73.3.88Q3) or hand-ppriye~rgd to ttw Perkvlew EuYdi~, 2321
rts who era 891ected t0 participate in the Expna99 f3l~view Program wile be not~ied via email w tax
5e fttstructwd n?gAtdiru7 datBiietl prvcaduras fOr EuC applies{ion (Please Note; Submittals of the isvlew
sped as recoived on the next tsusftrgs day).
P~e38 Contest GyMt11e Van DerlAfielo at 919715.3473 Hyou t,ave~ any ques6ans regatding khir. bm,,

OCT-4-2006 WED 12:05 TEL:[phone] NAME:DWIQ-WETLANDS P. 3

1,0104/2006 13:29 2524384062 POWER EGlUIPMENT PLUS PAGE 04
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1.010412006 13:29 2524384062 POWER EQUIPMENT PLUS PAGE 05
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