20070271 Ver 1_Initial Interest_20070215

INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PRUGRANI
WITHIN THE 441 OVERSITE/EXPRESS PER~ti7ITTING'LTNIT '
October 1, 2006
Version 4
Applicant Name: MALAY Jl NDF~ l_ ~.X.p ~1' O a-'"~ ~
Applicant Address: fl~#Df P~4CESF~'R~t~' ~RIYE
RALEfI N Nc z76r~
Applicant's phone number: 9f9-8 ($~ 8 i3S l~axnumber:
Applicant's email address: JI N,DgLM r~ GARTN~t N{<. N6T
Consultant Name (if applicable):
Consultant address {if applicable):
Consultant's phone number: N ~A Fax number:
Consultant's email address: N/A
Type of action requested under the Lxpress Review Program (check all that apply):
^ 401 Water Quality Certification
^ Isolated Wetland Permit
^ Riparian Buffer Approval
^ Riparian Buffer Minor Variance
l.4!' Stream Origin Determination
2- # of Determinations Requested
^ IntermittentlPerennial Determination
^ Coastal General "Major" Valiance
linear feet or acres
^ Storrnwater Management Plan (this fee is not additive when approval is combined with 401 Cert.)
# of Drainage Areas/Project Site
Name of Project: LITCHF©iZD RoA3> SATE County: V~IP~KE
Total project acreage: 4'Jr`? (acres} 't'otal built out impervious area: UNKND WN {acres)
Nearest Named stream + River Basin (from CISCTS topo map):
NBt~sE R~vER
Please provide a brief description of this project (attach site plan if available):
SITE tn1-t.G $E DE'vEt_.oPF.D FocZ aF"!E±'ICE ~- ZNSTtT UTtarvAt_ Ust/ . S tTE' PLA~6v
# of Determinations Requested
^ Isolated Wetland Determination
is t3r~lnER 1~t;yELpP(Y1ENT ANa MAy $E r'~FFEC.TE~ By ?its D6TERft'1tNA7faN.

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:
6205 L1Tc.µFORD ROPtD~ RAt_EtGH , vJAKE couNTY
NE~~"U-lTt~~~'C;TIgN ~t)~ Gl?CNt=oR.D RogD ~-- DIxIE F©RE57 RDl1D
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
llas consultant or applicant attended any DWQ-sponsored training sessions in the past two years'? If so, please list
which ones. Nl0
Has any DWQ staff visited the site`? No , if yes, please provide DWQ staff name,
date of visit: __~/~
N/A
and
Which other environmental pern~its from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
lyoslE' GURR~NTt.y kNowN
Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
No
Is this project an Afler-the-fact application or has this project received a previous Notice of Violation from D4VQ?
_ fJ O
Does this project require approval of a Variance from the NC Environmental Management Commission? N O
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.
No 1-DC,AL C,Ar~TR9VER5Y KNoY,fN
'T'his form must be submitted via email (c/o 4Glexpress(r~nemail.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: S:rbmittcrls of the review packages oar Friday after 1?: 00 pn-
ti~~il! be stamped as received a¢ the lrext busiiaess day).
Please contact Cynthia Van Der Wiele at 919-715-3473 if you have any questions regarding this form.

Directions from 2321 Crabtree Blvd. to 6205 Litchford Road nronert
1. Start out going SOUTHEAST on CRABTREE BLVD. Go <0.1 miles
2: Turn LEFT onto N RALEIGH BLVD. Go 1.0 miles
3: Turn LEFT onto BRENTWOOD RD. Go 0.4 miles
4: Turn RIGHT onto CAPITAL BLVD / US-1 N / US-401 N. Go 2.8 miles
5: Turn LEFT onto SPRING FOREST RD. Go 1.4 miles
6: Turn RIGHT onto DIXIE FOREST RD. Go 0.1 miles
7: Turn LEFT into MILLBROOK HIGH SCHOOL parking lot.
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6205 Latchford Road
35.86°N, 78.60°W (NAD83/WGS84)
Latchford Forest (subdivision), USGS Raleigh East (NC) Quadrangle
Projection is UTM Zone 17 NAD83 Datum
M*
M=-8.906
G=1.407

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Wpb Soil Survey
Contact Us ', Download Soiis Data ',. Preferences Logout , Help
Area of Interest Soil Map Soil Data Explores
Map Omit Fegend Sun~rr~ary ^"
Wake County, North Carolina ^"
Map Map Unit Acres Percent of
Unit Name in AOI AOI
Symbol
Ap62 Appling sandy 7.3 73.0
loam, 2 to 6
percent slopes,
moderately
eroded
Ce62 Cecil sandy 2.7 27.0
loam, 2 to 6
percent slopes,
moderately
eroded
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