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HomeMy WebLinkAboutNCC200345_NOI Application_20200130Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 1/27/2020 2:42:30 PM (NCG01 NOI Submission) Approve by Clark, Paul 1/27/2020 4:09:51 PM (Review - Construction NOI 21181) • The task was assigned to Clark, Paul by round robin distribution 1/27/2020 2:43 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 29, 2020 5:00 PM 1/27/2020 2:43 PM Submit by McCoy, Suzanne 1/30/2020 7:11:58 AM (Payment Verification for NCC200345) * Matthew Vranjes • McCoy, Suzanne assigned the task to McCoy, Suzanne 1/30/2020 7:11 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 9, 2020 5:00 PM 1/27/2020 4:09 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Cross Creek Mall - Sears Redevelopment 2. County* Cumberland 3. Highway or Street Skibo Rd Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Fayetteville 5. State * NC 6. Zip Code * 28303 7. Latitude * Enter the latitude in decimal degrees 35.0722 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.9623 If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of North Carolina. Look for the coordinates in the bottom left corner. 9. Date to Begin* 02/03/2020 Estimated Construction Project Start Date 10. Date to End* 11/30/2020 Estimated Construction Project End Cute 11. SIC (Primary)* Commercial (1542) Standard Industrial aassification for Developrrent 12. Acres to be 20.38 disturbed* (including off -site borrow and waste areas) 13. Total site area 20.38 (acres) * 14. Post- 18.40 construction (Estimated) impervious area (acres) * NCC Project NCC-CUMBE-2020-Cross Creek Mall - Sears Redevelopment Tracking ID Assigned automatically Below you must enter waterbody information for surface waters affected by this project. Please consult DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You may enter up to 3 waterbodies if needed. 15a. Receiving Beaver Creek Waterbody * %rre of waterbody into which stornwater runoff will discharge 15b. Waterbody 18-31-24-5 Index No.* NCWaterbody Index N nber Stormwater r No discharges will flow Pf Yes to additional wate rs * 15c. Additional Buckhead Creek Receiving Waterbody narre Waterbody 15d. Waterbody 18-31-24-6 Index No. NCWaterbody Index Nunber 15e. Additional Waterbody narre Receiving Waterbody 15f. Waterbody NCWaterbody Index Nunber Index No. 16a. Is this project r Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. ^ Fternittee Inforrration - Legally Fbsponsible Entity and Individual Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application form should be the same person as listed in THIS SECTION, or an authorized responsible individual within the same organization. That person must be a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. 1. Organization Cross Creek Anchor S.L.P. Name * 2. First Name* Curt If Corporation, enter Pegistered Agent First Barre 3. Last Name* Hammontree If Corporation, enter Faegistered Agent Last %rre 3b. Title VP Development 4. Permitee E-mail Curt.Hammontree@cblproperties.com Address * 5. Permittee 423-855-0001 Telephone No.* 6. Permittee Mailing Street Address Address* 419 Cross Creek Mall Address Line 2 City Fayetteville Fbstal / Zip Code 28303 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 419 Cross Creek Mall Address Line 2 City Fayetteville Fbstal / Zip Code 28303 State / Frovince / Faegion NC Country us State / Frovince / Plegion NC Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Type of Non -Government Ownership * 2. Primary Site Jeff Contact - First Name * 3. Primary Site Allen Contact - Last Name * 4. Title Director - Development 5. Site Contact E- jeff.allen@cblproperties.com mail Address* 6. Site Contact 423-490-8826 Telephone No.* 7. Organization CBL Properties Name 8. Site Contact Street Address Mailing Address* 2030 Hamilton Place Boulevard Address Line 2 CBL Center, Suite 500 aty Chattanooga Fbstal / Zip Code 37421-6000 9. Consultant Name (Optional) Civil & Environmental Consultants, Inc. First and Last narre 10. Consultant E- tgingerich@cecinc.com mail This person will be copied on all correspondence. 11.Consultant 980-260-2108 Telephone No. State / Rovince / Fbgion TN Country us D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 01/06/2020 Approved * 2. E&SC Plan Project CUMBE-2019-115 Number/ID * Assigned by agency or local program 3. E&SC Plan r State DEQ Office Approved by* r Local Program 4. State DEQ Office * Fayetteville (FRO) Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. 5. E&SC Plan 1.6.2020 Approval Letter - Erosion Control.pdf 2.21 MB Approval Wst be FDFfornat letter/documentation Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support the application. 6. NOI Certification CBL Properties_20200123_165050.pdf 763.48KB Form Mast be FDFforrrat This is an Express F No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Artcle; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Artcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: 17 I am the person responsible for the construction activities of this project, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. rJ The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. * 17 I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * rJ I hereby request coverage under the NCG010000 General Permit and understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. Specify if you are:* r The Responsible Person named on this Notice of Intent f Authorized Responsible Person* Important: The person who electronically signs this Certification above must be the same person who signs the NOI Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature Type Name * Curt Hammontree Title VP - Development Organization CBL Properties. Date * 01 /27/2020 F. Tracking and COC Info NOI Tracking No. 21181 NC Reference No. NCG01-2020-0345 Uses 'count number' variable (incremrented by SP) Certificate of NCC200345 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 345 Sequential number for submittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.)