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HomeMy WebLinkAboutNCC201297_NOI Application_20200401Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 3/30/2020 6:19:07 PM (NCG01 NOI Submission) Approve by Clark, Paul 3/31/2020 8:36:14 AM (Review- Construction NOI 23790) . The task was assigned to Clark, Paul by round robin distribution 3/30/2020 6:19 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 1, 2020 5:00 PM 3/30/2020 6:19 PM Submit by McCoy, Suzanne 4/1/2020 8:27:00 AM (Payment Verification for NCC201297) * Skyline Development Corp • McCoy, Suzanne assigned the task to McCoy, Suzanne 4/1/2020 8:26 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 12, 2020 5:00 PM 3/31 /2020 8:36 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information la. Project Name * North Creek Meadow Subdivision (streets only) 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 1-37 2. County* Johnston 3. Highway or Street Friendship Church Road Address* Street name only is acceptable if no address number assigned yet 4. CityorTownship* Oneals 5. State * NC 6. Zip Code* 27597 7. Latitude* Enter the latitude in decimal degrees 35.7457 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -78.2445 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* 03/30/2020 Estimated Construction Project Start Date 10. Date to End * 06/30/2020 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Development 12. Acres to be 4.87 disturbed* (including off -site borrow and waste areas) 13. Total site area 31.41 (acres)* 14. Post- 4.70 construction (Estirrated) impervious area (acres) * NCC Project NCC-JOHNS-2020-North Creek Meadow Subdivision (streets only) Tracking ID Assigned autorratically 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 Moccasin Creek Waterbody* Name of waterbody into which storrrwater runoff will discharge 15b. Waterbody 27-86-2 Index No.* NCWaterbody Index Number Stormwater V No discharges will flow r Yes to additional wate rs * 16a. Is this project F Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. ^ F2rnittee 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 SKYLINE DEVELOPMENT CORP. Name * If perrrittee is an individual (i.e., organization does not apply), enter first and last nave in this field. 2. First Name* ANDREW IF Corporation, enter Pbegistered Agent First Barre 3. Last Name* PERRY If Corporation, enter Faegistered Agent Last %rre 3b. Title PRESIDENT 4. Permitee E-mail YATEPERRYS@GMAIL.COM Address * 5. Permittee 9195922790 Telephone No.* 6. Permittee Mailing Street Address Address* 2564 Holiday Avenue Address Line 2 city Zebulon Fostal / Zip Code 27597-9369 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 2564 Holiday Avenue Address Line 2 City Zebulon Flostal / Zip Code 27597-9369 8. Type of Non -Government Ownership* State / Ftovince / Faegion NC Country us State / Ffovince / Fbgion NC Country us C. Site Contact Information Part C. ^ Roject Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site ANDREW Contact - First Name * 2. Primary Site PERRY Contact - Last Name * 3. Title PRESIDENT 4. Site Contact E- YATESPERRYS@GMAIL.COM mail Address* 5. Site Contact 9195922790 Telephone No.* 6. Organization SKYLINE DEVELOPMENT CORPORATION Name 7. Site Contact Street Address Mailing Address* 2564 Holiday Avenue Address Line 2 Oty State / Rovince / Region Zebulon NC Fbstal / Zip Code Country 27597-9369 us 8. Consultant Name (Optional) ALSEY GILBERT First and Last nacre 9. Consultant E-mail ALSEYGILBERT@YMAIL.COM This person will be copied on all correspondence. 10. Consultant 9195535104 Telephone No. D. E&SC Plan Part D. ^ Erosion & Sedirrent Control (E&SC) Ran Approval Inforrration ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 03/18/2020 Approved * 2. E&SC Plan Project NORTH CREEK MEADOWS SUBDIVISION Number/ID* (STREETS ONLY) JC # 19-133-P Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Johnston County Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. For linear projects, please also upload a site map showing the overall extent of the project or include the beginning point and end point coordinates in the "Notes" box below. 5. E&SC Plan 19-133 North Creek Meadows ESC Appr 3.18.20 Approval letter or 404.08KB (1).pdf Grading Permit Mist be FDFforrrat Site Map (Optional) Helpful for linear project review ncm.pdf 5.76MB Mist be RDFforrrat Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. Include additional waterbodies for linear projects if necessary. 6. NOI Certification NC001 REV. pdf 199.53KB Form Mist be RFforrret This is an Express r No Review Project* r Yes E. Certification North Carolina General Statute 143-215.66 (1) 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 Atide; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Atide or rules of the Commission implementing this Atcle 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 If the Erosion and Sediment Control Plan approved by the delegated program is not compliant with Part II (Stormwater Pollution Prevention Plan) of the NCG010000 General Permit. I will nonetheless ensure that all conditions of Part II of the permit are met on the project at all times. * 17 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* ANDREW PERRY Title president Organization SKYLINE DEVELOPMENT CORPORATION Date * 03/30/2020 F. Tracking and COC Info NOI Tracking No. 23790 NC Reference No. NCG01-2020-1297 Uses 'count number' variable (incremrented by SP) Certificate of NCC201297 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 1297 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.)