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HomeMy WebLinkAboutNCC202649_NOI Application_20200623Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 6/22/2020 3:35:48 PM (NCG01 NOI Submission) Approve by Clark, Paul 6/22/2020 3:46:53 PM (Review- Construction NOI 27344) . The task was assigned to Clark, Paul by round robin distribution 6/22/2020 3:36 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2020 5:00 PM. The priority is: High 6/22/2020 3:36 PM Submit by Selkane, Aziza 6/23/2020 8:51:46 AM (Payment Verification for NCC202649) * Terrell Scott Martin • Selkane, Aziza assigned the task to Selkane, Aziza 6/23/2020 8:51 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 3, 2020 5:00 PM. The priority is: High 6/22/2020 3:47 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting IT No an NOI that was r Yes rejected before? 1a. Project Name * Cliffside-Ash Storage Area 1 and Haul Route Imp. 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 2. County* Cleveland 3. Highway or Street McCraw Road Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Mooresboro 5. State * NC 6. Zip Code * 28114 7. Latitude* Enter the latitude in decimal degrees 35.2057 8. Longitude* Enter the longitude in decimal degrees (MJST be negative) -81.7697 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* 06/29/2020 Estimated Construction Project Start Date 10. Date to End * 09/30/2021 Estimated Construction Project End Date 11. SIC (Primary)* Industrial (1541) Standard Industrial Classification for Developrrent 12. Acres to be 37.10 disturbed* (including off -site borrow and waste areas) 13. Total site area 80.00 (acres) * 14. Post- 10.00 construction (Estirrated) impervious area (acres) * NCC Project NCC-CLEVE-2020-Cliffside-Ash Storage Area 1 and Haul Route Tracking ID Imp. 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 Broad River Wate rbody* %rre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 9-(40.5) Index No.* NCWaterbody Index Number Stormwater rJ No discharges will flow r- Yes to additional wate rs * 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 Legally Pesponsible Entity Name * Duke Energy Carolinas, LLC IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Scott If Corporation, enter Faegistered Agent First %rre 3. Last Name* Martin IF Corporation, enter F;bgistered Agent Last %ne 3b. Title Project Director 4. Permitee E-mail scott.martin@duke-energy.com Address* 5. Permittee 704 913-1623 Telephone No.* 6. Permittee Mailing Street Address Address* 400 South Tryon Street Address Line 2 ST 06K City State / Frovince / Fbgion Charlotte NC Fbstal / Zip Code Country 28202 us Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 400 South Tryon Street Address Line 2 ST 06K City State / Frovince / Region Charlotte NC Fbstal / Zip Code Country 28202 us 8. Type of Non -Government Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Elizabeth Contact - First Name * 2. Primary Site Glenn Contact - Last Name * 3. Title Sr Environmental Spc 4. Site Contact E- elizabeth.glenn@duke-energy.com mail Address* 5. Site Contact 8646428833 Telephone No. 6. Organization Duke Energy Name 7. Site Contact Street Address Mailing Address* 526 South Church Street Address Line 2 EC13K City Charlotte Fbstal / Zip Code 28202 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. State / Rovince / Region NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/22/2020 Approved * 2. E&SC Plan Project CLEVE-2020-024 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 * Mooresville (MRO) 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 Cliffside-Ash Storage Area 1 Haul Route Imp Approval letter or 377.9KB (CLEVE-2020-024) approval w mods.pdf Grading Permit Mast be FDFfon-rat 6. Site Location Map Helpful for linear project review (Optional) Mast be PDFfornat. Rease do not upload entire set of E&SCplans. 7. 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. 8. NOI Certification Cliffside Ash Storage Area NOI.pdf 53.84KB Form Mist be RDFfornat 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 [-'r 6/ Wa, fz- Type Name * Scott Martin Title Project Director Organization Legally Plesponsible Entity Duke Energy Carolinas, LLC Date * 06/22/2020 F. Tracking and COC Info NOI Tracking No. 27344 NC Reference No. NCG01-2020-2649 Uses 'count number' variable (incremrented by SP) Certificate of NCC202649 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2649 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.)