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HomeMy WebLinkAboutNCC205607_NOI Application_20201208Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 12/3/2020 1:36:44 PM (NCG01 NOI Submission) Approve by Gamble, Aana C 12/7/2020 10:49:53 AM (Review- Construction NOI 38043) • The task was assigned to Gamble, Aana C by round robin distribution 12/3/2020 1:37 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 7, 2020 5:00 PM 12/3/2020 1:37 PM Submit by McCoy, Suzanne 12/8/2020 2:42:31 PM (Payment Verification for NCC205607) * Ode// 73 investments • McCoy, Suzanne assigned the task to McCoy, Suzanne 12/8/2020 2:41 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 18, 2021 5:00 PM 12/7/2020 10:50 AM .• 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 * Odell Corners Phase I, Phase II & Roadway Improvements 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 2. County* Cabarrus 3. Highway or Street Southeast Corner of Highway 73 and Odell School Road Address* Street narre only is acceptable if no address nun ber assigned yet 4.CityorTownship* Concord 5. State * NC 6. Zip Code * 28027 7. Latitude* Enter the latitude in decimal degrees 35.4384 8. Longitude* Enter the longitude in decimal degrees (M.JST be negative) -80.7257 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* 12/07/2020 Estimated Construction Project Start Date 10. Date to End* 12/31/2021 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Other than SFE (1522) Standard Industrial aassification for Developrrent 12. Acres to be 23.95 disturbed* (including off -site borrow and waste areas) 13. Total site area 23.95 (acres) * 14. Post- 11.01 construction (Estirrated) impervious area (acres) * NCC Project NCC-CABAR-2020-Odell Corners Phase I, Phase II & Roadway Tracking ID Improvements 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 Rocky River Waterbody* Ibrre of w aterbody into w hich storrrw ater runoff w ill discharge 15b. Waterbody 13-17 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. ^ Fl rnittee Inforrration - Legally Fa sponsible 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 * Odell 73 Investments, LLC It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. Note: The organization name must match the business entity name registered with the NC Secretary of State. You can verify the registration here. 2. First Name * Justin IF Corporation, enter Faegistered Agent First Wre 3. Last Name* Mueller It Corporation, enter F;bgistered Agent Last %rre 3b. Title Manager 4. Permitee E-mail justin@sdgcarolinas.com Address* 5. Permittee 7045785688 Telephone No.* 6. Permittee Mailing Street Address Address* 51 Union Street South Address Line 2 Suite 100 City State / Frovince / Fbgion Concord NC Fbstal / Zip Code Country 28025 United States Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 51 Union Street South Address Line 2 Suite 100 City State / Ftovince / Faegion Concord NC Fbstal / Zip Code Country 28025-5009 US 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Justin Contact - First Name * 2. Primary Site Mueller Contact - Last Name * 3. Title Manager 4. Site Contact E- justin@sdgcarolinas.com mail Address* 5. Site Contact 7045785688 Telephone No. 6. Organization Odell 73 Investments, LLC Name 7. Site Contact Street Address Mailing Address* 51 Union Street South Address Line 2 Suite 100 city Concord Fbstal / Zip Code 28025 8. Consultant Name (Optional) Andrew Grant First and Last narre 9. Consultant E-mail AGrant@bgeinc.com This person will be copied on all correspondence. 10. Consultant 803-322-7510 Telephone No. State / Rovince / Region NC Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/08/2020 Approved * 2. E&SC Plan Project CABAR-2020-080 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 Grading Permit.pdf Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Mist be RDFforrret (lint 20 NB) Site Location Map.pdf Rease do not upload entire set of E&SC plans. 1.8MB 206.91 KB 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 NCG01 Notice of Intent (NOI) Certification Form.pdf 708.82KB Form Wst be RDF formal This is an Express r 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 �%�rc1.1�sr ��flfd�l�'•t. Type Name * Justin Mueller Title Manager Organization Legally Responsible Entity Odell 73 Investments, LLC Date * 12/03/2020 F. Tracking and COC Info NOI Tracking No. 38043 NC Reference No. NCG01-2020-5607 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC205607 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5607 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.) Initial Invoice No. NCC205607-2020 Invoice Due Date 1/6/2021 Initial Fee $ 100.00 Invoice Status OPEN