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HomeMy WebLinkAboutNCC205959_NOI Application_20201229Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 12/24/2020 10:52:35 AM (NCG01 NOI Submission) Approve by Gamble, Aana C 12/24/2020 3:44:50 PM (Review- Construction NOI 39778) • The task was assigned to Gamble, Aana C by round robin distribution 12/24/2020 10:52 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 28, 2020 5:00 PM 12/24/2020 10:52 AM Submit by McCoy, Suzanne 12/29/2020 9:17:38 AM (Payment Verification for NCC205959) * Randy Secrest • McCoy, Suzanne assigned the task to McCoy, Suzanne 12/29/2020 9:16 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 4, 2021 5:00 PM 12/24/2020 3:44 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected 39719 NOI No. Prior Reviewer Michael Meloy Name 1a. Project Name * UNION COUNTY SHERRIFS OFFICE 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 09057010 2. County* Union 3. Highway or Street PRESSON ROAD Address* Street name only is acceptable if no address nunber assigned yet 4. City or Township* WINGATE 5. State * NC 6. Zip Code* 28112 7. Latitude* Enter the latitude in decimal degrees 34.9800 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -80.4660 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* 12/21/2020 Estimated Construction Project Start Date 10. Date to End* 12/21/2022 Estimated Construction Project End Date 11. SIC (Primary)* Commercial (1542) Standard Industrial Classification for Development 12. Acres to be 11.71 disturbed* (including off -site borrow and waste areas) 13. Total site area 12.00 (acres) * 14. Post- 4.71 construction (Estirreted) impervious area (acres) * NCC Project NCC-UNION-2020-UNION COUNTY SHERRIFS OFFICE Tracking ID Assignedautorratically 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 RAYS FORK Wate rbody* t\brre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 13-17-36-8 Index No. * NCWaterbodyIndex Nirrber Stormwater V 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. ^ Fbrnittee 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 Responsible Entity Name * Turner Construction Company 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 * Jeffrey If Corporation, enter Registered Agent First %rre 3. Last Name* Owens It Corporation, enter F;bgistered Agent Last %rre 3b. Title Vice President Operations Manager 4. Permitee E-mail jowens@tcco.com Address* 5. Permittee 704-400-4081 Telephone No.* 6. Permittee Mailing Street Address Address* 4601 Park Road Address Line 2 Suite 601 Cty Charlotte Check box if the street address the same as mailing address 7. Permittee Street Address* Fbstal / Zip Code 28209 V Yes Street Address 4601 Park Road Address Line 2 Suite 601 city Charlotte Fbstal / Zip Code 28209 State / Ffovince / Fbgion NC Country us State / Ftovince / Region NC Country us 8. Type of Ownership is only individual if an individual is naned in B.1. above. Ownership* Non -Government C. Site Contact Information Part C. Roject Site Contact Inforrration ........................................................................................................................................................................................................................................................................... 1. Primary Site Randy Contact - First Name * 2. Primary Site Secrest Contact - Last Name * 3. Title General Supt. 4. Site Contact E- rsecrest@tcco.com mail Address* 5. Site Contact 704-309-6473 Telephone No.* 6. Organization Turner Construction Name 7. Site Contact Street Address Mailing Address* 6907 Secrest Shortcut Road Address Line 2 City State / Rovince / Region Indian Trail NC Fbstal / Zip Code Country 28079 United States 8. Consultant Name (Optional) Mark Momsen First and Last nacre 9. Consultant E-mail mmomsen@landdesign.com This person will be copied on all correspondence. 10. Consultant 704 7247634 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) jouvens@tcco.com Default is legally responsible person e-n-ail (older NOts rray not populate) 12. Billing (For Annual Fee correspondence) Telephone 704-400-4081 Default is legally responsible person telephone (older NOIs rray not populate) D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 11/10/2020 Approved * 2. E&SC Plan Project UNION-2021-013 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 Union County Sheriffs Office (UNION-2021-013) Approval letter or 312.75KB approval w mods.pdf Grading Permit Mast be FDFfon-rat 6. Site Location Map Mist be RDFforrret (lint 201VB) [1) GO-00 COVER SHEET.pdf 396.21KB Rease do not upload entire set of E&SC plans. 7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. Include additional waterbodies if necessary. 8. NOI Certification UCSO Stormwater Certification form.pdf 92.41 KB Form Mist be RDFforrret 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 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:* IT The Legally Responsible Person named on this Notice of Intent f Authorized Responsible Person* (signing on behalf of Legally Responsible Person named in Part B) 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 * Jeffrey H Owens Title VP/Operations Manager Organization Legally Responsible Entity Turner Construction Company Date * 12/24/2020 F. Tracking and COC Info NOI Tracking No. 39778 NC Reference No. NCG01-2020-5959 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC205959 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5959 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. NCC205959-2020 Invoice Due Date 1/23/2021 Initial Fee $ 100.00 Invoice Status OPEN