NCC205181_NOI Application_20210111

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/10/2020 4:19:24 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 11/12/2020 7:49:07 AM (Review- Construction NOI 35737)
• The task was assigned to Meloy, Michael by round robin distribution 11/10/2020 4:20 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 12, 2020 5:00
PM 11/10/2020 4:20 PM
Submit by Selkane, Aziza 1/11/2021 11:44:52 AM (Payment Verification for NCC205181)
* Harry L. Kraly
• Selkane, Aziza assigned the task to Selkane, Aziza 1/11/2021 11:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2020 5:00
PM 11/12/2020 7:49 AM

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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 * Crown Pointe aka Tidewater Shores
1 b. Specific Lot This field nay be used to list specifc lot nunbers.
Numbers
1 c. Parcel ID List all AEt associated w ith this project.
Number(s) (PIN)
2. County* Pender
3. Highway or Street Crown Pointe Drive
Address* Street name only is acceptable if no address nunber assigned yet
4. City or Township* Hampstead
5. State * NC
6. Zip Code* 28443
7. Latitude* Enter the latitude in decinal degrees
34.4280
8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative)
-77.6210
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*
11/01/2020
Estirrated Construction Project Start Rate
10. Date to End*
12/31/2025
Estinated Construction Project End Late
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Development
12. Acres to be
80.00
disturbed*
(including off -site borrow and waste areas)

13. Total site area 134.00
(acres) *
14. Post- 33.00
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-PENDE-2020-Crown Pointe aka Tidewater Shores
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 Virginia Creek
Waterbody* %n-eof waterbody into which storrrwater runoff will discharge
15b. Waterbody 18-87-9
Index No. * NCWaterbody Index Nurrber
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. ^
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 Legally Pesponsible Entity
Name * Radiant Investment Inc.
IF 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 * Harry
IF Corporation, enter Faegistered Agent First Wre
3. Last Name* Kraly
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title President
4. Permitee E-mail [e-mail]
Address*
5. Permittee 910 762-1875
Telephone No.*
6. Permittee Mailing Street Address
Address* 2406 N 23rd St
Address Line 2
City
Wimington
Fbstal / Zip Code
28401
Check box if the V Yes
street address the
same as mailing
address
State / Frovince / Fbgion
North Carolina
Country
United States
7. Permittee Street
Street Address
Address*
2406 N 23rd St
Address Line 2
City
State / Frovince / Faegion
Wimington
North Carolina
Fbstal / Zip Code
Country
28401
United States
8. Type of
Ojvnership 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
Mark
Contact - First
Name *
2. Primary Site
Williamson
Contact - Last
Name *
3. Title
Vice President
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
[phone]
Telephone No.*
6. Organization
Cross Roads Construction
Name
7. Site Contact
Street Address
Mailing Address*
2406 N 23rd St
Address Line 2
City
State / Rovince / Region
Wimington
North Carolina
Fbstal / Zip Code
Country
28401
United States
8. Consultant Name
(Optional)
Phil Tripp
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
[phone]
Telephone No.
11. Billing E-mail (For Annual Fee correspondence)
Default is legally responsible person e-n-ail (older NOts rray not populate)
12. Billing (For Annual Fee correspondence)
Telephone 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 10/28/2020
Approved *
2. E&SC Plan Project PENDE-2006-258
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 * Wilmington (WiRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can
include the beginning point and end point coordinates in the "Notes" box below).
5. E&SC Plan
15033 Cl-C2, C4-05 EC Mod 9-25-20 Progress.pdf 2.2MB
Approval letter or
2020.10.28 Crown Pointe Letter of Approval.pdf 1.66MB
Grading Permit
Mast be FL7Ffon-rat
6. Site Location Map
Wst be FDFfornat (lint 201VB)
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 documents support
the application. Include additional w aterbodies if necessary.
8. NOI Certification
2020.11.6 Crown Pointe NOI Certification Form.pdf 429.42KB
Form
Mast be Ft7Fforrrat
This is an Express
F 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:* r 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* Harry L. Kraly
Title President
Organization Legally Responsible Entity
Radiant Investments, Inc.
Date * 11 /10/2020

F. Tracking and COC Info
NOI Tracking No. 35737
NC Reference No. NCG01-2020-5181
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of NCC205181
Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5181
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. NCC205181-2020
Invoice Due Date 12/12/2020
Initial Fee $ 100.00
Invoice Status OPEN