NCC205854_NOI Application_20210121

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/16/2020 11:18:39 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 12/17/2020 1:17:57 PM (Review- Construction NOI 39264)
• The task was assigned to Morman, Alaina by round robin distribution 12/16/2020 11:18 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 18, 2020 5:00
PM 12/16/2020 11:18 AM
Submit by Selkane, Aziza 1/21/2021 12:27:28 PM (Payment Verification for NCC205854)
* Kimley-Horn and Associates, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 1/21/2021 12:26 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 28, 2021 5:00 PM
12/17/2020 1:18 PM

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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 *
Gastonia Logistics Center
1 b. Specific Lot
This field rray be used to list specffc lot numbers.
Numbers
1 c. Parcel ID
List all Rim associated w ith this project.
Number(s) (PIN)
128454
128453
128580
137839
138006
138005
138004
138002
138003
138010
138009
137846
137845
137848
137866
137867
137875
136844
136845
136737
213456
136567
127228
127257
127751
127752
127753
127754
127755
127830
127821
127861
127860127824
216857
219487
127813
127812
304026127809
127808127810
2. County*
Gaston
3. Highway or Street North Carolina State Road 2381 (Aberdeen Blvd)
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* City of Gastonia
5. State * NC
6. Zip Code* 28054
7. Latitude* Enter the latitude in decimal degrees
35.2684
8. Longitude * Enter the longitude in decinal degrees (MLST be negative)
-81.1220
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* 01/18/2021
Estimated Construction Project Start Date
10. Date to End* 01/01/2023
Estinated Construction Project End Date

11. SIC (Primary)* Industrial (1541)
Standard Industrial aassification for Development
12. Acres to be 320.00
disturbed* (including off -site borrow and waste areas)
13. Total site area 359.66
(acres) *
14. Post- 217.00
construction (Estinated)
impervious area
(acres) *
NCC Project NCC-GASTO-2021-Gastonia Logistics Center
Tracking ID Assigned automatically
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 Duharts Creek
Waterbody* Narreof waterbody into which stormwater runoff will discharge
15b. Waterbody 11-129-19
Index No. * NCWaterbody Index Number
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 * NP Gastonia Industrial, LLC
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 * Caleb
IF Corporation, enter Faegistered Agent First Wre
3. Last Name* Moore
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title Project Manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee 513-817-8561
Telephone No.*
6. Permittee Mailing Street Address
Address* 4825 NW 41st, Suite 500
Address Line 2
City
Riverside
Fbstal / Zip Code
64150
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
4825 NW 41st, Suite 500
Address Line 2
City
Riverside
Fbstal / Zip Code
64150
State / Frovince / Pegion
MO
Country
United States
State / Frovince / Faegion
MO
Country
United States
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
Caleb
Contact - First
Name *
2. Primary Site
Moore
Contact - Last
Name *
3. Title
Project Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
513-817-8561
Telephone No.
6. Organization
NorthPoint Development
Name
7. Site Contact
Street Address
Mailing Address*
4825 NW 41st, Suite 500
Address Line 2
City
State / Rovince / Region
Riverside
MO
Postal / Zip Code
Country
64150
United States
8. Consultant Name
(Optional)
Robert Blake Day
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 NOIs rray not populate)
12. Billing (For Annual Fee correspondence)
Telephone Default is legally responsible person telephone (older NOls rray not populate)

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 12/01/2020
Approved *
2. E&SC Plan Project 3691
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Gaston County
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 Gastonia Logistics Center - SE&SC Letter of
Approval letter or 330.74KB
Approval with Modifications. pdf
Grading Permit
Mast be RDFfon-rat
6. Site Location Map Mist be RDFforrret (lint 201VB)
Al - SITE LOCATION MAP.pdf 712.61 KB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
8. NOI Certification NOI Certification Form.pdf 838.74KB
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 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 Amide 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 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* Caleb Moore
Title Project Manager
Organization Legally Ibsponsible Entity
NP Gastonia Industrial. LLC
Date * 12/16/2020

F. Tracking and COC Info
NOI Tracking No. 39264
NC Reference No.
NCG01-2020-5854
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205854
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5854
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. NCC205854-2020
Invoice Due Date 1/16/2021
Initial Fee $ 100.00
Invoice Status OPEN