NCC213965_NOI Application_20210709

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/5/2021 3:08:10 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/6/2021 8:13:38 AM (Review- Construction NOI 58343)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 7/5/2021 3:09 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 7, 2021 5:00 PM
7/5/2021 3:09 PM
Submit by Selkane, Aziza 7/9/2021 9:09:04 AM (Payment Verification for NCC213965)
* Dewberry Engineers
• Selkane, Aziza assigned the task to Selkane, Aziza 7/9/2021 8:58 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 17, 2021 5:00 PM
7/6/2021 8:14 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 * Parmer RTP Campus Improvements
1 b. Specific Lot This field nay be used to list specifc lot nunbers.
Numbers
1 c. Parcel ID
List all Rios associated w ith this project.
Number(s) (PIN)
0749-05-70-3200
0749-06-62-8419
2. County*
Durham
3. Highway or Street 40 Moore Dr
Address* Street name only is acceptable if no address nunber assigned yet
4. City or Township* Durham
5. State * NC
6. Zip Code* 27709
7. Latitude* Enter the latitude in decimal degrees
35.9350
8. Longitude * Enter the longitude in decinal degrees (MJST be negative)
-78.8620
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*
06/30/2021
Estirrated Construction Project Start Date
10. Date to End *
05/30/2022
Estinated Construction Project End Date
11. SIC (Primary)*
Commercial (1542)
Standard Industrial aassification for Developrrent
12. Acres to be
19.00
d istu rbe d *
(including off -site borrow and waste areas)

13. Total site area 104.00
(acres) *
14. Post- 54.00
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-DURHA-2021-Parmer RTP Campus Improvements
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 Northeast Creek
Waterbody* Narreof waterbody into which storrrwater runoff will discharge
15b. Waterbody 16-41-1-17-(.03)
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.
P;rmttee Inforrration - Legally Fbsponsible Entity and Individual
...........................................................................................................................................................
Important: The person vvho 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 ovvns 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 * ARE -NC REGION NO. 19, LLC
If pernittee is an individual (i.e., organization does not apply), enter first and last nave 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 * Oliver
If Corporation, enter Faegistered Agent First Narre
3. Last Name* Sherrill
If Corporation, enter Fbgistered Agent Last I\brre
3b. Title Senior Vice President - Regional Market Director
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-609-7323
Telephone No.*
6. Permittee Mailing Street Address
Address* P.O. Box 13329
Address Line 2
City
Research Triangle Park
Postal / Zip Code
27709
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
r" Yes
Street Address
5 Laboratory Drive
Address Line 2
Suite 3200
city
Research Triangle Park
Postal / Zip Code
27709
State / Province / Fbgion
NC
Country
us
State / Province / Pegion
NC
Country
us
8. Type of Ojvnership is only individual if an individual is named in B.1. above.
Ownership* Non -Government

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
John
Contact - First
Name *
2. Primary Site
Martell
Contact - Last
Name *
3. Title
Senior Project Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
984-569-6252
Telephone No.
6. Organization
Alexandria Real Estate Equities, Inc
Name
7. Site Contact
Street Address
Mailing Address*
5 Laboratory Drive
Address Line 2
Suite 3200
city
Durham
Fbstal / Zip Code
27709
8. Consultant Name
(Optional)
Bentley Ruggles
First and Last narre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
984-833-4833
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
984-569-6252
Default is legally responsible person telephone
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 05/07/2021
Approved *
2. E&SC Plan Project 6118-08
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Durham City/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 6118 RTP Campus Improvements Amendment
Approval letter or 198.39KB
Approval (1).pdf
Grading Permit
Mast be FL7Fforrrat
6. Site Location Map Wst be RDFforrret (lint 201VB)
(1) 2021.06.02-Parmer RTP Site 0001 Rev 19.pdf 3.09MB
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.
The Ownership of the property has changed and we are having the
new Owner file for their COC to allowthe previous Owner to file the
NOT.
8. NOI Certification 20210617162238227.pdf 563.29KB
Form Mast be RFformat
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 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
IT 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
6L91-0�11
Type Name* Oliver Sherrill
ale Senior Vice President Regional Market Director
Organization Legally Ibsponsible Entity
ARE -NC REGION NO. 19. LLC
07/05/2021

F. Tracking and COC Info
NOI Tracking No. 58343
NC Reference No.
NCG01-2021-3965
Uses 'count _nur ber' variable (increrrented by SP)
Certificate of
NCC213965
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 3965
Sequential nunber for subnittal that is incremented by Stored Frocedure
COC Year 2021
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)
Initial Invoice No. NCC213965-2021
Invoice Due Date 8/5/2021
Initial Fee $ 100.00
Invoice Status OPEN