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Home My WebLink AboutNCC232074_NOI Application_20230719 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 7/7/2023 2:12:53 PM(NCG01 NOI Submission) Approve by Brooklyn.Broussard 7/10/2023 6:55:10 AM (Review-NOI 149130 Crabtree Creek Interceptor Rehabilitation) • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 12,2023 5:00 PM 7/7/2023 2:13:02 PM • The task was assigned to Brooklyn.Broussard by round robin distribution 7/7/2023 2:13:02 PM Submit by Tev.Holloman 7/19/2023 12:31:15 PM (Payment Verification for NCC232074) •Ruth Robaczewski • The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 21,2023 5:00 PM 7/10/2023 6:55:25 AM • Tev.Holloman assigned the task to Tev.Holloman 7/19/2023 12:30:51 PM applicationConstruction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System(NPDES) General Permit 1 OOOO:STORMWATER DISCHARGES associated with construction activities NORTH CAROUNA Environmental Quality A. Project Information Part A. Project Location and Waterbody Information ................................................................................................................................................................................................................................................................................................................................................................................................... Are you submitting an NOI that was rejected before? No Yes 1a. Project Name* Crabtree Creek Interceptor Rehabilitation 1b.Specific Lot Numbers This field may be used to list specifc lot numbers. N/A 1c. Parcel ID Number(s)(PIN) List all PINs associated with this project. 1733458047 1733542930 1733624332 1733623544 1733622589 1733623495 1733715658 1733533211 1733532501 1733540064 1733803245 1733711820 1733710821 1733619825 1733618838 1733630053 1733704958 1733704818 1733540365 1733541606 1733542647 1733532378 1733542300 1733625201 1733625160 1733801563 1733802357 1733800666 1733620897 1733630243 1733709829 1733714312 1733622646 1733709786 1733621765 1733714087 1733715116 1733715238 1733718286 1733542012 1733616997 1733712718 1733713715 1733531721 1733714713 1732696797 1732799682 1732797645 1732798728 1732688859 1732797596 1732795222 1733709013 2.County* Wake 3. Highway or Street Address 1009 Rock Drive Street name only is acceptable if no address number assigned yet 4.City or Township* Raleigh 5.State* NC 6.Zip Code* 26710 7. Latitude* Enter the latitude in decimal degrees 35.7688 8. Longitude* Enter the longitude in decimal degrees(MUST be negative) -78.5460 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* 07/17/2023 Estimated Construction Project Start Date 10. Date to End* 07/02/2024 Estimated Construction Project End Date 11.SIC(Primary)* Other(9999) Standard Industrial Classification for Development 12.Acres to be 37.00 disturbed* (including off-site borrow and waste areas) 13.Total site area 37.00 (acres)* 14. Post-construction 0.00 impervious area (Estimated) (acres)* Project Tracking ID NCC-WAKE-2023-Crabtree Creek Interceptor Rehabilitation Assigned automatically(not used) 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 Waterbody* Neuse River Name of waterbody into which stormwater runoff will discharge 15b.Waterbody Index No.* 27-(22.5) NC Waterbody Index Number Stormwater discharges will flow to additional waters* No Yes 16a. Is this project subject to the NC Sediment Pollution Control Act?* Yes No, not subject to NC SPCA 17. Is this project funded with ARPA(American Rescue Plan Act)grant funds? No Yes This question was added to the eNOl on 1/26/2023 and will not be answered in applications submitted prior to that date. B. Permittee Information Part B. Permittee Information-Legally Responsible Entity and Individual ...................................................................................................................................................................... Important:The person who signs the NOI Certification Form and signs the Certification in Section E of this application form must 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. Permittee* Legally Responsible Entity City of Raleigh If permittee is an individual,enter first and last name in this field.Otherwise,enter organization/business name. Note: If the permittee is a business,the business must be registered with the INC Secretary of State.You can verify the registration here. Permittee must be the same entity that is responsible for the land-disturbing activity as listed on the NC SPCA Financial Responsibility/Ownership(FRO)Form. 2. First Name* William If Corporation,enter Registered Agent First Name 3. Last Name* Wheeler If Corporation,enter Registered Agent Last Name 3b.Title Director of Raleigh Water 4. Permitee E-mail Address* William.Wheeler@raleighnc.gov 5. Permittee Telephone No.* 919-996-4582 6. Permittee Mailing Address* Street Address PO Box 590 Address Line 2 City State/Province/Region Raleigh INC Postal/Zip Code Country 27602 USA Check box if the street address the same as mailing address Yes 7. Permittee Street Address* Street Address 222 Hargett Street Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27601 USA B.Type of Ownership* Ownership is only individual if an individual is named in B.1.above. Government-Municipal C. Site Contact Information Part C. Project Site Contact Information ................................................................................................................................................................................................................................................................................................................................................................................................ 1. Primary Site Contact-First Name* Julie 2. Primary Site Contact-Last Name* Parham 3.Title Senior Project Manager 4.Site Contact E-mail Address* julie.parham@raleighnc.gov 5.Site Contact Telephone No.* 9196083007 6.Organization Name City of Raleigh 7.Site Contact Mailing Address* Street Address PO Box 590 Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27601 USA 8.Consultant Name (Optional) Patrick Stout First and Last name 9.Consultant E-mail StoutP@bv.com This person will be copied on all correspondence. 10.Consultant Telephone No. 9194627504 11. Billing E-mail (For Annual Fee correspondence) StoutP@bv.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 9194627504 Default is legally responsible person telephone D. E&SC Plan Part D. Erosion&Sediment Control(E&SC)Plan Approval Information ...................................................................................................................................................................... 1. Date E&SC Plan 11/05/2021 Approved* 2. E&SC Plan Project WAKE-2021-007 Number/ID* Assigned by agency or local program 3. E&SC Plan State DEQ Office Approved by* Local Program 4.State DEQ Office* Raleigh (RRO) 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 ESC Plan Approval Letter.pdf 670.28KB Approval letter or Must be PDF format Grading Permit 6.Signed FRO Financial Responsibility/Ownership Form Signed FRO.pdf 385.55KB Must be PDF format 7.Site Location Map Must be PDF format(limit 20 MB) Site Location Map.pdf 10.78MB Please do not upload entire set of E&SC plans. 8. Notes(Optional) Provide any additional information that might help the reviewer better understand how uploaded documents support the application.Include additional waterbodies if necessary. 9. NOI Certification NOI Certification Form.pdf 373.4KB Form Must be PDF format This is an Express No Review Project* Yes E. Certification North Carolina General Statute 143-215.613(1)provides that: Any person who knowingly makes any false 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 Article;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 Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). Under penalty of law, I certify that: * 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. * 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. * I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * 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:* The Legally Responsible Person named on this Notice of Intent 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 AMorow vl�/''t Type Name* William Wheeler Title Director of Raleigh Water Organization Legally Responsible Entity City of Raleigh Date* 07/07/2023 F. Tracking and COC Info NOI Tracking No. 149130 NC Reference No. NCG01-2023-2074 Indicates NCG01 or NCG25.Uses NOI number until approved,then uses NUMBER incremented by SIP(passed from workflow if eNOI approved) Certificate of NCC232074 Coverage(COC) No.* Uses NOI number until approved,then uses NUMBER incremented by SIP(formatted and passed from workflow if eNOI approved) Initial Invoice No. NCC232074-2023 Invoice Due Date 8/9/2023 Initial Fee $ 100.00 Invoice Status OPEN