SWG030055_Application Form_20240312 (2)

FOR AGENCY USE ONLY
N.C. DIVISION OF WATER QUALITY Date Received
Year Month Day
SURFACE WATER PROTECTION SECTION
Certificate of Coverage
STATE STORMWATER NOTICE OF INTENT (NOI) S W G 0 3 r
Check# Amount
SWG030000 - GENERAL PERMIT TO CLEAR AND GRADE A PROPOSED Permit Assigned to
DEVELOPMENT SITE
State Stormwater Management Application Notice of Intent for coverage under the General Stormwater
Management Permit to Clear and Grade a proposed development site.
For the clearing and grading only of a proposed development site where the final design is not known.
(Please print or type)
1. Mailing address of owner/developer: (The address to which all permit correspondence will be mailed.)
Owner/Developer Name Fayetteville Public Works Commission
Street Address 955 Old Wilmington Road
City Fayetteville State NC ZIP Code 28301
Telephone No. [phone] Fax ( )
2. Proposed Project Information:
Project Name Rockfish - B4.9 Solar Utility Station -Tree Clearing
Street Address Tracy Hall Road
of the Project
City Fayetteville State NC ZIP Code 28306
County Cumberland
Contact Person David Deschamps _
Mailing Address P.O. Box 1089
City Fayetteville State NC ZIP Code 28302
Telephone No. [phone] Fax ( )
3. Physical Location Information:
Please provide the street address of the project and describe how to get to the project, using street names,
state road numbers, and the distance and direction from the nearest major intersection:
From Raleigh, take 1-40 E to 1-95 S. Take Exit 46A for NC-87 S. Follow NC-87 S for 1.3 miles, turn left onto
Elizabethtown Road, after 0.1 miles, turn right onto Tracy Hall Road. The site will be on your right after 0.3 mi.
4. What is the name of the receiving stream? Rockfish Creek
5. River Basin Cape Fear Receiving Stream Classification C
6. This Certificate of Coverage is being submitted as a result of:
❑✓ New or proposed project ❑ Modification to an existing project
Existing COC or Permit Number:
Date project is scheduled to begin construction 05/27/2024
7. What is the total project area above mean high water? 1,205,500 1,203,750 ft2
8. Will wet detention basins or other ponds be constructed at this site?
❑✓ YES ❑ NO
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