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HomeMy WebLinkAboutNCC190386_NOI Application_20190528Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 5/28/2019 8:43:41 AM (NCG01 NOI Submission) Approve by Clark, Paul 5/28/2019 9:30:15 AM (Review- Construction NOI 11409) • Georgoulias, Bethany reassigned the task to Clark, Paul 5/28/2019 8:45 AM • The task was assigned to Morman, Alaina by round robin distribution 5/28/2019 8:43 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 30, 2019 5:00 PM 5/28/2019 8:43 AM Submit by Clark, Paul 5/28/2019 9:38:56 AM (Payment Verification - NCG01-2019-0386) • The task was assigned to Clark, Paul. The due date is: May 29, 2019 5:00 PM 5/28/2019 9:30 AM ! 1i) iTiT 7i1) M raIi f_T1II a 10141 NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Inforrration 1. Project Name * Glenn Bridge Meadows Subdivision 2. County* Buncombe 3. Highway or Street 937 Glenn Bridge Road Address * Street name only is acceptable if no address nurrtrer assigned yet 4. City or Township* Avery Creek 5. State * NC 6. Zip Code* 28704 7. Latitude * Enter the latitude in decirral degrees 35.4630 8. Longitude * Enter the longitude in decirral degrees (MJSTbe negative) -82.5709 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* 05/28/2019 Estimated Construction Project Start Date 10. Date to End* 09/30/2019 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 8.41 disturbed* (including off -site borrow and waste areas) 13. Total site area 8.41 (acres)* 14. Post- 1.92 construction (Estimated) impervious area (acres) * NCC Project NCC-BUNCO-2019-Glenn Bridge Meadows Subdivision 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. You may enter up to 3 waterbodies. 15a. Receiving Avery Creek Wate rbody* Name of waterbody into which storrrwater runoff will discharge 15b. Waterbody 6-60 Index No. * NC Waterbody Index Nirrber Stormwater fJ No discharges will flow r Yes to additional wate rs * 16a. Is this project F Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act? * B. Permittee Information Part B. Perrrittee Information - Legally Responsible Entity and Individual ..................................................................................................................................................................... h 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 Spano & Associates Asheville, LLC Name * 2. First Name* Ralph ff Corporation, enter Registered Agent First l\brre 3. Last Name * Spano Y Corporation, enter Registered Agent Last Barre 3b. Title Managing Member 4. Permitee E-mail spano1688@gmail.com Address* 5. Permittee 407-574-4060 Telephone No.* 6. Permittee Mailing Street Address Address* 1540 International Parkway Address Line 2 City Lake Mary Postal / Zip Code 32746 Check box if the street address the same as mailing address 7. Permittee Street Address* fJ Yes Street Address 1540 International Parkway Address Line 2 City Lake Mary Postal / Zip Code 32746 State / Province / Region FL Country us State / Province / Region FL Country us C. Site Contact Information Part C. Roiect Site Contact hforrration 1. Type of Individual Ownership* 2. Primary Site Ralph Contact - First Name * 3. Primary Site Spano Contact - Last Name * 4. Title Managing Member 5. Site Contact E- spano1688@gmail.com mail Address* 6. Site Contact 407-574-4060 Telephone No.* 7. Organization Name 8. Site Contact Street Address Mailing Address* 1540 International Parkway Address Line 2 aty Lake Mary Fbstal / Zip Code 32746 State / Province / Region FL Country us D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ....................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/15/2019 Approved * 2. E&SC Plan Project ERO2019-00024 Number/ID* Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by r Local Program 4. Local Program* Buncombe County Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. 5. E&SC Plan EC Approval.pdf 2.36MB Approval Mast be RCFformat letter/documentation 6. NOI Certification eNO1 SIGNED.pdf 368.78KB Form Mist be RJFformat This is an Express r No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6B (1) provides that: Anyperson who knowinglymakes any false statement, representation, or certification in anyapplication, record, report, plan, or other documentfiled or required to be maintained under this Article or a rule implementing this Article; or who knowinglymakes 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 deice or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: rJ 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. * V 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. * I7 I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * V 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. * I7 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 Responsible Person named on this Notice of Intent r Authorized Responsible Person* Important: The person who signs this Certification above and signs the NOI Certification Form should be the same person (or authorized responsible person within the same organization) as listed in Section B (Permittee Information) of this form. *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* Ralph Spano Title Managing Member Organization Spano & Associates Asheville, LLC Date * 05/28/2019 F. Tracking and COC Info NOI Tracking No. 11409 NC Reference No. NCG01-2019-0386 Uses 'count number variable (incremrented by SP) Certificate of NCC190386 Coverage (COC) Uses 'count _nunber'variable (increrrented bySP) No. * Count Number 386 Sequential nunber for subrrittal that is incremented by Stored Procedure COC Year 2019 Year of date reviewed (used to assign YY digits after "NGC' in OOCno.)