HomeMy WebLinkAboutNCC192247_NOI Application_20191016Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/8/2019 2:35:11 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 10/8/2019 4:25:10 PM (Review- Construction NOI 16904)
• The task was assigned to Garcia, Lauren V by round robin distribution 10/8/2019 2:35 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 10, 2019 5:00
PM. The priority is: High 10/8/2019 2:35 PM
Submit by McCoy, Suzanne 10/16/2019 8:49:43 AM (Payment Verification for NCC192247)
In Erin Douglas
• McCoy, Suzanne assigned the task to McCoy, Suzanne 10/16/2019 8:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 19, 2019 5:00
PM. The priority is: High 10/8/2019 4:25 PM
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NORTH CAROLINA
Ernvlronmentol qualily
A. Project Information
Part A.
Project Location and Waterbody Inforrration
1. Project Name * Georgetown Estates -Phase Two Lots 17, 33, 139, 146 & 152
2. County* Cumberland
3. Highway or Street McKinnon Farm/Evermay Ct/Bankswood Ct
Address * Street name only is acceptable if no address nurrtrer assigned yet
4. City or Township* Rockfish
5. State * NC
6. Zip Code* 28306
7. Latitude * Enter the latitude in decirral degrees
34.9941
8. Longitude * Enter the longitude in decirral degrees (MJSTbe negative)
-78.9866
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*
10/07/2019
Estimated Construction Project Start Date
10. Date to End*
09/30/2020
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial aassification for Development
12. Acres to be
1.71
disturbed*
(including off -site borrow and waste areas)
13. Total site area 1.71
(acres)*
14. Post- 0.43
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-CUMBE-2019-Georgetown Estates -Phase Two Lots 17, 33,
Tracking ID 139, 146 & 152
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 18-31-24-(4)
Wate rbody* Nacre of waterbody into which storrrwater runoff will discharge
15b. Waterbody Little Rockfish Creek
Index No. * NC Waterbody Index Ninber
Stormwater PF 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 Armstrong Builders, LLC
Name *
2. First Name* George
ff Corporation, enter Registered Agent First l\b e
3. Last Name * Armstrong
ff Corporation, enter Registered Agent Last Barre
3b. Title Owner/Manager
4. Permitee E-mail erind@c-sprop.com
Address*
5. Permittee 910-864-1125
Telephone No.*
6. Permittee Mailing Street Address
Address* 2709 Thorngrove Court, Suite 2
Address Line 2
City State / Province / Region
Fayetteville NC
Postal / Zip Code Country
28303 us
Check box if the r% Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 2709 Thorngrove Court, Suite 2
Address Line 2
City
State / Province / Region
Fayetteville
NC
Pastal / Zip Code
Country
28303
us
C. Site Contact Information
Part C.
Roiect Site Contact hforrration
1. Type of Non -Government
Ownership*
2. Primary Site Michael
Contact - First
Name *
3. Primary Site Armstrong
Contact - Last
Name *
4. Title Owner/Manager
5. Site Contact E- erind@c-sprop.com
mail Address*
6. Site Contact 910-864-1125
Telephone No.*
7. Organization
Armstrong Builders, LLC
Name
8. Site Contact
Street Address
Mailing Address*
2709 Thorngrove Court, Suite 2
Address Line 2
city
Fayetteville
Fbstal/ Zip Code
28303
9. Consultant Name (optional)
Larry King and Associates, PA
First and Last nacre
10. Consultant E- mbowyer@lkanda.com
mail This person will be copied on all correspondence.
11. Consultant 910-483-4300
Telephone No.
State / Province / Region
NC
Country
us
D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................
1. Date E&SC Plan 10/04/2019
Approved *
2. E&SC Plan Project CUMBE-2020-054
Number/ID* Assigned by agency or local program
3. E&SC Plan f• State DEQ Office
Approved by r Local Program
4. State DEQ Office * Fayetteville (FRO)
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 cumbe054exap.pdf
Approval Mist be RDFforrrat
letter/documentation
6. NOI Certification NCG01-Certification-signed.pdf
Form Mist be RDF format
This is an Express f No
Review Project* r Yes
73.94KB
85.79KB
E. Certification
North Carolina General Statute 143-215.613 (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.
* 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.
* I7 I will abide by all conditions of the NCG010000 General Permit and the
approved Erosion and Sediment Control Plan.
* rJ 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 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
rAc��r (`r�f�fr��tnrr�r
Type Name *
George Armstrong
Title
Owner/Manager
Organization
Armstrong Builders, LLC
Date *
10/08/2019
F. Tracking and COC Info
NOI Tracking No. 16904
NC Reference No. NCG01-2019-2247
Uses 'count _nunber'variable (increrrented by SP)
Certificate of NCC192247
Coverage (COC) Uses'count_nunber'variable (incremented by SF)
No. *
Count Number 2247
Sequential nunber for subrrittal that is increrrented by Stored Procedure
COC Year 2019
Year of date reviewed (used to assign YY digits after "NGC' in OOCno.)