NCC192727_NOI Application_20191112

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/7/2019 12:48:48 PM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 11/11/2019 10:18:19 AM (Review- Construction NOI 18249)
p Revievver noted total site area on approval letter was 560 acres and contacted the applicant to verify
the 0.91 acres of disturbance. Per C. Boecher via e-mail on 11/11, the initial construction activities will
only include pile driving activities on the 1 acre listed in this eNO1; future construction activities will include
disturbance of a much larger portion of the 560-acre site and will be reflected in a later modification.
• Georgoulias, Bethany reassigned the task to Georgoulias, Bethany 11/11/2019 7:46 AM
• The task was assigned to Farkas, Jim J by round robin distribution 11/7/2019 12:49 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 11, 2019 5:00
PM 11/7/2019 12:49 PM
Submit by McCoy, Suzanne 11/12/2019 8:03:49 AM (Payment Verification for NCC192727)
* Caroline A Boecher
• McCoy, Suzanne assigned the task to McCoy, Suzanne 11/12/2019 8:03 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 23, 2019 5:00
PM 11/11/2019 10:18 AM

.• SThF� ';
1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * Edgecombe Solar Project
2. County* Edgecombe
3. Highway or Street Alt 64 US Hwy and Penelo Farm Lane
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Rocky Mount
5. State * NC
6. Zip Code * 27801
7. Latitude * Enter the latitude in decimal degrees
35.9322
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-77.6813
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*
11/12/2019
Estimated Construction Project Start Date
10. Date to End*
12/31/2019
Estimated Construction Project End Cute
11. SIC (Primary)*
Other (0000)
Standard Industrial Classification for Ceveloprrent
12. Acres to be
0.91
disturbed*
(including off -site borrow and waste areas)
13. Total site area
1.00
(acres) *
14. Post-
0.00
construction
(Estimated)
impervious area
(acres) *
NCC Project
NCC-EDGEC-2019-Edgecombe Solar Project
Tracking ID
Assigned automatically

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 Tar River
Waterbody * %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 28-(74)
Index No.* NCWaterbody Index Nunber
Stormwater r No
discharges will flow Pf Yes
to additional
wate rs *
15c. Additional Walnut Creek
Receiving Waterbody narre
Waterbody
15d. Waterbody 28-76
Index No. NCWaterbody Index Nunber
15e. Additional Waterbody narre
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Nunber
Index No.
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. ^
F2rnittee Inforrration - Legally Fbsponsible Entity and Individual
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 Wanzek Construction, Inc.
Name *
2. First Name* Troy
If Corporation, enter Registered Agent First f brre
3. Last Name * Ochoa
If Corporation, enter Fegistered Agent Last %rre
3b. Title VP, Solar and Construction Management
4. Permitee E-mail [e-mail]
Address *
5. Permittee 6618096456
Telephone No.*
6. Permittee Mailing Street Address
Address* 4850 32nd Avenue South
Address Line 2
City
Fargo
Postal / Zip Code
58104
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
4850 32nd Avenue South
Address Line 2
City
Fargo
Fbstal / Zip Code
58104
State / Province / Faegion
ND
Country
us
State / Rovince / Region
ND
Country
us

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
_..........................................................................................................................................................
1. Type of
Non -Government
Ownership *
2. Primary Site
Cody
Contact - First
Name *
3. Primary Site
Worton
Contact - Last
Name *
4. Title
Project Manager
5. Site Contact E-
[e-mail]
mail Address*
6. Site Contact
701-492-1390
Telephone No.*
7. Organization
Wanzek Construction, Inc.
Name
8. Site Contact
Street Address
Mailing Address*
4850 32nd Avenue S
Address Line 2
City
Fargo
Wstal / Zip Code
58104
9. Consultant Name
(Optional)
Carrie Boecher
First and Last narre
10. Consultant E-
[e-mail]
mail
This person will be copied on all correspondence.
11. Consultant
9526975711
Telephone No.
State / Rovince / f;bgion
ND
Country
United States

D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 09/27/2019
Approved *
2. E&SC Plan Project EDGEC-2018-007
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r 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.
5. E&SC Plan 2019-0927_Edgecombe Solar SWPPP Letter of
Approval 98.76KB
Approval for Modifications.pdf
letter/documentation
Mist be R7Ffon-rat
6. NOI Certification 2019 11 01 NCG01-eNO1-Certification-
Form Form Edgecombe_Executed - Troy Ochoa 208.14KB
11.4.2019. pdf
Mist be Ft7Fforrrat
This is an Express r No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.6E (i) 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 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
f 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
Pow clrpw,
Type Name * Troy Ochoa
Title VP, Solar and Construction Management
Organization Wanzek Construction, Inc.
Date * 11 /07/2019

F. Tracking and COC Info
NOI Tracking No. 18249
NC Reference No. NCG01-2019-2727
Uses 'count number' variable (incremrented by SP)
Certificate of NCC192727
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 2727
Sequential number for submittal that is incremented by Stored Frocedure
COC Year 2019
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)