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HomeMy WebLinkAboutNCC192067_NOI Application_20191114Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 9/25/2019 5:08:30 PM (NCG01 NOI Submission) Approve by Clark, Paul 9/26/2019 11:01:09 AM (Review- Construction NOI 16313) • The task was assigned to Clark, Paul by round robin distribution 9/25/2019 5:09 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 27, 2019 5:00 PM 9/25/2019 5:08 PM Submit by McCoy, Suzanne 11/14/2019 7:38:37 AM (Payment Verification for NCC192067) * Dave Williams • McCoy, Suzanne assigned the task to McCoy, Suzanne 11/14/2019 7:38 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 7, 2019 5:00 PM 9/26/2019 11:01 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Beltway Logistic 2. County* Mecklenburg 3. Highway or Street 2140 Logistics Way Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Charlotte 5. State * NC 6. Zip Code * 28214 7. Latitude * Enter the latitude in decimal degrees 35.2547 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -80.9709 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* 09/25/2019 Estimated Construction Project Start Date 10. Date to End* 03/31/2020 Estimated Construction Project End Cute 11. SIC (Primary)* Industrial (1541) Standard Industrial aassification for Developrrent 12. Acres to be 17.68 disturbed* (including off -site borrow and waste areas) 13. Total site area 23.19 (acres) * 14. Post- 9.69 construction (Estimated) impervious area (acres) * NCC Project NCC-MECKL-2019-Beltway Logistic 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 Paw Creek Wate rbody* Barre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 11-124 Index No.* NCWaterbody Index Ninber Stormwater V 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. ^ 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 Catamount Constructors, Inc Name * 2. First Name* Jay IF Corporation, enter Fbgistered Agent First Barre 3. Last Name * Garrell If Corporation, enter Registered Agent Last %rre 3b. Title Authorized Signatory 4. Permitee E-mail jay.garrell@catamountinc.com Address * 5. Permittee (770) 518-2521 Telephone No.* 6. Permittee Mailing Street Address Address* 1329 North Meadow Parkway Address Line 2 city Roswell Fbstal / Zip Code 30076 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 1329 Northmeadow Parkway Address Line 2 City Roswell Fbstal / Zip Code 30076 State / Frovince / Region GA Country us State / Frovince / Fbgion GA Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Type of Non -Government Ownership * 2. Primary Site Anthony Contact - First Name * 3. Primary Site Parker Contact - Last Name * 4. Title Director of Development 5. Site Contact E- aparker@mccraneyproperty.com mail Address* 6. Site Contact (704) 681-0957 Telephone No.* 7. Organization McCraney Property Company Name 8. Site Contact Street Address Mailing Address* 2257 Vista Parkway Address Line 2 City West Palm Beach Fbstal / Zip Code 33411 9. Consultant Name (Optional) Bryan Linton First and Last narre 10. Consultant E- blinton@burtoneng.com mail This person will be copied on all correspondence. 11. Consultant (704) 553-8881 Telephone No. State / Rovince / Region FL Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 09/09/2019 Approved * 2. E&SC Plan Project LDGP-2019-00191 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* City of Charlotte 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 Letter of Approval modified April 2019 Lanier Project Approval 27.57KB AKA Beltway Logistics Center FULL CIVIL.pdf letter/documentation Mist be R7Fforrrat 6. NOI Certification Catamount NOI Certification Form 25SEP19.pdf 81.41 KB Form Mist be R7Ffon-rat This is an Express F No Review Project* r Yes E. Certification North Carolina General Statute 143-215.66 (1) 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 Atide; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Atide or rules of the Commission implementing this Atcle 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 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. * 17 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 11 f Type Name* Jay Garrell Title Authorized Signatory Organization Catamount Constructors, Inc. Date * 09/25/2019 F. Tracking and COC Info NOI Tracking No. 16313 NC Reference No. NCG01-2019-2067 Uses 'count number' variable (incremrented by SP) Certificate of NCC192067 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2067 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.)