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HomeMy WebLinkAboutNCC200490_NOI Application_20200210 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 2/7/2020 8:34:21 AM(NCG01 NOI Submission) Approve by McCoy, Suzanne 2/7/2020 8:46:42 AM(Review-Construction NOI 21636) • The task was assigned to McCoy, Suzanne by round robin distribution 2/7/2020 8:34 AM • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 11,2020 5:00 PM.The priority is: High 2/7/2020 8:34 AM Submit by McCoy, Suzanne 2/10/2020 7:42:40 AM(Payment Verification for NCC200490) * Rest Easy LLC Omnibus Disbursement • McCoy,Suzanne assigned the task to McCoy, Suzanne 2/10/2020 7:42 AM • The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 20,2020 5:00 PM. The priority is: High 2/7/2020 8:46 AM �ThF1 1Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Eliminatio em 'D application for•• - .•-under NorthCarolina's General Permit 1 1111:STORIMATER DISCHARGES associated with construction activities(or NORTH CAROLINA Enrlrnnmenfu�Qr�arlry A. Project Information Part A. Project Location and Waterbody Information 1. Project Name* Candlewood Suites Hotel-Hardy Hall New Build&Demolition 2.County* Cumberland 3. Highway or Street Bastogne Dr. Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Fort Bragg 5.State* NC 6.Zip Code* 28307 7. Latitude* Enter the latitude in decirral degrees 35.1301 8. Longitude* Enter the longitude in decimal degrees(M.ST be negative) -78.9970 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* 06/17/2019 Estinated Construction Project Start Date 10. Date to End* 01/10/2022 Estimated Construction Project End Date 11.SIC(Primary)* Commercial(1542) Standard Industrial aassification for Development 12.Acres to be 5.60 disturbed* (including off-site borrow and waste areas) 13.Total site area 19.90 (acres)* 14. Post- 7.38 construction (Estimated) impervious area (acres)* NCC Project NCC-CUMBE-2019-Candlewood Suites Hotel-Hardy Hall New Build Tracking ID &Demolition Assigned autorTatically 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 Beaver Creek Waterbody* f brre of waterbody into which storrrwater runoff will discharge 15b.Waterbody 18-31-24-5 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. ^ Fternittee 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 Lendlease Name* 2. First Name* Peter ff Corporation,enter Fbgistered Agent First Barre 3. Last Name* Sims If Corporation,enter Faegistered Agent Last%rre 3b.Title Sr.Vice President 4. Permitee E-mail peter.sims@lendlease.com Address* 5. Permittee 615-324-8800 Telephone No.* 6. Permittee Mailing Street Address Address* 1201 Demonbreun Street Address Line 2 city State/Frovince/Region Nashville TN Fbstal/Zip Code Country 37203 us Check box if the rJ Yes street address the same as mailing address 7. Permittee Street Street Address Address* 1201 Demonbreun Street Address Line 2 city State/Frovince/Fbgion Nashville TN Fbstal/Zip Code Country 37203 us 8.Type of Non-Government Ownership* C. Site Contact Information Part C. ^ Roject Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site Martin Contact-First Name* 2. Primary Site Vanderburg Contact-Last Name* 3.Title Senior Design and Design Engineering Project Manager 4.Site Contact E- martin.vanderburg@lendlease.com mail Address* 5.Site Contact 910-376-4909 Telephone No.* 6.Organization Lendlease Name 7.Site Contact Street Address Mailing Address* 1201 Demonbreun Street Address Line 2 C7ty State/Rovince/Fbgion Nashville TN Flostal/Zip Code Country 37203 us 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. D. E&SC Plan Part D. ^ Erosion&Sediment Control(E&SC)Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/30/2019 Approved* 2. E&SC Plan Project CUMBE-2019-171 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* 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 CUMBE-2019-171 - Express Approval.pdf 83.84KB Approval Wst be FDFformat letter/documentation Notes(Optional) Frovide any additional information that might help the reviewer better understand how uploaded documents support the application. 6. NOI Certification 172.28.40.38 SMTP via LDAP 06-04-2019 16- Form 261.98KB 55-56.pdf Mist be FDFformat This is an Express f No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6E(i) 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 knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case underthis 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 guiltyofa Class 2 misdemeanor which mayinclude 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 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 Type Name* Pete Sims Title Sr.Vice President Organization Lendlease Date* 02/07/2020 F. Tracking and COC Info NOI Tracking No. 21636 NC Reference No. NCG01-2020-0490 Uses'count_nurrber'variable(increrrented by SP) Certificate of NCC200490 Coverage (COC) Uses'count number'variable(increrrented by SP) No.* Count Number 490 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed(used to assign YY digits after"NOC'in COCno.)