Loading...
HomeMy WebLinkAboutNCC200659_NOI Application_20200219Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/18/2020 2:21:11 PM (NCG01 NOI Submission) Approve by McCoy, Suzanne 2/19/2020 8:02:04 AM (Review- Construction NOI 22084) • The task was assigned to McCoy, Suzanne by round robin distribution 2/18/2020 2:21 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 20, 2020 5:00 PM 2/18/2020 2:21 PM Submit by McCoy, Suzanne 2/19/2020 10:38:12 AM (Payment Verification for NCC200659) * Jerry Dean • McCoy, Suzanne assigned the task to McCoy, Suzanne 2/19/2020 10:37 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 1, 2020 5:00 PM 2/19/2020 8:02 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Willoughby Lots 33-36, 40&41 2. County* Wake 3. Highway or Street Adkins Ridge Road Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Rolesville 5. State * NC 6. Zip Code * 27571 7. Latitude * Enter the latitude in decimal degrees 35.9300 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.4720 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* 03/01/2020 Estimated Construction Project Start Date 10. Date to End* 08/01/2020 Estimated Construction Project End Cute 11. SIC (Primary) * Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 2.08 disturbed* (including off -site borrow and waste areas) 13. Total site area 2.08 (acres) * 14. Post- 0.70 construction (Estimated) impervious area (acres)* NCC Project NCC-WAKE-2020-Willoughby Lots 33-36, 40&41 Tracking ID Assignedautorratically 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 Sanford Creek Wate rbody* %ne of waterbody into which storrrwater runoff will discharge 15b. Waterbody 27-23-5 Index No. * NCWaterbody Index Minter Stormwater V No discharges will flow r Yes to additional wate rs * 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 The Drees Company Name * 2. First Name* Jerry IF Corporation, enter Fbgistered Agent First Barre 3. Last Name* Dean If Corporation, enter F3egistered Agent Last %rre 3b. Title Division President 4. Permitee E-mail Imartin@dreeshomes.com Address * 5. Permittee 919.256.5432 Telephone No.* 6. Permittee Mailing Street Address Address* 7701 Six Forks Road Address Line 2 city Raleigh Fbstal / Zip Code 27615 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 7701 Six Forks Road Address Line 2 City Raleigh Fbstal / Zip Code 27615 8. Type of Individual Ownership* State / Frovince / Faegion NC Country us State / Frovince / Fbgion NC Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Dale Contact - First Name * 2. Primary Site Scott Contact - Last Name * 3. Title 4. Site Contact E- dscott@dreeshomes.com mail Address* 5. Site Contact 919.906.0627 Telephone No. 6. Organization Name 7. Site Contact Street Address Mailing Address* 7701 Six Forks Road Address Line 2 city Raleigh Fbstal / Zip Code 27615 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. State / Rovince / Region NC Country US D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 02/10/2020 Approved * 2. E&SC Plan Project SEC-030184-2019 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Wake County Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. For linear projects, please also upload a site map showing the overall extent of the project. 5. E&SC Plan WBY 33-36,40,41 SEC-030184-2019_Approval- Approval S&EConstructionPlan ReviewChecklist-V.2 WM 2- 275.8KB letter/documentation 10-20.pdf Mist be RDFfornat Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. 6. NOI Certification WBY 33-36, 40, 41 NOI.pdf 512.62KB Form Mist be RDFfornat This is an Express r 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 Amide 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 Type Name* Jerry Dean Title Division President Organization The Drees Company Date * 02/18/2020 F. Tracking and COC Info NOI Tracking No. 22084 NC Reference No. NCG01-2020-0659 Uses 'count number' variable (incremrented by SP) Certificate of NCC200659 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 659 Sequential number for submittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.)