NCC201459_NOI Application_20200414

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/8/2020 3:54:08 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 4/9/2020 5:37:54 PM (Review- Construction NOI 24148)
• Morman, Alaina reassigned the task to Garcia, Lauren V 4/9/2020 5:10 PM
• The task was assigned to Morman, Alaina by round robin distribution 4/8/2020 3:54 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 10, 2020 5:00 PM
4/8/2020 3:54 PM
Submit by McCoy, Suzanne 4/14/2020 7:20:43 AM (Payment Verification for NCC201459)
* Brandee Melcher
• McCoy, Suzanne assigned the task to McCoy, Suzanne 4/14/2020 7:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 21, 2020 5:00 PM
4/9/2020 5:37 PM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting r No
an NOI that was r Yes
rejected before?
Previous Rejected
NOI No.
Prior Reviewer
Name
1a. Project Name * Bridgeberry Phase 3
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers
2. County* Wake
3. Highway or Street Rex Road
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Holly Springs
5. State * NC
6. Zip Code * 27540
7. Latitude * Enter the latitude in decimal degrees
35.6182
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-78.8830
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* 03/23/2020
Estimated Construction Project Start Date
10. Date to End* 04/01 /2024
Estimated Construction Project End Date
11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Developrrent

12. Acres to be 67.00
disturbed* (including off -site borrow and waste areas)
13. Total site area 80.79
(acres) *
14. Post- 26.75
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-WAKE-2020-Bridgeberry Phase 3
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 Cary Branch
Waterbody * Nacre of waterbody into which stormwater runoff will discharge
15b. Waterbody 18-7-5
Index No.* NCWaterbody Index Nunber
Stormwater r No
discharges will flow Pf Yes
to additional
wate rs *
15c. Additional Buckhorn Creek (Harris Lake)
Receiving Waterbody name
Waterbody
15d. Waterbody 18-7-(3)
Index No. NCWaterbody Index Nunber
15e. Additional Waterbody nacre
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Number
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. ^
Fl rnittee 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
Legally Responsible Entity
Name *
Taylor Morrison of Carolinas, Inc
IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name *
Jimmy
IF Corporation, enter Faegistered Agent First %rre
3. Last Name*
Little
IF Corporation, enter F;bgistered Agent Last %ne
3b. Title
Land development manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee 984.363.5453
Telephone No.*
6. Permittee Mailing Street Address
Address* 15501 Weston Parkway
Address Line 2
Suite 100
C7ty State / Frovince / Fbgion
Cary NC
Fbstal / Zip Code Country
27513 us
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
15501 Weston Parkway
Address Line 2
Suite 100
Qty
State / Frovince / Region
Cary
NC
Fbstal / Zip Code
Country
27513
us
8. Type of
Non -Government
Ownership

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Jlmmy
Contact - First
Name *
2. Primary Site
Little
Contact - Last
Name *
3. Title
Land Development Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
984.363.5453
Telephone No.
6. Organization
Taylor Morrison of Carolinas, Inc
Name
7. Site Contact
Street Address
Mailing Address*
15501 Weston Parkway
Address Line 2
Suite 100
city
Cary
Postal / Zip Code
27513
8. Consultant Name
(Optional)
Kristi Anspach, Eco Turf, Inc
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
919-883-8211
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 10/09/2018
Approved *
2. E&SC Plan Project 24-2019
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Town of Holly Springs
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 or
include the beginning point and end point coordinates in the "Notes" box below.
5. E&SC Plan Bridgeberry Phase 3 EDP, Town of Holly Springs.pdf 127.29KB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Helpful for linear project review
(Optional) Bridgeberry Ph 3 Vicinity Map.pdf 152.39KB
Mast be RDFformat. Rease do not upload entire set of E&SCplans.
7. Notes (Optional) Rovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies for linear projects if necessary.
The project address is noted on the cover as 0 Rex Road and 6105
Rex Road, however Phase 3 access is via Buckhorn Duncan Road
of through Bridgeberry Ph 2. As these newer streets don't yet show
up on the NC Surface Water map or in Google Maps, I didn't want
to use those as reference points. A vicinity map is included under
the site map option for additional location information.
8. NOI Certification NCG01-Certification-Bberry 3-signed.pdf 92.17KB
Form Mast be RDFformat
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 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
Type Name* Jimmy Little
Title Land Development Manager
Organization Legally Ibsponsible Entity
Taylor Morrison of Carolinas, Inc
Date * 04/08/2020

F. Tracking and COC Info
NOI Tracking No. 24148
NC Reference No. NCG01-2020-1459
Uses 'count number' variable (incremrented by SP)
Certificate of NCC201459
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 1459
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.)