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HomeMy WebLinkAboutNCC201563_NOI Application_20200420Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 4/15/2020 4:52:04 PM (NCG01 NOI Submission) Approve by Farkas, Jim J 4/17/2020 2:06:14 PM (Review- Construction NOI 24414) • Morman, Alaina reassigned the task to Farkas, Jim J 4/16/2020 9:23 AM • The task was assigned to Morman, Alaina by round robin distribution 4/15/2020 4:52 PM • The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 17, 2020 5:00 PM 4/15/2020 4:52 PM Submit by McCoy, Suzanne 4/20/2020 8:07:09 AM (Payment Verification for NCC201563) * Davis Civil Solutions PA • McCoy, Suzanne assigned the task to McCoy, Suzanne 4/20/2020 8:06 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 29, 2020 5:00 PM 4/17/2020 2:06 PM .• SThF� '; 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 24248 NOI No. Prior Reviewer Jim Farkas Name 1a. Project Name* Clear View Subdivision 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 2. County* Buncombe 3. Highway or Street 36 Ted Linn Drive Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Fairview 5. State * NC 6. Zip Code * 28730 7. Latitude * Enter the latitude in decimal degrees 35.5213 8. Longitude* Enter the longitude in decimal degrees (MJSTbe negative) -82.3852 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* 04/20/2020 Estimated Construction Project Start Cate 10. Date to End* 04/30/2021 Estimated Construction Project End Cute 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 23.10 disturbed* (including off -site borrow and waste areas) 13. Total site area 42.37 (acres) * 14. Post- 3.94 construction (Estimated) impervious area (acres) * NCC Project NCC-BUNCO-2020-Clear View Subdivision 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 Ashworth Creek Wate rbody* %rre of waterbody into which stormwater runoff will discharge 15b. Waterbody 6-57-10 Index No.* NCWaterbody Index Number Stormwater rJ 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. ^ 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 Pesponsible Entity Name * Bald Headed Builders, Inc. It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Joe If Corporation, enter Faegistered Agent First %rre 3. Last Name* Schlotterbeck It Corporation, enter Registered Agent Last %ne 3b. Title Vice President 4. Permitee E-mail jschlotterbeck00@gmail.com Address* 5. Permittee 828.767.7171 Telephone No.* 6. Permittee Mailing Street Address Address* P.O. Box609 Address Line 2 Cty Fairview Postal / Zip Code 28730 Check box if the F Yes street address the same as mailing address State / Province / Pbegion NC Country USA 7. Permittee Street Street Address Address* P.O. Box609 Address Line 2 city State / Province / Fegion Fairview NC Fbstal / Zip Code Country 28730 USA 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Joe Contact - First Name * 2. Primary Site Schlotterbeck Contact - Last Name * 3. Title Vice President 4. Site Contact E- jschlotterbeck00@gmail.com mail Address* 5. Site Contact 828.767.7171 Telephone No. 6. Organization Bald Headed Builders, Inc. Name 7. Site Contact Street Address Mailing Address* P.O. Box609 Address Line 2 city Fairview Fbstal / Zip Code 28730 8. Consultant Name (Optional) Gary D. Davis, P.E. First and Last nacre 9. Consultant E-mail gary@daviscivilsolutions.com This person will be copied on all correspondence. 10. Consultant 828.299.9449 Telephone No. State / Rovince / Region NC Country USA D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 03/26/2020 Approved * 2. E&SC Plan Project ERO2020-00012 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Buncombe 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 or include the beginning point and end point coordinates in the "Notes" box below. 5. E&SC Plan clear view Ind dist permit-04072020100359.pdf 1.97MB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) C3.0-GD,EC,STW-OA.pdf 1.63MB Mast be RDF format. Rease do not upload entire set of E&SCplans. 7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. Include additional waterbodies for linear projects if necessary. 8. NOI Certification ncg01-04132020122207.pdf 747.74KB Form Wst 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 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 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* Joe Schlotterbeck Title Vice President Organization Legally Ibsponsible Entity Bald Headed Builders, Inc. Date * 04/15/2020 F. Tracking and COC Info NOI Tracking No. 24414 NC Reference No. NCG01-2020-1563 Uses 'count number' variable (incremrented by SP) Certificate of NCC201563 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 1563 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.)