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HomeMy WebLinkAboutNCC203538_NOI Application_20200819Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/13/2020 4:09:52 PM (NCG01 NOI Submission) Approve by Morman, Alaina 8/14/2020 1:12:44 PM (Review- Construction NOI 29897) • The task was assigned to Morman, Alaina by round robin distribution 8/13/2020 4:10 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 17, 2020 5:00 PM 8/13/2020 4:10 PM Submit by McCoy, Suzanne 8/19/2020 9:54:12 AM (Payment Verification for NCC203538) * M/1 Homes of Charlotte LLC • McCoy, Suzanne assigned the task to McCoy, Suzanne 8/19/2020 9:53 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 25, 2020 5:00 PM 8/14/2020 1:13 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting IT No an NOI that was r Yes rejected before? 1a. Project Name * Stallings Brook 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Union 3. Highway or Street 1600 W. Unionville Indian Trail Rd Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Monroe 5. State * NC 6. Zip Code * 28110 7. Latitude* Enter the latitude in decinal degrees 35.0817 8. Longitude* Enter the longitude in decir al degrees (M.JST be negative) -80.5696 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* 08/17/2020 Estimated Construction Project Start Date 10. Date to End * 08/19/2024 Estir ated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 50.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 77.01 (acres) * 14. Post- 19.54 construction (Estirrated) impervious area (acres) * NCC Project NCC-UNION-2020-Stallings Brook Tracking ID Assigned autorratically 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 South Fork Crooked Creek Waterbody* Klarre of waterbody into which stornwater runoff will discharge 15b. Waterbody 13-17-20-2 Index No.* NCWaterbody Index Nunber 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. ^ 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 * M/I Homes of Charlotte, LLC IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Cody If Corporation, enter Faegistered Agent First %rre 3. Last Name* Simoneaux IF Corporation, enter F;bgistered Agent Last %ne 3b. Title Director of Land Development 4. Permitee E-mail csimoneaux@mihomes.com Address* 5. Permittee 704-840-8362 Telephone No.* 6. Permittee Mailing Street Address Address* 5350 77 Center Drive Address Line 2 Suite 150 Cty Charlotte Fbstal / Zip Code 28217 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 5350 77 Center Drive Address Line 2 Suite 150 city Charlotte Fbstal / Zip Code 28217 8. Type of Non -Government Ownership * State / Frovince / Fbgion NC Country us State / Frovince / Region NC Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Scott Contact - First Name * 2. Primary Site Bradley Contact - Last Name * 3. Title 4. Site Contact E- scottb@horsepowerss.com mail Address* 5. Site Contact 704-492-6893 Telephone No. 6. Organization Horsepower Site Services Name 7. Site Contact Street Address Mailing Address* 2130 North Tryon Street Address Line 2 Suite B city Charlotte Fbstal / Zip Code 28206-2738 8. Consultant Name (Optional) Jeremy Horton First and Last narre 9. Consultant E-mail jeremy.horton@timmons.com This person will be copied on all correspondence. 10. Consultant 980-500-4849 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 08/03/2020 Approved * 2. E&SC Plan Project 20-00200950 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 Monroe 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 ESC Approval Letter 08.03.20.pdf 123.86KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Site Location.pdf 68.75KB Mast be RDFfon- at. 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. 8. NOI Certification NCG01-eNO1-Certification-Form-20190919-DEMLR- Form 437.18KB SW - Signed.pdf Mast be R7Fformat 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 IT 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* Cody Simoneaux Title Director of Land Development Organization Legally Ibsponsible Entity M/I Homes of Charlotte, LLC Date * 08/13/2020 F. Tracking and COC Info NOI Tracking No. 29897 NC Reference No. NCG01-2020-3538 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC203538 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 3538 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.) Initial Invoice No. NCC203538-2020 Invoice Due Date 9/13/2020 Initial Fee $ 100.00 Invoice Status OPEN