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HomeMy WebLinkAboutNCC205352_NOI Application_20201123Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 11/19/2020 2:35:20 PM (NCG01 NOI Submission) Approve by Clark, Paul 11/20/2020 9:36:27 AM (Review- Construction NOI 36680) • The task was assigned to Clark, Paul by round robin distribution 11/19/2020 2:35 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 23, 2020 5:00 PM 11/19/2020 2:35 PM Submit by Selkane, Aziza 11/23/2020 11:01:14 AM (Payment Verification for NCC205352) * Jason Rivenbark • Selkane, Aziza assigned the task to Selkane, Aziza 11/23/2020 11:00 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 1, 2021 5:00 PM 11 /20/2020 9:36 AM .• 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 * Cameron Crossing 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Johnston 3. Highway or Street Enterprise Drive Address* Street narre only is acceptable if no address number assigned yet 4.CityorTownship* Clayton 5. State * NC 6. Zip Code * 27520 7. Latitude* Enter the latitude in decinal degrees 35.6592 8. Longitude* Enter the longitude in decir al degrees (KUST be negative) -78.4752 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* 11/11/2020 Estimated Construction Project Start Date 10. Date to End* 12/31/2021 Estimated Construction Project End [date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 24.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 36.27 (acres) * 14. Post- 12.70 construction (Estirrated) impervious area (acres) * NCC Project NCC-JOHNS-2020-Cameron Crossing Tracking ID Assignedautorraticaly 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 Little Creek Waterbody* %rre of waterbody into which stornwater runoff will discharge 15b. Waterbody 27-43-12 Index No.* NCWaterbody Index Nunber Stormwater r No discharges will flow V Yes to additional wate rs * 15c. Additional Swift Creek Receiving Waterbody narre Waterbody 15d. Waterbody 24-43-(8) Index No. NCWaterbody Index I inber 15e. Additional Neuse River Receiving Waterbody narre Waterbody 15f. Waterbody 27-(41.7) Index No. NC Waterbody Index Nanber 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. ^ 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 Legally Pesponsible Entity Name * Forestar (USA) Real Estate Group Inc It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. Note: The organization name must match the business entity name registered with the NC Secretary of State. You can verify the registration here. 2. First Name * Jason IF Corporation, enter Faegistered Agent First Wre 3. Last Name* Rivenbark It Corporation, enter F;bgistered Agent Last %rre 3b. Title Development Director 4. Permitee E-mail jasonrivenbark@forestar.com Address* 5. Permittee 9193095291 Telephone No.* 6. Permittee Mailing Street Address Address* 2000 Aerial Center Parkway, #110 Address Line 2 City State / Frovince / Fbgion Morrisville NC Fbstal / Zip Code Country 27560 USA Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 2000 Aerial Center Parkway, #110 Address Line 2 City State / Frovince / Region Morrisville NC Fbstal / Zip Code Country 27560 USA 8. Type of Non -Government Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Alex Contact - First Name * 2. Primary Site Hinkle Contact - Last Name * 3. Title Land Development Manager 4. Site Contact E- alexhinkle@forestar.com mail Address* 5. Site Contact 9842394992 Telephone No. 6. Organization Forestar (USA) Real Estate Group, Inc. Name 7. Site Contact Street Address Mailing Address* 2000 Aerial Center Parkway #110 Address Line 2 City Morrisville Fbstal / Zip Code 27560-9294 8. Consultant Name (Optional) Bradley Hart First and Last nacre 9. Consultant E-mail BHart@uvithersravenel.com 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 04/25/2019 Approved * 2. E&SC Plan Project JC# 18-031-P Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Johnston 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 18-031 Cameron Crossing Capps Tract EC appr Approval letter or 95.26KB 4.25.19.pdf Grading Permit Mast be FDFforrrat 6. Site Location Map Wst be RDFforrret (lint 20 NB) Cameron Crossing Site Plan.pdf 859.68KB Rease do not upload entire set of E&SC plans. 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 Cameron Crossing NOI Certification Signed Form 204.66KB 11.18.20.pdf Mast be FCFfon-rat 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 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 C'rldr f,1r60 Type Name* Jason H Rivenbark Title Development Director Organization Legally Ibsponsible Entity Forestar (USA) Real Estate Group, Inc. Date * 11 /19/2020 F. Tracking and COC Info NOI Tracking No. 36680 NC Reference No. NCG01-2020-5352 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC205352 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5352 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. NCC205352-2020 Invoice Due Date 12/19/2020 Initial Fee $ 100.00 Invoice Status OPEN