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HomeMy WebLinkAboutNCC211376_NOI Application_20210309Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 3/5/2021 2:48:59 PM (NCG01 NOI Submission) Approve by Meloy, Michael 3/8/2021 8:22:54 AM (Review- Construction NOI 47338) • The task was assigned to Meloy, Michael by round robin distribution 3/5/2021 2:49 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 9, 2021 5:00 PM 3/5/2021 2:49 PM Submit by Selkane, Aziza 3/9/2021 10:56:43 AM (Payment Verification for NCC211376) * Debra E Green • Selkane, Aziza assigned the task to Selkane, Aziza 3/9/2021 10:55 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 19, 2021 5:00 PM 3/8/2021 8:23 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 * Villages at Bradley Branch Phase 4A 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 1-16, 18, 21-28, 45-47, 51-53 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 9643799062 2. County* Buncombe 3. Highway or Street Gilliam Road Address* Street name only is acceptable if no address number assigned yet 4. Cityor Township* Asheville 5. State * NC 6. Zip Code* 20704 7. Latitude* Enter the latitude in decirral degrees 35.4550 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -82.5330 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* 03/12/2021 Estir ated Construction Project Start Rate 10. Date to End * 03/10/2023 Estirrated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 2.86 disturbed* (including off -site borrow and waste areas) 13. Total site area 19.44 (acres) * 14. Post- 1.50 construction (Estirreted) impervious area (acres) * NCC Project NCC-BUNCO-2021-Villages at Bradley Branch Phase 4A 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 French Broad Waterbody* %rreof waterbody into which storrrwater runoff will discharge 15b. Waterbody 6-(54.75) Index No. * NCWaterbody Index Nurrber 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 Legally Pesponsible Entity Name * D. R. Horton, 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 * Debbie If Corporation, enter Faegistered Agent First %rre 3. Last Name* Green It Corporation, enter Pbegistered Agent Last %rre 3b. Title City Manager 4. Permitee E-mail degreen@drhorton.com Address* 5. Permittee 843.455.4995 Telephone No.* 6. Permittee Mailing Street Address Address* 2 Walden Ridge Drive Address Line 2 Ste 80 aty Asheville Check box if the street address the same as mailing address 7. Permittee Street Address* Fbstal / Zip Code 28803-8598 V Yes Street Address 2 Walden Ridge Drive Address Line 2 Ste. 80 city Asheville Fbstal / Zip Code 28803-8598 State / Ffovince / Fbgion NC Country us State / Frovince / Region NC Country us 8. Type of Ownership is only individual if an individual is naned in B.1. above. Ownership* Non -Government C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Dan Contact - First Name * 2. Primary Site Cauthran Contact - Last Name * 3. Title Area Construction Manager 4. Site Contact E- DDCauthran@drhorton.com mail Address* 5. Site Contact 864-230-5960 Telephone No. 6. Organization D. R. Horton, Inc. Name 7. Site Contact Street Address Mailing Address* 2 Walden Ridge Drive Address Line 2 Ste 80 city Asheville Fbstal / Zip Code 28803-8598 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. 11. Billing E-mail (For Annual Fee correspondence) degreen@drhorton.com Default is legally responsible person a-rrail 12. Billing (For Annual Fee correspondence) Telephone 843.455.4995 Default is legally responsible person telephone 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 02/24/2021 Approved * 2. E&SC Plan Project ERO2019-00002 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. Please also upload a site map showing the overall extent of the project (for linear projects, can include the beginning point and end point coordinates in the "Notes" box below). 5. E&SC Plan BC Letter of Approval Lots 1_16,18_21- Approval letter or 235.51KB 28,45_47, 51 _53. pdf Grading Permit Mast be FDFforrrat 6. Site Location Map Mist be RDFforrret (lint 201VB) Bradley Branch Plat 01-08-21.pdf 1.14MB 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 if necessary. 8. NOI Certification NCG01-eNO1-Certification- Form -Brad ley Form 1MB Branch_Signed.pdf Mast be FCFformat 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 Legally Responsible Person named on this Notice of Intent IT Authorized Responsible Person' (signing on behalf of Legally Responsible Person named in Part B) 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* Susan C, Anderson Title Division Environmental Compliance Manager Organization Legally Pesponsible Entity D.R. Horton Date * 03/05/2021 F. Tracking and COC Info NOI Tracking No. 47338 NC Reference No. NCG01-2021-1376 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC211376 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 1376 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2021 Year of date reviewed (used to assign YY digits after "NOC' in COCno.) Initial Invoice No. NCC211376-2021 Invoice Due Date 4/7/2021 Initial Fee $ 100.00 Invoice Status OPEN