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HomeMy WebLinkAboutNCC211874_NOI Application_20210326Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 3/24/2021 3:10:55 PM (NCG01 NOI Submission) Approve by Meloy, Michael 3/25/2021 12:54:15 PM (Review- Construction NOI 48526) • The task was assigned to Meloy, Michael by round robin distribution 3/24/2021 3:11 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 26, 2021 5:00 PM 3/24/2021 3:11 PM Submit by Selkane, Aziza 3/26/2021 9:57:55 AM (Payment Verification for NCC211874) * Meredith Switzer • Selkane, Aziza assigned the task to Selkane, Aziza 3/26/2021 9:56 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 6, 2021 5:00 PM 3/25/2021 12:55 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 * COBLE FARMS- LOTS 2, 180, 181, 189,190 1 b. Specific Lot This field nay be used to list specifc lot numbers. Numbers LOTS2, 180, 181, 189, 190 1 c. Parcel ID List all Rus associated w ith this project. Number(s) (PIN) N/A 2. County* Harnett 3. Highway or Street 2423 Rawls Church Road, Fuquay-Varina, NC Address* Street name only is acceptable if no address number assigned yet 4. Cityor Township* ANGIER 5. State * NC 6. Zip Code* 27526 7. Latitude* Enter the latitude in decimal degrees 35.5300 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -78.7700 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* 05/10/2021 Estimated Construction Project Start Rate 10. Date to End * 05/10/2023 Estirrated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 0.85 disturbed* (including off -site borrow and waste areas) 13. Total site area 21.45 (acres) * 14. Post- 0.30 construction (Estirreted) impervious area (acres) * NCC Project NCC-HARNE-2021-COBLE FARMS- LOTS 2, 180, 181, 189, 190 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 Neills Creek (Cape Fear River Basin) Waterbody* Narreof waterbody into which storrrwater runoff will discharge 15b. Waterbody 18-16-(0.3) Index No. * NCWaterbody Index Nunber 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. ^ Fbrnittee 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 * NVR, 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 * JOE IF Corporation, enter Registered Agent First Wre 3. Last Name* SCHMIDTKE It Corporation, enter F;bgistered Agent Last %rre 3b. Title VICE PRESIDENT 4. Permitee E-mail msweitze@nvrinc.com Address* 5. Permittee 9199871930 Telephone No.* 6. Permittee Mailing Street Address Address* 5734 Trinity Road Address Line 2 SUITE 200 City State / Ffovince / Fbgion Raleigh NC Fbstal / Zip Code Country 27607-3800 US Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 5734 Trinity Road Address Line 2 SUITE 200 City State / Frovince / Region Raleigh NC Fbstal / Zip Code Country 27607-3800 US 8. Type of ONnership 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 CHRIS Contact - First Name * 2. Primary Site CUSHENETTE Contact - Last Name* 3. Title PRODUCTION MANAGER 4. Site Contact E- CCUSHENE@nvrinc.com mail Address* 5. Site Contact 704-201-2338 Telephone No. 6. Organization NVR, Inc. Name 7. Site Contact Street Address Mailing Address* 5734 Trinity Rd. Address Line 2 Ste 200 city Raleigh Fbstal / Zip Code 27607 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) msweitze@nvrinc.com Default is legally responsible person a-rrail 12. Billing (For Annual Fee correspondence) Telephone 9199871930 Default is legally responsible person telephone State / Rovince / Region North Carolina Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 03/19/2021 Approved * 2. E&SC Plan Project HARNE-2021-098 Number/ID * Assigned by agency or local program 3. E&SC Plan r State DEQ Office Approved by* r Local Program 4. State DEQ Office * Fayetteville (FRO) 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 Approval Letter.pdf Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Mist be RDFforrret (lint 20 NB) 90.82KB Submission- ESC Plan.pdf 5.32MB 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 LOTS 2, 180, 181, 189, 190 NOI.pdf 459.52KB Form Must be RDF format 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 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 r 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 jot lcom Type Name * JOE SCHMIDTKE Title VICE PRESIDENT Organization Legally Plesponsible Entity NVR, Inc. Date * 03/24/2021 F. Tracking and COC Info NOI Tracking No. 48526 NC Reference No. NCG01-2021-1874 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC211874 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 1874 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. NCC211874-2021 Invoice Due Date 4/24/2021 Initial Fee $ 100.00 Invoice Status OPEN