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HomeMy WebLinkAboutNCC212700_NOI Application_20210505Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 5/3/2021 1:41:04 PM (NCG01 NOI Submission) Approve by Garcia, Lauren V 5/3/2021 4:30:54 PM (Review- Construction NOI 51973) • The task was assigned to Garcia, Lauren V by round robin distribution 5/3/2021 1:41 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 5, 2021 5:00 PM 5/3/2021 1:41 PM Submit by Selkane, Aziza 5/5/2021 10:17:16 AM (Payment Verification for NCC212700) * Tracie Patterson • Selkane, Aziza assigned the task to Selkane, Aziza 5/5/2021 10:15 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 14, 2021 5:00 PM 5/3/2021 4:31 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 * Townsend Tract 1 b. Specific Lot This field nay be used to list specifc lot nunbers. Numbers 1 c. Parcel ID List all Rios associated w ith this project. Number(s) (PIN) 60774 (9740-96-5697) 2. County* Chatham 3. Highway or Street 1377 Sanford Road Address* Street name only is acceptable if no address nunber assigned yet 4. City or Township* Pittsboro 5. State * NC 6. Zip Code* 27312 7. Latitude* Enter the latitude in decinal degrees 35.7020 8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative) -79.1717 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* 05/03/2021 Estir ated Construction Project Start Rate 10. Date to End * 05/03/2023 Estinated Construction Project End Date 11. SIC (Primary) * Other (9999) Standard Industrial aassification for Development 12. Acres to be 2.80 disturbed* (including off -site borrow and waste areas) 13. Total site area 503.93 (acres) * 14. Post- 0.00 construction (Estirreted) impervious area (acres) * NCC Project NCC-CHATH-2021-Townsend Tract 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 Turkey Creek Waterbody* Narreof waterbody into which storrrwater runoff will discharge 15b. Waterbody 16-38-4 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. ^ 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 Pesponsible Entity Name * CPF LLC 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 * Robin If Corporation, enter Faegistered Agent First %rre 3. Last Name* Rose It Corporation, enter Pbegistered Agent Last %rre 3b. Title Registered Agent 4. Permitee E-mail robin@prestondev.com Address* 5. Permittee 919-481-3000 Ext. 5 Telephone No.* 6. Permittee Mailing Street Address Address* 105 Weston Estates Way Address Line 2 City Cary Fbstal / Zip Code 27513 Check box if the V Yes street address the same as mailing address State / Frovince / Fbgion NC Country us 7. Permittee Street Street Address Address* 105 Weston Estates Way Address Line 2 City State / Frovince / Faegion Cary NC Fbstal / Zip Code Country 27513 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 Robin Contact - First Name * 2. Primary Site Rose Contact - Last Name * 3. Title Registered Agent 4. Site Contact E- robin@prestondev.com mail Address* 5. Site Contact (919) 481-3000 Ext. 5 Telephone No. 6. Organization CPF LLC Name 7. Site Contact Street Address Mailing Address* 105 Weston Estates Way Address Line 2 city Cary Fbstal / Zip Code 27513 8. Consultant Name (Optional) Lesley England First and Last narre 9. Consultant E-mail lengland@vathersravenel.com This person will be copied on all correspondence. 10. Consultant (919) 238-0373 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) robin@prestondev.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone 919-481-3000 Ext. 5 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 04/26/2021 Approved * 2. E&SC Plan Project WP-21-81 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Chatham 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 Letter of Approval_Chatham Park Townsend Approval letter or 286.87KB Tract.pdf Grading Permit Mist be RDFforrrat 6. Site Location Map Mist be RDFforrret (lint 201VB) Townsend Tract GIS Map PID 60774.pdf 435.89KB Rease do not upload entire set of E&SC plans. 7. Notes (Optional) Provide 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-20210212-DEMLR- Form SW.pdf 90.87KB Mast be R7Ffon-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 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 Amide 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 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* Robin Rose Title Registered Agent Organization Legally Pesponsible Entity CPF LLC Date * 05/03/2021 F. Tracking and COC Info NOI Tracking No. 51973 NC Reference No. NCG01-2021-2700 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC212700 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 2700 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. NCC212700-2021 Invoice Due Date 6/2/2021 Initial Fee $ 100.00 Invoice Status OPEN