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HomeMy WebLinkAboutNCC214189_NOI Application_20210803Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 7/19/2021 8:03:12 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 7/19/2021 8:44:20 AM (Review- Construction NOI 59319) • The task was assigned to Broussard, Brooklyn C by round robin distribution 7/19/2021 8:03 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 21, 2021 5:00 PM. The priority is: High 7/19/2021 8:03 AM Submit by Selkane, Aziza 8/3/2021 12:56:44 PM (Payment Verification for NCC214189) * MatthewEaker • Selkane, Aziza assigned the task to Selkane, Aziza 8/3/2021 12:55 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 30, 2021 5:00 PM. The priority is: High 7/19/2021 8:44 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected 58738 NOI No. Prior Reviewer Brooklyn Broussard Name 1a. Project Name * Cabin Creek Substation 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers N/A 1 c. Parcel ID List all RW associated w ith this project. Number(s) (PIN) 758700362902 758700348727 757700977758 2. County* Montgomery 3. Highwayor Street Cole Road Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Biscoe 5. State * NC 6. Zip Code* 27209 7. Latitude* Enter the latitude in decimal degrees 35.3248 8. Longitude * Enter the longitude in decimal degrees (UBTbe negative) -79.7226 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* 07/19/2021 Estimated Construction Project Start Date 10. Date to End* 12/01/2022 Estinated Construction Project End Cate 11. SIC (Primary)* Commercial (1542) Standard Industrial Classification for Development 12. Acres to be 19.90 disturbed* (including off -site borrow and waste areas) 13. Total site area 363.88 (acres) * 14. Post- 4.10 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-MONTG-2021-Cabin Creek Substation Assigned automatically (not used) 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 Cabin Creek Waterbody* Name of waterbody into which stormwater runoff will discharge 15b. Waterbody 17-26-5-(1) 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 * Cabin Creek Solar, 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 * Matt If Corporation, enter Faegistered Agent First %rre 3. Last Name* Eaker It Corporation, enter F;bgistered Agent Last %rre 3b. Title Project Manager, Construction 4. Permitee E-mail meaker@blueridgepower.com Address* 5. Permittee (704) 579-8349 Telephone No.* 6. Permittee Mailing Street Address Address* 130 Roberts Street Address Line 2 Suite 120 aty Asheville Check box if the street address the same as mailing address 7. Permittee Street Address* Fbstal / Zip Code 28801-3129 F Yes Street Address 130 Roberts Street Address Line 2 Suite 120 city Asheville Fbstal / Zip Code 28801-3129 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 David Contact - First Name * 2. Primary Site Fowler Contact - Last Name * 3. Title Construction Manager 4. Site Contact E- dfowler@blueridgepower.com mail Address* 5. Site Contact (828) 779-3480 Telephone No. 6. Organization Blue Ridge Power Name 7. Site Contact Street Address Mailing Address* 130 Roberts Street Address Line 2 Suite 120 city Asheville Fbstal / Zip Code 28801-3129 8. Consultant Name (Optional) Laura Harris First and Last nacre 9. Consultant E-mail HarrisLR@booth-assoc.com This person will be copied on all correspondence. 10. Consultant (919) 851-8770 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) meaker@blueridgepower.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone (704) 579-8349 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 06/17/2021 Approved * 2. E&SC Plan Project MONTG-2021-007 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 Cabin Creek Sub NCDEQ Approval Letter (ID Approval letter or 791.86KB 103567).pdf Grading Permit Mist be FDFforrrat 6. Site Location Map Wst be RDFforrrat (lint 201VB) 69985VM. pdf 231.83KB 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. Please note that an incorrect date is listed at the top of the NCDEQ approval letter. The date is shown as June 17, 2020, when the date should be June 17, 2021. The Project ID indicates that this project is actually a 2021 instead of a 2020 project. Please contact Laura Harris at HarrisLR@booth-assoc.com or at 919-851-8770 with questions. Thank you! 8. NOI Certification NCG01-eNO1-Certification-Form-20210514-DEMLR- Form 711.49KB SW me 07.19.21.pdf Mast be FDFfon-rat This is an Express r No Review Project* F 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:* IT The Legally Responsible Person named on this Notice of Intent f 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* Matt Eaker Title Project Manager - Construction Organization Legally Plesponsible Entity Cabin Creek Solar, LLC Date * 07/19/2021 F. Tracking and COC Info NOI Tracking No. 59319 NC Reference No. NCG01-2021-4189 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC214189 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 4189 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. NCC214189-2021 Invoice Due Date 8/18/2021 Initial Fee $ 100.00 Invoice Status OPEN