NCC214434_NOI Application_20210804

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/3/2021 12:10:52 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/3/2021 12:17:39 PM (Review- Construction NOI 61221)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/3/2021 12:12 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 5, 2021 5:00 PM.
The priority is: High 8/3/2021 12:12 PM
Submit by Selkane, Aziza 8/4/2021 10:49:53 AM (Payment Verification for NCC214434)
* Steven Taylor
• Selkane, Aziza assigned the task to Selkane, Aziza 8/4/2021 10:48 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 14, 2021 5:00
PM. The priority is: High 8/3/2021 12:18 PM

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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 *
Partin Solar - Substation
1 b. Specific Lot
This field nay be used to list specifc lot numbers.
Numbers
496200226585, 496200329256
1 c. Parcel ID
List all Rios associated w ith this project.
Number(s) (PIN)
496200226585, 496200329256
2. County*
Surry
3. Highway or Street Elkin Wildlife Rd.
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Elkin
5. State * NC
6. Zip Code* 28621
7. Latitude* Enter the latitude in decimal degrees
36.2705
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-80.8148
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*
08/09/2021
Estimated Construction Project Start Rate
10. Date to End *
07/14/2022
Estinated Construction Project End Date
11. SIC (Primary) *
Other (9999)
Standard Industrial C]assification for Development
12. Acres to be
9.60
disturbed*
(including off -site borrow and waste areas)

13. Total site area 242.10
(acres) *
14. Post- 169.20
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-SURRY-2021-Partin Solar - 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 Turkey Creek
Waterbody* Narreof waterbody into which stormwater runoff will discharge
15b. Waterbody 12-58
Index No. * NCWaterbody Index Number
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 * DEPCOM POWER, INC.
IF 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 * Graeme
If Corporation, enter Faegistered Agent First %rre
3. Last Name* McNeil
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title SVP - Project Operations
4. Permitee E-mail [e-mail]
Address*
5. Permittee 281-546-3479
Telephone No.*
6. Permittee Mailing Street Address
Address* 9185 E. Pima Center Parkway
Address Line 2
Suite 100
City
Scottsdale
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
Fbstal / Zip Code
85258
V Yes
Street Address
9185 E. Pima Center Parkway
Address Line 2
Suite 100
city
Scottsdale
Fbstal / Zip Code
85258
State / Ffovince / Fbgion
AZ
Country
United States
State / Ftovince / Region
AZ
Country
United States
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
Steve
Contact - First
Name *
2. Primary Site
Taylor
Contact - Last
Name *
3. Title
Project Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
336-307-9168
Telephone No.
6. Organization
DEPCOM POWER, INC.
Name
7. Site Contact
Street Address
Mailing Address*
9185 East Pima Center Parkway
Address Line 2
Suite 100
city
Scottsdale
Fbstal / Zip Code
85258
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)
[e-mail]
Default is legally responsible person a-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
336-307-9168
Default is legally responsible person telephone
State / Rovince / Region
Arizona
Country
United States

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 07/27/2021
Approved *
2. E&SC Plan Project SURRY-2022-003
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 * Winston-Salem (WSRO)
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 SURRY-2022-003_20210727_Approval_Express.pdf 3.75MB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Mast be RDFformat (limit 20 NB)
PARTIN SP-100-5-T Rev 4 9-10-20.pdf 2.35MB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Rovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
Please note that the Site Location Map uploaded shows the
remainder of this solar project in addition to the 9.6 acres permitted
through this approval. This approval is for the project
substation/switchyard area only. The rest of the project is to be
permitted separately.
8. NOI Certification NCG01 eNO1 Certification Form_NC70 Partin
Form 534.21 KB
Substation_SIGNED. pdf
Mast be RDFformat
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 * Graeme McNeil
Title SVP - Project Operations
Organization Legally Plesponsible Entity
DEPCOM POWER, INC.
Date * 08/03/2021

F. Tracking and COC Info
NOI Tracking No. 61221
NC Reference No.
NCG01-2021-4434
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC214434
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 4434
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. NCC214434-2021
Invoice Due Date 9/2/2021
Initial Fee $ 100.00
Invoice Status OPEN