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HomeMy WebLinkAboutNCC214668_NOI Application_20210817Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/16/2021 9:54:51 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 8/16/2021 10:41:49 AM (Review- Construction NOI 62195) . The task was assigned to Broussard, Brooklyn C by round robin distribution 8/16/2021 9:56 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 18, 2021 5:00 PM 8/16/2021 9:56 AM Submit by Selkane, Aziza 8/17/2021 1:31:21 PM (Payment Verification for NCC214668) * Magnolia Huntersville Development Co., LLC • Selkane, Aziza assigned the task to Selkane, Aziza 8/17/2021 1:30 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 27, 2021 5:00 PM 8/16/2021 10:42 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 62065 NOI No. Prior Reviewer Brooklyn Broussard Name 1a. Project Name * NORTH CREEK VILLAGE - COMMERCIAL (Huntersville East) 1 b. Specific Lot This field may be used to list specffc lot numbers. Numbers 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 011-07-318, 011-07-322, 011-07-320, 011-07-319, 011-07-336, 011-07-317, 011- 07-337,011-07-315,011-26-140 2. County* Mecklenburg 3. Highway or Street Sam Furr Road Address* Street name only is acceptable if no address number assigned yet 4. City or Township* TOWN OF HUNTERSVILLE 5. State * NC 6. Zip Code * 28078 7. Latitude* Enter the latitude in decimal degrees 35.4512 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -80.8023 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* 08/01/2021 Estimated Construction Project Start Date 10. Date to End* 03/31/2023 Estimated Construction Project End Cate 11. SIC (Primary)* Commercial (1542) Standard Industrial Classification for Development 12. Acres to be 37.20 disturbed* (including off -site borrow and waste areas) 13. Total site area 59.20 (acres) * 14. Post- 11.30 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-MECKL-2021-NORTH CREEK VILLAGE -COMMERCIAL (Huntersville East) 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 Ramah Creek Waterbody* Name of waterbody into which stormwater runoff will discharge 15b. Waterbody 13-17-4-4 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 * Magnolia Huntersville Development Co, 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 * Stephen If Corporation, enter Faegistered Agent First %rre 3. Last Name* Vinson It Corporation, enter F;bgistered Agent Last %rre 3b. Title Managing Partner 4. Permitee E-mail Svinson@magnoliadevco.com Address* 5. Permittee 919-371-6238 Telephone No.* 6. Permittee Mailing Street Address Address* 9525 Birkdale Crossing Drive Address Line 2 Suite 200 aty Huntersville Check box if the street address the same as mailing address 7. Permittee Street Address* Fbstal / Zip Code 28078-8458 F Yes Street Address 9525 Birkdale Crossing Drive Address Line 2 Suite 200 city Huntersville Fbstal / Zip Code 28078 State / Ffovince / Fbgion NC Country Mecklenburg State / Ftovince / 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 Ken Contact - First Name * 2. Primary Site Shufelt Contact - Last Name * 3. Title Construction Manager 4. Site Contact E- ks@glenvvoodco.com mail Address* 5. Site Contact 704-897-1406 Telephone No.* 6. Organization Magnolia Huntersville Development Co., LLC Name 7. Site Contact Street Address Mailing Address* 9525 Birkdale Crossing Drive Address Line 2 Suite 200 City State / Rovince / Region Huntersville NC Postal / Zip Code Country 28078-8458 us 8. Consultant Name (Optional) Michael Theberge First and Last narre 9. Consultant E-mail MTheberge@bohlereng.com This person will be copied on all correspondence. 10. Consultant 9802723400 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) Svinson@magnoliadevco.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone 919-371-6238 Default is legally responsible person telephone D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 08/12/2021 Approved * 2. E&SC Plan Project EPW425427 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Town of Huntersville 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 EC Permit Only Approval Ltr #425427.pdf 102.34KB Approval letter or Mist beRDFforml Grading Permit 6. Site Location Map Mist be RDFfornat (lint 201VB) North Creek Village - Cover Sheet oath Location 955.5KB Map.pdf 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 documents support the application. Include additional w aterbodies if necessary. 8. NOI Certification NCG01 Notice of Intent signed.pdf 558.75KB Form Mast be FDFfon-rat This is an Express F 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* Ken Shufelt Title Construction Manager Organization Legally Ibsponsible Entity Magnolia Huntersville Development Co., LLC Date * 08/16/2021 F. Tracking and COC Info NOI Tracking No. 62195 NC Reference No. NCG01-2021-4668 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC214668 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 4668 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. NCC214668-2021 Invoice Due Date 9/15/2021 Initial Fee $ 100.00 Invoice Status OPEN