NCC215054_NOI Application_20210913

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/7/2021 10:38:03 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/7/2021 12:09:14 PM (Review- Construction NOI 64255)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/7/2021 10:38 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 9, 2021 5:00
PM 9/7/2021 10:38 AM
Submit by Miller, Ariyelle L 9/13/2021 2:59:46 PM (Payment Verification for NCC215054)
* Timber Drive Associates LP
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/13/2021 2:58 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 19, 2021 5:00 PM
9/7/2021 12:09 PM

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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 61978
NOI No.
Prior Reviewer Brooklyn Broussard
Name
1a. Project Name * Timber Drive Apartments
1 b. Specific Lot This field may be used to list specffc lot numbers.
Numbers
1 c. Parcel ID List all PINS associated w ith this project.
Number(s) (PIN) 0481154
2. County* Wake
3. Highway or Street Timber Drive East
Address* Street name only is acceptable if no address number assigned yet
4. CityorTownship* Garner
5. State * NC
6. Zip Code* 27529
7. Latitude* Enter the latitude in decimal degrees
35.6819
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-78.5701
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* 04/01/2022
Estimated Construction Project Start Date
10. Date to End* 05/01/2024
Estimated Construction Project End Date

11. SIC (Primary)*
Residential, Other than SFE (1522)
Standard Industrial aassification for Development
12. Acres to be
18.06
disturbed*
(including off -site borrow and waste areas)
13. Total site area
21.63
(acres) *
14. Post- 7.97
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-WAKE-2022-Timber Drive Apartments
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 White Oak Creek
Waterbody* Narreof waterbody into which stormwater runoff will discharge
15b. Waterbody 27-43-11
Index No. * NCWaterbody Index Number
Stormwater F No
discharges will flow 17 Yes
to additional
wate rs *
15c. Additional White Oak Creek
Receiving Waterbody narre
Waterbody
15d. Waterbody NCWaterbody Index Number
Index No.
15e. Additional Waterbody name
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Number
Index No.
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 must 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. Permittee * Legally Pesponsible Entity
Timber Drive Associates, LP
It pernittee is an individual, enter first and last narre in this field. Ctherwise, enter organization/business narre.
Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the
registration here.
2. First Name * Andy
If Corporation, enter Faegistered Agent First %rre
3. Last Name* McGinty
It Corporation, enter Pegistered Agent Last %rre
3b. Title Managing Partner
4. Permitee E-mail [e-mail]
Address*
5. Permittee 4345316301
Telephone No.*
6. Permittee Mailing Street Address
Address* 230 Court Square
Address Line 2
Suite 202
Cty
Charlottesville
Fbstal / Zip Code
22902
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
230 Court Square
Address Line 2
Suite 202
city
Charlottesville
Fbstal / Zip Code
22902
State / Ffovince / Fbgion
VA
Country
us
State / Frovince / Faegion
VA
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
Jeff
Contact - First
Name *
2. Primary Site
Shifflett
Contact - Last
Name *
3. Title
Director of Construction
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
4345316301
Telephone No.
6. Organization
Timber Drive Associates, LP
Name
7. Site Contact
Street Address
Mailing Address*
230 Court Square
Address Line 2
Suite 202
city
Charlottesville
Postal / Zip Code
22902
8. Consultant Name
(Optional)
Carlton Burton
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
704-967-4050
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
4345316301
Default is legally responsible person telephone
State / Rovince / Region
VA
Country
United States

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 06/30/2021
Approved *
2. E&SC Plan Project SEC-056523-2021
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Wake 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
SEC-056523-2021_Approval-
Approval letter or
271.9KB
S&EConstruction Plan ReviewChecklist_6-28-21. pdf
Grading Permit
Mast be RDFforrrat
6. Signed FRO
Financial Pesponsibility/Ojvnership Form
Mast be RDFforrrat
7. Site Location Map
Mast be FDFfornat (lint 20 [vB)
Pages from 019.823.001 Timber Drive Apartments
2.16MB
CUSP Apartments.pdf
Rease do not upload entire set of E&SC plans.
8. 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.
9. NOI Certification
Timber Drive NOI Certification 7.21.21.pdf 254.67KB
Form
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* Jeff Shifflett
Title Director of Construction
Organization Legally Ibsponsible Entity
Timber Drive Associates, LP
Date * 09/07/2021

F. Tracking and COC Info
NOI Tracking No. 64255
NC Reference No.
NCG01-2021-5054
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC215054
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5054
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. NCC215054-2021
Invoice Due Date 10/7/2021
Initial Fee $ 100.00
Invoice Status OPEN