Loading...
HomeMy WebLinkAboutNCC215563_NOI Application_20211007Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 10/5/2021 1:23:03 PM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 10/6/2021 7:52:53 AM (Review- Construction NOI 67942) • The task was assigned to Broussard, Brooklyn C by round robin distribution 10/5/2021 1:24 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2021 5:00 PM 10/5/2021 1:24 PM Submit by Evans, Shaundra M 10/7/2021 8:16:43 AM (Payment Verification for NCC215563) * Raymond G Rinker • Evans, Shaundra M assigned the task to Evans, Shaundra M 10/7/2021 8:16 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2021 5:00 PM 10/6/2021 7:53 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 67826 NOI No. Prior Reviewer Brooklyn Broussard Name 1a. Project Name* Wilson's Walk 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 1-350 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 05106025 05106025a 05106025b 2. County* Johnston 3. Highway or Street 1492 Cole Road Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Wilson Mill 5. State * NC 6. Zip Code* 27520 7. Latitude* Enter the latitude in decimal degrees 35.5882 8. Longitude * Enter the longitude in decimal degrees (UBTbe negative) -78.4222 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* 10/15/2021 Estimated Construction Project Start Date 10. Date to End * 04/30/2026 Estimated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 62.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 78.43 (acres) * 14. Post- 30.00 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-JOHNS-2021-Wilson's Walk 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 Cooper Branch Waterbody* %rreof waterbody into which stormwater runoff will discharge 15b. Waterbody 27-43-13 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. 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 %sponsible Entity Starlight Homes North Carolina LLC It pernittee is an individual, enter first and last narre in this field. Otherwise, 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 * Raymond If Corporation, enter Faegistered Agent First %rre 3. Last Name* Rinker It Corporation, enter F;bgistered Agent Last %rre 3b. Title VP of Land Development 4. Permitee E-mail raymond.rinker@ashtonwoods.com Address* 5. Permittee 919-229-3238 Telephone No.* 6. Permittee Mailing Street Address Address* 5711 Six Fork Road Address Line 2 suite 300 Cty Raleigh Fbstal / Zip Code 27612 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 5711 Six Fork Road Address Line 2 suite 300 city Raleigh Fbstal / Zip Code 27612 State / Ffovince / Fbgion North Carolina Country USA State / Frovince / Region North Carolina Country USA 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 Raymond Contact - First Name * 2. Primary Site Rinker Contact - Last Name* 3. Title VP of Land Development 4. Site Contact E- raymond.rinker@ashtonwoods.com mail Address* 5. Site Contact 919-229-3238 Telephone No. 6. Organization Starlight Homes North Carolina LLC Name 7. Site Contact Street Address Mailing Address* 5711 Six Forks Road Address Line 2 suite 300 city Raleigh Fbstal / Zip Code 27609 8. Consultant Name (Optional) Steven Carson First and Last nacre 9. Consultant E-mail steven@batemancivilsurvey.com This person will be copied on all correspondence. 10. Consultant 919-577-1080 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) raymond.rinker@ashtonwoods.com Default is legally responsible person a-rrail 12. Billing (For Annual Fee correspondence) Telephone 919-229-3238 Default is legally responsible person telephone State / Rovince / Region North Carolina Country USA D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 10/13/2020 Approved * 2. E&SC Plan Project JC#20-0035-P Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Johnston 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 20-003 wilsons walk mass grading ESC appr Approval letter or 189.75KB 10.13.2020.pdf Grading Permit Mast be RDFfon-rat 6. Signed FRO Financial Pesponsibility/Ojvnership Form FRO 10.5.2021.pdf 1.43MB Mast be RDFfornat 7. Site Location Map Mast be R7Ffon-rat (lirrit 20IVB) Site Plan.pdf 3.92MB 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 revised NOI cert 10.5.2021.pdf 1.31VIB 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 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* Raymond Rinker Title VP of Land Development Organization Legally Ibsponsible Entity Starlight Homes North Carolina LLC Date * 10/05/2021 F. Tracking and COC Info NOI Tracking No. 67942 NC Reference No. NCG01-2021-5563 Uses 'count_nunber' variable (increrrented by SP) Certificate of NCC215563 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5563 Sequential nunber for subnittal 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. NCC215563-2021 Invoice Due Date 11/5/2021 Initial Fee $ 100.00 Invoice Status OPEN