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HomeMy WebLinkAboutNCC215556_NOI Application_20211007Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 10/5/2021 11:14:56 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 10/6/2021 7:30:23 AM (Review- Construction NOI 67921) • The task was assigned to Broussard, Brooklyn C by round robin distribution 10/5/2021 11:15 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2021 5:00 PM 10/5/2021 11:15 AM Submit by Evans, Shaundra M 10/7/2021 8:19:36 AM (Payment Verification for NCC215556) * Michael D Meadows • Evans, Shaundra M assigned the task to Evans, Shaundra M 10/7/2021 8:19 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2021 5:00 PM 10/6/2021 7:31 AM .• SThF� '; 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 * Calvin Creek 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers N/A 1 c. Parcel ID List all RED associated w ith this project. Number(s) (PIN) 4740090484 2. County* Iredell 3. Highway or Street Autumn Leaf Road Address* Street name only is acceptable if no address number assigned yet 4. Cityor Township* Troutman 5. State * NC 6. Zip Code* 28166 7. Latitude* Enter the latitude in decimal degrees 35.6824 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -80.8839 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* 10/11/2021 Estirrated Construction Project Start Rate 10. Date to End * 10/12/2026 Estinated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Oassification for Development 12. Acres to be 89.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 119.00 (acres) * 14. Post- 27.00 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-IREDE-2021-Calvin Creek 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 Rocky Creek (Youngs Creek) Waterbody* Narreof waterbody into which stormwater runoff will discharge 15b. Waterbody 11-84-(2) 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 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 D.R. Horton, Inc. IF 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 * George If Corporation, enter Faegistered Agent First Wre 3. Last Name* Carroll IF Corporation, enter F;bgistered Agent Last %rre 3b. Title NPDES Manager 4. Permitee E-mail BCarroll@drhorton.com Address* 5. Permittee 704-620-7373 Telephone No.* 6. Permittee Mailing Street Address Address* 8025 Arrowridge Boulevard Address Line 2 City Charlotte Fbstal / Zip Code 28273-5604 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 8025 Arrowridge Boulevard Address Line 2 city Charlotte Fbstal / Zip Code 28273-5604 State / Frovince / Fbgion NC Country us State / Frovince / Faegion 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 George Contact - First Name * 2. Primary Site Carroll Contact - Last Name * 3. Title NPDES Manager 4. Site Contact E- BCarroll@drhorton.com mail Address* 5. Site Contact 704-620-7373 Telephone No. 6. Organization D.R. Horton, Inc. Name 7. Site Contact Street Address Mailing Address* 8025 Arrowridge Boulevard Address Line 2 city Charlotte Fbstal / Zip Code 28273-5604 8. Consultant Name (Optional) Pathlight Pro First and Last nacre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. 11. Billing E-mail (For Annual Fee correspondence) BCarroll@drhorton.com Default is legally responsible person a-rrail 12. Billing (For Annual Fee correspondence) Telephone 704-620-7373 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 10/04/2021 Approved * 2. E&SC Plan Project TRTOMN-2020-087 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Iredell 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 LOAM Calvin Creek.pdf Approval letter or Mast beRDFforml Grading Permit 83.79KB 6. Signed FRO Financial Pesponsibility/Ownership Form Calvin Creek - FRO - D.R. Horton, Inc..pdf 136.94KB Mast be RDFfornat 7. Site Location Map Mast be RDFforrrat (lirrit 20IVB) Calvin Creek Vicinity Map.pdf 1.69MB 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 NOI Certification. pdf 82.81KB Form Mast be RDFforrrat 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 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* George Carroll Title NPDES Manager Organization Legally Pesponsible Entity D.R. Horton. Inc. Date * 10/05/2021 F. Tracking and COC Info NOI Tracking No. 67921 NC Reference No. NCG01-2021-5556 Uses 'count_nunber' variable (increrrented by SP) Certificate of NCC215556 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5556 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. NCC215556-2021 Invoice Due Date 11/5/2021 Initial Fee $ 100.00 Invoice Status OPEN