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HomeMy WebLinkAboutNCC215553_NOI Application_20211007Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 10/5/2021 11:01:33 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 10/6/2021 7:14:26 AM (Review- Construction NOI 67913) • The task was assigned to Broussard, Brooklyn C by round robin distribution 10/5/2021 11:03 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2021 5:00 PM 10/5/2021 11:03 AM Submit by Evans, Shaundra M 10/7/2021 8:27:10 AM (Payment Verification for NCC215553) * Keith Olive • Evans, Shaundra M assigned the task to Evans, Shaundra M 10/7/2021 8:26 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2021 5:00 PM 10/6/2021 7:15 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 66773 NOI No. Prior Reviewer Brooklyn Broussard Name 1a. Project Name* Iron Horse Properties, LLC 1 b. Specific Lot This field may be used to list specifc lot nunbers. Numbers N/A 1 c. Parcel ID List all RW associated w ith this project. Number(s) (PIN) 1835-96-1666 2. County* Franklin 3. Highway or Street Antique Dr. Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Franklinton 5. State * NC 6. Zip Code* 27525 7. Latitude* Enter the latitude in decimal degrees 36.1026 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -78.5298 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* 10/04/2021 Estimated Construction Project Start Date 10. Date to End * 09/29/2023 Estinated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 15.25 disturbed* (including off -site borrow and waste areas) 13. Total site area 26.00 (acres) * 14. Post- 1.86 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-FRANK-2021-Iron Horse Properties, LLC 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 Middle Creek Waterbody* %rreof waterbody into which stormwater runoff will discharge 15b. Waterbody 28-15 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 Pesponsible Entity Iron Horse Properties, 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 * John IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Santoro It Corporation, enter Pbegistered Agent Last %rre 3b. Title Owner 4. Permitee E-mail johnsantoro@ironhorsecontractors.com Address* 5. Permittee 919-771-6011 Telephone No.* 6. Permittee Mailing Street Address Address* 128 Wind Chime Court Address Line 2 City Raleigh Fbstal / Zip Code 27615-6577 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 128 Wind Chime Court Address Line 2 city Raleigh Fbstal / Zip Code 27615-6577 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 John Contact - First Name * 2. Primary Site Santoro Contact - Last Name * 3. Title Owner 4. Site Contact E- johnsantoro@ironhorsecontractors.com mail Address* 5. Site Contact 919-771-6011 Telephone No. 6. Organization Iron Horse Properties, LLC Name 7. Site Contact Street Address Mailing Address* 128 Wind Chime Court Address Line 2 115 MacKenan Dr. city Raleigh Postal / Zip Code 27615-6577 8. Consultant Name (Optional) Amy McDonald First and Last nacre 9. Consultant E-mail amcdonald@uvithersravenel.com This person will be copied on all correspondence. 10. Consultant 919-427-4322 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) johnsantoro@ironhorsecontractors.com Default is legally responsible person e-rreil 12. Billing (For Annual Fee correspondence) Telephone 919-771-6011 Default is legally responsible person telephone State / Province / Region NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 09/17/2021 Approved * 2. E&SC Plan Project FRANK-2021-035 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 * Raleigh (RRO) 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 FRANK-2021-035_20210917_LOA.PDF 289.72KB Approval letter or Mist beRDFformat Grading Permit 6. Signed FRO Financial Pesponsibility/Ojvnership Form FRO Form (Signed).pdf 580.28KB Mist be RDFfornal 7. Site Location Map Mast be RDFforrrat (lirrit 20IVB) Iron Horse Properties EC Plans (08.13.21).pdf 7.97MB 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 NCC-FRANK-2021 Iron Horse Properties Form 84.84KB Certification.pdf Mist be RDFfornat 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 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 * John Santoro Title Owner Organization Legally Responsible Entity Iron Horse Properties, LLC Date * 10/05/2021 F. Tracking and COC Info NOI Tracking No. 67913 NC Reference No. NCG01-2021-5553 Uses 'count_nunber' variable (increrrented by SP) Certificate of NCC215553 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5553 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. NCC215553-2021 Invoice Due Date 11/5/2021 Initial Fee $ 100.00 Invoice Status OPEN