NCC230400_NOI Application_20230215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/10/2023 7:45:32 AM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 2/13/2023 6:49:19 AM (Review - NOI 126933 Weavers Pond Ph5 Lots 565-638)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/10/2023 7:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 15, 2023 5:00
PM 2/10/2023 7:45 AM
by Workflow 2/13/2023 6:49:41 AM (Workflow Start Event)
Submit by Tev.Holloman 2/15/2023 10:01:25 AM (Payment Verification for NCC230400)
* Ric Rojas
• Tev.Holloman assigned the task to Tev.Holloman 2/15/2023 10:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 27, 2023 5:00 PM
2/13/2023 6:49 AM

a
NORTH CAROLINA,
Enri--tn! C2-1;ly
A. Project Information
Part A.
Project Location and Waterbody Information
................................................................................................................... .
Are you submitting an NOI that was rejected before?
No
+ Yes
Previous Rejected NOI No.
126822
Prior Reviewer Name
Brooklyn Broussard
la. Project Name*
Weavers Pond Ph5 Lots 565-638
1b. Specific Lot Numbers
This field may be used to list specifc lot numbers.
1c. Parcel ID Number(s) (PIN)
List all PINs associated with this project.
1796681683
1796681689
1796681785
1796681890
1796681886
1796681982
1796681987
1796691073
1796691088
1796691194
1796690032
1796599072
1796599023
1796598054
1796587958
1796587844
1796588739
1796589811
1796589872
1796680822
1796680627
1796589667
1796589617
1796588656
1796588606
1796587646
170CG4GC0C

1796586713
1796586719
1796586815
1796586910
1796586926
1796596012
1796596078
1796597141
1796598104
1796598168
1796599127
1796599177
1796690137
1796692385
1796692325
1796691375
1796691316
1796690366
1796690306
1796599356
1796598397
1796598327
1796597356
1796597229
1796596277
1796596224
1796595271
1796595128
1796594182
1796594056
1796584949
1796584924
1796584828
1796584823
1796584727
1796584741
1796584654
1796584588
1796585533
1796585487
1796586457
1796587417
1796587477
1796588427
1796588488
1796589438
1796680408
2. County*
Wake
3. Highway or Street Address*
Golden Plum Ln
Street name only is acceptable if no address number assigned yet
4. City or Township*
Zebulon
5. State* NC

6. Zip Code* 27597
7. Latitude* Enter the latitude in decimal degrees
35.8610
8. Longitude* Enter the longitude in decimal degrees (MUST be negative)
-78.3390
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* 02/13/2023
Estimated Construction Project Start Date
10. Date to End* 02/12/2024
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial Classification for Development
12. Acres to be 16.70
disturbed* (including off -site borrow and waste areas)
13. Total site area 24.97
(acres)*
14. Post -construction 7.00
impervious area (Estimated)
(acres) *
Project Tracking ID NCC-WAKE-2023-Weavers Pond Ph5 Lots 565-638
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 Waterbody*
Big Branch
Name of waterbody into which stormwater runoff will discharge
15b. Waterbody Index No.*
27-57-5
NC Waterbody Index Number
Stormwater discharges will flow to additional waters
No
Yes
16a. Is this project subject to the NC Sediment Pollution Control Act?*
Yes
No, not subject to INC SPCA
17. Is this project funded with ARPA (American Rescue Plan Act) grant funds?
No
Yes
This question was added to the eNOI on 1 /26/2023 and will not be answered in applications submitted prior to that date. Reviewer may update if status is
known.

B. Permittee Information
Part B.
Permittee Information - Legally Responsible 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B,
Item (6) of that permit.
1. Permittee* Legally Responsible Entity
DRB Group North Carolina, LLC
If permittee is an individual, enter first and last name in this field. Otherwise, enter organization/business name.
Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the
registration here. Permittee must be the same entity that is responsible for the land -disturbing activity as listed on the NC
SPCA Financial Responsibility/Ownership (FRO) Form.
2. First Name* Craig
If Corporation, enter Registered Agent First Name
3. Last Name* Myrman
If Corporation, enter Registered Agent Last Name
3b. Title Vice President
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-219-5340
Telephone No.*
6. Permittee Mailing Street Address
Address* 3000 RDU Center Drive
Address Line 2
Suite 202
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-7671
US
Check box if the Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 3000 RDU Center Drive
Address Line 2
Suite 202
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-7671
US

8. Type of Ownership is only individual if an individual is named in B.A. above.
Ownership* Non -Government

C. Site Contact Information
Part C.
Project Site Contact Information
.................................................................................................................................................................................................................................................................................................................................................................................................
1. Primary Site Trevor
Contact - First
Name*
2. Primary Site Dalton
Contact - Last Name*
3. Title
4. Site Contact E-mail [e-mail]
Address*
5. Site Contact
Telephone No.*
6. Organization Name
7. Site Contact
Mailing Address*
8. Consultant Name
919-219-7927
Street Address
3000 RDU Center Drive
Address Line 2
Suite 202
City
Morrisville
Postal / Zip Code
27560-7671
(Optional)
First and Last name
9. Consultant E-mail [e-mail]
This person will be copied on all correspondence.
10. Consultant 9196244875
Telephone No.
11. Billing E-mail (For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-mail
12. Billing Telephone (For Annual Fee correspondence)
919-219-5340
Default is legally responsible person telephone
State / Province / Region
NC
Country
US

D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Plan Approval Information
1. Date E&SC Plan 02/03/2023
Approved *
2. E&SC Plan Project SEC-094514-2022
Number/ID* Assigned by agency or local program
3. E&SC Plan State DEQ Office
Approved by* 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-094514-2022_Approval-
Approval letter or 284.13KB
S&EConstructionPlanReviewChecklist.pdf
Grading Permit
Must be PDF format
6. Signed FRO Financial Responsibility/Ownership Form
Signed FRO.pdf 439.17KB
Must be PDF format
7. Site Location Map Must be PDF format (limit 20 MB)
CO.pdf 673.18KB
Please do not upload entire set of E&SC plans.
8. Notes (Optional) Provide any additional information that might help the reviewer better understand how uploaded documents
support the application. Include additional waterbodies if necessary.
9. NOI Certification signed NCG01.pdf 458.91 KB
Form Must be PDF format
This is an Express No
Review Project* Yes

E. Certification
North Carolina General Statute 143-215.613 (i) provides that:
Any person who knowingly makes any false 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 Article; 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 Article shall
be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
* 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.
* 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.
* I will abide by all conditions of the NCG010000 General Permit and the approved
Erosion and Sediment Control Plan.
* 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.
* 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:* The Legally Responsible Person named on this Notice of Intent
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
ter{
Type Name* Craig Myrman
Title Vice President
Organization Legally Responsible Entity
DRB Group North Carolina, LLC
Date * 02/10/2023

F. Tracking and COC Info
NOI Tracking No. 126933
NC Reference No. NCG01-2023-0400
Indicates NCG01 or NCG25. Uses NOI number until approved, then uses NUMBER incremented by SP (passed
from workflow if eNOI approved)
Certificate of NCC230400
Coverage (COC) No.* Uses NOI number until approved, then uses NUMBER incremented by SIP (formatted and passed from workflow if
eNOI approved)
Initial Invoice No. NCC230400-2023
Invoice Due Date 3/15/2023
Initial Fee $ 100.00
Invoice Status OPEN