HomeMy WebLinkAboutNCC190039_NOI Application_20190415 Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 4/15/2019 10:01:49 AM(NCG01 NOI Submission)
Approve by Morman,Alaina 4/15/2019 10:28:59 AM(Review-Construction NOI 10099)
• The task was assigned to Morman,Alaina by round robin distribution 4/15/2019 10:02 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 17,2019 5:00 PM.
The priority is: High 4/15/2019 10:02 AM
Submit by Morman,Alaina 4/15/2019 10:30:32 AM(Payment Verification-NCG01-2019-0039)
• The task was assigned to Morman,Alaina.The due date is:April 16,2019 5:00 PM.The priority is:
High 4/15/2019 10:29 AM
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NORTH CAROLINA
Ernvlronmental QUII
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name* Bonnie Cone Classical Academy
2. County* Mecklenburg
3. Highway or Street 10700 Asbury Chapel Road
Address* Street narre only is acceptable if no address nurrber assigned yet
4. City or Township* Huntersville
5. State* NC
6.Zip Code* 28173
7. Latitude* Enter the latitude in decirral degrees
35.3727
8. Longitude* Enter the longitude in decirral degrees(MJSTbe negative)
-80.8090
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* 04/17/2019
Estimated Construction Project Start Date
10. Date to End* 10/30/2019
Estimated Construction Project End Date
11. SIC(Primary)* Other(0000)
Standard Industrial aassification for Developrrent
12.Acres to be 13.25
disturbed* (including off-site borrow and waste areas)
13.Total site area 25.27
(acres)*
14. Post- 4.73
construction
impervious area
(acres)*
NCC Project NCC-MECKL-2019-Bonnie Cone Classical Academy
Tracking ID Assigned autorratically
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. You may
enter up to 3 waterbodies.
15a. Receiving Cane Creek
Wate rbody* Narre of waterbody into which stormuater runoff will discharge
15b.Waterbody 13-17-4-2-1
Index No.* NCWaterbody Index Nunber
Stormwater rJ 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.
Perrrittee 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 should 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.Organization SH BC LLC
Name*
2. First Name* Scott
ff Corporation,enter Registered Agent First l\b e
3. Last Name* Brand
ff Corporation,enter Registered Agent Last Barre
4. Permitee E-mail scott@schooldev.us
Address*
5. Permittee 801-830-8300
Telephone No.*
6. Permittee Mailing Street Address
Address* 3115 Lion Lane Suite 300
Address Line 2
City State/Province/Region
Salt Lake City UT
Fbstal/Zip Code Country
84121 United States
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 3115 Lion Lane Suite 300
Address Line 2
City State/Province/Region
Salt Lake City UT
Postal/Zip Code Country
84121 United States
C. Site Contact Information
Part C.
Project Site Contact Information
....................................................................................................................
1.Type of Non-Government
Ownership*
2. Primary Site Scott
Contact-First
Name*
3.Primary Site Brand
Contact-Last
Name*
4.Title Manager
5.Site Contact E- scott@schooldev.us
mail Address*
6.Site Contact 801-830-8300
Telephone No.*
7.Organization SH BC LLC
Name
8.Site Contact Street Address
Mailing Address* 3115 Lion Lane Suite 300
Address Line 2
City State/Province/Region
Salt Lake City UT
Fbstal/Zip Code Country
84121 United States
D. E&SC Plan
Part D.
Erosion&Sediment Control(E&SC)Ran Approval Information
....................................................................................................................................................................................................................................... .............................................................................................
1. Date E&SC Plan 04/12/2019
Approved*
2. E&SC Plan Project EPM#393017
Number/ID* Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by r Local Program
4. Local Program* Mecklenburg County
Documentation of E&SC Plan approval and the signed Notice of Intent(NOI)Certification Form is required for a
complete application.
5. E&SC Plan BONNIE_CONE_CLASSICAL_ACADEMY_Revised_...
Approval 36.69MB
(1).pdf
letter/documentation
PC05 approval doc new#393017.pdf 71.81KB
StormWaterPermit#393017.pdf 26.02KB
Mist be FIT format
6. NOI Certification SH BC NC DEMLR NOI Certification Form.pdf 289.71KB
Form Mist be RJFformat
This is an Express f No
Review Project* r Yes
E. Certification
North Carolina General Statute 143-215.6B(1)provides that:
Anyperson who knowinglymakes any false statement,representation,or certification in anyapplication,record,report,plan,or other
documentfiled or required to be maintained under this Article or a rule implementing this Article;or who knowinglymakes 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 deice or method required to be operated or maintained under this Article or rules of the
Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand
dollars($10,000).
Under penalty of law, I certify that:
rJ 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.
* I7 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.
* I7 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 Responsible Person named on this Notice of Intent
r Authorized Responsible Person*
Important:The person who signs this Certification above and signs the NOI Certification Form should be the same
person(or authorized responsible person within the same organization)as listed in Section B(Permittee Information)
of this form. *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* Scott Brand
Date* 04/15/2019
F. Tracking and COC Info
NOI Tracking No. 10099
NC Reference No. NCG01-2019-0039
Uses'count_nunber variable(incremented by SP)
Certificate of NCC190039
Coverage (COC) Uses'count_nunber'variable(increrrented bySP)
No.*
Count Number 39
Sequential nunber for subrrittal that is increrrented by Stored Procedure
COC Year 2019
Year of date reviewed,used to assign YY digits after"NOC'in OOC no.)