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Home My WebLink AboutNCC190372_NOI Signed Certification_201905235/22/2010 Resume Submission NORTH C, ROLINA EnWraarrw4tat Quality Part A. Project Location and 1. Project Name* 2. County* Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System (NPDES) application for coverage under North Carolina's General Permit NCGO10000: STORMWATER DISCHARGES associated with construction activities (or NCG250000) A. Project Information I B. Permittee Information I C. Site Contact information I D. E&SC Plan E. Certification Information Flow Acura New Hanover • 3. Highway or Street}95Z New Centre Drive Address * Street name only is acceptable if no address number assigned yet 4. City or Township* llmington 5. State* NC S. Zip Code* F8Z 7. LatitudeEnter the latitude in decimal degrees 4.2410 8. Longitude* Enter the longitude in decimal degrees (MUST be negative) 77.8780 If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of North Carolina (https://ncdenr.reaps.arcgis.com/apps/webappviewer/index.html? id=9fdfc3872651444c8339d718a099a1ac). Look for the coordinates in the bottom left corner. 9. Date to Begin* 5/28/2019 Estimated Construction Project Start Date 18. Date to End* 11/0112019 , Estimated Construction Project End Date hUps://edocs.deq.ne.gov/Formsiform/resume/241/22237 1 /3 512212019 Resume Submission 11. SIC (Primary)* 12. Acres to be disturbed* 13. Total site area (acres) * 14. Post - construction impervious area (acres)' Project Tracking ID Commercial (1542 Standard Industrial Classification for Development (including off -site borrow and waste areas) .40 (Estimated) NCC-NEW H-2019-Flow Acura Assigned automatically Below you must enter waterbody information for surface waters affected by this project. Please consult DWR's Surface Water Classifications Map Viewer (https:llncdenr.maps.arcgis.com/apps/webappviewer/index.html? id=6e125ad7628f494694e259c80dd64265) to find waterbody name and corresponding index number. You may enter up to 3 waterbodies. 15a. Receiving Burnt Mill/Cape Fear Waterbody Name of waterbody into which stormwater runoff will discharge 15b. Waterbody 19-74-63-2 Index No.* NC Waterbody Index Number Stormwater E-6 No discharges will flow Cal Yes to additional waters* 16a. Is this project subject to the NC Sediment Pollution Control Act? * Previous us Save as Draft * Yes 0 No, not subject to NC SPCA Next https://edocs.deq.nc.gov/Forms/form/resume/241/22237 213 5/22/2019 Resume Submission NORTH CAROLINA EnWronmenw? Quality Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System (NPDES) application for coverage under North Carolina's General Permit NCG010000: STORMWATER DISCHARGES associated with construction activities (or NCG250000) A. Project Information I B. Permittee Information I C. Site Contact information I D. E&SC Plan E. Certification Permittee Information - Legally Responsible Entity and Individual Important: The person who signs the N01 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. 1. Organization Flow 4951 New Centre, LLC Name 2. First Name* .W . Don If Corporation, enter Registered Agent First Name 3. Last Name's FFlows.,�..,........w.�:v.�,.�m,�,��..�,.,�.-�� If Corporation, enter Registered Agent Last Name 3b. Title's wner�.��w�,9.�.-....-.---. 4. Permitee E-mail Fflow@flowauto-com Address 5. Permittee F36--766:iOTO Telephone No. https:fledocs,deq.nc.gov/Forms/form/resume/241/22237 1 /2 -5/2212019 Resume Submission 6. Permittee Mailing Street Address Address* FOQ West 5th Street��-�,M�� Address Line 2 �uite 1800 City State / Province 1 Region Fin'-ston-Salem FC -- Postal / Zip Code Country F7101-2728 U S Check box if the n Yes street address the same as mailing address 7. Permittee Street Street Address Address* 0Q West 5th Street Address Line 2 Suite 1800 City State 1 Province 1 Region Fin`Ston-Z-Iem--- NCT Postal 1 Zip Code Country Vim -2728 US� Previous Save as Draft Next https://edocs.deq.nc.gov/Forms/form/resume/241/22237 212 - 5/22/2019 Resume Submission NORTH CAfWUNA EnAronm nfaf Quality Pala C. Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System (NPDES) application for coverage under North Carolina's General Permit NGG010000: STORMWATER DISCHARGES associated with construction activities (or NCG250000) A. Project Information I B. Permittee Information I C. Site Contact information I D. E&SC Plan E. Certification Project Site Contact Information 1. Type of Non -Government V Ownership * 2. Primary Site Chance Contact - First Name* 3. Primary Site Barnes Contact - Last Name* 4. Title �uperintendent 5. Site Contact E- pbarnes@magnoliaconstruction.com mail Address 6. Site Contact F36-345-3591 Telephone No.* 7. Organization Magnolia Construction Name Magnolia� https://edocs.deq.nc.gov/Forms/form/resurne/241/22237 112 ,5/22/2019 Resume Submission 8. Site Contact Mailing Address Previous Save as Draft Street Address 14 South Stratford Road Address Line 2 uite City F5tOri-Salem State 1 Province 1 Region Postal 1 Zip Code Country F ---- Fug ----- Next https://edocs.deq.nc.gov/Forms/form/resume/241/22237 212 -512212019 Resume Submission 3 p NORTH CA€ OLINA l nvlrnnm0tr141 Quality Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System (NPDES) application for coverage under North Carolina's General Permit NCG010000: STORMWATER DISCHARGES associated with construction activities (or NCG250000) A. Project Information I B. Permittee Information I C. Site Contact information I D. E&SC Plan E. Certification Erosion & Sediment Control (E&SC) Plan Approval Information .,,�:............_ 1. Date E&SC Plan f Approved* 0511512019 2. E&SC Plan Project GP 63-94 REvision #4 NumberllD * Assignees by agency or local program 3. E&SC Plan 0 State DEQ Office Approved by* C) Local Program 4. Local Program* New Hanover County V Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form (https://files.nc.gov/ncdeq/Energy%20Mineral%20and%2OLand%20Resources/Stormwater/NPDES%2OGeneral%2OPe eNOI-Certification-Form-20190507-DEMLR-SW.pdf) is required for a complete application. 5. E&SC Plan Upload Approval Flow Acura Land Disturbing Permit.pdf (IFormslha... 219.53KB )( letter/documentation * Must be PDF format 6. NOI Certification E Upload Form * Must be PDF format YOU MUST MAIL THE ORIGINAL SIGNED NOI CERTIFICATION FORM (click on this link) (https:Miles. nc.govincdeq/Energy%20Mineral%20and%20Land°/o2OResources/Stormwater/NPDES%20General eNOI-Certification-Form-20190507-DEMLR-SW.pdf) to The Stormwater Program at the address on the form for the application to fulfill federal application requirements. The Certification Form should be signed by the same person (or authorized responsible person within the same organization) as in Section B (Permittee Information). This is an Express * No Review Project* 0 Yes Previous Next hftps://edoes.deq.nc.gov/Forms/form/resume/241/22237 112 -5/22/201 g Resume Submission NORTH CAROLINA Envtrammental Quality Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System (NPDES) application for coverage under North Carolina's General Permit NCGO10000: STORMWATER DISCHARGES associated with construction activities (or NCG250000) A. Project Information I B. Permittee Information I C. Site Contact information D. E&SC Plan E. Certification North Carolina General Statute 143-215.6B (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document fled 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: * G, 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. he 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. (/will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. IV' 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. t-U/1hereby 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 Responsible Person named on this Notice of Intent 0 Authorized Responsible Person* https:lfedocs.deq.nc.gov/Forms/form/resume/241/22237 112 15/22/201,9 Resume Submission 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature * Sign p m. Type Name* Q(\0. ` ✓ �s_ 14/` Title * MEu_�.�.�.��,.,,,�.,� Organization* Date Date captured on form submission i eW. Submit Save as Draft https:Iledocs.deq.ne.gov/Forms/form/resume/241/22237 212