HomeMy WebLinkAboutNCC190385_NOI Application_20190524Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/24/2019 5:20:57 PM (NCG01 NOI Submission)
Approve by McCoy, Suzanne 5/28/2019 8:24:35 AM (Review- Construction NOI 11402)
• The task was assigned to McCoy, Suzanne by round robin distribution 5/24/2019 5:21 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 28, 2019 5:00 PM.
The priority is: High 5/24/2019 5:21 PM
Submit by McCoy, Suzanne 5/28/2019 8:25:07 AM (Payment Verification - NCG01-2019-0385)
• The task was assigned to McCoy, Suzanne. The due date is: May 29, 2019 5:00 PM. The priority is:
High 5/28/2019 8:24 AM
STME
NORTH CAROLINA
Ernvlronmentol qualily
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * LEXINGTON SUBDIVISION
2. County* Chatham
3. Highway or Street 156 LEXINGTON DRIVE
Address * Street name only is acceptable if no address number assigned yet
4. City or Township* APEX
5. State * NC
1r-i)iTII1T7G)MFalif_TiIa1010
6. Zip Code* 27523
7. Latitude * Enter the latitude in decimal degrees
35.7773
8. Longitude * Enter the longitude in decimal degrees (MIST be negative)
-78.9584
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*
05/29/2019
Estimated Construction Project Start Date
10. Date to End*
05/29/2021
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial aassification for Development
12. Acres to be
0.41
disturbed*
(including off -site borrow and waste areas)
13. Total site area 3.63
(acres)*
14. Post- 0.16
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-CHATH-2019-LEXINGTON SUBDIVISION
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 ROCKY FORD BRANCH
Wate rbody* Name of waterbody into which stornwater runoff will discharge
15b. Waterbody 16-41-6-4-(1)
Index No. * NCWaterbody Index N nber
Stormwater fJ No
discharges will flow pr Yes
to additional
wate rs *
16a. Is this project F 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
.....................................................................................................................................................................
h
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 HEARTHSTONE LUXURY HOMES LLC dba/Arthur Rutenberg
Name * Homes of the Triangle
2. First Name* JEFF
If Corporation, enter Registered Agent First l\brre
3. Last Name * LOGSDON
ff Corporation, enter Registered Agent Last Barre
3b. Title OWNER & MANAGER
4. Permitee E-mail invoiceshlh@gmail.com
Address*
5. Permittee 919-816-7928
Telephone No.*
6. Permittee Mailing Street Address
Address* P.O. BOX97816
Address Line 2
City
RALEIGH
Postal / Zip Code
27624
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
r Yes
Street Address
1004 MANOR GLEN WAY
Address Line 2
City
RALEIGH
Fbstal / Zip Code
27615
State / Province / Region
NC
Country
United States
State / Province / Region
NC
Country
UNITED STATES
C. Site Contact Information
Part C.
Proiect Site Contact hforrration
1. Type of Individual
Ownership*
2. Primary Site JEFF
Contact - First
Name *
3. Primary Site LOGSDON
Contact - Last
Name *
4. Title OWNER & MANAGER
5. Site Contact E- JLOGSDON@ARHOMES.COM
mail Address*
6. Site Contact 919-816-7928
Telephone No.*
7. Organization HEARTHSTONE LUXURY HOMES LLC
Name dba/Arthur Rutenberg Homes of the Triangle
8. Site Contact Street Address
Mailing Address* PO BOX97816
Address Line 2
City State / Province / P egion
RALEIGH NC
Pbstal / Zip Code Country
27624 United States
D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................
1. Date E&SC Plan 05/23/2019
Approved *
2. E&SC Plan Project 2019-04624
Number/ID* Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by r Local Program
4. Local Program* Chatham 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 LEXINGTON Letter of Approval 5-23-19 CHATHAM
Approval 94.86KB
COUNTY.pdf
letter/documentation
Mist be R7F format
6. NOI Certification NOI-CERT FORM-LEXINGTON SUBD 5-23-19.pdf 1.35MB
Form Mist be RDF format
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.
* V 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.
* V 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* JEFF LOGSDON
Title OWNER & MANAGER
Organization HEARTHSTONE LUXURY HOMES LLC dba/Arthur Rutenberg
Homes of the Triangle
Date * 05/24/2019
F. Tracking and COC Info
NOI Tracking No. 11402
NC Reference No. NCG01-2019-0385
Uses 'count number variable (incremrented by SP)
Certificate of NCC190385
Coverage (COC) Uses 'count _nunber'variable (increrrented bySP)
No. *
Count Number 385
Sequential nunber for subrrittal that is incremented by Stored Procedure
COC Year 2019
Year of date reviewed (used to assign YY digits after "NGC' in OOCno.)