HomeMy WebLinkAboutNCC190471_NOI Application_20190603Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/3/2019 12:43:43 PM (NCG01 NOI Submission)
Approve by Lucas, Annette 6/4/2019 4:46:36 PM (Review- Construction NOI 11647)
In Good luck with your project.
• The task was assigned to Lucas, Annette by round robin distribution 6/3/2019 12:43 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 5, 2019 5:00 PM
6/3/2019 12:43 PM
Submit by Lucas, Annette 6/4/2019 5:01:56 PM (Payment Verification - NCG01-2019-0471)
• The task was assigned to Lucas, Annette. The due date is: June 5, 2019 5:00 PM 6/4/2019 4:46 PM
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NORTH CAROLINA
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A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * Stevens Grove - Lot 38-B (#395895)
2. County* Mecklenburg
3. Highway or Street 1056 Arborfield Drive
Address * Street name only is acceptable if no address number assigned yet
4. City or Township* Matthews
5. State * NC
6. Zip Code* 28105
7. Latitude * Enter the latitude in decimal degrees
35.1050
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-80.7590
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*
06/07/2019
Estimated Construction Project Start Date
10. Date to End*
01 /28/2020
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial aassification for Development
12. Acres to be
0.40
disturbed*
(including off -site borrow and waste areas)
13. Total site area 0.94
(acres)*
14. Post- 0.14
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-MECKL-2019-Stevens Grove - Lot 38-B (#395895)
Tracking ID Assigned autor atically
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 Four Mile Creek
Waterbody* khrm of waterbody into which stornvwater runoff will discharge
15b. Waterbody 11-137-9-4
Index No. * NCWaterbody Index Ninber
Stormwater r No
discharges will flow pr Yes
to additional
wate rs *
15c. Additional McAlpine Creek
Receiving Waterbody narre
Waterbody
15d. Waterbody NCWaterbody Index Ninber
Index No.
15e. Additional Waterbody narre
Receiving
Waterbody
15f. Waterbody NCWaterbodyIndex Narrber
Index No.
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 Paragon Homes of Charlotte, Inc.
Name *
2. First Name* Mitch
ff Corporation, enter Registered Agent First l\b e
3. Last Name * Genda
Y Corporation, enter Registered Agent Last Barre
3b. Title President
4. Permitee E-mail mgenda@arhomes.com
Address*
5. Permittee 704-361-7741
Telephone No.*
6. Permittee Mailing Street Address
Address* 600 Towne Centre Boulevard
Address Line 2
Suite # 305
City State / Province / Region
Pineville NC
Pastal / Zip Code Country
28134 us
Check box if the r% Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 600 Towne Centre Boulevard
Address Line 2
Suite # 305
City State / Province / Region
Pineville NC
Pastal / Zip Code Country
28134 us
C. Site Contact Information
Part C.
Roiect Site Contact hforrration
1. Type of Individual
Ownership*
2. Primary Site Craig
Contact - First
Name *
3. Primary Site Primm
Contact - Last
Name *
4. Title Project Manager
5. Site Contact E- cprimm@arhomes.com
mail Address*
6. Site Contact 704-441-2630
Telephone No.*
7. Organization Paragon Homes of Charlotte, Inc.
Name
8. Site Contact Street Address
Mailing Address* 600 Towne Centre Boulevard
Address Line 2
Suite # 305
aty
Pineville
Fbstal / Zip Code
28134
State / Province / Pegion
NC
Country
us
D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................
1. Date E&SC Plan 05/31/2019
Approved *
2. E&SC Plan Project 395895
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 EC Doc -Approved Itr #395895.pdf 67.27KB
Approval Mast be RCFformat
letter/documentation
6. NOI Certification Stevens Grove Paragon Homes of Charlotte.pdf 70.45KB
Form Mist be R7Fformat
This is an Express r 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
( r4 � �
Type Name* Mitch Genda
Title President
Organization Paragon Homes of Charlotte, Inc.
Date * 06/03/2019
F. Tracking and COC Info
NOI Tracking No. 11647
NC Reference No. NCG01-2019-0471
Uses 'count number variable (incremrented by SP)
Certificate of NCC190471
Coverage (COC) Uses'count_nunber'variable (incremrented by SF)
No. *
Count Number 471
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.)