HomeMy WebLinkAboutNCC190837_NOI Application_20190703Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/3/2019 11:53:54 AM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 7/3/2019 2:00:56 PM (Review- Construction NOI 13065)
* Reviewer corrected receiving waterbody entry from White Oak (river basin) to Fullard Creek (matches
the index number entered by the applicant and consistent with name of stream with that index/near
location).
• The task was assigned to Georgoulias, Bethany by round robin distribution 7/3/2019 11:54 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 5, 2019 5:00 PM
7/3/2019 11:54 AM
Submit by Georgoulias, Bethany 7/3/2019 2:02:16 PM (Payment Verification - NCG01-2019-0837)
• The task was assigned to Georgoulias, Bethany. The due date is: July 4, 2019 5:00 PM
7/3/2019 2:01 PM
STME
NORTH CAROLINA
Ernvlronmentol qualily
A. Project Information
1re) frIT7i)Mfi1if_T1IIa1010
Part A.
Project Location and Waterbody Inforrration
1. Project Name * ALLIGATOR BAY - PRESERVE AT TIDEWATER APP # 13033
2. County* Onslow
3. Highway or Street 202 Laridae Court, 605 Pennywort Court, 500 Saratoga Road, 609
Address* Prospect Way, 604 Prospect Way, 610 Prospect Way, 612
Prospect Way
Street narre only is acceptable if no address nurrber assigned yet
4. City or Township* STUMP SOUND
5. State * NC
6. Zip Code* 28460
7. Latitude * Enter the latitude in declrral degrees
34.5252
8. Longitude* Enter the longitude in decirral degrees (MJST be negative)
-77.4019
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*
07/26/2019
Estirrated Construction Project Start Date
10. Date to End*
10/31 /2019
Estirrated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial aassification for Developrrent
12. Acres to be
1.14
disturbed*
(including off -site borrow and waste areas)
13. Total site area 5.67
(acres)*
14. Post- 0.53
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-ONSLO-2019-ALLIGATOR BAY - PRESERVE AT
Tracking ID TIDEWATER APP # 13033
Assigned autorretically
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 Fullard Creek
Wate rbody* Nbrre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 19-39-4-1
Index No. * NCWaterbody Index Nlunber
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
.....................................................................................................................................................................
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 CAVINESS & CATES BUILDING AND DEVELOPMENT COMPANY
Name *
2. First Name* CHRISTOPHER
ff Corporation, enter Registered Agent First NBrre
3. Last Name * CATES
ff Corporation, enter Registered Agent Last Barre
3b. Title VICE PRESIDENT
4. Permitee E-mail PAM@CAVINESSANDCATES.COM
Address*
5. Permittee 9104810503
Telephone No.*
6. Permittee Mailing Street Address
Address* 639 Executive Place
Address Line 2
City
Fayetteville
Postal / Zip Code
28305
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
fJ Yes
Street Address
639 Executive Place
Address Line 2
City
Fayetteville
Postal / Zip Code
28305
State / Province / Region
NC
Country
US
State / Province / Region
NC
Country
US
C. Site Contact Information
Part C.
Roiect Site Contact hforrration
1. Type of Individual
Ownership*
2. Primary Site PAMELA
Contact - First
Name *
3. Primary Site GEDDIE
Contact - Last
Name *
4. Title STARTS COORDINATOR
5. Site Contact E- PAM@CAVINESSANDCATES.COM
mail Address*
6. Site Contact 910-778-7902
Telephone No.*
7. Organization
CAVINESS & CATES BUILDING AND
Name
DEVELOPMENT COMPANY
8. Site Contact
Street Address
Mailing Address*
639 Executive PI
Address Line 2
aty
Fayetteville
Fbstal / Zip Code
28305
State / Province / Region
NC
Country
US
D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................
1. Date E&SC Plan 06/26/2019
Approved *
2. E&SC Plan Project ONSLO-2019-049
Number/ID* Assigned by agency or local program
3. E&SC Plan f• State DEQ Office
Approved by r Local Program
4. State DEQ Office * Wilmington (WiRO)
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 Erosion Approval.pdf
Approval Mist be RCFformat
letter/documentation
6. NOI Certification NOI.pdf
Form Mist be RJFformat
This is an Express f• No
Review Project* r Yes
290.16KB
1.73MB
E. Certification
North Carolina General Statute 143-215.613 (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 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
CC�'-Vwx5
Type Name * CHRISTOPHER E. CATES
Title VICE PRESIDENT
Organization CAVINESS & CATES BUILDING AND DEVELOPMENT COMPANY
Date * 07/03/2019
F. Tracking and COC Info
NOI Tracking No. 13065
NC Reference No. NCG01-2019-0837
Uses 'count number variable (incremrented by SP)
Certificate of NCC190837
Coverage (COC) Uses 'count _nunber'variable (increrrented bySP)
No. *
Count Number 837
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.)