HomeMy WebLinkAboutNCC190890_NOI Application_20190708 Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 7/8/2019 12:54:12 PM(NCG01 NOI Submission)
Approve by Lucas,Annette 7/9/2019 5:25:40 PM(Review-Construction NOI 13138)
• The task was assigned to Lucas,Annette by round robin distribution 7/8/2019 12:54 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 10,2019 5:00 PM
7/8/2019 12:54 PM
Submit by Lucas,Annette 7/9/2019 5:26:05 PM(Payment Verification-NCG01-2019-0890)
• The task was assigned to Lucas,Annette.The due date is: July 10, 2019 5:00 PM 7/9/2019 5:25 PM
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A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name* Riverbend Grading and E&SC Plan for Final Closure-Additional
Area
2.County* Gaston
3. Highway or Street 473 Horseshoe Bend Beach Road
Address* Street narre only is acceptable if no address nun-ber assigned yet
4. City or Township* Mount Holly
5. State* INC
6.Zip Code* 28120
7. Latitude* Enter the latitude in decimal degrees
35.3600
8. Longitude* Enter the longitude in decirral degrees(MJST be negative)
-80.9691
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* 07/15/2019
Estimated Construction Project Start Date
10. Date to End* 01/31/2020
Estimated Construction Project End Date
11. SIC(Primary)* Industrial(1541)
Standard Industrial Classification for Developrrent
12.Acres to be 3.50
disturbed* (including off-site borrow and waste areas)
13.Total site area 423.69
(acres)*
14. Post- 0.00
construction (Estimated)
impervious area
(acres)*
NCC Project NCC-GASTO-2019-Riverbend Grading and E&SC Plan for Final
Tracking ID Closure-Additional Area
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 Catawba River(Mountain Island Lake)
Wate rbody* Narre of waterbody into which storrrwater runoff will discharge
15b.Waterbody 11-(114)
Index No.* NC Waterbody Index Ninber
Stormwater PF No
discharges will flow r 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
.....................................................................................................................................................................
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 Duke Energy Carolinas, LLC
Name*
2. First Name* Christopher
ff Corporation,enter Registered Agent First l\brre
3. Last Name* Varner
ff Corporation,enter Registered Agent Last Barre
3b.Title Senior Project Manager
4. Permitee E-mail Chris.Varner@duke-energy.com
Address*
5. Permittee 919-524-2240
Telephone No.*
6. Permittee Mailing Street Address
Address* 8320 E NC HWY 150
Address Line 2
City State/Province/Region
Terrell NC
Postal/Zip Code Country
28682 us
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 8320 E NC HWY 150
Address Line 2
City State/Province/Region
Terrell NC
Pastal/Zip Code Country
28682 US
C. Site Contact Information
Part C.
Project Site Contact Information
....................................................................................................................
1.Type of Non-Government
Ownership*
2. Primary Site Brad
Contact-First
Name*
3.Primary Site Loveland
Contact-Last
Name*
4.Title Permitting and Compliance, Carolinas
5.Site Contact E- Brad.Loveland@duke-energy.com
mail Address*
6.Site Contact 704-609-5637
Telephone No.*
7.Organization Duke Energy Carolinas, LLC
Name
8.Site Contact Street Address
Mailing Address* 526 South Church Street
Address Line 2
EC13K
City State/Province/Region
Charlotte INC
Rbstal/Zip Code Country
28202 us
D. E&SC Plan
Part D.
Erosion&Sediment Control(E&SC)Ran Approval Information
....................................................................................................................................................................................................................................... .............................................................................................
1. Date E&SC Plan 06/25/2019
Approved*
2. E&SC Plan Project GASTO-2019-023
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* Mooresville(MRO)
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 GASTO-2019-023_20190625_A-M.pdf 335.38KB
Approval Mist be RDFforrrat
letter/documentation
6. NOI Certification NOI Certification Form.pdf 41.43KB
Form Mist be RDFfornat
This is an Express f•No
Review Project* r Yes
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
Type Name* Christopher W.Varner
Title Senior Project Manager
Organization Duke Energy Carlolinas, LLC
Date* 07/08/2019
F. Tracking and COC Info
NOI Tracking No. 13138
NC Reference No. NCG01-2019-0890
Uses'count number variable(incremented by SP)
Certificate of NCC190890
Coverage (COC) Uses'count_nunber'variable(increrrented bySP)
No.*
Count Number 890
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.)