HomeMy WebLinkAboutNCC191044_NOI Application_20190723Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/23/2019 10:03:55 AM (NCG01 NOI Submission)
Approve by Lucas, Annette 7/24/2019 10:57:58 AM (Review- Construction NOI 13788)
• The task was assigned to Lucas, Annette by round robin distribution 7/23/2019 10:04 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 25, 2019 5:00 PM
7/23/2019 10:04 AM
Submit by Lucas, Annette 7/24/2019 11:05:19 AM (Payment Verification - NCG01-2019-1044)
• The task was assigned to Lucas, Annette. The due date is: July 25, 2019 5:00 PM
7/24/2019 10:58 AM
STME
NORTH CAROLINA
Ernvlronmentol qualily
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * VERNON FARMS PHASE 3, SECTION 1, TRACT 1
2. County* Forsyth
3. Highway or Street 4495 Vernon Farms BLVD
Address * Street name only is acceptable if no address number assigned yet
4. City or Township* Winston Salem
5. State * NC
r-i) iTOT 7i) M l'11 f_T1II i 10 141
6. Zip Code* 27284
7. Latitude * Enter the latitude in decimal degrees
36.0929
8. Longitude * Enter the longitude in decimal degrees (MIST be negative)
-80.1531
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*
08/15/2019
Estimated Construction Project Start Date
10. Date to End*
08/15/2020
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial aassification for Development
12. Acres to be
17.40
disturbed*
(including off -site borrow and waste areas)
13. Total site area 18.51
(acres)*
14. Post- 4.81
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-FORSY-2019-VERNON FARMS PHASE 3, SECTION 1,
Tracking ID TRACT 1
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 Salem Lake
Wate rbody* Narre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 12-94-12-(1)
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
.....................................................................................................................................................................
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 SUDBURY DEVELOPMENT, LLC
Name *
2. First Name* Barry
ff Corporation, enter Registered Agent First l\b e
3. Last Name * Siegal
ff Corporation, enter Registered Agent Last Barre
3b. Title Manager
4. Permitee E-mail bscholding@aol.com
Address*
5. Permittee 336-587-3633
Telephone No.*
6. Permittee Mailing Street Address
Address* P.O. BOX16168
Address Line 2
City
State / Province / Region
HIGH POINT
NC
Postal / Zip Code
Country
27261
Guilford
Check box if the r% Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* P.O. BOX 16168
Address Line 2
City
State / Province / Region
HIGH POINT
NC
Postal / Zip Code
Country
27261
Guilford
C. Site Contact Information
Part C.
Roiect Site Contact Information
1. Type of Non -Government
Ownership*
2. Primary Site Barry
Contact - First
Name *
3. Primary Site Siegal
Contact - Last
Name *
4. Title Manager
5. Site Contact E- bscholding@aol.com
mail Address*
6. Site Contact 336-587-3633
Telephone No.*
7. Organization
SUDBURY DEVELOPMENT, LLC
Name
8. Site Contact
Street Address
Mailing Address*
P.O BOX 16168
Address Line 2
city
HIGH POINT
Fbstal / Zip Code
27261
State / Province / Region
NC
Country
GUILFORD
D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................
1. Date E&SC Plan 07/19/2019
Approved *
2. E&SC Plan Project 219406
Number/ID* Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by r Local Program
4. Local Program* Winston-Salem/Forsyth 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 Vernon Farms phase3-section1-tract1-APPROVAL -
Approval 54.58KB
07-19-19.pdf
letter/documentation
Mist be RJF forrrat
6. NOI Certification Vernon Farms Phase 3, Sect. 1 NOI Certificate
Form 706.39KB
Form.pdf
Mist be RCF format
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
Type Name* Barry Siegal
Title Manager
Organization Sudbury Development, LLC
Date * 07/23/2019
F. Tracking and COC Info
NOI Tracking No. 13788
NC Reference No. NCG01-2019-1044
Uses 'count number variable (incremrented by SP)
Certificate of NCC191044
Coverage (COC) Uses'countnunber'variable (incremrented by SF)
No. *
Count Number 1044
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.)