HomeMy WebLinkAboutNCC191268_NOI Application_20190808Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/7/2019 10:07:23 AM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 8/7/2019 2:08:18 PM (Review- Construction NOI 14562)
In The E&SC approval letter did not include the approved acres disturbed, but the reviewer confirmed it
was 1.28 acres as entered on the eNO1 with N. Berry from Henderson County via e-mail on 817.
• The task was assigned to Georgoulias, Bethany by round robin distribution 8/7/2019 10:07 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 9, 2019 5:00
PM 8/7/2019 10:07 AM
Submit by Lucas, Annette 8/8/2019 9:16:04 AM (Payment Verification for NCC191268)
• Lucas, Annette assigned the task to Lucas, Annette 8/8/2019 9:15 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 21, 2019 5:00 PM
8/7/2019 2:08 PM
STME
NORTH CAROLINA
Ernvlronmentol qualily
A. Project Information
Part A.
Project Location and Waterbody Inforrration
1. Project Name * WNC Resort Properties, LLC (Etowah Townhomes)
2. County* Henderson
3. Highway or Street 470 Brickyard Road
Address * Street name only is acceptable if no address nurrber assigned yet
4. City or Township* Etowah
5. State * NC
! 1i) iTII T:2,0)M 1-11 f_T1II a 1010
6. Zip Code* 28729
7. Latitude * Enter the latitude in decirral degrees
35.3252
8. Longitude * Enter the longitude in decirral degrees (MIST be negative)
-86.6022
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*
08/19/2019
Estimated Construction Project Start Date
10. Date to End*
10/31 /2019
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Other
than SFE (1522)
Standard Industrial Gassification for Development
12. Acres to be
1.28
disturbed*
(including off -site borrow and waste areas)
13. Total site area 173.84
(acres)*
14. Post- 0.68
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-HENDE-2019-WNC Resort Properties, LLC (Etowah
Tracking ID Townhomes)
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 Gash Creek
Waterbody* Narre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 6-47
Index No. * NC Waterbody Index Ninber
Stormwater r No
discharges will flow pr Yes
to additional
wate rs *
15c. Additional French Broad River
Receiving Waterbody nacre
Waterbody
15d. Waterbody 6-(27)
Index No. NCWaterbody Index Pbnber
15e. Additional Waterbody nacre
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Ninber
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 WNC Resort Proeprties, LLC
Name *
2. First Name* Dewey
ff Corporation, enter Registered Agent First l\brre
3. Last Name * Andrew
ff Corporation, enter Registered Agent Last Barre
3b. Title Member/Manager
4. Permitee E-mail dvandrew@bellsouth.net
Address*
5. Permittee 828-216-3511
Telephone No.*
6. Permittee Mailing Street Address
Address* 175 Pinkerton Corner
Address Line 2
City
Fairview
Postal / Zip Code
28730-7722
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
fJ Yes
Street Address
175 Pinkerton Corner
Address Line 2
City
Fairview
Rastal / Zip Code
28730-7722
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 Dewey
Contact - First
Name *
3. Primary Site Andrew
Contact - Last
Name *
4. Title Member/Manager
5. Site Contact E- dvandrew@bellsouth.net
mail Address*
6. Site Contact 828-216-3511
Telephone No.*
7. Organization
WNC Resort Properties, LLC
Name
8. Site Contact
Street Address
Mailing Address*
175 Pinkerton Corner
Address Line 2
city
Fairview
Pbstal / Zip Code
28730-7722
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 07/24/2019
Approved *
2. E&SC Plan Project 2019-06-12
Number/ID* Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by r Local Program
4. Local Program* Henderson 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 Permit for SESC Approval Etowah Townhomes.pdf 94.88KB
Approval SESC with Conditions Approval Ltr Etowah
letter/documentation 108.51 KB
Town homes. pdf
Mist be FDF format
6. NOI Certification WNC Resort Properties - NOI.pdf 431.24KB
Form lutist be FDFformat
This is an Express r No
Review Project* f 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*
Dewey Andrew
Title
Member/Manager
Organization
WNC Resort Properties, LLC
Date *
08/07/2019
F. Tracking and COC Info
NOI Tracking No. 14562
NC Reference No. NCG01-2019-1268
Uses 'count number variable (incremrented by SP)
Certificate of NCC191268
Coverage (COC) Uses 'count _nunber'variable (increrrented bySP)
No. *
Count Number 1268
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.)