HomeMy WebLinkAboutNCC191690_NOI Application_20190904Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/30/2019 9:38:10 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 9/3/2019 12:14:00 PM (Review- Construction NOI 15449)
• The task was assigned to Morman, Alaina by round robin distribution 8/30/2019 9:38 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 3, 2019 5:00
PM 8/30/2019 9:38 AM
Submit by McCoy, Suzanne 9/4/2019 2:14:31 PM (Payment Verification for NCC191690)
* NVR Operations
• McCoy, Suzanne assigned the task to McCoy, Suzanne 9/4/2019 2:14 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 15, 2019 5:00 PM
9/3/2019 12:14 PM
STME
NORTH CAROLINA
Errvlronmentol qualily
A. Project Information
Part A.
Project Location and Waterbody Inforrration
1r-G)ff&T7i)M1i1117-_1iIa1010
1. Project Name* Holcomb Woods phase 2-CABAR-2020-011(188,211-219,225-
228,250-267,274-284 & 364-3
2. County* Cabarrus
3. Highway or Street Plaza Road Extension
Address* Street narre only is acceptable if no address nun-ber assigned yet
4. City or Township* Harrisburg
5. State * NC
6. Zip Code * 28215
7. Latitude* Enter the latitude in decimal degrees
35.2680
8. Longitude * Enter the longitude in decirral degrees (MJST be negative)
-80.6660
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*
09/16/2019
Estirrated Construction Project Start Date
10. Date to End *
12/31 /2021
Estirrated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial Classification for Developrrent
12. Acres to be
6.30
disturbed*
(including off -site borrow and waste areas)
13. Total site area 11.80
(acres) *
14. Post- 3.00
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-CABAR-2019-Holcomb Woods phase 2-CABAR-2020-
Tracking ID 011(188,211-219,225-228,250-267,274-284 &364-3
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 Crozier Creek
Waterbody* Name of waterbody into which storrrwater runoff will discharge
15b. Waterbody 13-17-8-2
Index No. * NC Waterbody Index Ninber
Stormwater r No
discharges will flow pr Yes
to additional
wate rs *
15c. Additional Reedy Creek
Receiving Waterbody nacre
Waterbody
15d. Waterbody 13-17-8
Index No. NCWaterbody Index Pbnber
15e. Additional n/a
Receiving Waterbody nacre
Waterbody
15f. Waterbody n/a
Index No. NCWaterbody Index Pbnber
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 NVR dba Ryan Homes
Name *
2. First Name* Kevin
ff Corporation, enter Registered Agent First l\b e
3. Last Name * Connery
ff Corporation, enter Registered Agent Last Barre
3b. Title Division Manager
4. Permitee E-mail kconnery@nvrinc.com
Address*
5. Permittee 704-875-9887
Telephone No.*
6. Permittee Mailing Street Address
Address* 9920 Kincey Avenue
Address Line 2
suite 190
City
Huntersville
Postal / Zip Code
28078
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
9920 Kincey Avenue
Address Line 2
suite 190
City
Huntersville
Rastal / Zip Code
28078
State / Province / Region
NC
Country
us
State / Province / Region
NC
Country
us
C. Site Contact Information
Part C.
Roiect Site Contact Information
1. Type of Non -Government
Ownership*
2. Primary Site Jason
Contact - First
Name *
3. Primary Site Nelson
Contact - Last
Name *
4. Title Production Manager
5. Site Contact E-
jnelson@nvrinc.com
mail Address*
6. Site Contact
704-875-9887
Telephone No.*
7. Organization
WR dba Ryan Homes
Name
8. Site Contact
Street Address
Mailing Address*
9920 Kincey Avenue
Address Line 2
City
Huntersville
Fbstal / Zip Code
28078
9. Consultant Name (optional)
First and Last nacre
10. Consultant E- This person will be copied on all correspondence.
mail
11. Consultant
Telephone No.
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 08/21/2019
Approved *
2. E&SC Plan Project CABAR-2020-011
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 CABAR-2020-011 (lots 188,211-219,225-228,250-
Approval 1.35MB
267, 274-284, 364-369 ).pdf
letter/documentation
Mist be RJF forrrat
6. NOI Certification NOI signed HOLCOMB WOODS PHASE 2 Map 1,2
Form 130.82KB
CABAR-2020-01 1.pdf
NLst be R7Fforrrat
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 *
Kevin Connery
Title
Division Manager
Organization
NVR dva Ryan Homes CTC
Date *
08/30/2019
F. Tracking and COC Info
NOI Tracking No. 15449
NC Reference No. NCG01-2019-1690
Uses 'count number variable (incremrented by SP)
Certificate of NCC191690
Coverage (COC) Uses 'count _nunber'variable (increrrented bySP)
No. *
Count Number 1690
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.)