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HomeMy WebLinkAboutNCC192147_NOI Application_20191007Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 10/1/2019 11:13:39 AM (NCG01 NOI Submission) Approve by Clark, Paul 10/2/2019 8:37:12 AM (Review- Construction NOI 16502) • The task was assigned to Clark, Paul by round robin distribution 10/1/2019 11:14 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 3, 2019 5:00 PM 10/1/2019 11:14 AM Submit by EADS\smccoy2 10/7/2019 8:40:35 AM (Payment Verification for NCC192147) * Rhonda Sawyer • EADS\smccoy2 assigned the task to EADS\smccoy2 10/7/2019 8:40 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 13, 2019 5:00 PM 10/2/2019 8:37 AM STME NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Inforrration 1. Project Name * Buncombe County East Asheville Library 2. County* Buncombe 3. Highway or Street 3 Avon Road Address * Street name only is acceptable if no address nurrtrer assigned yet 4. City or Township* Asheville 5. State * NC 117-8) sT.:2,i) it fiIi f_TiI a 10 141 6. Zip Code* 28805 7. Latitude * Enter the latitude in decirral degrees 35.5878 8. Longitude * Enter the longitude in decirral degrees (MIST be negative) -82.5034 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* 10/15/2019 Estimated Construction Project Start Date 10. Date to End* 11 /30/2020 Estimated Construction Project End Date 11. SIC (Primary)* Commercial (1542) Standard Industrial aassification for Development 12. Acres to be 1.94 disturbed* (including off -site borrow and waste areas) 13. Total site area 2.76 (acres)* 14. Post- 1.35 construction (Estimated) impervious area (acres) * NCC Project NCC-BUNCO-2019-Buncombe County East Asheville Library Tracking ID 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. Please enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You may enter up to 3 waterbodies if needed. 15a. Receiving Haw Creek Waterbody* Nbrre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 6-78-22 Index No. * NCWaterbody Index Narrber Stormwater r No discharges will flow pr Yes to additional wate rs * 15c. Additional Swannanoa River Receiving Waterbody narre Waterbody 15d. Waterbody 6-78 Index No. NCWaterbody Index Narrber 15e. Additional French Broad River Receiving Waterbody narre Waterbody 15f. Waterbody 6-(54.75) Index No. NCWaterbody Index Narrber 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 Fbsponsible 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 James R. Vannoy & Sons Construction Co., Inc. Name * 2. First Name* Brian ff Corporation, enter Fbgistered Agent First 1\brre 3. Last Name * Walker ff Corporation, enter Registered Agent Last Barre 3b. Title Vice President 4. Permitee E-mail rhonda.sawyer@jrvannoy.com Address* 5. Permittee 828-575-1300 Telephone No.* 6. Permittee Mailing Street Address Address* 551 Brevard Road, Suite 111 Address Line 2 City Asheville Postal / Zip Code 28806 Check box if the r% Yes street address the same as mailing address 7. Permittee Street Street Address Address* 551 Brevard Road, Suite 111 Address Line 2 City Asheville Pastal / Zip Code 28806 State / Province / Region North Carolina Country USA State / Province / Region North Carolina Country USA C. Site Contact Information Part C. Roiect Site Contact Information 1. Type of Government - County Ownership* 2. Primary Site Michael Contact - First Name * 3. Primary Site Mace Contact - Last Name * 4. Title General Services Director 5. Site Contact E- Michael.Mace@buncombecounty.org mail Address* 6. Site Contact 828.250.4233 Telephone No.* 7. Organization Buncombe County Name 8. Site Contact Street Address Mailing Address* 40 McCormick Place Address Line 2 aty Asheville Fbstal / Zip Code 28801-4255 9. Consultant Name (optional) First and Last narre 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 06/05/2019 Approved * 2. E&SC Plan Project BUNCO-2019-019 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 * Asheville (ARO) 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 LOA COPA 6-5-19.pdf 107.41 KB Approval Mist be FDFforrrat letter/documentation 6. NOI Certification NCG01-eNO1-Certification-Form-20190507-DEMLR- Form SW.pdf 316.46KB Mist be FDFforrrat 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 electronically signs this Certification above must be the same person who signs the NOI Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible person within the same organization as the Permittee. *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 * Brian K. Walker Title Vice President Organization James R. Vannoy & Sons Construction Co. Inc. Date * 10/01 /2019 F. Tracking and COC Info NOI Tracking No. 16502 NC Reference No. NCG01-2019-2147 Uses 'count number variable (incremrented by SP) Certificate of NCC192147 Coverage (COC) Uses'count_nunber'variable (incremrented by SF) No. * Count Number 2147 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.)