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HomeMy WebLinkAboutNCC202853_NOI Application_20200708Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 7/6/2020 10:43:10 AM (NCG01 NOI Submission) Approve by Garcia, Lauren V 7/7/2020 3:10:30 PM (Review- Construction NOI 27825) . The task was assigned to Garcia, Lauren V by round robin distribution 7/6/2020 10:43 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 8, 2020 5:00 PM 7/6/2020 10:43 AM Submit by Selkane, Aziza 7/8/2020 4:41:41 PM (Payment Verification for NCC202853) * Robert Menzies • Selkane, Aziza assigned the task to Selkane, Aziza 7/8/2020 4:40 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 18, 2020 5:00 PM 7/7/2020 3:11 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected 27694 NOI No. Prior Reviewer Alaina Morman Name 1a. Project Name * Mass Grading Improvements for the +/1 98 Acre Downtown Candor 1 b. Specific Lot This field may be used to list specffc lot numbers. Numbers 2. County* Montgomery 3. Highway or Street Packhouse Road (SR 1579) Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Candor 5. State * NC 6. Zip Code * 27209 7. Latitude * Enter the latitude in decimal degrees 35.2998 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -79.7492 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* 01/01/2021 Estimated Construction Project Start Date 10. Date to End* 07/31/2022 Estimated Construction Project End Date 11. SIC (Primary)* Industrial (1541) Standard Industrial aassification for Developrrent 12. Acres to be 82.70 disturbed* (including off -site borrow and waste areas) 13. Total site area 98.58 (acres) * 14. Post- 28.22 construction (Estimated) impervious area (acres) * NCC Project NCC-MONTG-2021-Mass Grading Improvements for the +/1 98 Tracking ID Acre Downtown Candor 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 Bridgers Creek Waterbody* N larre of waterbody into which stormwater runoff will discharge 15b. Waterbody 13-25-24 Index No.* NCWaterbody Index Number Stormwater r No discharges will flow pr Yes to additional wate rs * 15c. Additional Cabin Creek Receiving Waterbody narre Waterbody 15d. Waterbody 17-26-5-(1) Index No. NCWaterbody Index Number 15e. Additional Waterbody narre Receiving Waterbody 15f. Waterbody NCWaterbody Index Number Index No. 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. ^ F2rnittee Inforrration - Legally Fbsponsible 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 Legally Pesponsible Entity Name * Aberdeen Carolina & Western Railway Company It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Jennifer IF Corporation, enter Faegistered Agent First %rre 3. Last Name* White It Corporation, enter F;bgistered Agent Last %ne 3b. Title President 4. Permitee E-mail jwhite@acwr.com Address* 5. Permittee 910.974.4219 Telephone No.* 6. Permittee Mailing Street Address Address* 967 NC Hwy 211 E Address Line 2 City State / Rovince / F;bgion Candor NC Fbstal / Zip Code Country 27229 USA Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 967 NC Hwy 211 E Address Line 2 City State / Frovince / Faegion Candor NC Fbstal / Zip Code Country 27229 USA 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Project Site Contact Information .............................................................................................................................................................................................................................................................................................................................................................................................. 1. Primary Site Jennifer Contact - First Name * 2. Primary Site White Contact - Last Name * 3. Title President 4. Site Contact E- jwtiite@acwr.com mail Address* 5. Site Contact 9109744219 Telephone No.* 6. Organization Aberdeen Carolina & Western Railway Name Company 7. Site Contact Street Address Mailing Address* 967 NC Hwy 211 E Address Line 2 city Candor Postal / Zip Code 27229 8. Consultant Name (Optional) First and Last nave 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. State / Province / Region North Carolina Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/26/2020 Approved * 2. E&SC Plan Project MONTG-2020-003 Number/ID * Assigned by agency or local program 3. E&SC Plan r State DEQ Office Approved by* r Local Program 4. State DEQ Office * Fayetteville (FRO) Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. For linear projects, please also upload a site map showing the overall extent of the project or include the beginning point and end point coordinates in the "Notes" box below. 5. E&SC Plan montg-2020-003apRev. pdf 784.58KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) 19221-1062 Downtown Candor Site - Site Location 697.47KB Map.pdf Mast be RDF format. Rease do not upload entire set of E&SC plans. 7. Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded documents support the application. Include additional w aterbodies for linear projects if necessary. 8. NOI Certification NCG01 Certification Form.pdf 37.77KB Form Mast be RDFfon-rat This is an Express F No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Artcle; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Artcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: 17 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. * 17 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 f 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 * Jennifer White Title President Organization Legally Plesponsible Entity Aberdeen Carolina & Western Railway Company Date * 07/06/2020 F. Tracking and COC Info NOI Tracking No. 27825 NC Reference No. NCG01-2020-2853 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC202853 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 2853 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.) Initial Invoice No. NCC202853-2020 Invoice Due Date 8/6/2020 Initial Fee $ 100.00 Invoice Status OPEN