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HomeMy WebLinkAboutNCC200023_NOI Application_20200107Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 1/3/2020 11:00:09 AM (NCG01 NOI Submission) Approve by Clark, Paul 1/3/2020 11:11:17 AM (Review- Construction NOI 20181) • The task was assigned to Clark, Paul by round robin distribution 1/3/2020 11:00 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 7, 2020 5:00 PM 1/3/2020 11:00 AM Submit by McCoy, Suzanne 1/7/2020 7:29:17 AM (Payment Verification for NCC200023) * Olde Towne WEH LP • McCoy, Suzanne assigned the task to McCoy, Suzanne 1/7/2020 7:28 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 14, 2020 5:00 PM 1/3/2020 11:11 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Olde Towne 2. County* Wake 3. Highway or Street 2201 South New Hope Road Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Raleigh 5. State * NC 6. Zip Code * 27610 7. Latitude * Enter the latitude in decimal degrees 35.7413 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.5606 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* 01/02/2020 Estimated Construction Project Start Date 10. Date to End* 12/31/2021 Estimated Construction Project End Cute 11. SIC (Primary) * Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 185.70 disturbed* (including off -site borrow and waste areas) 13. Total site area 236.12 (acres) * 14. Post- 0.00 construction (Estimated) impervious area (acres)* NCC Project NCC-WAKE-2020-01de Towne Tracking ID Assignedautorratically 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 Walnut Creek Wate rbody* Nine of waterbody into which storrrwater runoff will discharge 15b. Waterbody 27-34-(4) Index No. * NCWaterbody Index Minter Stormwater V No discharges will flow r Yes to additional wate rs * 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 Olde Towne WEH LP Name * 2. First Name* Eric IF Corporation, enter Fbgistered Agent First Barre 3. Last Name* Rifkin If Corporation, enter F3egistered Agent Last %rre 3b. Title Vice President 4. Permitee E-mail erifkin@hallecompanies.com Address * 5. Permittee (919)387-1885 Telephone No.* 6. Permittee Mailing Street Address Address* 56 Hunter Street Address Line 2 Suite 110 city State / F rovince / Faegion Apex NC Fbstal / Zip Code Country 27502-2325 us Check box if the rJ Yes street address the same as mailing address 7. Permittee Street Street Address Address* 56 Hunter Street Address Line 2 Suite 110 city State / Frovince / Fbgion Apex NC Fbstal / Zip Code Country 27502-2325 us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Type of Non -Government Ownership * 2. Primary Site Michael Contact - First Name * 3. Primary Site Williams Contact - Last Name * 4. Title Civil/Site Development Manager 5. Site Contact E- muvilliams@hallebuildinggroup.com mail Address* 6. Site Contact (919)916-0165 Telephone No.* 7. Organization Olde Towne WEH LP Name 8. Site Contact Street Address Mailing Address* 56 Hunter Street Address Line 2 Suite 110 Cty Apex Fbstal / Zip Code 27502-2325 9. Consultant Name (Optional) Nick Williamson First and Last narre 10. Consultant E- Williamson@mcadamsco.com mail This person will be copied on all correspondence. 11. Consultant Telephone No. State / Rovince / Fbgion NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 09/18/2019 Approved * 2. E&SC Plan Project 591406-491004-LD-119074 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* City of Raleigh 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 PM_DS_Building Permit_19-9-2019_01-06-47-523- Approval 89.86KB AM_0. pdf letter/documentation Mist be R7Fforrrat 6. NOI Certification Olde Towne eNOI.pdf 82.68KB Form Mist be R7Ffon-rat This is an Express F No Review Project* r Yes E. Certification North Carolina General Statute 143-215.66 (1) 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 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. * 17 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 � ' r.11! Type Name* Eric Rifkin Title Assistant Vice President Organization Olde Towne WEH LP Date * 01 /03/2020 F. Tracking and COC Info NOI Tracking No. 20181 NC Reference No. NCG01-2020-0023 Uses 'count number' variable (incremrented by SP) Certificate of NCC200023 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 23 Sequential number for submittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.)