NCC200153_NOI Application_20200115

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/13/2020 11:12:54 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 1/14/2020 9:39:31 AM (Review- Construction NOI 20499)
• The task was assigned to Morman, Alaina by round robin distribution 1/13/2020 11:13 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 15, 2020 5:00
PM 1/13/2020 11:13 AM
Submit by McCoy, Suzanne 1/15/2020 7:16:47 AM (Payment Verification for NCC200153)
* Arunee M Cutno
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/15/2020 7:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 25, 2020 5:00
PM 1/14/2020 9:39 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * Envision Science Academy Athletic Fields
2. County* Wake
3. Highway or Street 590 Traditions Grande Blvd
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Wake Forest
5. State * NC
6. Zip Code * 27587
7. Latitude * Enter the latitude in decimal degrees
35.9819
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-78.4854
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*
01/20/2020
Estimated Construction Project Start Cate
10. Date to End*
07/20/2020
Estimated Construction Project End Cute
11. SIC (Primary) *
Other (0000)
Standard Industrial aassification for Ceveloprrent
12. Acres to be
8.76
disturbed*
(including off -site borrow and waste areas)
13. Total site area
8.04
(acres) *
14. Post-
4.26
construction
(Estimated)
impervious area
(acres) *
NCC Project
NCC-WAKE-2020-Envision Science Academy Athletic Fields
Tracking ID
Assigned automatically

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 Hatters Branch
Waterbody * %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 27-23-4
Index No.* NCWaterbody Index N nber
Stormwater r No
discharges will flow Pf Yes
to additional
wate rs *
15c. Additional Smith Creek (Wake Forest Reservoir)
Receiving Waterbody narre
Waterbody
15d. Waterbody 27-23-(1.5)
Index No. NCWaterbody Index Nunber
15e. Additional Waterbody narre
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Nunber
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 Envision Foundation LLC/Envision Science Academy
Name *
2. First Name* Roland
If Corporation, enter Registered Agent First f brre
3. Last Name* Lewis
If Corporation, enter Fegistered Agent Last %rre
3b. Title Board Vice Chair
4. Permitee E-mail [e-mail]
Address *
5. Permittee 919.435.4002
Telephone No.*
6. Permittee Mailing Street Address
Address* 590 Traditions Grande Boulevard
Address Line 2
City State / Province / Faegion
Wake Forest NC
Postal / Zip Code Country
27587 us
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 590 Traditions Grande Boulevard
Address Line 2
City
State / Rovince / Region
Wake Forest
NC
Fbstal / Zip Code
Country
27587
us

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Type of
Non -Government
Ownership *
2. Primary Site
Monica
Contact - First
Name *
3. Primary Site
Cutno
Contact - Last
Name *
4. Title
Board Member
5. Site Contact E-
[e-mail]
mail Address*
6. Site Contact
919.435.4002
Telephone No.*
7. Organization
Envision Science Academy
Name
8. Site Contact
Street Address
Mailing Address*
590 Traditions Grande Boulevard
Address Line 2
City
Wake Forest
Fbstal / Zip Code
27587
9. Consultant Name
(Optional)
Jon Frazier
First and Last narre
10. Consultant E-
[e-mail]
mail
This person will be copied on all correspondence.
11. Consultant
9196101051
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 05/15/2019
Approved *
2. E&SC Plan Project 2018-00000799
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Town of Wake Forest
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 ESA Letter of Approval.pdf
Approval Wst be RDFfornat
letter/documentation
84.91 KB
6. NOI Certification Notice of Intent Certification Form —NC Stormwater
Form 281.08KB
Program.pdf
Wst be RDFfornat
This is an Express r 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
IT 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
l 2 WW
Type Name* Roland Lewis Jr
Title Board Vice Chair
Organization Envision Foundation LLC/Envision Science Academy
Date * 01 /13/2020

F. Tracking and COC Info
NOI Tracking No. 20499
NC Reference No. NCG01-2020-0153
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200153
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 153
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.)