NCC200370_NOI Application_20200130

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/28/2020 9:10:59 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 1/29/2020 12:32:42 PM (Review- Construction NOI 21208)
p Part C1 - the owner of the E&SC plan is non -government (DuPont Company listed in Part 8), not the
State of North Carolina. However, this wasn't thought to impact permit coverage and, as nothing else was
wrong, the NOI was accepted as complete.
• The task was assigned to Morman, Alaina by round robin distribution 1/28/2020 9:11 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 30, 2020 5:00
PM. The priority is: High 1/28/2020 9:11 AM
Submit by McCoy, Suzanne 1/30/2020 7:22:05 AM (Payment Verification for NCC200370)
* Michael Robinson
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/30/2020 7:21 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 11, 2020 5:00 PM.
The priority is: High 1/29/2020 12:32 PM

.• SThF� ';
1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * SWMU-11 Closure - Dupont Brevard Facility
2. County* Transylvania
3. Highway or Street 701 Dupont Drive
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Cedar Mountain
5. State * NC
6. Zip Code * 28718
7. Latitude * Enter the latitude in decimal degrees
35.1835
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-82.6127
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*
01/28/2020
Estimated Construction Project Start Date
10. Date to End*
10/31/2020
Estimated Construction Project End Cute
11. SIC (Primary)*
Industrial (1541)
Standard Industrial Classification for Developrrent
12. Acres to be
21.90
disturbed*
(including off -site borrow and waste areas)
13. Total site area
21.90
(acres) *
14. Post-
0.00
construction
(Estimated)
impervious area
(acres) *
NCC Project
NCC-TRANS-2020-SWMU-11 Closure - Dupont Brevard Facility
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 Little River
Wate rbody* INbrre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 6-38-(1)
Index No.* NCWaterbody Index N nber
Stormwater V No
discharges will flow r Yes
to additional
wate rs *
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. ^
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 E. I. du Pont de Nemours and Company
Name *
2. First Name* Jamie
IF Corporation, enter Fbgistered Agent First Barre
3. Last Name* Vanbuskirk
If Corporation, enter Registered Agent Last %rre
3b. Title CRG Project Director
4. Permitee E-mail [e-mail]
Address *
5. Permittee 803.802.5853
Telephone No.*
6. Permittee Mailing Street Address
Address* 2764 Pleasant Road
Address Line 2
city
Fort Mill
Fbstal / Zip Code
29708
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
2764 Pleasant Road
Address Line 2
City
Fort Mill
Fbstal / Zip Code
29708
State / F rovince / Region
SC
Country
US
State / Frovince / ilegion
SC
Country
us

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Type of
Government - State
Ownership *
2. Primary Site
Michael
Contact - First
Name *
3. Primary Site
Robinson
Contact - Last
Name *
4. Title
Supervising Environmental Engineer
5. Site Contact E-
Michael. [e-mail]
mail Address*
6. Site Contact
704.576.7477
Telephone No.*
7.Organization
Parsons
Name
8. Site Contact
Street Address
Mailing Address*
1422 S. Tryon Street, Suite 700
Address Line 2
City
Charlotte
Fbstal / Zip Code
28203
9. Consultant Name
(Optional)
Joshua Bell
First and Last narre
10. Consultant E-
[e-mail]
mail
This person will be copied on all correspondence.
11. Consultant
7045172618
Telephone No.
State / Rovince / Fbgion
NC
Country
United States

D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 01/27/2020
Approved *
2. E&SC Plan Project TRANS-2020-008
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 * 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 LOAwPR COPA 1-27-2020.pdf 119.43KB
Approval Wst be FDFfornat
letter/documentation
Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support
the application.
6. NOI Certification Brev IMG_0001.pdf 834.25KB
Form Mast be FDFfon-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 Atide; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Atide or rules of the
Commission implementing this Atcle 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 *
Jamie Van Buskirk
Title
CRG Project Director
Organization
E. I. du pont de Nemours and Company
Date *
01 /28/2020

F. Tracking and COC Info
NOI Tracking No. 21208
NC Reference No. NCG01-2020-0370
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200370
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 370
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.)