NCC200334_NOI Application_20200131

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/24/2020 11:52:02 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 1/27/2020 9:05:28 AM (Review- Construction NOI 21119)
Reviewer corrected the index number for Moore Creek. It was the only mistake on the form.
• The task was assigned to Morman, Alaina by round robin distribution 1/24/2020 11:52 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 28, 2020 5:00
PM 1/24/2020 11:52 AM
Submit by McCoy, Suzanne 1/31/2020 7:24:22 AM (Payment Verification for NCC200334)
* Workforce Homestead Inc.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/31/2020 7:23 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 9, 2020 5:00 PM
1 /27/2020 9:05 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * Amaranth Apartments
2. County* Buncombe
3. Highway or Street Brookside Circle
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Asheville
5. State * NC
6. Zip Code * 27516
7. Latitude * Enter the latitude in decimal degrees
35.5481
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-82.6538
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 Date
10. Date to End*
12/31/2020
Estimated Construction Project End Cute
11. SIC (Primary) *
Residential, Other
than SFE (1522)
Standard Industrial aassification for Ceveloprrent
12. Acres to be
6.60
disturbed*
(including off -site borrow and waste areas)
13. Total site area
7.10
(acres) *
14. Post-
2.00
construction
(Estimated)
impervious area
(acres) *
NCC Project
NCC-BUNCO-2020-Amaranth Apartments
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 Moore Creek
Wate rbody* INbrre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 6-76-8
Index No.* W-Waterbody Index Nirrber
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. ^
Fternittee 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 Amaranth Homestead, LLC
Name *
2. First Name* James
IF Corporation, enter Pegistered Agent First Barre
3. Last Name* Yamin
If Corporation, enter Faegistered Agent Last %rre
3b. Title Managing member
4. Permitee E-mail [e-mail]
Address *
5. Permittee 828-351-9151
Telephone No.*
6. Permittee Mailing Street Address
Address* 1534 Twisted Oak Drive
Address Line 2
city
Chapel Hill
Fbstal / Zip Code
27516
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
1534 Twisted Oak Drive
Address Line 2
City
Chapel Hill
Fbstal / Zip Code
27516
State / Frovince / Faegion
NC
Country
United States
State / Frovince / Fbgion
NC
Country
United States

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Type of
Non -Government
Ownership *
2. Primary Site
James
Contact - First
Name *
3. Primary Site
Yamin
Contact - Last
Name *
4. Title
Managing member
5. Site Contact E-
[e-mail]
mail Address*
6. Site Contact
828-351-9151
Telephone No.*
7. Organization
Amaranth Homestead, LLC
Name
8. Site Contact
Street Address
Mailing Address*
1534 Twisted Oak Dr
Address Line 2
City
Chapel Hill
Fbstal / Zip Code
27516
9. Consultant Name
(Optional)
Todd Poteet
First and Last narre
10. Consultant E-
[e-mail]
mail
This person will be copied on all correspondence.
11. Consultant
828-522-4719
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 05/06/2019
Approved *
2. E&SC Plan Project BUNCO-2019-016
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 DEQ E&SC Plan Approval Letter, 050619.pdf 1.95MB
Approval Wst be FDFfornal
letter/documentation
Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support
the application.
6. NOI Certification NCG01-eNO1-Certification-Form, executed.pdf 615.04KB
Form Mast be R7Ffon-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
C'�f1r�4 ��x�rlrt<
Type Name * James Yamin
Title Managing member
Organization Amaranth Homestead, LLC
Date * 01 /24/2020

F. Tracking and COC Info
NOI Tracking No. 21119
NC Reference No. NCG01-2020-0334
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200334
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 334
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.)