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HomeMy WebLinkAboutNCC200467_NOI Application_20200205Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 2/3/2020 2:57:25 PM (NCG01 NOI Submission) Approve by Farkas, Jim J 2/5/2020 1:39:21 PM (Review- Construction NOI 21450) • The task was assigned to Farkas, Jim J by round robin distribution 2/3/2020 2:57 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 5, 2020 5:00 PM 2/3/2020 2:57 PM Submit by McCoy, Suzanne 2/5/2020 1:44:27 PM (Payment Verification for NCC200467) * Ardmore at Bryton • McCoy, Suzanne assigned the task to McCoy, Suzanne 2/5/2020 1:44 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 18, 2020 5:00 PM 2/5/2020 1:39 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Ardmore at Bryton 2. County* Mecklenburg 3. Highway or Street Bryton Ridge Pkwy Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Huntersville 5. State * NC 6. Zip Code * 28078 7. Latitude * Enter the latitude in decimal degrees 35.3811 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -80.8299 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* 02/10/2020 Estimated Construction Project Start Cate 10. Date to End* 03/01/2021 Estimated Construction Project End Cute 11. SIC (Primary) * Residential, Other than SFE (1522) Standard Industrial Classification for Ceveloprrent 12. Acres to be 13.69 disturbed* (including off -site borrow and waste areas) 13. Total site area 15.20 (acres) * 14. Post- 8.57 construction (Estimated) impervious area (acres) * NCC Project NCC-MECKL-2020-Ardmore at Bryton 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 Cane Creek Wate rbody* %rre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 13-17-4-2-1 Index No.* NCWaterbody Index Number Stormwater rJ 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. ^ Flarnittee 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 Ardmore at Bryton, LLC Name * 2. First Name* Brantley IF Corporation, enter Pbegistered Agent First Barre 3. Last Name* White IF Corporation, enter Faegistered Agent Last %rre 3b. Title President 4. Permitee E-mail bwhite@ardmoreresidential.com Address * 5. Permittee 336-383-5826 Telephone No.* 6. Permittee Mailing Street Address Address* 1400 West Northwood Street Address Line 2 city State / Frovince / Faegion Greensboro NC Fbstal / Zip Code Country 27408-8021 us Check box if the rJ Yes street address the same as mailing address 7. Permittee Street Street Address Address* 1400 West Northwood Street Address Line 2 City State / Frovince / Plegion Greensboro NC Fbstal / Zip Code Country 27408-8021 us 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration _.................................................................................................................................................................................................... 1. Primary Site Thomas Contact - First Name * 2. Primary Site White Contact - Last Name * 3. Title President 4. Site Contact E- white@ardmoreresidential.com mail Address* 5. Site Contact 336-383-5926 Telephone No. 6. Organization Whitewood Construction Name 7. Site Contact Street Address Mailing Address* 1400 West Northwood Street Address Line 2 City Greensboro Postal / Zip Code 27408-8021 8. Consultant Name (Optional) Nolan Franz First and Last nacre 9. Consultant E-mail nfranz@hagen-eng.com This person will be copied on all correspondence. 10. Consultant 5405390617 Telephone No. State / Rovince / Region NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 02/03/2020 Approved * 2. E&SC Plan Project 401633 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Tovvn of Huntersville 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 EC Plan Approval Ltr #401633.pdf 155.9KB 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 NOI Signed Form.pdf 265.51KB Form Mast be FDFformat 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 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 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 Type Name* Brantley White Title President Organization Ardmore at Bryton, LLC Date * 02/03/2020 F. Tracking and COC Info NOI Tracking No. 21450 NC Reference No. NCG01-2020-0467 Uses 'count number' variable (incremrented by SP) Certificate of NCC200467 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 467 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.)