NCC200585_NOI Application_20200217

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/12/2020 5:03:48 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 2/14/2020 8:44:29 AM (Review- Construction NOI 21839)
• Morman, Alaina reassigned the task to Garcia, Lauren V 2/12/2020 5:16 PM
* reassigning since Suzanne will be out the next two days
• The task was assigned to McCoy, Suzanne by round robin distribution 2/12/2020 5:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 14, 2020 5:00
PM. The priority is: High 2/12/2020 5:04 PM
Submit by McCoy, Suzanne 2/17/2020 7:34:55 AM (Payment Verification for NCC200585)
* Matthew Hartman
• McCoy, Suzanne assigned the task to McCoy, Suzanne 2/17/2020 7:34 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 27, 2020 5:00 PM.
The priority is: High 2/14/2020 8:44 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name * Ascend Leadership Academy Expansion
2. County* Lee
3. Highway or Street 283 Harvey Faulk Rd
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Sanford
5. State * NC
6. Zip Code * 27332
7. Latitude * Enter the latitude in decimal degrees
35.4348
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-79.1255
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*
02/19/2020
Estimated Construction Project Start Date
10. Date to End*
08/17/2020
Estimated Construction Project End Cute
11. SIC (Primary)*
Other (0000)
Standard Industrial Classification for Ceveloprrent
12. Acres to be
11.00
disturbed*
(including off -site borrow and waste areas)
13. Total site area
23.10
(acres) *
14. Post-
5.31
construction
(Estimated)
impervious area
(acres) *
NCC Project
NCC-LEE-2020-Ascend Leadership Academy Expansion
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 Cars Creek
Waterbody * %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 18-20-7
Index No.* NCWaterbody Index Nurrber
Stormwater r No
discharges will flow Pf Yes
to additional
wate rs *
15c. Additional Waterbodynarre
Receiving
Waterbody
15d. Waterbody NCWaterbody Index Nurrber
Index No.
15e. Additional Waterbody narre
Receiving
Waterbody
15f. Waterbody NCWaterbody Index Nurrber
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 BC Construction Group
Name *
2. First Name* Paul
IF Corporation, enter Fbgistered Agent First Barre
3. Last Name* Lemley
If Corporation, enter F3egistered Agent Last %rre
3b. Title Executive Vice President
4. Permitee E-mail [e-mail]
Address *
5. Permittee 8102252001
Telephone No.*
6. Permittee Mailing Street Address
Address* 10153 East Grand River Avenue
Address Line 2
city State / Frovince / Region
Brighton MI
Fbstal / Zip Code Country
48116 us
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
10153 East Grand River Avenue
Address Line 2
City
State / Frovince / Fbgion
Brighton
MI
Fbstal / Zip Code
Country
48116
us
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Project Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Matt
Contact - First
Name *
2. Primary Site
McCaskey
Contact - Last
Name *
3. Title
Field Superintendent
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
[phone]
Telephone No.
6. Organization
BC Construction Group
Name
7. Site Contact
Street Address
Mailing Address*
10153 East Grand River Avenue
Address Line 2
City
Brighton
Postal / Zip Code
48116
8. Consultant Name
(Optional)
Matthew Hartmann
First and Last narre
9. Consultant E-mail
This person will be copied on all correspondence.
10. Consultant
[phone]
Telephone No.
State / Province / Region
MI
Country
us

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 LEE-2020-025
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 * Raleigh (RRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. For linear projects, please also upload a site map showing the overall extent of the project.
5. E&SC Plan LEE-2020-025 LOA 20200127- Revised.pdf 497.14KB
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 NCG01-eNO1-Certification-Form-Signed 020620.pdf 427.68KB
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 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 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 * Paul Lemley
Title Executive Vice President
Organization BC Construction Group
Date * 02/12/2020

F. Tracking and COC Info
NOI Tracking No. 21839
NC Reference No. NCG01-2020-0585
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200585
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 585
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.)