NCC200898_NOI Application_20200306

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/5/2020 4:03:42 PM (NCG01 NOI Submission)
Approve by McCoy, Suzanne 3/6/2020 7:23:14 AM (Review- Construction NOI 22830)
. The task was assigned to McCoy, Suzanne by round robin distribution 3/5/2020 4:04 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 9, 2020 5:00 PM
3/5/2020 4:04 PM
Submit by McCoy, Suzanne 3/6/2020 2:15:13 PM (Payment Verification for NCC200898)
* Jason Rivenbark
• McCoy, Suzanne assigned the task to McCoy, Suzanne 3/6/2020 2:14 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 17, 2020 5:00 PM
3/6/2020 7:23 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
la. Project Name * BRYAN PROPERTY SUBDIVISION
1 b. Specific Lot This field may be used to list specifc lot nunbers.
Numbers
2. County* Wake
3. Highway or Street 8230 BRYAN ROAD
Address* Street name only is acceptable if no address number assigned yet
4. CityorTownship* GARNER
5. State * NC
6. Zip Code* 27529
7. Latitude* Enter the latitude in decimal degrees
35.6639
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-78.5920
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*
04/06/2020
Estirrated Construction Project Start Date
10. Date to End*
10/01/2021
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial Classification for Development
12. Acres to be
15.70
disturbed*
(including off -site borrow and waste areas)
13. Total site area 18.74
(acres)*

14. Post- 5.35
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-WAKE-2020-BRYAN PROPERTY SUBDIVISION
Tracking ID Assigned autocratically
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 MAHLERS CREEK
Waterbody* Ilarre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 27-43-9
Index No.* NCWaterbody Index Nurrber
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 LENNAR CAROLINAS, LLC
Name * If perrrittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name* TROY
It Corporation, enter F;bgistered Agent First Barre
3. Last Name* GEORGE
If Corporation, enter Faegistered Agent Last Wre
3b. Title DIVISION PRESIDENT
4. Permitee E-mail [e-mail]
Address *
5. Permittee 919-465-5935
Telephone No.*
6. Permittee Mailing Street Address
Address* 1100 Perimeter Park Drive
Address Line 2
SUITE 112
City
State / Ftovince / Faegion
Morrisville
NC
Fostal / Zip Code
Country
27560
US
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
1100 Perimeter Park Drive
Address Line 2
SUITE 112
City
State / Ffovince / Fbgion
Morrisville
NC
Fbstal / Zip Code
Country
27560
US
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Project Site Contact Information
..............................................................................................................................................................................................................................................................................................................................................................................................
1. Primary Site STEVEN
Contact - First
Name *
2. Primary Site MALLORY
Contact - Last
Name *
3. Title DIVISION ENVIRONMENTAL MANAGER
4. Site Contact E- [e-mail]
mail Address*
5. Site Contact 919-624-4629
Telephone No.*
6. Organization
LENNAR CAROLINAS, LLC
Name
7. Site Contact
Street Address
Mailing Address*
1100 Perimeter Park Drive
Address Line 2
SUITE 112
city
Morrisville
Postal / Zip Code
27560
8. Consultant Name (Optional)
First and Last name
9. Consultant E-mail This person will be copied on all correspondence.
10. Consultant
Telephone No.
State / Province / P egion
NC
Country
US

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 07/10/2018
Approved *
2. E&SC Plan Project S-6193
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* Wake County
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 or
include the beginning point and end point coordinates in the "Notes" box below.
5. E&SC Plan Bryan Road EC Approval.pdf 1.02MB
Approval letter or Mist beRDFformat
Grading Permit
Site Map (Optional) Helpful for linear project review
Mast be R7Fform3t
Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded documents support
the application. Include additional w aterbodies for linear projects if necessary.
6. NOI Certification BRYAN PROPERTY_SignedeNOICertForm.pdf 447.82KB
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 Amide 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* Troy George
Title Division President
Organization Lennar Carolinas, LLC
Date * 03/05/2020

F. Tracking and COC Info
NOI Tracking No. 22830
NC Reference No. NCG01-2020-0898
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200898
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 898
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.)