NCC200945_NOI Application_20200311

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/9/2020 11:22:46 AM (NCG01 NOI Submission)
Approve by Clark, Paul 3/10/2020 9:13:34 AM (Review- Construction NOI 22911)
p Part A - No. 12 - Acres to be disturbed = 0.92 (eNO/ applic), but = 0.47 (uploaded approval). Acres to
be disturbed in eNO1 must be equal to (or less than) acres specified in uploaded approval. Please correct
and resubmit eNO1 application. Questions, please contact [e-mail], or 9197073642. thx.
• The task was assigned to Clark, Paul by round robin distribution 3/9/2020 11:24 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 11, 2020 5:00
PM 3/9/2020 11:24 AM
Submit by McCoy, Suzanne 3/11/2020 7:32:06 AM (Payment Verification for NCC200945)
* Johanna Taylor
• McCoy, Suzanne assigned the task to McCoy, Suzanne 3/11/2020 7:31 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 21, 2020 5:00 PM
3/10/2020 9:13 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
la. Project Name* 1908 Lyra Place (15CR)
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers 15 The Pines at Crescent Ridge
2. County* Wake
3. Highway or Street 1908 Lyra Place
Address* Street name only is acceptable if no address nunber assigned yet
4. City or Township* Wake Forest
5. State * NC
6. Zip Code* 27587
7. Latitude* Enter the latitude in decinal degrees
36.0418
8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative)
-78.6185
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*
04/01/2020
Estinated Construction Project Start Rate
10. Date to End *
12/15/2020
Estirrated Construction Project End Late
11. SIC (Primary)*
Residential, Single
Family Houses (SFE)
(1521)
Standard Industrial Classification for Development
12. Acres to be
0.92
disturbed*
(including off -site borrow and waste areas)
13. Total site area 0.47
(acres)*

14. Post- 0.14
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-WAKE-2020-1908 Lyra Place (15CR)
Tracking ID Assignedautorraticaly
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 Buckhorn Creek
Waterbody * %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 27-13-1(1)
Index No.* NCWaterbody Index Nunber
Stormwater r No
discharges will flow pr Yes
to additional
wate rs *
15c. Additional Falls
Receiving Waterbody narre
Waterbody
15d. Waterbody 7-(5.5)
Index No. NCWaterbody Index Nurrber
15e. Additional Waterbody narre
Receiving
Waterbody
15f. Waterbody johanna@snyderhanki
Index No. ns.com
NCWaterbody Index Minber
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 Snyder -Hankins Custom Homes, Inc.
Name * If pernittee is an individual (i.e., organization does not apply), enter first and last nave in this field.
2. First Name* Daniel L
It Corporation, enter Fbgistered Agent First Barre
3. Last Name* Snyder
If Corporation, enter Registered Agent Last Wre
3b. Title Vice President
4. Permitee E-mail [e-mail]
Address *
5. Permittee 9192150712
Telephone No.*
6. Permittee Mailing Street Address
Address* 8368 Six Forks Road
Address Line 2
Suite 202
city
Raleigh
Fostal / Zip Code
27615
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
8368 Six Forks Road
Address Line 2
Suite 202
aty
Raleigh
Fbstal / Zip Code
27615
8. Type of Individual
Ownership*
State / Ftovince / Region
NC
Country
USA
State / Ffovince / Fbgion
NC
Country
USA

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Daniel L
Contact - First
Name *
2. Primary Site
Snyder
Contact - Last
Name *
3. Title
Vice President
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-215-0712
Telephone No.
6. Organization
Snyder -Hankins Custom Homes, Inc.
Name
7. Site Contact
Street Address
Mailing Address*
8368 Six Forks Road
Address Line 2
STE 202
city
Raleigh
Fbstal / Zip Code
27615
8. Consultant Name
(Optional)
First and Last narre
9. Consultant E-mail
This person will be copied on all correspondence.
10. Consultant
Telephone No.
State / Rovince / Region
North Carolina
Country
United States

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
............................................................................................................................................................................................................................................................................................................................__
1. Date E&SC Plan 03/02/2020
Approved *
2. E&SC Plan Project SEC-033439-2020
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
Wake County Approval -
Approval letter or
223.02KB
S&E_Sing IeLot_Pla n ReviewCheckl ist_Septic_3_2_...
Grading Permit
Mast be R7Ffon-rat
Site Map (Optional)
Helpful for linear project review
Lot 15 1908 Lyra S&E Site Plan-
1.46MB
02192020130017. pdf
NUst be RDFfon-rat
Notes (Optional)
Frovide 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
1908 Lyra NCG01-eNO1-Certification-Form-
Form
20.02MB
20190919-DEML R-SW. pdf
Mist be FDFfornat
This is an Express
r 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 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 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
PX V, r� L. lia
Type Name* Daniel L. Snyder
Title Vice President
Organization Snyder -Hankins Custom Homes, Inc.
Date * 03/09/2020

F. Tracking and COC Info
NOI Tracking No. 22911
NC Reference No. NCG01-2020-0945
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200945
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 945
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.)