NCC201031_NOI Application_20200317

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/16/2020 10:20:32 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 3/16/2020 11:37:51 AM (Review- Construction NOI 23097)
• The task was assigned to Garcia, Lauren V by round robin distribution 3/16/2020 10:20 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 18, 2020 5:00
PM 3/16/2020 10:20 AM
Submit by Garcia, Lauren V 3/17/2020 3:35:37 PM (Payment Verification for NCC201031)
* Stuart Presnell Advance
• Garcia, Lauren V assigned the task to Garcia, Lauren V 3/17/2020 3:34 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 27, 2020 5:00 PM
3/16/2020 11:37 AM

.• SThF� ';
1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
la. Project Name* Advance Concrete Building
1 b. Specific Lot This field any be used to list specifc lot numbers.
Numbers
2. County* Wake
3. Highway or Street 4500 Waterfield Drive
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
35.6853
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-78.5668
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*
03/16/2020
Estimated Construction Project Start Date
10. Date to End *
03/16/2021
Estinated Construction Project End Date
11. SIC (Primary)*
Commercial (1542)
Standard Industrial aassification for Development
12. Acres to be
4.00
disturbed*
(including off -site borrow and waste areas)
13. Total site area 6.20
(acres)*
14. Post- 2.61
construction (Estimated)
impervious area
(acres) *

NCC Project NCC-WAKE-2020-Advance Concrete Building
Tracking ID Assignedautorratically
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 White Oak Creek
Wate rbody* Nacre of waterbody into which storrrwater runoff w ill discharge
15b. Waterbody 27-43-11
Index No. * NC Waterbody Index Minter
Stormwater V 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 SMP Property Group, LLC
Name * If pernittee is an individual (i.e., organization does not apply), enter first and last nave in this field.
2. First Name* Lacy "Stuart"
If Corporation, enter Fbgistered Agent First Barre
3. Last Name* Presnell
If Corporation, enter Faegistered Agent Last Wre
3b. Title Member
4. Permitee E-mail [e-mail]
Address *
5. Permittee 919-747-9713
Telephone No.*
6. Permittee Mailing Street Address
Address* 3708 Conquest Drive
Address Line 2
city
Garner
Fostal / Zip Code
27529
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
3708 Conquest Drive
Address Line 2
City
Garner
Fbstal / Zip Code
27529
8. Type of Non -Government
Ownership*
State / Frovince / Faegion
NC
Country
USA
State / Ffovince / Fbgion
NC
Country
USA

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Jamie
Contact - First
Name *
2. Primary Site
Mitchell
Contact - Last
Name *
3. Title
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-802-7005
Telephone No.
6. Organization
Sammax Contracting
Name
7. Site Contact
Street Address
Mailing Address*
405 Swann Trail
Address Line 2
City
Clayton
Postal / Zip Code
27527-6506
8. Consultant Name
(Optional)
Jonathan Allen
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
9198581831
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 11/25/2019
Approved *
2. E&SC Plan Project SEC-025597-2019
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 SEC-025597-2019_Approval-
Approval letter or S&EConstructionPlan ReviewChecklist-V.2 WM 11- 276.92KB
Grading Permit
25-19.pdf
Mast be RFfornal
Site Map (Optional) Helpful for linear project review
Mast be RDFfornat
Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies for linear projects if necessary.
6. NOI Certification NCG01-eNO1-Certification-Form-20190919-DEMLR-
Form SW.pdf 665.7KB
Mast be FDFfon-rat
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 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
�rx� aa'rrrpt..�rA.
Type Name* Lacy Stuart Presnell
Title Vice President
Organization SMP Property Group, LLC
Date * 03/16/2020

F. Tracking and COC Info
NOI Tracking No. 23097
NC Reference No. NCG01-2020-1031
Uses 'count number' variable (incremrented by SP)
Certificate of NCC201031
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 1031
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.)