NCC201190_NOI Application_20200327

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/23/2020 4:10:30 PM (NCG01 NOI Submission)
Approve by Clark, Paul 3/24/2020 9:07:04 AM (Review- Construction NOI 23408)
• The task was assigned to Clark, Paul by round robin distribution 3/23/2020 4:11 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 25, 2020 5:00
PM 3/23/2020 4:11 PM
Submit by McCoy, Suzanne 3/27/2020 4:54:34 PM (Payment Verification for NCC201190)
* Jessica Meyer
• McCoy, Suzanne assigned the task to McCoy, Suzanne 3/27/2020 4:53 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 5, 2020 5:00 PM
3/24/2020 9:07 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
la. Project Name * Tyler Pool House & Amenity Center
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers
2. County* Craven
3. Highway or Street 157 Olivia Road
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* New Bern
5. State * NC
6. Zip Code* 28560
7. Latitude* Enter the latitude in decimal degrees
35.1525
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-77.1083
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
Estimated Construction Project Start Date
10. Date to End*
08/01/2020
Estinated Construction Project End Date
11. SIC (Primary) *
Residential, Other
than SFE (1522)
Standard Industrial C]assification for Development
12. Acres to be
2.00
disturbed*
(including off -site borrow and waste areas)
13. Total site area 1.36
(acres) *
14. Post- 0.37
construction (Estirrated)
impervious area
(acres) *

NCC Project NCC-CRAVE-2020-Tyler Pool House & Amenity Center
Tracking ID Assigned autorratically
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 Bachelor Creek
Wate rbody* Narre of waterbody into which stornwater runoff will discharge
15b. Waterbody 27-98
Index No. * NCWaterbody Index Nurrber
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. ^
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 DR Horton, Inc.
Name * If perrrittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name* Jessica
IF Corporation, enter Fbgistered Agent First Barre
3. Last Name* Meyer
If Corporation, enter F3egistered Agent Last Wre
3b. Title NPDES Technical Compliance Administrator
4. Permitee E-mail [e-mail]
Address *
5. Permittee 919.215.6561
Telephone No.*
6. Permittee Mailing Street Address
Address* 2000 Aerial Center Parkway, Suite 110
Address Line 2
City State / F rovince / Faegion
Morrisville NC
F ostal / Zip Code Country
27560 us
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
2000 Aerial Center Pkwy, Suite 110
Address Line 2
City
State / Ffovince / Fbgion
Morrisville
NC
Flostal / Zip Code
Country
27560
Wake
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
...................................................................................................................................................................................................................
1. Primary Site
Jessica
Contact - First
Name *
2. Primary Site
Meyer
Contact - Last
Name *
3. Title
NPDES Technical Compliance Administrator
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919.215.6561
Telephone No.*
6. Organization
DR Horton, Inc.
Name
7. Site Contact
Street Address
Mailing Address*
2000 Aerial Center Parkway
Address Line 2
Suite 110A
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-9294
us
8. Consultant Name
(Optional)
Kristi Anspach, Eco Turf
First and Last narre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
919.883.8211
Telephone No.

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 03/20/2020
Approved *
2. E&SC Plan Project CRAVE-2020-024
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 * Washington (WaRO)
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 Crave-2020-024 Tyler Pool House Amenity Center -
Approval letter or 868.52KB
03202020.pdf
Grading Permit
Mast be FDFforrrat
Site Map (Optional) Helpful for linear project review
TylerPoolHouseSitePlan-StBourkeComments#2.pdf 18.57MB
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.
The disturbed acreage is greater than the site acreage because
there are multiple parcels included in the plan. I have attached the
plan in the Site Map section. Site acreage is listed on the plan.
6. NOI Certification Tyler Amenity NCG01 Notice of Intent (NOI)
Form 729.94KB
Certification Form.pdf
Mast be FDFfon-rat
This is an Express r 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 * Jessica Meyer
Title NPDES Technical Compliance Administrator
Organization DR Horton, Inc.
Date * 03/23/2020

F. Tracking and COC Info
NOI Tracking No. 23408
NC Reference No. NCG01-2020-1190
Uses 'count number' variable (incremrented by SP)
Certificate of NCC201190
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 1190
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.)