NCC201530_NOI Application_20200422

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/15/2020 8:35:54 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 4/16/2020 12:38:52 PM (Review- Construction NOI 24352)
. The task was assigned to Garcia, Lauren V by round robin distribution 4/15/2020 8:37 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 17, 2020 5:00 PM
4/15/2020 8:37 AM
Submit by Garcia, Lauren V 4/22/2020 12:45:54 PM (Payment Verification for NCC201530)
* McKim and Creed Inc
• Garcia, Lauren V assigned the task to Garcia, Lauren V 4/22/2020 12:35 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 28, 2020 5:00 PM
4/16/2020 12:39 PM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting IT No
an NOI that was r Yes
rejected before?
1a. Project Name *
Wendell Falls Single Lot Erosion Control for Garman Builders (lots
1175-1179,120
1 b. Specific Lot
This field rray be used to list spedc lot nunbers.
Numbers
1175,1176,1177,1178,1179,1201,1202,1203
,1204,1205,1206,1207,1208,1209,1210,121
1,1212,1213,1214,1215,1216,1217,1218,12
19,1220,1221,1222,1223,1224,1225,1226,1
227,1228,1229,1230
2. County*
Wake
3. Highway or Street 325 Painthorse Lane
Address * Street name only is acceptable if no address nunber assigned yet
4. Cityor Township* Wendell
5. State * NC
6. Zip Code* 27591
7. Latitude* Enter the latitude in decinal degrees
35.7713
8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative)
-78.4284
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*
04/27/2020
Estinated Construction Project Start Date
10. Date to End*
07/31/2020
Estinated Construction Project End Cate
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial C]assification for Development
12. Acres to be
4.50
disturbed*
(including off -site borrow and waste areas)

13. Total site area 4.50
(acres) *
14. Post- 2.89
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-WAKE-2020-Wendell Falls Single Lot Erosion Control for
Tracking ID Garman Builders (lots 1175-1179,120
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 Mark's Creel
Wate rbody* %rra of waterbody into which storrrwater runoff will discharge
15b. Waterbody 27-38
Index No. * NCWaterbody Index Nurrber
Stormwater W 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. ^
Fbrnittee 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 Legally Pesponsible Entity
Name * Garman Homes
It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name * Steve
If Corporation, enter Faegistered Agent First %rre
3. Last Name* Campbell
It Corporation, enter F;bgistered Agent Last %ne
3b. Title Construction Manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-812-5560
Telephone No.*
6. Permittee Mailing Street Address
Address* 3725 Stonegate Drive
Address Line 2
Cty
Durham
Fbstal / Zip Code
27705-5477
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address *
V Yes
Street Address
3725 Stonegate Drive
Address Line 2
city
Durham
Fbstal / Zip Code
27705-5477
8. Type of Non -Government
Ownership*
State / Rovince / F;bgion
NC
Country
us
State / Frovince / Region
NC
Country
us

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Steve
Contact - First
Name *
2. Primary Site
Campbell
Contact - Last
Name *
3. Title
Construction Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-812-5560
Telephone No.
6. Organization
Garman Homes
Name
7. Site Contact
Street Address
Mailing Address*
3725 Stonegate Drive
Address Line 2
City
Durham
Postal / Zip Code
27705-5477
8. Consultant Name
(Optional)
Chris Seamster
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
919-233-8091
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 04/09/2020
Approved *
2. E&SC Plan Project SEC-034752-2020
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
SEC-034752-2020_Approval-
Approval letter or
S&EConstructionPlan ReviewChecklist-V.2 WM 4-9- 275.4KB
Grading Permit
20.pdf
Mast be RFformat
6. Site Location Map
Helpful for linear project review
(Optional)
2020.04.01.Garman Homes.Single Family
35.11 MB
S&EC.Wendell FalIs. Revised. pdf
Mast be RDFfornat. Rease do not upload entire set of E&SCplans.
7. Notes (Optional)
Provide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies for linear projects if necessary.
This is an addition of lots to a previously approved plan, Wake
County Permit SEC-029251-2019
8. NOI Certification
NCG01-eNO1-Certification-Form-20190919-DEMLR-
Form
137.61 KB
SW -Phase 8C-Signed.pdf
Mast be RDFformat
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
IT 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* Steve Campbell
Title Construction Manager
Organization Legally Ibsponsible Entity
Garman Homes
Date * 04/15/2020

F. Tracking and COC Info
NOI Tracking No. 24352
NC Reference No. NCG01-2020-1530
Uses 'count number' variable (incremrented by SP)
Certificate of NCC201530
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 1530
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.)