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HomeMy WebLinkAboutNCC201410_NOI Application_20200511Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 4/6/2020 10:23:48 AM (NCG01 NOI Submission) Approve by Farkas, Jim J 4/8/2020 2:51:15 PM (Review- Construction NOI 24030) • The task was assigned to Farkas, Jim J by round robin distribution 4/6/2020 10:24 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 8, 2020 5:00 PM 4/6/2020 10:24 AM Submit by McCoy, Suzanne 5/11/2020 7:14:24 AM (Payment Verification for NCC201410) * Michael Meadows • McCoy, Suzanne assigned the task to McCoy, Suzanne 5/11/2020 7:13 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 20, 2020 5:00 PM 4/8/2020 2:51 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected NOI No. Prior Reviewer Name 1a. Project Name * Lots @ Ingleside: D.R. Horton 1 b. Specific Lot This field Tray be used to list specifc lot nunbers. Numbers 1-5, 26-31, 33,34,50,54,162,165-173,183- 195,240-243 2. County* Lincoln 3. Highway or Street S. Ingleside Farm Road Address* Street narre only is acceptable if no address nunber assigned yet 4. City or Township* Iron Station 5. State * NC 6. Zip Code * 28080 7. Latitude * Enter the latitude in decirral degrees 35.4501 8. Longitude* Enter the longitude in decirral degrees (NUSTbe negative) -81.0391 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* 04/08/2020 Estimated Construction Project Start Cate 10. Date to End* 04/08/2024 Estimated Construction Project End Cute 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 7.30 disturbed* (including off -site borrow and waste areas) 13. Total site area 131.70 (acres) * 14. Post- 3.00 construction (Estirrated) impervious area (acres) * NCC Project NCC-LINCO-2020-1-ots @ Ingleside: D.R. Horton 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 Killian Creek Wate rbody* %rre of waterbody into which stornwater runoff will discharge 15b. Waterbody 11-119-2-(0.5) Index No.* NCWaterbody Index Nirrber Stormwater rJ 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 Legally Pesponsible Entity Name * D.R. Horton, Inc. It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Bart If Corporation, enter Faegistered Agent First %rre 3. Last Name* Carroll It Corporation, enter Fbgistered Agent Last %ne 3b. Title NPDES Manager 4. Permitee E-mail BCarroll@drhorton.com Address* 5. Permittee 704-620-7373 Telephone No.* 6. Permittee Mailing Street Address Address* 8001 Arrowridge Blvd Address Line 2 Cty Charlotte Fbstal / Zip Code 28273-5604 Check box if the street address the same as mailing address 7. Permittee Street Address * V Yes Street Address 8001 Arrowridge Blvd Address Line 2 City Charlotte Fbstal / Zip Code 28273-5604 8. Type of Non -Government Ownership* State / Rovince / F;bgion NC Country us State / Frovince / Faegion NC Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Bart Contact - First Name * 2. Primary Site Carroll Contact - Last Name * 3. Title NPDES Manager 4. Site Contact E- BCarroll@drhorton.com mail Address* 5. Site Contact 704-620-7373 Telephone No. 6. Organization D.R. Horton, Inc. Name 7. Site Contact Street Address Mailing Address* 8001 Arrowridge Boulevard Address Line 2 city Charlotte Fbstal / Zip Code 28273-5604 8. Consultant Name (Optional) Alpha EMC First and Last nacre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant 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 03/30/2020 Approved * 2. E&SC Plan Project 20-ML-01 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Lincoln 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 Permit Approval - 3.30.2020.pdf 1.23MB Approval letter or Mist beRDFformal Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Mist be FCFfornat. Rease do not upload entire set of E&SCplans. 7. 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. Vertical Construction of lots 1-5, 26-31, 33,34, 50, 54, 162, 165- 173, 183 - 195, 240-243 8. NOI Certification NOI Certification - Signed..pdf 298.71 KB Form Mist be RDF format 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 Type Name* Bart Carroll Title NPDES Manager Organization Legally Pesponsible Entity D.R. Horton, Inc. Date * 04/06/2020 F. Tracking and COC Info NOI Tracking No. 24030 NC Reference No. NCG01-2020-1410 Uses 'count number' variable (incremrented by SP) Certificate of NCC201410 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 1410 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.)