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HomeMy WebLinkAboutNCC202409_NOI Application_20200611Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 6/8/2020 4:56:26 PM (NCG01 NOI Submission) Approve by Garcia, Lauren V 6/9/2020 3:37:50 PM (Review- Construction NOI 26699) . The task was assigned to Garcia, Lauren V by round robin distribution 6/8/2020 4:57 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 10, 2020 5:00 PM. The priority is: High 6/8/2020 4:57 PM Submit by McCoy, Suzanne 6/11/2020 8:07:47 AM (Payment Verification for NCC202409) * Robuck Design Build LLC • McCoy, Suzanne assigned the task to McCoy, Suzanne 6/11/2020 8:07 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 21, 2020 5:00 PM. The priority is: High 6/9/2020 3:37 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 26557 NOI No. Prior Reviewer Paul Clark Name 1a. Project Name * Avalaire lot 32 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 32 2. County* Wake 3. Highway or Street 5133 Avalaire Oaks Drive Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Bartons Creek 5. State * NC 6. Zip Code * 27614 7. Latitude * Enter the latitude in decimal degrees 35.9189 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.6246 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* 06/09/2020 Estimated Construction Project Start Date 10. Date to End* 02/26/2021 Estimated Construction Project End Cute 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 0.72 disturbed* (including off -site borrow and waste areas) 13. Total site area 1.09 (acres) * 14. Post- 0.18 construction (Estirrated) impervious area (acres) * NCC Project NCC-WAKE-2020-Avalaire lot 32 Tracking ID Assignedautonatically 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 Honeycutt Creek Waterbody * %rre of waterbody into which stornwater runoff will discharge 15b. Waterbody 27-20-(1) Index No.* NCWaterbody Index Nunber Stormwater r No discharges will flow Pf Yes to additional wate rs * 15c. Additional Neuse River Receiving Waterbody narre Waterbody 15d. Waterbody 27-(5.5) Index No. NCWaterbody Index Nunber 15e. Additional Waterbody narre Receiving Waterbody 15f. Waterbody NCWaterbody Index Nunber Index No. 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 * Robuck Design Build LLC It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Gerri If Corporation, enter Faegistered Agent First %rre 3. Last Name* Herakovich It Corporation, enter F;bgistered Agent Last %ne 3b. Title Manager 4. Permitee E-mail gerri@robuckdesignbuild.com Address* 5. Permittee 919-422-2858 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box 17102 Address Line 2 City State / Rovince / Pbegion Raleigh NC Fbstal / Zip Code Country 27619 us Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 6131 Falls of Neuse Road Address Line 2 Suite 201 City State / Frovince / Region Raleigh NC Fbstal / Zip Code Country 27609-3518 us 8. Type of Non -Government Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Gerri Contact - First Name * 2. Primary Site Herakovich Contact - Last Name * 3. Title Manager 4. Site Contact E- gerri@robuckdesignbuild.com mail Address* 5. Site Contact 919-422-2858 Telephone No. 6. Organization Robuck Design Build LLC Name 7. Site Contact Street Address Mailing Address* 6131 Falls of Neuse Road Address Line 2 Suite 201 city Raleigh Fbstal / Zip Code 27609-3518 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 NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/01/2020 Approved * 2. E&SC Plan Project SEC-038180-2020 Avalaire lot 32 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-038180-2020 Avalaire 32 LDApproval- Approval letter or 280.29KB S&E_SingleLot_PlanReviewChecklist. pdf Grading Permit Mast be Ft7Ffon-rat 6. Site Location Map Helpful for linear project review (Optional) Mast be PDFfornat. 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. 8. NOI Certification AV32 NCG01 Form 060420.pdf 574.91 KB Form Mist be RDFfornat This is an Express f 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 Atide 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 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 ��tfii � cp,�v�drlr Type Name* Gerri R. Herakovich Title Manager Organization Legally Ibsponsible Entity Robuck Design Build LLC Date * 06/08/2020 F. Tracking and COC Info NOI Tracking No. 26699 NC Reference No. NCG01-2020-2409 Uses 'count number' variable (incremrented by SP) Certificate of NCC202409 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2409 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.)