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HomeMy WebLinkAboutNCC201502_NOI Application_20200616Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 4/14/2020 8:28:02 AM (NCG01 NOI Submission) Approve by Morman, Alaina 4/15/2020 9:07:28 AM (Review- Construction NOI 24290) • The task was assigned to Morman, Alaina by round robin distribution 4/14/2020 8:28 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 16, 2020 5:00 PM 4/14/2020 8:28 AM Submit by McCoy, Suzanne 6/16/2020 7:06:57 AM (Payment Verification for NCC201502) * Stephen Roberts • McCoy, Suzanne assigned the task to McCoy, Suzanne 6/16/2020 7:06 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 27, 2020 5:00 PM 4/15/2020 9:07 AM .• 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 24063 NOI No. Prior Reviewer Alaina Morman Name 1a. Project Name * Willow Spring Elementary School Drive Aisle Expansion 1 b. Specific Lot This field may be used to list spedc lot numbers. Numbers 2. County* Wake 3. Highway or Street 6800 Dwight Rowland Road Address * Street narre only is acceptable if no address number assigned yet 4. Cityor Township* Willow Spring 5. State * NC 6. Zip Code * 27592 7. Latitude * Enter the latitude in decimal degrees 35.5944 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.7289 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* 04/14/2020 Estimated Construction Project Start Date 10. Date to End* 09/25/2020 Estimated Construction Project End Cute 11. SIC (Primary) * Other (9999) Standard Industrial Classification for Ceveloprrent 12. Acres to be 1.93 disturbed* (including off -site borrow and waste areas) 13. Total site area 13.97 (acres) * 14. Post- 5.60 construction (Estimated) impervious area (acres) * NCC Project NCC-WAKE-2020-Willow Spring Elementary School Drive Aisle Tracking ID Expansion 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 Terrible Creek Wate rbody* N larre of waterbody into which stormwater runoff will discharge 15b. Waterbody 27-43-15-8-(2) Index No.* NCWaterbody Index Number 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 * Wake County Public Schools It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Brandon IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Williams It Corporation, enter F;bgistered Agent Last %ne 3b. Title Senior Project Manager 4. Permitee E-mail bwilliamsl0@wcpss.net Address* 5. Permittee 9195003664 Telephone No.* 6. Permittee Mailing Street Address Address* 111 Corning Rd, suite 190 Address Line 2 City State / Rovince / Pegion Cary North Carolina Fbstal / Zip Code Country 27518 USA Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 111 Corning Rd, suite 190 Address Line 2 City State / Frovince / Region Cary North Carolina Fbstal / Zip Code Country 27518 USA 8. Type of Government - County Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Brandon Contact - First Name * 2. Primary Site Williams Contact - Last Name * 3. Title Senior Project Manager 4. Site Contact E- bwilliams10@vvcpss.net mail Address* 5. Site Contact 919-500-3664 Telephone No. 6. Organization Wake County Public Schools Name 7. Site Contact Street Address Mailing Address* 111 Corning Rd, suite 190 Address Line 2 city Cary Postal / Zip Code 27518 8. Consultant Name (Optional) Sam MacDonald First and Last nacre 9. Consultant E-mail smacdonald@amtengineering.com This person will be copied on all correspondence. 10. Consultant 9198559989 Telephone No. State / Province / Region North Carolina Country USA D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/31/2019 Approved * 2. E&SC Plan Project WAKE-2019-091 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 * Raleigh (RRO) 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 WAKE-2019-091 LOA MOD 20190531 approved Approval letter or 99.22KB acres added.pdf Grading Permit Mist be FDFforrrat 6. Site Location Map Helpful for linear project review (Optional) Mast be FDFfornat. 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 NCG01-eNO1-Certification-Form-20190919-DEMLR- Form SW.pdf 693.19KB Mast be FDFfornat 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 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 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 �i�J}s�dr�'r'ar �1�Y/i�rrrJ Type Name * Brandon Williams Title Senior Project Manager Organization Legally Responsible Entity Wake County Public Schools Date * 04/14/2020 F. Tracking and COC Info NOI Tracking No. 24290 NC Reference No. NCG01-2020-1502 Uses 'count number' variable (incremrented by SP) Certificate of NCC201502 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 1502 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.)