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HomeMy WebLinkAboutNCC202907_NOI Application_20200710Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 7/8/2020 5:01:01 PM (NCG01 NOI Submission) Approve by Garcia, Lauren V 7/9/2020 6:59:03 PM (Review- Construction NOI 27982) • Farkas, Jim J reassigned the task to Garcia, Lauren V 7/9/2020 2:22 PM . The task was assigned to Farkas, Jim J by round robin distribution 7/8/2020 5:01 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 10, 2020 5:00 PM. The priority is: High 7/8/2020 5:01 PM Submit by Selkane, Aziza 7/10/2020 8:11:14 AM (Payment Verification for NCC202907) * Nancy R Teid • Selkane, Aziza assigned the task to Selkane, Aziza 7/10/2020 8:10 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 20, 2020 5:00 PM. The priority is: High 7/9/2020 7:22 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 27911 NOI No. Prior Reviewer Lauren Garcia Name 1a. Project Name * Harts Mill Solar Connector 1 b. Specific Lot This field may be used to list specffc lot numbers. Numbers 2. County* Edgecombe 3. Highway or Street Howard Avenue Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Edgecombe County 5. State * NC 6. Zip Code * 27886 7. Latitude * Enter the latitude in decimal degrees 35.9120 8. Longitude* Enter the longitude in decinal degrees (M. ST be negative) -77.6196 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* 07/09/2020 Estimated Construction Project Start Date 10. Date to End* 07/01/2021 Estimated Construction Project End Cute 11. SIC (Primary) * Other (9999) Standard Industrial Classification for Ceveloprrent 12. Acres to be 4.64 disturbed* (including off -site borrow and waste areas) 13. Total site area 19.81 (acres) * 14. Post- 0.00 construction (Estimated) impervious area (acres) * NCC Project NCC-EDGEC-2020-Harts Mill Solar Connector Tracking ID Assigned automatically 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 Penders Mill Run/ Harts Mill Wate rbody* %rre of waterbody into which stormwater runoff will discharge 15b. Waterbody 28-77 Index No.* NCWaterbody Index Nunber 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 * Virginia Electric & Power Company IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Mark If Corporation, enter Faegistered Agent First %rre 3. Last Name* Allen IF Corporation, enter F;bgistered Agent Last %rre 3b. Title Director ET Project Development and Execution 4. Permitee E-mail nancy.r.reid@dominionenergy.com Address* 5. Permittee 434-532-7579 Telephone No.* 6. Permittee Mailing Street Address Address* 10900 Nuckols Road Address Line 2 4th Floor City Glen Allen Check box if the street address the same as mailing address 7. Permittee Street Address* Fbstal / Zip Code 23060 V Yes Street Address 10900 Nuckols Road Address Line 2 4th Floor city Glen Allen Fbstal / Zip Code 23060 8. Type of Non -Government Ownership * State / Frovince / Pegion Virginia Country us State / Ftovince / Region Virginia Country us C. Site Contact Information Part C. ^ Roject Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site Eric Contact - First Name * 2. Primary Site Clay Contact - Last Name * 3. Title Construction Consultant 4. Site Contact E- james.e.clay@dominionenergy.com mail Address* 5. Site Contact 804-335-9534 Telephone No.* 6. Organization Dominion Energy North Carolina Name 7. Site Contact Street Address Mailing Address* 10900 Nuckols Road Address Line 2 4th Floor city State / Rovince / Region Glen Allen Virginia Flostal / Zip Code Country 23060 us 8. Consultant Name (Optional) C2 Environmental, Inc. c/o Jennifer Johnson First and Last nacre 9. Consultant E-mail jjohnson@c2environmental.com This person will be copied on all correspondence. 10. Consultant 757-636-5047 Telephone No. D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/29/2020 Approved * 2. E&SC Plan Project EDGEC-2020-003 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 EDGEC-2020-003_20200629_LOA_revised.pdf 378.26KB Approval letter or Mist be RDF format Grading Permit 6. Site Location Map Helpful for linear project review (Optional) 0048_loc_quad.pdf 1.111VIB Mast be RDF format. Rease do not upload entire set of E&SCplans. 7. Notes (Optional) Rovide 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 440.63KB SW.pdf Mast be RDFfon-rat This is an Express r No Review Project* F 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 * Mark Allen Title Director ET Project Development & Execution Organization Legally Responsible Entity Virginia Electric & Power Company Date * 07/08/2020 F. Tracking and COC Info NOI Tracking No. 27982 NC Reference No. NCG01-2020-2907 Uses 'count_nunber' variable (increrrented by SP) Certificate of NCC202907 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 2907 Sequential nunber for subnittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.) Initial Invoice No. NCC202907-2020 Invoice Due Date 8/8/2020 Initial Fee $ 100.00 Invoice Status OPEN